- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.read biographyclose window
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.
Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.
Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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Living with diabetes blog
Dec. 9, 2010
The diabetes blues
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Do you ever get the "diabetes blues" and ask yourself why you bother with diabetes management? My son says that there are times when he wishes he could just take a break from his diabetes management. And sometimes, he does.
Diabetes is with you every day, and it's not going to go away. You're asked to eat better, exercise more and check your blood sugar. You're also asked to manage your weight, check your feet, get regular eye and dental exams, and report on your mood and sexuality. You're essentially asked to think about everything you put into your mouth. It's no wonder that people with diabetes often want a time-out.
Riva Greenberg provides some practical tips for taking a safe break in her book, "50 Diabetes Myths That Can Ruin Your Life."
- Create a plan with your care team to ensure that your diabetes control isn't compromised.
- Understand that you aren't quitting your diabetes care altogether, just taking a very brief break.
- Skip a noncritical blood glucose check once or twice a week.
- Check your blood sugar less often one day a week when you tend to eat and exercise the way you usually do. This gives you some confidence that you can safely guesstimate how you're doing.
- Ask someone to help share the load — perhaps a family member, friend or another person who has diabetes and understands.
It's also important that you recognize unsafe vacations from diabetes. An unsafe vacation is one that isn't planned, goes on for a long time, or during which you're faithful about taking your medication or insulin but don't test your blood sugar. If you're experiencing emotional issues, diabetes burnout or depression, seek help — consult your primary healthcare provider.
In his book "Diabetes Burnout," William Polonsky, Ph.D., says it well: "Part of taking care of diabetes is to remember that safe breaks now and then are a necessary, allowable part of your treatment plan."
Please share your tips.