Like "Dear Dr. Gary, I am a clinical child psychologist and have had Type 1 Diabetes for 17 years and I cannot stress enough the importance of talking about the emotional experience of living with diabetes. As I have had many physicians I have seen the gamut of will ones to talk about emotions, but overall it is downplayed. We know now the physiological impact of emotional states and it can negatively affect your A1C which leads to further stress, anxiety, and depression. One thing that I would encourage everyone to explore is the sense of loss that transpires when someone becomes diagnosed as you no longer can be considered healthy. I have also felt since being diagnosed the tendency to minimize the emotional impact of having diabetes to not burden others or to not have to explain or elaborate. Emotional health is extremely important and often under recognized in the treatment of diabetes."