When Gerri Weiss's husband, Michael, learned 22 years ago that he had type 1 diabetes, she faced what she calls one of the toughest challenge of her life: how to support her husband through a disease that often overwhelmed both of them.
With 21 million Americans now diagnosed with diabetes, Weiss has hardly been alone in her struggle. What are the best ways to support a spouse with diabetes?
Injuries that are minor in a healthy person can have severe consequences when you have diabetes, so good wound care is essential.
Because of reduced circulation and problems with sensation (neuropathy), people with diabetes are at a much higher risk for complications from ordinary, everyday cuts and scrapes.
First, recognize that diabetes permeates daily life.
''When Mike was diagnosed, he kept thinking this disease had just happened to him, when, in fact, it had happened to our whole family,'' Weiss says.
The couple had two young children. ''All of a sudden, we had to eat meals at a certain time, and we had a busy life," Weiss says. "And we had to be aware that Daddy had mood swings sometimes.''
It's also frightening to think of a loved one developing diabetes-related complications from poorly controlled blood sugar, such as blindness, amputation, and kidney failure. When a partner with diabetes doesn't seem serious about managing the disease, a spouse may feel frustrated, even panicked.
But browbeating or criticizing usually backfires, says Weiss, who is director of organizational affairs at the University of Pittsburg Diabetes Institute. Her husband, Michael Weiss, chairs the American Diabetes Association's national board of directors.
Instead, as Weiss learned, there are better ways to create a healthy partnership. She and other experts offered WebMD these pointers for those trying to support a spouse with diabetes.
Diabetes Support Tip No. 1: Offer Help, but Don't Be the Diabetes Police
At first, when Weiss caught her husband sneaking junk food, she reminded him that it was off-limits. She asked him constantly about his blood sugar levels. ''It took some time before I realized that diabetes had not just changed our lifestyle, it had changed me,'' Weiss says. ''I became a nagging spouse.''
While it's tempting to hover, let your spouse decide what kind of help is welcome, Weiss says. Some people with diabetes will allow spouses ''nagging rights.'' Others won't.
It's also unrealistic to expect a spouse with diabetes to stay on top of the disease at all times. Says Weiss: ''For Mike, it's 24-7. He can't take a break from this disease -- ever. And I can.''
Get the latest Diabetes newsletter delivered to your inbox!
Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
Thank you for signing up for the WebMD Diabetes Newsletter!
You'll find tips and tricks as well as the latest news and research on Diabetes.
Did You Know Your Lifestyle Choices
Affect Your Blood Sugar?
Use the Blood Glucose Tracker to monitor
how well you manage your blood sugar over time.