Coping Strategies For Diabetes

Coping And Diabetes

"I simply cannot cope with this!" How often have you uttered just these words when you felt completely overwhelmed by all that you had to accomplish at work or at home? How often have you heard one of your clients with diabetes say, "I cannot manage diabetes in addition to everything else I do! I simply cannot cope!" Have you ever wondered exactly what that patient meant and how you might help your clients cope? There are many definitions of coping (almost as many as there are studies), but probably the most commonly used is that of Pearlin and Schooler,1 who define coping as behavior that protects people from being psychologically harmed by problematic social experiences. Coping serves a protective function that can be exercised in three ways: 1) by eliminating or modifying stressful conditions; 2) by perceptually controlling the meaning of the stressor; or 3) by keeping emotional consequences in bounds. The other commonly used definition is that of Lazarus and Folkman,2 who define it as "constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person." In other words, coping allows people to use various skills to manage the difficulties they face in life. The Lazarus and Folkman framework is process-oriented, not trait-oriented, and emphasizes that the approaches people use to cope change with time, experience, and the nature of the stressor rather than people being "pre-programmed" to use the same coping behaviors regardless of the stressful experience. Further, this approach limits the problem of confounding coping with outcome and avoids equating coping with mastery. In other words, coping is the process that is used to help master a problem, but coping d Continue reading >>

Coping With Diabetes

Coping with hypos, health emergencies, travel, driving, insulin,discrimination issues and even making decisions on when and what toeat, are all part of coping with type 2 diabetes. It is important to have a sick plan in place to help manage yourdiabetes during times of illness.Contact your doctor or diabetes educatorif:You can't eat normally - you probably still need to keep takingyour diabetes tablets or insulin, and will need advice about... If you are going a trip, whether by car, plane or train, it isessential that you plan your diabetes management for the durationof the journey.There are a number of things to consider when planning a trip,such as different airline regulations (for domestic... Become a member Multilingual diabetes resources Diabetes Queensland acknowledges the Traditional Custodians past and present on whose land we walk, we work and we live. Aboriginal and Torres Strait Islander visitors to the Diabetes Queensland website are advised that this website may contain images and voices of deceased persons. Continue reading >>

Self-care Coping Strategies In People With Diabetes: A Qualitative Exploratory Study

Self-care coping strategies in people with diabetes: a qualitative exploratory study Collins et al; licensee BioMed Central Ltd.2009 The management of diabetes self-care is largely the responsibility of the patient. With more emphasis on the prevention of complications, adherence to diabetes self-care regimens can be difficult. Diabetes self-care requires the patient to make many dietary and lifestyle changes. This study will explore patient perceptions of diabetes self-care, with particular reference to the burden of self-care and coping strategies among patients. A maximum variation sample of 17 patients was selected from GP practices and diabetes clinics in Ireland to include patients with types 1 and 2 diabetes, various self-care regimens, and a range of diabetes complications. Data were collected by in-depth interviews; which were tape-recorded and transcribed. The transcripts were analysed using open and axial coding procedures to identify main categories, and were reviewed by an independent corroborator. Discussion of the results is made in the theoretical context of the health belief, health value, self-efficacy, and locus of control frameworks. Patients' perceptions of their self-care varied on a spectrum, displaying differences in self-care responsibilities such as competence with dietary planning, testing blood sugar and regular exercise. Three patient types could be distinguished, which were labeled: "proactive manager," a patient who independently monitors blood glucose and adjusts his/her self-care regime to maintain metabolic control; "passive follower," a patient who follows his/her prescribed self-care regime, but does not react autonomously to changes in metabolic control; and "nonconformist," a patient who does not follow most of his/her prescribed s Continue reading >>

