I think that eventually telling everyone is the aim.
Starting from the safe ones, working toward the harder ones.

It is a process similar to the coming out gay, but luckly you do not risk much, as there is not a systematic oppressive social system working against you.

Practice, Practice and more practice is the key.

One day you will be so confortartable with your special need, that you will be able to demand and get the required assistance for a practical solution to accomodate it.

adrian