Is there a cost for Diabetes Education?
If you are covered under OHIP there is no cost for this service. You will be provided with educational materials free of charge.
Can I refer myself or my family member to this service?
- You can call our administrative assistant at the Owen Sound site of GBHS at 519-376-2121, ext 2876
- You can call any hospital site and ask for Diabetes Education. Teams are not at each smaller hospital site each day, so you may need to leave a message.
If I am a health care professional how do I refer to this service?
- If you are a health care professional, you can access our referral in the contact section of this website
- If your patient is in the Emergency Department or an inpatient in any hospital in Grey or Bruce you can place a Cerner Orderable for Diabetes Education.
- If I would like your patient with Type 1 diabetes to use an Insulin Pump, please indicate this on the referral form.
How long will it take to get an appointment?
- If you or your child has a new diagnosis of Type 1 diabetes, we will see you within 24 to 48 hours.
- For less urgent appointments, you may wait up to one month.
- For initial clinic appointments with the endocrinologist, the wait may be six months to one year. Our RN/RD team will see you as you wait for this appointment with the endocrinologist. Priority patients, such as women who are pregnant with Type1, Type 2 or Gestational Diabetes will see the endocrinologist within one to two weeks.
Can I just drop in or do I need an appointment?
- Our teams are not at each site every day, and when they are, they are usually scheduled with clients. In order to provide the best possible service, we ask that you schedule an appointment ahead of time.
- In Owen Sound, on the 7th Floor, we have a resource lending library and encourage you to drop in during regular business hours.
I cannot get time off of work, can I get an appointment outside of regular business hours?
- Please let us know this when booking your appointment, we have some extended hours and will try to offer you an appointment to suit your needs.
- Clinics with our endocrinologist and paediatricians are within 0830 to 1530 hours.
What can I expect when I first meet with the diabetes team?
- Your diabetes team will need to ask you many questions to determine how you currently manage your diabetes. They will want to know what your questions are, how you learn best and what your knowledge is about your current test results.
- At most visits they will touch upon the 7 Self Care Behaviours related to diabetes: Taking Medication, Monitoring, Healthy Eating, Being Active, Problem Solving, Healthy Coping, Reducing Risks.
- They will help you to set goals so that you can manage your diabetes and stay well.
Do I need to bring anything to my appointment with the diabetes team?
If you have these items, we would encourage you to bring your food records, your log book with blood glucose testing results, your meter and a list of your current medications
Can I bring a friend or family member with me to my appointment?
Yes. It is important that you have the support from the people that are important in your life. Your friend or family member will be welcome to attend.
What is a “Certified Diabetes Educator” or CDE?
A Certified Diabetes Educator is a health professional who takes additional training and courses in diabetes education and management, engages in a mentoring process with a CDE and then sits a qualification exam monitored by the Canadian Diabetes Educator Certification Board. Once certified, the educator must maintain a level of competency with rigorous proof to maintain certification.
How often will I need to come to see a diabetes educator?
- Generally adults with a new diagnosis of Type 2 diabetes will come frequently at first, and then every three to six months for follow-up.
- Newly diagnosed Type 1 adults and children will need to be in contact with the team frequently as they learn how to manage their insulin and blood sugars. Once stable, children will attend quarterly clinic visits with the RN, RD and the Paediatrician.
- Adults using an insulin pump will need to be assessed at minimum once a year in a clinic visit with the Endocrinologist and by the RN or RD providing pump support at least twice more during the year.
- Those women diagnosed with Gestational Diabetes or who have pre-existing diabetes are pregnant will need appointments on a regular basis with the team and follow up after the baby is born.
What information will the team provide me (the client) with?
- They will provide you with written information to help you learn, and if you like a list of websites.
- They may give you a “passport” to help you stay on track with all your test results and goals.
- They can provide a list of good books to read more about diabetes and in Owen Sound we have a resource library.
What information will the team share with my family doctor?
- After each visit the team will provide a short summary of the visit to your family doctor, which will include any recommendations the team has regarding your treatment plan.
- If a change in medication is required, the RN or RD will work with your doctor to ensure this prescription happens as quickly as possible.
What happens if I don’t have a family doctor, can they help me with my prescriptions?
- The Nurse Practitioner working with the program can set up an appointment with you.
- She can review your health status and prescribed medications and tests related to your diabetes while you wait to be connected with a family doctor.
- She will also connect you with health care providers if you have health care needs beyond her scope of practice.
Can the team provide me with insulin? With meters? With test strips?
The team can work with you for access to supplies in an emergency situation and will ensure you have the paperwork completed for ongoing support for the supplies you need to manage your diabetes.
Can I call the team with questions?
- Yes, you can call your diabetes educator with questions, but this is not an emergency service, so if you need an answer immediately please contact your family physician or emergency department.
- If you have an insulin pump issue that needs immediate response, the pump companies have 24 hour emergency hotlines.
Can I email the team with questions?
- Yes, you can email your diabetes educator, once you have given your verbal consent to the educator.
- This is not a “secure” email service, so we caution not to give out confidential information using this system, and response will not be immediate.
Are there other ways about finding out information on diabetes, on my medications or on what I should be eating?
There are many sources of information. We have books that you can loan and we have a listing of websites that have reliable information, including the Canadian Diabetes Association, Stand Up to Diabetes,and EatRight Ontario websites. For answers to your diet questions, contact a Dietitian at EatRight Ontario, 1-877-510-5102. See our website page for more information.
How does the team relate to the Canadian Diabetes Association (CDA)?
- The team follows the Clinical Practice Guidelines as set by the CDA to guide all our decisions and recommendations.
- We use CDA literature for education purposes as it promotes best, evidenced based practice.
- We collaborate with the CDA in public education events.
How does the team relate to the Juvenile Diabetes Research Foundation (JDRF)?
The Paediatric team ensures the families are aware of the work of the JDRF.
Does the team do the same things as my family doctor during my diabetes visit?
The team generally has more time to devote to your questions and will focus more on details of how you manage your diabetes within your lifestyle, helping you to set specific goals and supporting you to attain these goals. Your family doctor will focus more on the medical management of your diabetes.
Does the team do the same things as my Diabetes Educator with the Family Health Team?
The Diabetes Educator within the Family Health Team will focus on many of the same topics as the Diabetes Grey Bruce Team. However the Diabetes Grey Bruce Team specializes in complicated Type 2 diabetes, diabetes in children, diabetes in pregnancy and insulin pumps.