As part of Diabetes Awareness Month, four guest bloggers will write a blog about diabetes awareness each Monday. This is the second installment, written by CDE Karen LaVine.

You know that you are the only one who can control your diabetes. You already have a doctor to write your prescriptions and order your lab work. So why would you you ever need to see a Certified Diabetes Educator?

Successfully managing diabetes can be a daunting task. Even when it's going well, the complex balancing act can seem precarious. Fortunately, there are health care professionals who can provide guidance and support, including diabetes educators. Many diabetes educators have also earned the certified diabetes educator (CDE) credential, which demonstrates distinct and specialized knowledge in the field of diabetes education. Most CDEs are registered nurses, registered dietitians, or pharmacists. So how do you determine when you might specifically need support from a CDE?

• At the time of the initial diagnosis: That's when you will have the most questions and least knowledge. "Someone should be working with a CDE from the get go," as Gary Scheiner, a certified diabetes educator who owns Integrated Diabetes Services in the Philadelphia area and wrote Think Like a Pancreas.
• When there is a significant change in your diabetes treatment. Like being started on a rapid acting insulin and/or carb counting, or if you will be starting to use an insulin pump.
• When your A1C is elevated, for example, when your A1C is more than 6.5 for type 2s or more than 7.0 for type 1s.
• When a doctor diagnoses a new diabetes complication.
• If you get a lot of hypos.
• When your weight increases a lot or if you have difficulty losing weight.

For more guidance, this website provides some excellent detailed recommendations. Bottom line: A diabetes educator can be helpful at numerous points along the diabetes spectrum.

So how do you go about finding a diabetes educator? Here are a few resources.

A good place to start is your primary care physician's office. Here's a link to a diabetes services order form that your doctor can complete to facilitate the referral process.

Searching further afield, the American Association of Diabetes Educators maintains a directory of CDEs who are available for referral. According to Sheri Wadsworth at the National Certification Board of Diabetes Educators, there currently are 15,506 certified diabetes educators in the U.S. However, some health care professionals are currently certified by the NCBDE but do not choose not to be included in the AADE referral list. Therefore, the AADE list is not complete!

A different way to find a diabetes educator is to search for diabetes education programs in your state that the American Diabetes Association recognizes.

Another referral resource is your health plan's customer service. A staff member of a local hospital's diabetes education department or your local pharmacist may also provide you with possible referrals.