"The most important thing is to get help," Spero says. "The number one cause of burnout is people are trying to do everything themselves and get overwhelmed."
Research shows that social support -- from a friend, family member, or support group -- is one of the top ways to counter the negative effects of stress on diabetes management.
"When you feel like you're in this alone, it's going to be exhausting," Spero says. "But if you feel you have help, it's much easier."
Lisa Bernard, who lives in Pavilion, N.Y., and has type 2 diabetes, is grateful she can vent to friends on online forums.
"The most morale-boosting, uplifting thing is chatting with people who understand what it is like to ride the roller coaster of high glucose," she says. "Who else would understand our frustrations? These people 'get it' in ways I pray my dear family and friends neverwill."
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