Before Your Appointment: Set the Tone
1. You’re there for care—not criticism. You’re in charge! “I’m going to get support, not judgment.”
2. This is your appointment. Make a list of what you want to talk about:
- Trouble affording supplies
- Burnout or diabetes distress
- Blood glucose trends
- Struggles with eating or exercise
- Any emotional or mental health concerns
3. Consider bringing a support person to take notes or back you up.
If in-person feels overwhelming, ask about a telehealth option so you can join from your own space.
Speak Up if Something Feels Off
You can always redirect the conversation if it veers into judgmental territory about weight, size, or eating habits:
- “I’d like to focus on my diabetes management, not my weight.”
- “I’m already working on sustainable habits. Can we focus on my blood sugar patterns instead?”
If your provider gives vague advice like, “You should exercise more.”
- Ask: “What type of movement would support my blood sugars and work with my schedule?”
- “How can I move safely if I’ve been having lows?”
If Weight Comes Up (and You Didn’t Ask About It)
You’re allowed to set boundaries.
- “I prefer a weight-neutral approach. What can we do to support my blood glucose without focusing on my size?”
- “I’d like to explore other tools for improving my health, not just weight loss.”
How to Spot Diet Culture in Diabetes Care
Diet culture is the system that pushes the idea that thin = healthy. It shows up in diabetes care more often than you think.
Red Flags: Diet Culture Sounds Like:
- “Lose weight to get better control.”
- “Cut out sugar completely.”
- “You were bad for eating that.”
- “You should be eating clean.”
Green Flags: Inclusive Care Sounds Like:
- “Let’s look at how stress, insulin timing, and food are impacting your numbers.”
- “Blood glucose rises are normal. Let’s look at patterns together.”
“Your body is worthy of care—no matter your size.”