things are pretty open here with me. family and friends all know i incontinent and wear diapers. No secret there and i don't worry about what others think. the fact that i am in a diaper isn't much of a conversation, and not one i have with others on a regular basis unless someone asks a question or two than i openly answer them. being in a diaper isn't shameful or embarrassing so i have no problem talking about it and sharing advise with anyone or getting advise. being incontinent is no different from discussing any medical and /or mental health issue i tend to be very open about should the topic come up. what i share and to what degree of sharing depends on the person and how well i know the person. not everyone needs to know my life story (LOL). My continence is mainly a topic only when someone is acting in a supportive role as in checking in with me (sort of like are you doing okay). if that makes senses. As far as medical professionals: doctors, nurses, aids, hospitals, therapist, etc i speak freely about being incontinent and everything else for it is best they know everything that is important so that i can treated properly. i guess it is all about your comfort level in what you wish to share about yourself with others. being incontinent and wearing a diaper isn't embarrassing or shameful just part of life for some.