Self-management for Blood Sugar Control Among Patients with with Type 2 Diabetes Mellitus

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Publisher :
ISBN 13 :
Total Pages : 230 pages
Book Rating : 4.:/5 (987 download)

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Book Synopsis Self-management for Blood Sugar Control Among Patients with with Type 2 Diabetes Mellitus by : Pussadee Srathong

Download or read book Self-management for Blood Sugar Control Among Patients with with Type 2 Diabetes Mellitus written by Pussadee Srathong and published by . This book was released on 2013 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to describe self-management for controlling blood sugar in patients with type 2 diabetes mellitus. Participants were all able to control their blood sugar. Their HbA1c was less than 7 for at least 1 year before becoming research participants. Eighteen patients with type2 diabetes were selected to this study. Data were collected during in-depth interviews between August 15, 2011 to December 6, 2011. Each interview lasted 30 minutes for each subject. In-depth interviews allowed the researcher to access to a wide variety of ideas, views, and experiences on diabetes self-management. Qualitative data were analyzed by using a content analysis. Results showed that self-management for blood sugar control among patients with type 2 diabetes mellitus. consisted of 7 categories: (1) changing behavior from high to low calorie diet, (2) increasing physical activity, (3) coping with stress, (4) keeping doctor's appointments, (5) taking medicine regularly, (6) having self regulation and (7) Receiving social support from family and others. All participants began the self-management by setting limitations on their food both in quantity and types of food. Then they began to exercise in their own various ways. They tried to keep their stress under control. As for appointments and medication, they followed the doctor's order strictly because they believed that this would prevent complications. Recommendations: Diabetic health care team should care for patients individually in order to determine the need of each patient and to prescribe proper self-management.

Effects of Self-Management Education on Diabetic Control Among Patients with Type 2 Diabetes

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Publisher : Open Dissertation Press
ISBN 13 : 9781361324400
Total Pages : pages
Book Rating : 4.3/5 (244 download)

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Book Synopsis Effects of Self-Management Education on Diabetic Control Among Patients with Type 2 Diabetes by : Min Yan

Download or read book Effects of Self-Management Education on Diabetic Control Among Patients with Type 2 Diabetes written by Min Yan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Effects of Self-management Education on Diabetic Control Among Patients With Type 2 Diabetes: a Systematic Review" by Min, Yan, 严敏, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objective: To systematically review the effect of self-management education on diabetic control in type 2 diabetes Research design and methods: PubMed was searched for English-language articles published between 2010 and 2013. All the studies were original articles selected manually and used randomized control trials generating results of self-management education in people with type 2 diabetes referring to diabetic control. Relevant data were divided and tabulated into factors of population characteristics, interventions and outcomes. Interventions were classified into three sections as collaborative information intervention, lifestyle intervention, and skills teaching intervention based on the patterns of education. Outcomes were categorized into glycemic control, cardiovascular disease (CVD) risk factors and nephropathy risk factors. Results: A total of 24 studies were identified of initial 41 articles for this review. Effects of self-management education on glycemic control were demonstrated to be positive both in short-term (10 months) follow-up, but more positive effects in short-term follow-up. The same effectiveness happens to CVD risk factors, including lipids, weight and blood pressure. On the other hand, with short-term follow-up, teaching skills intervention of self-management education is more effective than collaborative information intervention and lifestyle intervention on reducing glycemic control and CVD risk factors. Also with long-term follow-up, teaching skills intervention of self-management education had more effectiveness than collaborative information intervention and lifestyle intervention on reducing glycemic control. However, few studies including CVD risk factors in the long-term follow-up, so it is difficult to evaluate the effectiveness of on CVD risk factors with long-term follow-up. Conclusions: Evidences supports the positive effectiveness of self-management education with collaborative information intervention, lifestyle intervention and skills teaching intervention among type 2 diabetes patients on diabetic control, in both short-term follow-up and long-term follow-up, but short-term follow-up is more effective than long-term follow-up. Further research is needed to develop self-management interventions to maintain long-term follow-up effects on glycemic control, CVD risk factors and other diabetes complications. DOI: 10.5353/th_b5098975 Subjects: Non-insulin-dependent diabetes - Treatment

EBOOK: Chronic Physical Illness: Self-Management and Behavioural Interventions

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335237665
Total Pages : 324 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Chronic Physical Illness: Self-Management and Behavioural Interventions by : Stanton Newman

