Psychosocial Care In The Management Of Diabetes: America’s Recommendations Follow Indian Guidelines

Psychosocial care in the management of diabetes: America’s recommendations follow Indian guidelines

by Dr Sanjay Kalra, Endocrinologist – Bharti Hospital Karnal and Vice President, South Asian Federation of Endocrine Societies
BIDIRECTIONAL RELATIONSHIP
Diabetes, one of the most psychologically demanding chronic illnesses, has several associated comorbid conditions. The impact of diabetes on a person’s mental and emotional well-being is one of the most overlooked aspects of diabetic care.
Studies have shown a bidirectional relationship between mental health disorders and diabetes. It is postulated that depression and related symptoms may develop due to stress or metabolic effects of diabetes on the brain. It is also established that depressive symptoms correlate with poor glycemic control and diabetic complications.
Recent research has shown that mental health issues associated with diabetes have a much wider spectrum. Panic disorder, generalized anxiety disorder, and posttraumatic stress disorder are also common among those living with diabetes, irrespective of comorbid depression. As the disease incidence continues to rise, the following recommendations bridge the much-needed health care gap for the persons living with diabetes.
AMERICAN RECOMMENDATIONS
The American Diabetes Association (ADA) has released its first Position Statement on ‘Psychosocial care for people with diabetes’. The guidelines encourage comprehensive, personalized mental health assessment and treatment as part of routine care of diabetes.
The key recommendations are as follows:
• Psychosocial care should be integrated with collaborative, patient-centered medical care and provided to all peo Continue reading

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Diabazole Reviews Diabetes Supplement : Control Blood Sugar Levels

Diabazole Reviews Diabetes Supplement : Control Blood Sugar Levels
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This is a chronicdisease that occur in your body when the blood sugar or blood glucose levels are too high. You know that glucose can be obtained from the foods that you eat. This disease may result because of lack of insulin production, and as such not able to break down any carbohydrates that it needs to survive, this will causehigh blood sugar and other serious problems.
Insulin, a hormone which is produced in the pancreas of the body. And if there is no insulin , the body wont process any carbohydrate, because the body need insulin to use sugar as a source of energy. We have both type 1 diabetes and type 2 diabetes
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This take place when immune system in your body attacks and kills the pancreas beta cells which result to a very little or no insulin the Continue reading

Tips for Buying Diabetes-Friendly Shoes | Everyday Health

When you have type 2 diabetes, you need to pay close attention to your feet and the shoes you put on them.
Heres why: People with type 2 diabetes have an increased risk of developing poor circulation and nerve damage in their feet, according to the American Diabetes Association (ADA). Poor blood flow to the feet makes it more difficult for wounds to heal. Even minor issues, like calluses, blisters, and cuts, can become serious problems and lead to infection. And nerve damage can cause loss of sensation in your feet , so you may not feel if you step on something sharp, if your shoes are rubbing or pinching, or if you get a blister.
All of this means that the right footwear is a must. Your shoes must not only be comfortable but fit well too, says Adam Isaac, DPM, director of the Complex Foot Wound Clinic at Kaiser Permanente Mid-Atlantic States. Shoes that fit properly can help protect your feet and reduce your risk of developing foot ulcers and infections.
Heres how to be sure the shoes you wear are diabetes-friendly:
See your podiatrist before you shop. Your podiatrist can recommend the best type of shoes for you and let you know if you need custom orthotics, says Dr. Isaac. Orthotics can provide additional comfort and support, according to the American Podiatric Medical Association. You may need prescription diabetic shoes that have extra depth to them and supportive arches, Isaac says.
Shop for shoes later in the day. Your feet can swell over the course of the day, and you want to get a true idea of how the shoe is going to feel in real-life scenarios, Isaac says. Continue reading

Diabetes reversal hope

- Drastic & sustained weight loss through diet control can lead to long-term remission: Doctors
New Delhi, Sept. 13: Some patients with diabetes may reverse the disease and celebrate long-term remission through drastic weight loss, a team of British doctors said today, challenging the conventional management of diabetes practised for decades.
The doctors said there is significant evidence that the reversal of diabetes is now "clearly attainable" for some, possibly many, but most patients and doctors remain oblivious to these developments and still consider the diagnosis of diabetes a permanent label.
Well-designed, diet-based strategies have been shown to lead to rapid and substantial weight loss and get patients to maintain a 12kg to 15kg weight loss for periods of a year and sustain it beyond, the doctors said, citing studies in the UK over the past five years.
"It is not easy to achieve this, but every person diagnosed with diabetes should get a chance to try it," Mike Lean, professor of human nutrition at the University of Glasgow who is involved in such weight loss studies told The Telegraph over telephone.
"Unfortunately, most patients and many doctors still misleadingly view diabetes as an irreversible condition. A lot of people are being misled into believing that once diagnosed with diabetes, they'll remain diabetic forever."
Lean and his colleagues are questioning a core concept in diabetes management which currently is focused entirely on controlling blood sugar through a mix of drugs and lifestyle management to avoid complications - cardiovascular diseas Continue reading

A Diabetes Discussion

Since November 14th is World Diabetes Day , a day dedicated to raise awareness of diabetes, its prevention and complications, and the care that people with the condition need, we decided to sit down with Kathryn Peeden, M.D. (Dr. Katie) to discuss the Type 2 Diabetes epidemic in the United States.
AIM: Hi Dr. Katie. Thank you for sitting down with us to talk about diabetes today.
AIM:Let me first start out by reading you some statistics from the CDCs website : It is estimated that 30.3 million people have diabetes in the United states, which amounts to nearly one in ten people. Since only 5% of those with diabetes have type 1 diabetes , we wanted to spend a moment with you discussing the more wide-spread type 2 diabetes . With over a million new cases being diagnosed annually, what do you find is the number one misconception your patients have of this disease?
Dr. Katie: Too many of my patients are under the misconception that their diabetes is genetic and therefore permanent; that theres nothing they can do to improve their outcome. Many people too often say, My mom or dad had it, so I knew Id get it.
Dr. Katie: Like many disease processes, there is a genetic component, but genes merely show someones propensity towards health or illness they are not Tarot cards; they dont predict our future. Research shows us that genes can be turned on and off depending on our diet and lifestyle choices, so using genetics as a reason for having type 2 diabetes cripples the persons hope of turning their disease around.
Dr. Katie: With proper supplementation, dietary and lifestyle c Continue reading