Book contents
- Frontmatter
- Contents
- List of contributors
- Common abbreviations used in the text
- Normal blood values in women and during pregnancy
- Introduction
- 1 Singular health care of women
- Preventive care
- Psychosocial health
- Sexuality
- Genitourinary medicine
- Breast disorders
- Psychological disorders
- Common medical problems
- 29 Coronary heart disease
- 30 Diabetes mellitus type II
- 31 Thyroid disorders
- 32 Hypertension and stroke
- 33 Osteoporosis, osteoarthritis, and rheumatoid arthritis
- Index
30 - Diabetes mellitus type II
Published online by Cambridge University Press: 28 October 2009
- Frontmatter
- Contents
- List of contributors
- Common abbreviations used in the text
- Normal blood values in women and during pregnancy
- Introduction
- 1 Singular health care of women
- Preventive care
- Psychosocial health
- Sexuality
- Genitourinary medicine
- Breast disorders
- Psychological disorders
- Common medical problems
- 29 Coronary heart disease
- 30 Diabetes mellitus type II
- 31 Thyroid disorders
- 32 Hypertension and stroke
- 33 Osteoporosis, osteoarthritis, and rheumatoid arthritis
- Index
Summary
Introduction
Living with diabetes is a full time job. Affected individuals live with it every moment of their lives, continuously and relentlessly making decisions and choices that take the fact of their carbohydrate metabolism into account. Thus diabetes weaves itself into the fabric of a life, and does so whether the affected person wills it or not. It is a condition greatly affected by lifestyle, diet, stress, exercise, and access to care and supplies. Its course is determined in large part by these factors.
Coaching a person about self-management strategies must take into account the social context of the disorder. Providers must be as vigilant for denial, guilt, depression, overwork and diabetes burn-out as for other complications of the disease.
This is what often makes management strategies different for men and women. The disease itself is not significantly different, but coping strategies may be. Understanding individual responses to living with their chronic condition, and helping to build efective management strategies, is critical for a successful provider-patient partnership.
New strategies for effective diabetes care are desperately needed. The majority of people with diabetes in this country have suboptimal glucose control; one survey showed mean fasting glucose values of 180mg/dL. Yet, recent studies have clearly shown that even modest glucose reduction improves long-term outcomes, driving the search for innovative ways to help people achieve the best possible glucose control. Strategies that emphasize participation and the incorporation of body, mind, and spirit may be efective and mutually rewarding.
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- Type
- Chapter
- Information
- Handbook of Women's HealthAn Evidence-Based Approach, pp. 508 - 528Publisher: Cambridge University PressPrint publication year: 2001