For the newly diagnosed diabetic, a general practitioner will begin to bring the disease under control and can answer most basic questions, but a diabetes specialist is best suited to assist in fine tuning treatment and lifestyle plans. Specialists see the same conditions daily, so there are few questions they cannot answer, and there are few problems they have not seen. They can suggest ideas a GP may be unaware of, point patients toward local support groups, and will always be informed of the latest advances in medication and treatment.
Locating a Specialist
Many online, diabetes-specific databases can locate specialists using search engines that operate in a manner similar to popular mapping software--pick a state, then narrow it down--and some allow searches by zip code. Some offer a brief write-up on each doctor, with notes on their credentials and specializations, links to their personal websites, and maps to their addresses.
Communication with the physician is all-important; this is the beginning of a long relationship, so patients should consider meeting with several before selecting one who puts them at ease. This contributes to cost, but most feel an interview process is worth the expense.
What to Discuss
The first session will be almost entirely "question and answer", and there are no bad questions, so a patient should ask as many as needed to feel comfortable with both knowledge of the doctor and the disease. Pay special attention to changes in the body, skin, and weight, and relate these to the specialist, along with information on any recent illnesses. Even seemingly small things like appetite changes or rashes may be important, so pass these along, even keeping notes or a journal if necessary.
A specialist will help create a more targeted diet and exercise plan, but until then, patients should not deviate from the original plan set up by the GP. Specialists may also suggest other professionals for eyes, skin, and feet, or dietitians and exercise trainers; it is not unusual for a diabetic's healthcare team to consist of several consultants in addition to their primary MD.
"Tight Control"
The "Tight control" treatment system can slow down or nearly arrest progression of many associated complications, such as eye and kidney disease, but it should only be started under the close advisement of a diabetes specialist. The plan is not for everyone; the healthcare team will first assess the patient and then discuss the advantages and risks. Gradual implementation is necessary, and the plan must be adjusted to each patient to better monitor results.
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