Coping Styles Among Adults With Type 1 And Type 2 Diabetes

B. KARLSEN & E. BRU Abstract. This study identified and compared different coping styles among adults with Type 1 and Type 2 diabetes. A sample comprising 534 Norwegian adults with both types of diabetes aged between 25â€“ 70 participated in the study. Diabetes-related coping styles were assessed by self-reports, using the Diabetes Coping Measure and sub-scales from the COPE scale. A clear majority of the respondents reported to integrate their diabetes. Other encouraging findings indicated that only a small minority responded to diabetes- related problems by denial and/or mental disengagement and resignation. On the other hand, a substantial proportion of the respondents reported that they seldom used active task-oriented coping, such as seeking social support, seeking knowledge and planning. This lack of active task-orientation was more evident among people with Type 2 diabetes than among those with Type 1. The differences found between types of diabetes and coping were mainly related to higher age and lower educational level among people with Type 2 diabetes. Moreover, 40% of the respondents reported that they often blamed themselves. In addition, self-blame correlated significantly with both the active and passive coping styles. The present results indicate that there is ample potential for improving active task orientation among adults with diabetes. It should, however, be of some concern that improving active coping may be associated with an increase in self-blaming. Introduction Diabetes is a chronic and challenging disease, and its prevalence is increasing rapidly worldwide, especially for Type 2. The disease is a growing threat to the worldâ€™s public health (King et al., 1995). People with both Type 1 and Type 2 diabetes are required to behaviourally Continue reading >>

Everyday Diabetes Care: Coping Skills & More | Cornerstones4care

One thing you can do to help fight your fear is to take care of yourself. Try to figure out why you feel afraid and cope with your fear in a healthy way Understand the facts and risks of diabetes-related health problems Remind yourself of the facts whenever your fear becomes too much Stick to your diabetes care plan because it may help you in many ways Talk with people close to you: family, friends, or diabetes care team members Depression is common in people with diabetes. Its important to handle any guilt or depression you may be feeling in a positive way. A good first step is to reach out and talk with your diabetes care team and your loved ones about how youre feeling. Sharing what youre going through is one way to get help with negative emotions. Get to know the symptoms of depression and anxiety, such as losing interest in activities you once enjoyed or having trouble falling asleep. Depression is serious and needs to be treated.If you think you are depressed, talk with your diabetes care team. Prescription Tresiba is a long-acting insulin used to control high blood sugar in adults with diabetes Tresiba is not for people with diabetic ketoacidosis Tresiba is available in 2 concentrations: 200 units/mL and 100 units/mL It is not known if Tresiba is safe and effective in children under 18 years of age Do not share your Tresiba FlexTouch with other people, even if the needle has been changed. You may give other people a serious infection, or get a serious infection from them. are allergic to Tresiba or any of the ingredients in Tresiba Before taking Tresiba, tell your health care provider about all your medical conditions, including if you are: pregnant, planning to become pregnant, or are breastfeeding taking new prescription or over-the-counter medicines, vitamins Continue reading >>

Updating Your Coping Skills

The journey of managing a chronic illness often follows a bumpy road with unexpected twists and turns. Successfully taking charge of any chronic condition requires good medical care, access to resources, and social support. Often, however, its a persons own ability to cope with the daily, nitty-gritty realities of his condition that is the essential ingredient for overall wellness. In the case of diabetes, achieving a consistent balance between exercise, medication, and diet so that blood glucose levels stay in the desirable range is a daily, ongoing challenge. Being skillful in each of these areas is tough enough, but the real hurdle is making them all work together to manage the condition. For most people, it can feel like an elusive formula to master. Unfortunately, the health-care professionals who care for people with diabetes and even the friends and family members of people with diabetes do not always recognize how stressful having and managing diabetes can be. Dr. Deborah Langosh, a psychotherapist who specializes in working with people with chronic illnesses, has counseled many people with diabetes. She says, For many of the diabetic patients I work with, there is a lack of support and acknowledgment of the feelings of stress and strain they may feel on a daily basis. I find that diabetic patients get a common message from practitioners: You are not in control, resulting in blaming the patient rather than recognizing that this is a complicated disease requiring time and practice to develop the skills needed. It is a stressful process. It takes a lot of mental work. Jane, 42, has Type 2 diabetes. She describes the type of stress she felt and what she did to address it: Even though diabetes is an invisible disease, I dont think that people who struggle with diab Continue reading >>

