Biomedical subjects
Publications and source records attributed to P Dunning.
A study of people with non-insulin dependent diabetes found that, generally, they had a good understanding of its complications although over half believed they personally were not vulnerable. Non-diabetic subjects had limited knowledge in this area.
Health educators are ideally placed to identify sexual problems and provide sex education for women with diabetes. Important pre-requisites are for the educator to have an understanding of the human sexual response; knowledge of the evidence for sexual dysfunction in diabetic women and to be comfortable with their own sexuality. This paper aims to discuss aspects of female sexuality; the effects of diabetes on female sexuality and sexual responsiveness. The evidence for and possible causes of, sexual dysfunction in diabetic females as documented in the literature are explored and strategies for identifying sexual problems outlined.
Increases in both the cost of providing quality diabetes care and in the number of people developing diabetes have led to a search for more cost effective models of care. This paper outlines a shared care scheme that has benefits for the patient, the outpatient clinic and the general practitioner.
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Seeking medical assistance early during illness is important to decrease the associated morbidity and mortality. A cross sectional survey was carried out to determine how long people with non-insulin dependent diabetes (NIDDM), and a group of non-diabetics would wait before seeking medical advice for chest pain. Self-administered questionnaires were completed by 50 diabetics (22 males, 28 females) age range 42 to 81, mean 64.26 +/- 9.78 from the diabetic outpatient clinic of a major hospital, and 51 non-diabetics, (15 males, 35 females) age range 16 to 84, mean 56.28 +/- 21.6 from a suburban general practice. Both groups were most likely to seek help when experiencing severe pain (56% diabetics, 59% non-DM). Previous heart disease was not a major motivating factor in either group. Subjects with previous chest pain would be more likely to seek help early. Females would be more likely to seek help immediately than males for severe chest pain (p < 0.05). The diabetic group were more likely to seek help immediately than the non-diabetic group (p < 0.05). There was a significant difference in potential help seeking for mild chest pain in diabetic subjects between those with previous history of chest pain and those with no history of chest pain (p < 0.05). There was no significant relationship between help-seeking behaviour and diabetes treatment, duration of diabetes or age (p > 0.05). An important implication for nursing was the absence of a significant relationship between previous diabetes education and potential help-seeking behaviour.