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What To Consider When Taking Patients Through Diabetes Counseling

By Lisa Cole


Diabetes is, without a doubt, the commonest and most serious metabolic disorder that exists. The main underlying problem in this disorder is a deficiency in insulin hormone or its inability to produce required physiological changes in the body. Diabetes is known to result in acute or chronic complications particularly if not properly managed. Being a lifelong illness, patients need to be adequately counseled. We will look at the main areas of diabetes counseling.

Counseling is an opportunity to help patients understand their condition better. They learn of the signs and symptoms, the available treatments and the possible complications that are associated with the condition. The process should be continuous rather than a single session because it the disease is chronic and progresses with time. If done in the right manner, the process helps enhance adherence to prescribed medications.

The diagnosis of chronic illnesses is often associated with major psychological stress. Diabetes is no exception. Many patients find it difficult to adjust to new lifestyles after the diagnosis has been made. In some cases, patients have ended up with serious mental illnesses such as depression and anxiety. For everyone diagnosed with the condition, talking to a mental health expert is beneficial.

There is a need to emphasize on the importance of having the right diet booth for type 1 and 2 diabetics. This ensures that the blood sugar levels are maintained within a normal range. Persons with diabetes should avoid taking sweetened drinks and sugary snacks. These have a high glycemic index which means that they have a potential to drastically increase blood sugar levels. The ideal diet contains lots of fruits, fresh vegetables, lean protein and whole grains.

Patients should understand that putting on excess weight is detrimental to the successful management of their condition. One of the effects of being overweight or obese is the fact that it increases the risk of insulin resistance. Losing weight, on the other, hand helps reduce the HBA1c which is the long term indicator of blood sugar levels. The caloric intake per day should not exceed 800.

Physical exercise has a major role to play in the management of diabetes. Regular intense physical activity helps in weight loss as well as reducing the levels of blood glucose. The latter effect is achieved due to increased glucose demand by contacting tissues. One should strive to engage themselves in intense physical exercise routines for not less than 30 minutes for five days every week.

Patients that consume alcohol (especially in high quantities and on a regular basis) should be counseled on the same. In general, alcoholic beverages should be markedly or completely avoided if possible. Alcohol intake results in blood sugar levels. These fluctuations are much more erratic in persons taking oral hypoglycemic drugs or insulin. This is because the liver is overwhelmed by the metabolism of alcohol and cannot adequately break down these drugs.

Persons with diabetes are advised to have regular follow up clinic visits. This will make it possible to determine whether or not their treatment is optimal. In addition, they will undergo screening for any other chronic conditions associated with the condition as well as screening for possible complications.




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