Spotlight: Coping With The Emotional Aspects Of Type 2 Diabetes

Join the conversation. register now or log in Spotlight: Coping with the Emotional Aspects of Type 2 Diabetes About the author View all posts by Editorial Team Living with type 2 diabetes isnt easy, and often, emotional challenges will arise. If they do, know that you are not alone. Studies have shown that people with type 2 diabetes are approximately 25% more likely to be diagnosed with depression and anxiety, and 50% more likely to experience anxiety symptoms than their non-diabetic counterparts. Not to mention diabetes burnout . Since people with diabetes face this increased risk for emotional complications, and because these complications can negatively affect diabetes care, it is important to have coping strategies that can help you deal with these problems. It is also important to share any emotional challenges with your healthcare provider as well, and to be aware of the signs of depression so you can make sure that you are get the professional care you deserve. In addition to the information well provide through this page, we want to hear from you! Do you have tips or a story about a coping strategy that has worked for you? Questions for the community? A new idea? Here is how you can join the conversation and share any thoughts you may have: Have a personal story you would like to share with us? A coping method or strategy that has really made a difference in your life with type 2 diabetes? By Toby Smithson, MSNW, RDN, LDN, CDEMay 15, 2017 First, stress makes it difficult to concentrate on diabetes management behaviors. Stress can blunt your motivation and clutter your mind at best, but often the cause of stress becomes your main priority READ MORE Loneliness Another Complication of Diabetes By Toby Smithson, MSNW, RDN, LDN, CDEJune 30, 2016 One very common emo Continue reading >>

Mishti Copes With Diabetes: A Pragmatic Approach To Coping Skills Training Kalra S, Kalra B - J Soc Health Diabetes

Kalra S, Kalra B. Mishti copes with diabetes: A pragmatic approach to coping skills training. J Soc Health Diabetes 2017;5:1-2 Kalra S, Kalra B. Mishti copes with diabetes: A pragmatic approach to coping skills training. J Soc Health Diabetes [serial online] 2017 [cited2018 Apr 2];5:1-2. Available from: I am Misthi. I am 4-year-old. I was born when the Changing Diabetes in Children (CDiC) programme began in India. I live with diabetes. Living with diabetes is just like living with any person, any pet, or any other attribute. It is full of excitement and surprises, as well as unexpected happiness and satisfaction. However, it is also full of stresses and challenges. Coping with these issues requires special skills. These skills are known as coping skills or coping mechanisms. [1] Coping skills are necessary not only for me, but also for my family and my health-care team. I sometimes remain anxious, depressed, or sad about my health. At other times, I feel confused about what to do. All these feelings are normal, provided I do not let them overwhelm me. I take these moods in my stride, and do not allow them to impact my professional (school) or personal (social) life. My parents, sibling, and extended family members also have varied emotions regarding my diabetes. Their mood changes from time to time, depending on my health, the way in which my health-care team behaves with them, and what they hear or read about diabetes from other people or the media. My family, too, need to cope with all these stressors. My health-care team, which includes my diabetes educators, doctors, and other staff, also faces challenges. They work round the clock to manage not only my biomedical problems, but also my psychosocial complaints. And, it is not only me that they look after, but also t Continue reading >>

Coping With Diabetes In Adults

Maintaining quality of life (QOL) for people with diabetes is an important challenge in diabetes treatment. Quality of life is a multi-dimensional concept representing an individual’s subjective evaluations of physical, emotional and social well-being. Specific to diabetes, quality of life refers to the impact diabetes and its treatment has on an individual’s physical and psychosocial functioning, health beliefs, and perceived well-being. People value feeling well and most individuals place high priority on maintaining and improving the way they feel; however, for people with diabetes, the rigorous demands of following a complex self-care regimen combined with the risk for developing complications may affect their health beliefs and feelings of well-being. Conditions commonly associated with diabetes such as distress, major depression and elevated depressive symptoms also negatively impact quality of life. Thus, a person’s diabetes-related quality of life is subject to change over time as their disease progresses. People with diabetes face major stressors or crises at different points during the course of their disease[1]. Individuals often struggle to cope effectively with stressors or crises[2], which may be reflected in new or existing social and emotional difficulties that further hamper individuals’ efforts to maintain self-care behaviors, glycemia and overall quality of life[3][4]. Four phases representing different stressors or crises warrant particular mention: 1) Onset of diabetes, 2) Health maintenance and prevention, 3) Onset of complications, and 4) Complications dominate(1) (see Figure 1). Treatment approaches and support by the treatment team typically differ across these phases. Often, individuals may respond to stressors in one of two ways. Indiv Continue reading >>

