3/17/2017 Dos and Don’ts of Dealing with Criticism Criticism and Diabetes • Diagnosis of Diabetes Type 1 and 2 causes concern • Criticized for bringing it on yourself • Questioned about your food selections Debra Schroeder, M.S. Extension Educator Diagnosis Raises Concern Sources of Criticism Letting Go Versus Reacting • Lack of understanding • Criticize from a point of ignorance • Fear for your health • Shrug off a careless remark • Even with good intentions, it hurts • Try not to take it too personally • Develop a planned response Letting Go Versus Reacting • Don’t be as quick to ignore criticism that comes from those who love you • Look for underlying message Dos • Listen carefully to those that have diabetes • Good tips and coping strategies • See if there is something to gain • Seek info from dieticians and doctors • Paraphrase to demonstrate a more considerate way to express concern • Listen and then comment • Remember people mean well • Learn from health care team and those who live with diabetes Dos 1 3/17/2017 Dos Dos • Get out of conversations • Read current scientific research • Ignore weird “facts” and “cures” • Learn how to respond to unfounded criticism • Don’t react angrily • Monitor your blood glucose levels • Switch topic of discussion • Deflect attention away from you • Know dangerous effects • Doing your research, you can respond with up-todate info from reputable organizations • Cite facts from validated research to sound authoritative Dos Dos • Choose carefully who you respond to • Explain the apps you use • to monitor your blood glucose levels • remind you to take medication • Concern about the medication you are taking: you explain the rigorous clinical trials conducted • Your health care professional took into account your full medical history • Enlist help in monitoring your medication adherence • They will feel they are doing something constructive to help you Dos Dos Dos • Show how close your blood glucose levels are tracked • Educating people can prevent criticism of your choices • Shows you are in control of your condition • Turn tables on comments about your exercise • They do not need to pass judgement. • Show them how you monitor your blood pressure • Might help people who are undiagnosed to become aware of their own conditions • People are fascinated by technological advances 2 3/17/2017 Dos Dos • True Life Care (TLC). • Meditation creates a shield against unconstructive criticism • Comments on whether “condition” will affect your work performance • Means of controlling your emotions and reactions • Looking inwardly, inspect what hurts you the most • Is it their lack of knowledge? • Maybe you are blaming yourself, too? • Assess if feelings of guilt or self-blame are beneficial to your health • Use meditation to access whatever it is that makes you feel uncomfortable and root it out. • TLC, a program employers can provide as a no-cost benefit to employees with diabetes or pre-diabetes • If your employer is concerned contact TLC • TLC provides personal contact to those diagnosed with diabetes sharing management hints Don’ts • Don’t let others criticize what you eat • Have a plan and follow it • Explain your choice • Then ask what they are choosing for dessert and why • Shift the conversation away from you • Do a little self-analysis of a particular food choice Don’ts • Don’t allow people to pressure you at social gatherings • Jokingly ask them if they would like to be responsible for taking your unconscious self to the ER when you have a hypoglycemic incident. • This gets your point across quickly, but in a way that won’t spark an argument. • Important thing is that you are in control of your choices. Don’ts Don’ts • Don’t get drawn into an argument about why you have diabetes • Comments from uniformed people • Don’t let diabetes define you • Diabetes has a genetic component • Answer people who criticize your food choices by explaining that someone who has a close family member with diabetes is more likely to have it, too • Don’t turn yourself into a victim • Yes, you do have diabetes, but you also are more than that • Don’t criticize yourself • Discuss what is bothering you only with those you trust • Remember each case is unique 3 3/17/2017 Remember • Most important trick in dealing with criticism • Surround yourself with positive people • People who uplift and support you • Stay away from scaremongers; they will not help you in your self-management endeavors. Diabetes and Marriage • Issues When Diabetes Enters Your Marriage: “Sometime I think I care more about his diabetes that he does.” • “I try to cook healthy but he says he will eat what he wants.” • “I’m scared about what will happen to him, but if he does not care what can I do?” Diabetes and Marriage Managing Diabetes Marriage Stress • When one member of the couple has diabetes, the other one lives with it too • Approaching diabetes as a team is better for both • Diabetes can put stress on marriage • Diabetes can affect a marriage and marriage stress can affect diabetes • To successfully manage these problems couples do two things: • Talk honestly about the issues • Get help • A high degree of conflict and stress in your relationship can do damage to internal organs • Marital stress interferes with people’s diabetes self-management Managing Diabetes Marriage Stress Communication and Listening • Start with communications • Listening important part of communications • Discussion with what each of you needs • Use reflective listening to build understanding • Start with ways that your partner can help you manage or cope • Don’t argue or defend yourself • Will not be a one-time conversation • Can be difficult and many couples avoid them • Would rather smooth things over than address the underlying problems. • Repeat and paraphrase • Get to hear form both sides • Both partners are important • Discuss obstacles that you have over come in past • Find sources of strength 4 3/17/2017 Things to Talk About Emotional Support • How involved should the partner be in diabetes management? • How will I support you? • Diabetes can bring difficult emotions for both partners. • Grief • Frustration • Guilt • Anger • Fear • Jealousy • Boredom • Families need to learn ‘Non-directive Support” • The partner assists and cooperates with the person with diabetes’ requests • Responsibility for his diabetes and behavior lies with him; she has not taken that on. Things to Talk About • Food Issues – willingness to change diet • Preventing hypos or low blood sugars • Sex and intimacy • Financial issues • Including partners in your diabetes world • Support for you both • Finding balance References Davies, Nicola, “The Dos and Don’ts of Dealing with Criticism”, Diabetes Self-Management, December, 2016, pages 30 – 32. Hieronymus, Laura, “Happy New Year, Happy You!” Diabetes SelfManagement, February, 2017, pages 36 - 37. Spero, David, “Married to Diabetes: Issues and Strategies When Diabetes Enters Your Marriage”, Diabetes Self-Management, February, 2017, pages 26 – 31. • Value your relationship Extension is a Division of the Institute of Agriculture and Natural Resources at the University of Nebraska–Lincoln cooperating with the Counties and the United States Department of Agriculture. Nebraska Extension educational programs abide with the nondiscrimination policies of the University of Nebraska–Lincoln and the United States Department of Agriculture. 5
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