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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.

The process of counseling is more of an educative session. It is meant to help the patients understand the condition better and how best they can live with. It should be done on a continuous basis since the disease tends to progress with time. It has been observed that patients that undergo regular consoling are likely to be more adherent to drugs and other forms of treatment that are prescribed.

Just as is the case with other chronic illnesses, the diagnosis of diabetes is associated with significant psychological stress. It is not easy to accept that one has to make significant lifestyle adjustments in a bid to live with the condition. Some patients may end up with mental disorders such as anxiety or depression. It is important, therefore, that all the newly diagnosed access the services of a mental health expert.

Persons with diabetes should understand the need for having a proper diet at all times. A healthy diet helps both type 1 and 2 diabetics maintain their levels of blood sugar within the normal range. The general advice is that sugary snacks and sweetened drinks should be avoided as much as possible. Such foods are described as having a high glycemic index. This means that they are likely to significantly raise the blood sugar levels. More fruits, whole grain vegetables and lean protein should be consumed.

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.

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.

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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