Ideal Community Care Service

By colmbaker Latest Reply 2015-03-22 13:42:52 -0500
Started 2015-03-15 16:18:52 -0500

So I'm doing a research project for college on diabetes support services in the community. Outside of GPs and hospitals there doesn't seem to be much. I'm looking to hear your views on what would be the ideal diabetes care service in the community.
Ideally this would take the form of a clinic under one roof outside of the GP's surgery and hospital i.e. a one stop shop for diabetes care.

What is needed?
And importantly what is not needed?
What is already provided?

My thinking is two diabetic nurses, physio, podiatrist, dietician, cardiac screening service, diabetic screening service, retinopathy screening, counsellor, pharmacist.

Could you comment on any other requirements or if these are not needed.

16 replies

Sapphire24 2015-03-22 13:39:46 -0500 Report

teaching people how to properly dispose of sharps and where to get free containers and drop off box for them. We have one community center in our town that does this, gives out free containers and has like a mailbox looking drop off for them. A great service. My doctors did not even know what to tell patients about this, so I gave them my paperwork on it. In our state you cannot just throw away sharps in the garbage etc. I have good insurance so I went to a 4 week diabetes class at our local hospital that was new. Teaching hispanics the proper way to eat would be good because we rely on rice and beans ALOT. Also a good cardiologist helps if you did not already mention it. A great neurologist that knows diabetic neuropathy too.

Sopies Grandma
Sopies Grandma 2015-03-17 09:37:38 -0500 Report

I find this a very interesting subject. I feel that I have a very good set up here, My PCP and Endo, and diabetic education center are all in the Hospital, They have a program with is called MYCHART. when I have an appointment with any one of these they use the mychart to put what happened at the visit, this mychart is available for each office to see, and it also has all my medical records and any and all test results listed, so all my doctors and nurses can and do communicate with each other about me and my medical needs, and I can also get online and see too, as well as talk to each one of them. I feel blessed that I have this. but If I could set up a building with all other kinds of care…well, that would be totally awesome.

Sapphire24 2015-03-22 13:42:52 -0500 Report

that is an excellent service, but I am assuming your doctor probably takes the better insurances like mine. Is it available to everyone no matter what insurance??????????? That is the big question nowadays in our screwed up healthcare system. At my offices the doctors can both see my records on the computer, they have their own diabetic nurse too but not as good as my local hospitals which they belong to a different hospital than the diabetic nurse unfortunately.

suecsdy 2015-03-15 18:34:55 -0500 Report

I agree with James as I already have CKD and cannot find enough info on what is going on with my kidneys to ease my mind. It's scary as hell, the things that can happen because of D.

jayabee52 2015-03-17 12:47:49 -0500 Report

Sue, Perhaps I might be of help to you re:CKD. If so just say the word either on the discussions (preferred) or in PM.

suecsdy 2015-03-17 19:18:57 -0500 Report

James, thank you for your offer to help. I understand about being in stage 3 CKD and that my kidney function is between 55-65%, although I do not understand haow it could happen so fast. What I have been frustrated in is trying to find information about the cysts on my kidneys. The nephrologist told me they are not simple cysts, which is the most common kind and not a problem. There is only one on each kidney, The left one being 7 centimeters. They have fibers in them, but are not cancerous This is about all I know and I have not been able to find much info about them and what can happen. I have signed up at the Da Vita Institute and they have some good information there, but not enough to put my mind at ease. Just trying to talk about it out loud still upsets me almost to the point of tears, it scares me that much. So mostly I have pushed it to the back of my mind so I can focus on other matters. Just trying to drink a lot, doing some positive visualization and watch the salt. My bg is in good control, I think, usually under 100 most of the time, blood pressure is in the good range, so I guess I just have to trust the Dr and see what happens in Apr/May when I see her again. The surgical team is aware of the issue and has access to the tests that she ordered

jayabee52 2015-03-17 23:36:03 -0500 Report

Sue, I hear you. about your concern over your cysts. My kidneys went bad really fast as well. I had prostrate problems and it closed up tight on me. Couldn't empty my bladder and the urine backed up into the kidneys and they got infected. I went tfom no worries about kidneys to my kidneys getting hammered from the infection.

Have you looked at meal plans for kidney patients? There are good ones on both DaVita ~ and Fresenius

I had a period of time where I had a relapse from my kidney disease. I didn't have to undergo dialysis for about 4 yrs. If I would have been smarter sooner I would have started eating a kidney disease meal plan when I got off dialysis. That might have extended the time i was off dialysis.
God's best to you

haoleboy 2015-03-15 18:25:55 -0500 Report

Neurology services of some sort as neuropathy is one of the most common complications of diabetes.
Interesting idea but who's going to pay for this?

colmbaker 2015-03-16 04:10:45 -0500 Report

Funding is the issue of course. The first part of this is to get an idea of what is needed and what wouold be utilized by the diabetic community. The step then is to see is there a financially viable way of providing this service

jayabee52 2015-03-15 17:55:46 -0500 Report

Howdy Colm

To the list you provided I would add a kidney specialist as too many PWDs get Kidney disease necessitating dialysis (as have I)

God's best tp you

James Baker