Health
Understand glycemic data to better optimize diabetes self-management
Throughout her 38 years of nursing experience, Laurel Despins has evolved from a bedside nurse to a clinical nurse specialist, working in the medical, surgical and cardiac intensive care units. She found that diabetes is rarely the leading cause of death on its own, yet the disease is a major cause of death, including heart disease, stroke, and cancer.
Diabetes not only contributes to cardiovascular-related deaths, but can also have a variety of adverse health effects, including renal failure, arthritis, nerve problems, eye problems, and potentially infectious leg ulcers. There is sex. Therefore, planning to prevent blood sugar levels from becoming too high or too low can help diabetics manage their illness better and avoid adverse health effects in the future. “
Laurel Despins, Associate Professor and Researcher at MU Sinclair Nursing School
Despins interviewed individuals to help adults with diabetes better manage their blood sugar levels Diagnosed with type 2 diabetes About understanding of illness and efforts for self-management. She found that people with past experience watching relatives or neighbors manage diabetes influenced how they perceive diabetes management themselves.
“For example, one subject grew up watching her grandma constantly injecting insulin needles into her thighs, so of course she didn’t consider her to be overly worried about diabetes.” Despins said. “On the other hand, another subject saw his neighbor suffering from a diabetic leg ulcer and swore he never wanted it to happen, so he was very much in monitoring blood glucose levels. I paid attention.
Despins says healthcare providers need a better understanding of the living conditions of diabetics, including their financial resources, as there is no one-size-fits-all approach to diabetes management.
“Fixed-income people may not be able to buy fresh produce on a regular basis instead of pasta, which can affect their blood glucose levels,” Despins said. “Given the difficult situation, People with diabetes Living healthcare professionals need to assess the resources available to diabetics and optimize what they can do. “
Despins helps healthcare providers better understand their knowledge of their illness as they collect early quantitative data such as their weight, height, and age, in order to better serve diabetics. , We also encourage you to ask additional qualitative questions.
“What do you currently know about diabetes?”, “Do you know people with diabetes?” And “What do you think they did by self-managing it, and this is what you do. Will it affect how you view your self-management plan? ”It will help healthcare providers better understand the patient’s life experience,” Despins said. “My overall goal is to help people with diabetes better optimize their self-management and improve their health outcomes by avoiding negative complications in the long run. “
Source:
Journal reference:
Despins, LA & Wakefield, BJ (2020) Understanding Glycemic Data and Self-Management in Patients with Type 2 Diabetes: Qualitative Studies. Journal of clinical nursing. doi.org/10.1111/jocn.15280..
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