Perspectives on Diabetes Care

This is the official blog of the Association of Diabetes Care & Education Specialists where we share recent research and professional opinions on diabetes care and education.


Explore Helpful Views on Diabetes Care & Education

If you're looking for professional opinions on diabetes care and education, you're in the right place. Perspectives on Diabetes Care is the official ADCES® diabetes care and education blog that shares helpful views on diabetes care and education. 

This is where you'll find practical tips on working with people affected by prediabetes, diabetes and related cardiometabolic conditions and the latest research and viewpoints on issues facing diabetes care and education specialists and the people they serve.



Current & Past ADCES Blog Articles


Choosing to Educate

Oct 11, 2013, 01:00 AM

Special guest blog from Molly McElwee, RN, CDE, Clinical Research Coordinator, Center for Diabetes Technology, University of Virginia

You became an educator for a reason.  You see opportunities where knowledge would make a situation better, and you like to put the pieces of the puzzle together.  You educate all day long, but what happens when you leave work?  You don’t stop educating.  Choosing to teach is a calling and a gift. 

Sometimes I find myself at a crossroads where I’m asking myself if I want to educate the person in front of me.  We’re talking strictly outside of work hours.  Let me illustrate this for you.

I’m standing in line in the pharmacy and I have a basket full of glucose tabs, alcohol swabs, some candy (for when the glucose tabs are undesirable) and a script for Lantus – for if or when my pump ever malfunctions.  A lady in front of me, let’s call her Sandy, turns around and decides now is the exact moment to start chatting about everything in my basket.  “Oh, my grandmother takes Lantus for her diabeetus and she’s already gone blind.  I tell her, grandma, you need to lose some weight and start exercising and you can get rid of that diabeetus!”

I’ve said nothing this whole time so she takes this as a nod to keep talking to me, “You know you can get rid of your diabeetus, too. You just need to lose some weight, exercise more and eat smarter.”  I’m looking over at this woman who is a healthy 150lbs heavier than I am and wondering what kind of tips she will share next.

“You know that Dr. Oz can cure diabeetus. He is on in the afternoons. Do you watch Dr. Oz?”  Now she’s asked me a direct question, so this should warrant a response.  Instead, I start the internal debate, do I chose to educate, explode or congratulate her on her great knowledge?  It’s a hard decision and to be honest I have chosen each one of these at different times usually without regret.  I take a deep breath and evaluate the line in front of us, I don’t have enough time to properly educate her and I’m going to lose my place in line if I explode.  Congratulations wins!

“Oh my goodness, you are so bright!  I didn’t realize I could cure my type 1 diabetes by following your lifestyle suggestions!  What are you doing wasting time in line, get on down to the news station right now and report on this incredible knowledge you have.  I’m a nurse and a diabetes educator and have been looking for an answer to my type 1 diabetes for 15 years now and just now you figured it all out!”

I let that sink in thinking I might have just really plucked a nerve, but instead she comes back with “Do you really think so?  I’m gonna go home right now and email Dr. Oz.”  I put my hand on her shoulder and say, “please do that, right now, don’t waste any more time.”  At that, she left her basket on the floor and ran enthusiastically out of the store. 

The pharmacist, who knows me well, saw this encounter and had bent over crying because she was laughing so hard.  When I got up to the front of the line she came over and said, “Molly, I don’t know where you come up with that stuff, but it was brilliant!”  I thanked her and paid for my things and left. 

To this day, I regret not choosing to educate this woman.  When you have a chronic disease, many people think they have the answer for you and they will offer it numerous times to you completely unsolicited.  At times, I can swear it feels like my hair is bursting into flames; I’m so upset by what I hear.  But stopping and choosing to unravel the misinformation will make life better for me and my patients. 

So understand, there will be no end to the suggestions that will be offered to your or your patients on how to cure diabetes.  But please remember why you are an educator in the first place and set the information straight.  I and the people like Sandy who will confront me with this information thank you for your tireless efforts.