Download or read book EBOOK: Chronic Physical Illness: Self-Management and Behavioural Interventions written by Stanton Newman and published by McGraw-Hill Education (UK). This book was released on 2008-12-16 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Newman, Steed and Mulligan have provided an honest attempt to capture the essential practical material required for those working directly with clients in this growing area … As a broad introductory text, this book achieves its purpose.“ International Journal of Integrated Care "I feel this book would be a great addition on any adult nursing bookshelf, especially useful in health promotion, community and management modules. Any healthcare profession such as nurses, doctors, occupational therapists who deal with individuals with chronic illnesses will benefit from this book. I highly recommend this book, a 'must read' for nursing students." Isobel Weston, Nursing Student, Nottingham University, UK This groundbreaking book provides a much-needed overview of self-management in chronic physical illness. It provides the theoretical and conceptual background to self-management, as well as examining issues related to the delivery of self-management interventions in chronic illness. The chapters systematically review the efficacy and effectiveness of interventions in a range of different chronic conditions, including: Asthma Coronary artery disease Heart failure COPD Hypertension Diabetes Rheumatoid arthritis Authored by a range of leading international authors, each of them experts in the chronic diseases they discuss, the book is key reading for a wide range of health care professionals dealing with individuals with chronic conditions, including nurses, doctors, physiotherapists, health psychologists and occupational therapists. The book concludes by looking at the future of self-management for chronic illness. Contributors: Susan J. Blalock, Debbie Cooke, Angela Coulter, Robert F. DeVellis, Joe Ellins, Maarten J. Fischer, Wendy Hardeman, Eric S. Hart, Paul Higgs, Martin Hyde, Ad A. Kaptein, Kate Lorig, Patrick McGowan, Susan Michie, Debra K. Moser, Serap Osman, Jerry C. Parker, Sheetal Patel, Nina Rieckmann, Margreet Scharloo, Nancy E. Schoenberg, Timothy C. Skinner, Jane R. Smith, Lucia Snoei, Frank J. Snoek, Stephen Sutton, John Weinman, Manuel Paz Yepez

A Self-management Guide for Type 2 Diabetes Mellitus Patients from Middle Eastern Countries

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Publisher : Cambridge Scholars Publishing
ISBN 13 : 152755418X
Total Pages : 176 pages
Book Rating : 4.5/5 (275 download)

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Book Synopsis A Self-management Guide for Type 2 Diabetes Mellitus Patients from Middle Eastern Countries by : Ehab Mudher Mikhael

Download or read book A Self-management Guide for Type 2 Diabetes Mellitus Patients from Middle Eastern Countries written by Ehab Mudher Mikhael and published by Cambridge Scholars Publishing. This book was released on 2020-06-04 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains, in a simple and practical way, how and when the diabetic patient should conduct self-management activities. These include healthy eating, physical activity, the consumption of medication, the monitoring of blood glucose level, the cessation of smoking, and foot care, among others. Such activities can help the patient to establish a level of control over their condition, and thus reduce the risk of developing serious complications. As such, this book will be of particular interest to diabetic patients and their family members, as it will provide them with further information in their fight against diabetes. Additionally, it will also appeal to physicians, pharmacists and nurses as a guide for their work in educating diabetic patients.

Hypoglycemia in Diabetes

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Publisher : American Diabetes Association
ISBN 13 : 1580406491
Total Pages : 194 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Hypoglycemia in Diabetes by : Philip Cryer

Download or read book Hypoglycemia in Diabetes written by Philip Cryer and published by American Diabetes Association. This book was released on 2016-07-12 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intended for diabetes researchers and medical professionals who work closely with patients with diabetes, this newly updated and expanded edition provides new perspectives and direct insight into the causes and consequences of this serious medical condition from one of the foremost experts in the field. Using the latest scientific and medical developments and trends, readers will learn how to identify, prevent, and treat this challenging phenomenon within the parameters of the diabetes care regimen.

