In the first episode of our type II diabetes series, our patient Tabby joins us for a discussion on receiving and coming to terms with a diagnosis of diabetes.

Share your reactions and questions with us at  Speak Pipe . We might feature you on a future episode!

=== Outline ===

1. Introduction
2. Chapter 1 - Screening for Diabetes
3. Chapter 2 - Diagnosis/Breaking the News
4. Chapter 3 - Setting Expectations After the Diagnosis
5. Chapter 4 - Shame, Stigma, and Support
6. Conclusion

=== Learning Points ===

1. Screen all adults >35yo for diabetes every 3 years. You might screen other patients if  they have risk factors placing them at higher risk
2. Begin conversation about diabetes before ordering tests
3. Ensure that you have enough time to listen to and address patient's concerns about a new diabetes diagnosis
4. Be attentive for signs of distress in patients with diabetes, which could affect their care.

=== Our Expert(s) ===

Dr. Tracy Rabin is an Internist and Pediatrician who joined the Yale faculty in 2011 as a member of the Section of General Internal Medicine (YSM Department of Internal Medicine), and currently serves as the Director of the Office of Global Health, and the Associate Program Director for Global and Community Health in the Yale Primary Care Internal Medicine Residency Program (YPC). She co-directs the Makerere University-Yale University (MUYU) medical education capacity building collaboration which is based at the Makerere University College of Health Sciences/Mulago National Referral & Teaching Hospital in Kampala, Uganda.

=== References ===

1. [American Diabetes Association] Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers: https://diabetesjournals.org/clinical/article/40/1/10/139035/Standards-of-Medical-Care-in-Diabetes-2022  
2. Diabetes Distress Scale: https://diabetesdistress.org/take-dd-survey

=== Recommended Reading ===

1. [CDC] 10 Tips for Coping with Diabetes Distress: https://www.cdc.gov/diabetes/managing/diabetes-distress/ten-tips-coping-diabetes-distress.html 

=== About Us ===

The Primary Care Pearls (PCP) Podcast is created in collaboration with faculty, residents, and students from the Department of Internal Medicine at the Yale School of Medicine. The project aims to create accessible and informative podcasts for furthering the medical education of residents and clinicians in early stages of their careers. Building on the work of other medical education podcasts, Primary Care Pearls includes contributions from patients themselves, who have the autonomy to share their own experiences of how their primary care physician directly impacted the quality of their care.

Hosts: Katie Gielissen, Maisie Orsillo
Post-Production Assistant: Helen Cai, Christina Liu
Logo and name: Eva Zimmerman
Theme music and Editing: Josh Onyango
Other background music: the Mini Vandals, Wes Hutchinson, E's Jammy Jams, Futuremono, Ammil, Emmit Fenn, Humam-Huma, Patrick Patrikios, Jesse Gallagher, Emily A. Sprague, Corbyn Kites

Instagram: @pcpearls
Twitter: @PCarePearls
Listen on most podcast platforms: linktr.ee/pcpearls