温泉访问的目的是让自己沉浸在轻松的体验中并品尝它，在您被宠爱时放开常规的烦恼。
But, tell that to type 1 diabetes (T1D). Planning a spa experience with T1D on board can raise your angst, for sure.
There are the concerns…如果我在治疗期间低下怎么办？我可以把手机留在我附近吗CGM读数？
And there are the old wives’ tales and myths that seem to ring in your ears…Pedicures can be dangerous! Sugar scrubs elevate your blood sugars! Body wraps are bad for diabetes!
对于T1D的人来说，好消息是，无论是在美甲沙龙还是过夜度假胜地的下午，水疗逃生对您来说都是完全可行的。有了正确的准备，理解和事实知识，您的温泉访问可以像下一个人一样充实和放松。
Dr. Stephen Brewer, medical director of the famedCanyon Ranchin California, Massachusetts, Nevada, and Arizona told DiabetesMine they welcome people with T1D regularly, and are always ready to make things go well — as any good spa should be.
布鲁尔说，第一步至关重要：“确保您去一个著名的地方。”
At Canyon Ranch and all reputable spots, “most practitioners have had training not just in treatments, but in medicine overall,” he said. That means you can expect most practitioners you interact with to have at least a basic knowledge of diabetes, one you can build on for any specific needs or adaptations you may require.
Cara Kilroy, a nurse practitioner at Joslin Diabetes Center in Boston, Massachusetts, who works closely with young adults and adults, said she advises clients regularly on how to spa well.
她的第一个建议很简单：“你可以做到，”她告诉糖尿病。“但是让我们谈谈降低您的风险。如果您有犹豫的暗示，请伸出手（与您的糖尿病医疗提供者）。受到我们的欢迎和预期。”
Julia Blanchette，博士学位，犹他大学护理学院的注册护士和认证的糖尿病护理和教育专家，自7岁起就一直拥有T1D，并且一直是水疗治疗爱好者。
她谈到水疗经验时说：“没有理由不拥抱这种乐趣。”“只知道自己的需求并做好准备。”
DiabetesMine turned to these experts to gather tips on how to do a spa experience well. We also broke down some of the common myths around spa visits and treatments with T1D.
Pedicures are absolutely fine, with a caveat
在desti布兰切特定期得到足疗nation spas as well as at locations near her home that she knows and trusts. Her advice: “If you’ve had a period of time with your blood sugars out of range, or have a slow-healing cut, you may want to consider just a polish change until your blood sugars are more in range or cuts heal.”
Kilroy agrees.
“If you have神经病, a skin rash, or any kind of circulation disorder, that’s more of a red flag,” she said, “But that does not mean it cannot be done.”
Rather, it’s important to discuss those issues with your medical advisor and then share any special treatment plans with your practitioner on spa day, she said.
Go all in for massages, but be prepared
Blanchette说，她经常去按摩，尤其是在压力更大的工作时期，因为减轻压力对总体上的人也有好处，也适合血糖。她的第一个提示？向水疗中心和治疗提供者披露您的糖尿病。
Kilroy agrees that massages can be beneficial to people with diabetes.
她说：“我不知道是否有临床证据可以支持这一点，但是我们希望按摩会放松，我认为（减轻压力）会显示出血糖的积极转变。”
有设备计划
If you wear aninsulin pumpor CGM, let the spa management or your practitioner know that you will need to keep your phone within reach for medical reasons. If you have the option, you can also bring along your non-phone CGM receiver or a basic glucose monitor.
You may also want to ask your massage practitioner to avoid rubbing around the areas of your body where your CGM sensor or insulin infusion set are placed — particularly if they are using creams and oils. You’ll also want to explain any alarms that may go off during a treatment, Blanchette said.
Have a blood glucose plan
你想要你的饮食时间,体力活动, and insulin dosing in a way that reduces your risk of running very high or very low blood sugars during a spa treatment.
Much of this comes with practice, Blanchette said. For her, going into a massage having just eaten and with a blood sugar over 120 mg/dL works well. Discuss a plan with your medical provider and then tweak it with experience, she said.
