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 of patients with diabetes is an opportunity to educate them. They should be helped to learn as much as possible about their condition and the strategies which they can adopt to make their lives better. The process needs to be done regularly bearing in mind that this condition is lifelong and progress over time. Patients that are regularly counseled have been observed to be more adherent to prescribed treatments.

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.

Weight gain should be avoided at all costs. This is because excessive weight is a known risk factor for insulin resistance and worsening the condition. The patients need to be advised on the weight loss options that they have. Reducing caloric intake is one of the commonly used methods. 800 calories per day is the target. This strategy is effective for the short term and other options should be considered in the long term.

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.

Alcohol has a major effect on the levels of blood sugar. Taking alcoholic beverages generally increases the levels. One of the major components of alcohol is carbohydrate, a complex molecule that is usually broken down into glucose. There may be a compromise in the breakdown of insulin and other glucose lowering agents since the liver is often overwhelmed by alcohol metabolism. The general recommendation, therefore, is that alcohol intake should be limited or stopped completely.

Patients need to understand that follow up clinics are an important part of treatment. The clinics give the doctor an opportunity to identify any complications early and to intervene before complications set in. Comprehensive medical checkups should be done at least once every year.




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