Psych Diabetes

Question 1

Why might Type 1 Diabetes have implications on patients life?

Answer 1

Understanding how to use insulin
Learning to inject/importance of it/seriousness of cond.
Embarrasment of injecting in public (socialising)
Rebellion at teenage years?
Diet and weight control

Question 2

Why might Type 2 Diabetes have implications on patients life?

Answer 2

Changing diet and watching weight

Adapting to exercise, quit smoking

Understanding the long term effects?

Question 3

The management of Diabets can be split into what 3 perspectives?

Answer 3

Biological perspective (glycaemic control)

Social perspective
(work/family relations)

Psychological perspective
(emotional reactions)

Question 4

Draw out Psychological perspective of Diabetes model.

Answer 4

–

Question 5

What might cognitive responses of a diabetic be?

Answer 5

though patterns might be from:

Experience,
Social messages
Level of understanding
Quality of communication

Question 6

What might emotional responses of a diabetic be?

Answer 6

adjustment to using (i.e insulin)
anger that they've caused it
denial
bargaining
depression
anixiety
stress (can further impair glucose control)

Question 7

What might behavioral responses of a diabetic be?

Answer 7

Do they adhere to Tx
Do they monitor BG
Are they regulating diet
Are they exercising
Are they motivated

Question 8

What is Dafne?

Answer 8

Randomised clinical study on 169 Type 1 patients with mod – poor control
I
ntervention: dietary freedom and flexible insulin regimen

Found:
improvements in glycaemic control, QoL, perceived well-being & treatment satisfaction
but no improvements in severe hypos or weight management

Question 9

What is Desmond?

Answer 9

Structured education programme for Type 2 patients, from diagnosis
Meets criteria set down by NICE

6 hours structured group education

Randomised control trial, at 12 months:

Greater weight loss
More smoking cessation
Less depression