Boundaries around diabetes are tricky but necessary. Be it family, friends, medical providers, or complete strangers, establishing healthy, sustainable boundaries is hard. Liz and Amy are joined by clinical psychologist Dr Mike Fulop to talk about what makes self-efficacy so challenging and the components of healthy communication (nothing productive happens in the heat of the moment, avoid using absolute words like “never” and always”) for young, old, and every diabetic in-between. For parents of diabetic kids, we talk about the struggle between encouraging diabetes management and good control, and teaching self-management and empowerment. Facilitative Parenting is a powerful thing. Shaming and scaring techniques never work (regardless of who they’re coming from!), and interactions conveying love and acceptance without undermining a person’s sense of freedom and autonomy predicts good diabetes-management across the life span. This episode is for everyone who has a diabetic in their life.

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Links

Diabetes Etiquette Card https://behavioraldiabetes.org/product/diabetes-etiquette-card-for-people-who-dont-have-diabetes/

Diabetes Etiquette Card for Parents of Teens https://behavioraldiabetes.org/product/teen-etiquette-card-diabetes-etiquette-for-parents-of-teens/

Behavioral Diabetes Institute https://behavioraldiabetes.org/

Social Determinants of Health and Diabetes: A Scientific Review Felicia Hill-Briggs; Nancy E. Adler; Seth A. Berkowitz; Marshall H. Chin; Tiffany L. Gary-Webb; Ana Navas-Acien; Pamela L. Thornton; Debra Haire-Joshu  Diabetes Care 2021; 44(1) p258–279 https://doi.org/10.2337/dci20-0053

Fisher, Lawrence: Family Relationships and diabetes care during the adult years. 0071. Diabetes Spectrum Volume 19, Number 2, 2006

Learn to listen: The art of empathic understanding William R Miller, Ph.D [2018]

M de Wit, PM Trief, JW HUber, I Wiilaing: State of the art: understanding and integration of the social context in diabetes care:  DIABETICMedicine DOI: 10.1111/dme.14226  https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.14226 [2020]

Wiebe, D; Helgeson, V; Berg, C [2016] The social context of managing diabetes across the life span. American Psychologist. V71[7] p 526-538. http://dx.doi.org/10.1037/a0040355