She also suggests having an easily accessible source of rapid-acting glucose on hand should you need it while on the table. This should be easy if you have your purse or bag nearby in the treatment room, but some spas encourage clients to put their belongings in lockers, so be sure to bring a small stash of fast-acting sugar that you can keep within reach.
Know that you can call a timeout
必须中断水疗治疗可能会加剧。您处于放松的过程中，甚至更多，您要在这些分钟内支付溢价。因此，失去一些宝贵时间的想法可能会导致人们推迟需要休息的休息，或者在T1D的情况下，认为您可能需要纠正高或低血糖。
But Brewer said practitioners really don’t mind pausing the clock for health emergencies.
“I don’t think there is a practitioner out there who isn’t going to stop and help you,” he said. “We care about [our clients].”
身体包裹确实有一些前瞻性
Kilroy says身体包裹can be great for relaxation, but people with diabetes do need to discuss it with their medical provider ahead of time, particularly if they have any circulation or neuropathy challenges.
她说：“在这种情况下，热量要小心。”如果您的医生说您很高兴要包裹，她建议在被包裹之前，将您的手放在包裹上，看看它的感觉很热。
她说，如果您担心您，请让它冷却一点或拒绝它。
In addition, it’s going to be difficult to reach for emergency glucose should you feel low during a body wrap. It’s very important to let your practitioner know about this risk and ask them to be ready to help in case you need that sugar pronto.
仔细计划任何水疗运动计划
Brewer建议，水疗中心是否涉及锻炼，尤其是如果它们是您从未做过或比以前更强烈的锻炼，请提前做一些家庭作业，以了解您的身体可能需要什么。
他说，一个好的水疗中心将提前与您讨论锻炼，以便您可以事先放松身心，并感觉到血糖应该在哪里以及您可能需要的任何额外小吃。
他说，请接受这些信息，并提前与您的医疗服务提供者交谈，以提出一个计划，“即使您有CGM”。
成为你自己的拥护者
除非您说话，否则水疗中心和提供商无法帮助您获得最适合您的体验。布鲁尔说，他们并没有感到烦恼，而是欢迎投入。
Kilroy from Joslin agrees. “Advocating for yourself is really important,” she said. “Whether it is to carry a device or for the firmness of a treatment or just something that feels off, speak up. Don’t’ feel shy. The aftermath of an infection or something else is way more serious than feeling awkward saying something on the spot.”
“Phones are taboo in a spa”
There’s more flexibility here than you might think.
布鲁尔说，在峡谷牧场，虽然他们不鼓励在水疗中心聊天，但他们确实会看到许多人携带手机，因为他们使用了Abbott Freestyle Libreas part of their spa visit program even for people without diabetes. “It’s not a problem here,” he said.
大多数水疗中心都有类似的方法。尽管他们有规则不反对在您的手机上进行交谈和敲击，但出于安全原因，他们通常对携带手机的客户感到非常满意。
“糖和其他磨砂膏可以升高血糖”
基尔罗伊说，担心糖可能会吸收您的皮肤是可以理解的，但是没有道理。“您不会以影响血糖的浓度吸收任何一个。”
“肉毒杆菌毒素与胰岛素有负相互作用”
Not true, said Blanchette, who has regular Botox treatments for medical reasons. Her tip: Get them from someone you know and trust who hopefully has some medical background.
She gets hers from her long-time dentist, who both knows her diabetes from years of treatment, and has a medical background.
“Acupuncture with diabetes may cause infection”
Not so. Brewer, who is an expert at acupuncture, said it is perfectly safe for people with diabetes — just as safe as for the general population. He does suggest letting your practitioner know about your T1D before they start. That way, they can take extra precautions like using more alcohol during treatment.
Overall, the key to a great spa visit, be it a quick or an extended one, is preparation.
Brewer说，提前一些工作可以锁定您期望的特殊经历，并避免失望的放松脱轨。
他说：“设置事物，了解[尽可能多的]期望和需要什么，而不是等待处理可能的事情是关键。”
Blanchette agreed, saying: “It can be frustrating to have to take extra steps ahead of time. But when you have T1D, you’re used to that. And if it brings you a wonderful spa experience? Totally worth it.”