“Will you help me on this path, Igotz? I will need support, help and knowledge in the matter,” -she told me. “Of course, Belén. We´ll get through this together”
Time to make a plan. We’ll go step by step, starting by request a retinography to assess the fundus and see that there is no ophthalmological damage. We will also request an electrocardiogram to see that there are no alterations at this level. We will make an appointment with my partner in Nursing to explore the feet and rule out any neuropathy that could be the cause of loss of sensation and the appearance of injuries that could be complicated. We will have to take note of weight and height and calculate the Body Mass Index (BMI) and waist circumference.
We will also review in detail your lifestyle to know how your eating and exercise patterns are to see what things are improvable and affordable to modify, as well as other interesting data of your life such as sleep pattern, stress level, etc. In this way we can make a holistic approach, because we care about all of you, and because all of this has an influence on the control of your diabetes. We will also propose the pharmacological treatment that could be better adapted to your characteristics.
“Always write down all your doubts, and tell me about them. Having doubts only feeds uncertainty.”
We must focus on each person, and there is no excuse: every diabetes is different because each person is different. And this, and no other, should be our motto in the battle against diabetes. Teamwork and focus on each person will allow us to go further and achieve our goal: to keep diabetes under our own control to improve the quality of life.
There is no doubt: a woman with a history of gestational diabetes has a 10 times higher risk of developing type 2 diabetes compared to a woman who has not suffered this disease in pregnancy.