What To Consider When Taking Patients Through Diabetes Counseling

By Lisa Cole


Diabetes is a metabolic disorder caused by deficiencies in insulin hormone or inability of the body to utilize it. Its hallmark feature is abnormally high levels of blood glucose levels that may lead to immediate or long term complications. Being a chronic condition, patients have to be on medication or have to modify their lives as soon as the diagnosis has been made. In these article, we look at the main issues that should be addressed in 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.

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.

Regular physical exercise has numerous benefits. One of the direct benefits is weight loss which is desired change among diabetics. The other benefit is that increased muscular contraction experienced during physical activity increases the tissue uptake of glucose and this reduces the blood levels. Physical exercise that is deemed to be beneficial is that which includes intense sessions of not less than 30 minutes for at least 5 days in a 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.

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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