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Psychology and Diabetes Care: A Practical Guide

Barnard Editor Cathy E. Lloyd Paperback January 15, Prices and offers may vary in store. Psychology and Diabetes Care: A Practical Guide is a concise handbook for the practicing diabetes clinician who is interested in gaining a better understanding of his patients, and in learning simple skills and tips to manage patients more effectively. It identifies and explores key psychological interventions in diabetes care in order to help healthcare professionals support their patients effectively.

Edited by an expert on the psychology of diabetes, and with contributions from a group of specialists in diabetes psychology, this book contains a myriad of insights into how to understand and treat the type 1 or type 2 diabetes patient. Importantly, psychological implications and patient empowerment in diabetes were also discussed.

Diabetic ketoacidosis DKA is an acute, major, life-threatening complication of diabetes and consists in severe metabolic consequences resulting from insulin deficiency and concomitant fluid and electrolyte imbalance. According to international guidelines ISPAD , DKA deserves special attention in children and adolescents where signs and symptoms are often misdiagnosed and underestimated. Greater awareness should help minimise the severity of DKA through earlier diagnosis and focusing on appropriate treatment as well as close, ongoing monitoring to minimise the potentially lethal complications of DKA such as cerebral oedema.

Educating healthcare professionals about the pathophysiology of DKA helps them to provide better patient instruction and treatment for DKA. Prevention programs for DKA in diabetic children focusing on scholastic institutions, parents and paediatricians e. Parma Campaign were committed to increase awareness and reduce morbidity and mortality of DKA; nevertheless, the rate of DKA in children and adolescents remains high.

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  7. The therapeutic goal for DKA is not to return glucose levels to normal, but, rather, reversal of the underlying ketoacidosis. Insulin therapy, fluid and electrolyte monitoring and treatment are critical aspects of management. Managing diabetes in a child during a concomitant illness is challenging and a crucial aspect of diabetes care.

    Home blood capillary beta-hydroxybutyric acid ketones testing provides information that allows for early and aggressive management of metabolic decompensation, such as DKA.

    This novel technology may provide the opportunity to improve the treatment of uncontrolled diabetes and sick days in an attempt to reduce the human burden of DKA. Self-monitoring of blood glucose SMBG is considered an essential component of diabetes self-management, especially for patients who require insulin treatment.

    SMBG can help to identify factors associated with hyper- and hypoglycaemia, adequately adjust insulin doses and empower patients to make changes to improve glycaemic control. The accuracy of SMBG measurement is imperative for reliability of results and medical outcomes in diabetes therapy. Further aspects of the new ISO include user performance evaluation using the same accuracy criteria and evaluation of influence quantities and interfering substances.

    Psychology and Diabetes Care - A Practical Guide | Katharine D. Barnard | Springer

    Training for healthcare providers and patients is a central aspect in accomplishing these new standard requirements. Telemedicine systems based on Internet and mobile phones represent new promising tools that can complement conventional outpatient clinical visits. This applies mostly to chronic diseases, such as diabetes, where frequent medical controls and transmission and elaboration of a large amount data is needed.

    The perfect treatment for diabetes and weight loss

    Dedicated applications for various devices e. The use of telemedicine can also aid diabetic patients in self-management of their disease and is most effective when combined with education and individualised information. To maximise the benefit offered by these innovative technologies, patients should also be supported from a psychological point of view. Diabetes can lead to depression and anxiety as well as mood and eating disorders that can hinder adequate self-management of the disease.

    Patient empowerment can help healthcare operators and patients to improve management of diabetes and prevent disease-related complications. The achievement of greater self-esteem in persons with diabetes is essential since empowerment can become a valid tool for change.