Coping Strategies In Men And Women With Type 2 Diabetes In Swedish Primary Care

Volume 71, Issue 3 , March 2006, Pages 280-289 Coping strategies in men and women with type 2 diabetes in Swedish primary care Author links open overlay panel C.Gfvels Get rights and content Based on findings regarding gender differences in the experience and complications of diabetes, we studied coping strategies in men and women with type 2 diabetes in relation to their demographic, medical, socio-economic and psychosocial situation. Altogether 232 Swedish-born type 2 diabetes patients aged 3564 years at four primary health care centres in Stockholm County were studied, 121 men and 111 women. Coping strategies were assessed by the General Coping Questionnaire (GCG), which describes five orientations dichotomised into positive and negative opposites: self-trust/fatalism; problem focusing/resignation; cognitive revaluation/protest; social trust/isolation; and minimisation/intrusion. Socio-economic and medical data were taken both from a questionnaire and from medical records. Gender differences for the coping strategies resignation, protest and isolation were found (p<0.05), with higher scores for women. The most important medical factor associated with coping strategies was HbA1c. Other significant factors detected in the multivariate analyses were psychiatric disorder, cohabitation and daily smoking. Thus, coping strategies and gender are important factors that should be addressed more in diabetes health care. Continue reading >>

Coping Skills Training And Problem Solving In Diabetes

, Volume 4, Issue2 , pp 126131 | Cite as Coping skills training and problem solving in diabetes Diabetes requires a substantial degree of patient involvement for effective self-management. Although diabetes education has been the standard of care, it is clear that provision of knowledge alone does not change behavior. Coping skills training is a cognitive-behavioral intervention that focuses on improving competence and mastery by retraining inappropriate or nonconstructive coping styles and patterns of behavior into more constructive behavior. Children, adolescents, and parents caring for children with type 1 diabetes demonstrated improved metabolic and psychosocial outcomes after coping skills training. Similar results have been found in adults with type 2 diabetes. Principles of this technique can be applied in practice to assist patients with diabetes to improve their self-management. Glycemic ControlSkill TrainingCoping SkillPsychosocial OutcomeDiabetes Education These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves. This is a preview of subscription content, log in to check access Unable to display preview. Download preview PDF. National Institute of Diabetes, Digestive, and Kidney Diseases (NIDDK): National Diabetes Statistics Fact Sheet General Information and National Estimates on Diabetes in the United States 2000. Bethesda, MD: United States Department of Health and Human Services National Institutes of Health; 2002. Google Scholar National Institute of Diabetes, Digestive, and Kidney Diseases (NIDDK): Diabetes in America. Bethesda, MD: National Institute of Health Publication No. 95-1468; 1995. Google Scholar Effect of intensive insulin treatment on the dev Continue reading >>

Internet Scientific Publications

S Kalra, B Kalra, N Agrawal, R Sahay, A Unnikrishnan, R Chawla coping skills training, coping strategies, diabetes mellitus S Kalra, B Kalra, N Agrawal, R Sahay, A Unnikrishnan, R Chawla. Coping Strategies In Diabetes. The Internet Journal of Geriatrics and Gerontology. 2009 Volume 5 Number 2. Coping strategies are an important, yet neglected, aspect of diabetes care, especially in the elderly. This article reviews various negative and positive coping strategies, giving simple examples, and suggests a practical method of coping skills training for people with diabetes. Diabetes is a chronic disorder, the diagnosis of which is accompanied by considerable physical and mental stress. This is especially true of geriatric patients, who resent the intrusion of doctors and drugs into their life. While physical stress, such as loss of weight, weakness and frequent infections can be taken care of by insulin and oral hypoglycemics, it is the mental or psychological stress which is difficult to handle. This mental stress often causes poor glycemic control and suboptimal quality of life. Patients diagnosed to have diabetes react to the news in a variety of methods. Denial, anger, sadness, resignation and fear are some of the commonly seen reactions after a patient receives a diagnosis of diabetes. The way in which a person handles stress is called coping. Coping is defined as an individuals efforts to master demands (conditions of harm, threat or challenge) that are appraised (or perceived) as exceeding or taxing his or her resources. Coping mechanisms can also be classified as unconscious cognitive processes, e.g., projection, denial, and conscious cognitive processes, e.g., self blame, other blame, rumination and catastrophizing. The conscious coping strategies are self regulati Continue reading >>

