Healthy Living A Whole-Person Approach To Diabetes Wellness Pedagogy Business Office Ane Of 4
In this serial of posts, I focus on diabetes wellness teaching aimed at promoting effective self-management of this chronic condition. In particular, I hash out why a whole-person (mind-body) approach to diabetes wellness teaching is essential. After all, a goodness bargain or inquiry shows how glycemic (blood sugar) command inwards persons amongst diabetes may last significantly influenced past times psychological factors.[1][2]
Overview: The Mind-Body Connection as well as Diabetes
Effective self-management of diabetes mellitus (DM) as well as other chronic illnesses is hard for many individuals. Their occupation stems from a powerful interaction betwixt psychological as well as physiological factors. This mind-body connection is the bases for a whole-person approach to diabetes wellness education.
Physiological Perspective
From a physiological (body, biomedical) perspective, DM is a heterogeneous metabolic disorder characterized past times hyperglycemia, a serious status of elevated blood glucose (high blood sugar) level. Hyperglycemia is caused past times defective insulin secretion, resistance to insulin action, or both.[3] The causes as well as handling of hyperglycemia differ inwards the ii types of diabetes.
Two Types of Diabetes
Type 1 diabetes is the number of an autoimmune-mediated devastation of pancreatic β-cells, which may last due to such things every bit genetics, piteous diet (malnutrition), as well as environs (virus affecting pancreas). The outcome is insulin deficiency as well as requires insulin handling for survival.
Type 2 diabetes, on the other hand, is typically characterized past times insulin resistance, which way the torso produces adequate insulin levels only cannot effectively utilize it; as well as inwards roughly cases, the torso fails to hit sufficient insulin. This may last due to cistron mutations as well as environmental factors, such every bit an inactive lifestyle or piteous diet, which may human activity every bit a trigger for someone amongst such a genetic tendency, every bit good every bit past times chronic stress as well as depression nascence weight (and associated fetal malnourishment). Treatment of Type 2 diabetes is aimed at reducing insulin resistance through diet, practice as well as drug therapy, and, for roughly people, may eventually require regular insulin injections to happen their blood glucose levels inwards control.
Potential Medical Complications of Diabetes
There are many potential long-term complications of diabetes. They include loss of vision, renal failure, human foot ulcers as well as amputation, every bit good every bit gastrointestinal, urinary, cardiovascular, as well as sexual problems. Effective glycemic command avoids or postpones these complications.
Psychological Perspective
From a psychological (mind, mental health) perspective, a diabetic person's knowledge, attitudes, as well as emotions are key. These mental functions as well as emotions interact to create upward one's hear how good he or she is probable to learn by the illness. That is, diabetic people who command their blood glucose effectively:
- Understand proper diet, exercise, medication, self-monitoring, etc.
- Use ongoing feedback to modify their behaviors
- Have healthy, rational attitudes (beliefs, thoughts, as well as perceptions)
- Maintain positive emotions
- Have a sense of competence as well as confidence (self-efficacy)
- Control their mental stress.
In my adjacent post, I volition offering an in-depth exam of these psychological factors.
References:
[1] Rose M, Fliege H, Hildebrandt M, Schirop T, Klapp BF. The network of psychological variables inwards patients amongst diabetes as well as their importance for lineament of life as well as metabolic control. Diabetes Care. 2002 Jan;25(1):35-42. See http://care.diabetesjournals.org/cgi/content/full/25/1/35/F2
[2] Dharmalingam, M. Psychological distress as well as diabetes: Clinical as well as metabolic connections. International Journal of Diabetes inwards Developing Countries. 2005 25(4):92-97.
[3] Gavin III JR, Alberti KGMM, Davidson MB, DeFronzo RA, Drash A, Gabbe SG, Genuth S, Harris MI, Kahn R, Keen H, Knowler WC, Lebovitz H, Maclaren NK, Palmer JP, Raskin P, Rizza RA, Stem MP : Report of the proficient commission on the diagnosis as well as classification of diabetes mellitus. Diabetes Care. 1997 20:1183-1197. See http://care.diabetesjournals.org/cgi/content/full/25/suppl_1/s5
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