Let's talk diabetes: Expert answers to your toughest questions

You’ve just received a tough diagnosis: diabetes mellitus. You probably have tough — maybe embarrassing — questions, too. Geisinger endocrinologist Vishaal Gupta, MD, answers some of them here to help you get a conversation started with your doctor. Keep in mind they may answer differently, depending on your situation.

Based in Scranton, Dr. Gupta specializes in helping patients manage diabetes and other endocrine disorders.

Is diabetes my fault? Did I cause this?

This is a common — and complicated — question. Your diet might contribute to your diagnosis. But it’s probably not the only cause. Other things can play a role, like genetics, environmental factors, autoimmune processes and even other medical conditions.

Don’t dwell on blame — focus on what you can control, like eating a healthier diet and following all your doctor’s other suggestions.

Why ask? Eases guilt and empowers you to move forward with positive changes.

Can I get healthy again? Is my diabetes going to shorten my life?

Diabetes has no cure. But it can be managed. Make sure you take your medications, eat a healthy diet and exercise. Those are all key to living a long, healthy life.

You’ve probably heard of someone with diabetes-related blindness or an amputation. Those are worst-case scenarios — but scary prospects. Be vigilant about getting eye exams, doing foot checks and monitoring your blood sugar. Continuous glucose monitors can help you keep tabs on your condition and stay on track. This is time to take firm control of your health.

Why ask? Sets realistic expectations and motivates you to be proactive about taking steps to prevent problems.

My family loves to eat. How do I get them on board with my new lifestyle without judgment?

It can be scary for friends and family to watch a loved one change, even to get healthier. And they might not understand that you have a serious condition — or wonder if your new lifestyle will force changes on them, too. So be clear and honest with your circle: Managing your diabetes means you’ll be with them for a long time.

People also like to be helpful. So let your family know what adjustments will help — like lighter meals and exercise — and ask them to encourage you. And if they think things like sugary treats are a way to show love, remind them that helping you stay healthy is the best way to show how much they care.

Why ask? Reduces stigma and builds a supportive environment so you can make lasting lifestyle changes.

How do I handle social situations without feeling deprived or embarrassed?

When you're out having fun, it can be hard to resist temptation. Luckily, most restaurants have healthy options. Check menus or use an app to assess nutritional content and choose lighter and lower-carb foods. And don’t be embarrassed — millions of Americans have diabetes. If your friends ask why you’re not having your usual burger and fries, tell them about your condition if you’re comfortable with that. Who knows? Somebody else at the table or the party might decide to make a healthy choice, too.

Why ask? Builds confidence in social situations and lets you enjoy life while keeping blood sugar under control.