Headlines from the 2017 ADA Scientific Sessions

10 Strategies For Managing Diabetes

Around 90% of people with diabeteshave type 2 diabetes , which can be influenced by obesity , diet and lack of exercise . Diabetes management in 10 minutes or less Diabetes is serious. If left unmanaged it can lead to heart disease , stroke , blindness, and even death. So your first step after being diagnosed is to ask questions and learn as much as you can about: How diabetes can affect your diet , lifestyle and body Talk to doctors, nurses, dietitians - and get answers to the questions that concern you most. Talk to your friends and family who may be living with diabetes. Join a support group , get online and start reading. The more you know about diabetes, the more control youll have. Your health care team or doctor is your primary resource for getting the care you need to live well with diabetes. Your treatment may include: Medication. Whether or not you need medication to help treat your diabetes depends on your symptoms, complications, blood sugar levels, and other issues. Lifestyle changes. There is no diabetes diet to follow. But if you have diabetes, consult a dietitian to learn how food affects your blood sugar. Talk with your GP or diabetes nurse about weight loss if you're overweight and how to safely incorporate exercise into your daily routine. Monitoring your diabetes. Your diabetes healthcare team can teach you how to monitor your blood sugar and show you what to do to avoid highs and lows. Diabetes increases your risk of conditions that may affect your eyes , nerves, heart , and teeth . This is why you may want to keep track of your diabetes numbers. HbA1c . This test measures your average blood sugar over the last 6 to 12 weeks. Your target will be set with your diabetes team to manage your HbA1c without risking low blood sugar . Blood pressure . If y Continue reading >>

Coping Strategies For Diabetes Management

Home Living Well With Diabetes -Articles Support Four small coping strategies for diabetes management Four small coping strategies for diabetes management Managing your diabetes can sometimes seem overwhelming. All the attention that must be paid to nutrition, physical activity, medication management and blood glucose levels can sometimes take a toll on your emotional well-being. Below are a few small steps that can help you cope when your feelings about diabetes seem intense. 1. Stay motivated, not perfect. Rather than compare yourself to perfection, remember all the things that you do well to manage your diabetes. Celebrate your victories, but learn and move forward from your setbacks. Dont focus on negatives or mistakes, like missing a workout or having a rich dessert. Instead, reward yourself for being good for having a great blood glucose reading, or for cooking a healthy meal. Read our article Blood glucose level fluctuations: not all blood glucose levels need to be perfect. 2. Keep calm and carry on. Its well-known that stress can raise blood glucose levels. When youre feeling anxious about your diabetes management, there are some simple and effective stress management techniques you can use. Take 10 deep breaths and focus on positive thoughts. Run yourself a warm (not too hot!) bubble bath and relax in the soothing warmth. Listen to your favourite music and sing or hum along. Sit down with a good book or magazine and read a few pages the time spent will help you turn your attention away from negative thoughts. Refocussing your mind and your energies on pleasant activities can help you eliminate the stress that can sometimes accompany your diabetes management. For further reading on stress management, check out Coping with Stress: 5 Ideas that Work . 3. Ask for Continue reading >>

The Effect Of Empowering On Self-care And Coping Strategies With Type 1 Diabetes

Endocrine Abstracts (2016) 43 OC36 | DOI: 10.1530/endoabs.43.OC36 The effect of empowering on self-care and coping strategies with type 1 Diabetes Saeed Vaghee, Amireza Salehmoghadam & Hossein Karimi Moonaghi Department of Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. E-mail:vaghees@ mums.ac.ir, Tel:09155158328. Background: Diabetes mellitus has become a serious problem worldwide. Effects of diabetes stress, in addition to the physical complications had mental complications that make its treatment difficult. Concept of empowerment, enabling patients to make informed decisions and play an active role in planning and decision-making in health-related activities\. Aim: To determine the effect of empowering on self-care and coping strategies with type 1 diabetes. Methods: This before-and-after experimental study was performed on one group of 40 diabetic. Patients referred to diabetes clinic of Mashhad Persian 1391 that they were randomly sampling in two groups. Prograrn empowering in intervention group during the 60 min and 6 session. But the control group did not receive any intervention. Research tools included a questionnaire to assess knowledge; copi.pg strategies questionnaire Tabin, glucose and insulin were measured by two check list. Data were analyzed by SPSS version 11.5 using independent t-test and paired t-test. Results: Findings showed that self-care program on empowering (knowledge, skills insulin injections, measuring of blood glu ose) in diabetic patients and has a positive impact. The two groups did not Have statistically significant intervention variables. It also detected the empowerment program increase the use effective coping strategies (problem-solving, change perceptions, social relations Continue reading >>