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Monitoring diabetic control.

V E Coates
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Abstract

Recent research from America has confirmed that the quality of metabolic control achieved by people with insulin-dependent diabetes does influence the onset and progression of diabetic complications. More than ever before diabetic individuals now have good reasons for striving to attain as good a standard of diabetic control as is possible. Regular monitoring of diabetic status is essential if good control is to be achieved. This article will focus upon the concept of control and consider aspects of diabetic monitoring which may be undertaken either by patients or through professional services. Both direct and indirect monitoring methods will be discussed and strengths and weaknesses considered.

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Blood Glucose Self-MonitoringDiabetes Mellitus, Type 1Drug MonitoringHumansSelf CareJournal ArticleReview

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BibTeXRIS

V E Coates. 1994. Monitoring diabetic control.. https://doi.org/10.1111/j.1365-2702.1994.tb00399.x

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Diabetes mellitus: lessons from patient education.

The education of diabetic patients, proposed as an essential therapeutic tool since the early 1920s and accepted as such by official medicine only in the 1970s, has generated great enthusiasm over the last decade, with increasing concern for greater effectiveness by improved motivation of both patients and doctors. Structured education depends on the precise definition of agreed, short-term objectives, whose attainment shall be verified. Educational objectives may be set at different levels: knowledge of the disease, skills required for treatment, capacity to integrate therapy in everyday life,... The most relevant objectives however are the therapeutic goals of each individual patient, i.e. most often, prevention of acute complications, near-normoglycemia to prevent late complications and foot care to prevent disabling consequences of the latter. This can only be attained through a global approach to the patient, at once medical, educational and psychological. Medical science has definitively confirmed the importance of near- normoglycemia and proposes more effective insulin regimens and new recommendations for diet and exercise. Education demands a lot from health care providers: specific training, teaching skills, good communication, supportive attitude, readiness to listen and to negotiate. Patients' motivation to learn and adhere to treatment is also greatly influenced by individual factors, both psychological and environmental, that need to be taken into account.

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