[Diabetes-talk] question

[cheryl echevarria]

I get that as well, also each diabetic as Ann says is that each person is 
different the metabolism maybe faster or slower, you might other issues such 
as cholesterol or high blood pressure each person is an individual and 
definitely should meet with a dietician, I have found in the past the drs 
such give you a cookie cutter diet plan and have no idea what they are 
talking about, from Medicare to all insurances you are covered by a CDB as 
well as a dietician.

Especially medicare, they have a part of there plan that is just for 
diabetics.

Cheryl Echevarria


----- Original Message ----- 
From: "Ann Williams" <clevelandann at sbcglobal.net>
To: <diabetes-talk at nfbnet.org>
Sent: Saturday, February 21, 2009 1:37 PM
Subject: Re: [Diabetes-talk] question


> Paul asked: " My next issue has to do with whether
> or not I should have a food plan.  I have met for 4 times with a cde, but
> she hasn't said anything about this."
>
> Yes!  You should have a food plan designed to meet your particular
> medical needs.  Furthermore, your meal plan should take into account
> your food preferences and your cultural background, if it affects what
> you eat and don't eat.  This is in all professional standards of
> diabetes care, which can be found on the web site of the American
> Diabetes Association at:
> http://professional.diabetes.org/CPR_search.aspx
>
> Paul also said, "The view seems to be that all blind people have sighted
> caregivers, and, I
> don't have any idea where this comes from.  When I tell them that I don't
> have sighted help, they throw up their hands in astonishment, and
> quickly fade away not knowing
> what to do."
>
> This is not acceptable, either legally or ethically.  Under the American
> with Disabilities Act, a CDE must provide reasonable accommodations to
> make sure that you can benefit from diabetes education services.
> Furthermore, the American Association of Diabetes Educators (AADE) has a
> very strong Position Statement about diabetes education for people with
> disabilities.  It states in no uncertain terms that diabetes educators
> must provide the same quality of care to people with disabilities as
> they do to people with no current disability.  An older position
> statement was published in 2002, and an update is due to be published
> this coming week or next.  AADE's Position Statements are available at:
> http://www.diabeteseducator.org/About/position/position_statements.html
> Scroll down to find the one about disabilities.
>
> Now, to give your CDE the benefit of the doubt, I have to add that
> during their basic education, very few health care professionals have
> adequate preparation for working with blind people effectively.  (It's
> not right, but that is the way it is.)  So maybe your CDE needs some
> help knowing what she should do to serve you well.  You can tell her
> that AADE has a Disabilities Specialty Practice Group, with members who
> have experience working with people who have all kinds of disabilities.
> She can contact the Chair of that group (who happens to be me this year)
> to get hooked up with another CDE who can help coach her on appropriate
> ways to work with you and any other blind people who come to see her.
>
> Ann Williams, PhD, RN, CDE
>
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