Psychosocial Care for People with Diabetes

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Publisher : American Diabetes Association
ISBN 13 : 1580404391
Total Pages : 330 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

The Nurse's Guide to Teaching Diabetes Self-Management

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Publisher : Springer Publishing Company
ISBN 13 : 0826102255
Total Pages : 186 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis The Nurse's Guide to Teaching Diabetes Self-Management by : Rita G. Mertig

Download or read book The Nurse's Guide to Teaching Diabetes Self-Management written by Rita G. Mertig and published by Springer Publishing Company. This book was released on 2007 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

ADA The Complete Nurse's Guide to Diabetes, Second Edition

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Publisher : American Diabetes Association
ISBN 13 :
Total Pages : 596 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis ADA The Complete Nurse's Guide to Diabetes, Second Edition by : Belinda Childs

Download or read book ADA The Complete Nurse's Guide to Diabetes, Second Edition written by Belinda Childs and published by American Diabetes Association. This book was released on 2009-05-27 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: What every nurse must know about diabetes Complete Nurse’s Guide to Diabetes Care is a comprehensive resource for all nurses who work with diabetes patients. Extensively revised, it offers expert advice on the fundamentals of diabetes care and related nursing issues.

Patient Knowledge, Perceived Self-efficacy, and Self-management Among Patients with Type II Diabetes Mellitus

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Publisher :
ISBN 13 :
Total Pages : 130 pages
Book Rating : 4.:/5 (118 download)

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Book Synopsis Patient Knowledge, Perceived Self-efficacy, and Self-management Among Patients with Type II Diabetes Mellitus by : Razel Bacuetes Milo

Download or read book Patient Knowledge, Perceived Self-efficacy, and Self-management Among Patients with Type II Diabetes Mellitus written by Razel Bacuetes Milo and published by . This book was released on 2017 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States (U.S.), Type 2 Diabetes Mellitus (T2DM) has reached epidemic portions with a prevalence of approximately 29.1 million people and is the seventh-leading cause of death (Centers for Disease Control and Prevention [CDC], 2014; Healthy People 2020, n.d.). The U.S. spends an estimated $245 billion in direct and indirect medical costs. The indirect costs include disability and lost productivity (CDC, 2014). Previous studies focusing on diabetes education acknowledge the significance of self-management activities in managing T2DM. Extant studies examining self-management and treatment outcomes for persons with T2DM have paid limited attention to the relationship between patients' disease perceptions, diabetes knowledge, self-efficacy, self-management practices, and glycemic control. The purpose of this investigation was to identify factors and outcomes associated with healthy diabetes self-management practices among a cohort of individuals with T2DM residing in southern California. Nola Pender's Health Promotion Model (Pender et al., 2015) guided the study. Specific aims include: 1) Provide conceptual clarity for the phenomenon of perception through a concept analysis using Walker and Avant (2011) methodology, 2) Identify factors and outcomes associated with diabetes self-management through a systematic review of the literature, and 3) Examine relationships among perceived self-efficacy, specific patient characteristics, diabetic knowledge, self-management practices, and HbA1C values among a sample of individuals with T2DM living in southern California. The research aims provided the structure to generate new scientific data and evidence towards the improvement of self-management practices and those characteristics leading to improved HbA1C outcomes.

Handbook of Psychology and Diabetes

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Publisher : Psychology Press
ISBN 13 : 9783718655625
Total Pages : 442 pages
Book Rating : 4.6/5 (556 download)

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Book Synopsis Handbook of Psychology and Diabetes by : Clare Bradley

Download or read book Handbook of Psychology and Diabetes written by Clare Bradley and published by Psychology Press. This book was released on 1994 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Handbook fulfils a pressing need within the area of psychological measurement in diabetes research and practice by providing access to material which has either been widely dispersed through the psychological and medical literature or has not previously been published. Journal articles describing the psychometric development of scales have rarely included the scales themselves but this book includes copies of scales and a wealth of additional information from unpublished theses, reports and recent manuscripts. You will find information about the reliability, validity, scoring, norms, and use of the measures in previous research presented in one volume. The Handbook is designed to help researchers and clinicians: - To select scales suitable for their purposes - To administer and score the scales correctly - To interpret the results appropriately. Dr. Clare Bradley is Reader in Health Psychology and Director of the Diabetes Research Group at Royal Holloway, University of London. Dr. Bradley and her research group have designed, developed and used a wide variety of measures of psychological processes and outcomes. Many of these measures have been designed and developed specifically for people with diabetes. Together with diabetes-specific psychological measures developed by other researchers internationally, these instruments have played an important part in facilitating patient-centred approaches to diabetes research and clinical practice.

Learning to Manage

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (958 download)

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Book Synopsis Learning to Manage by : Ifunanya Hilda Ejebe

Download or read book Learning to Manage written by Ifunanya Hilda Ejebe and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of type 2 diabetes in the United States is a population health priority. Approximately 1 in 10 adults in the United States have diabetes and a significant majority have inadequately controlled blood glucose, blood pressure, and cholesterol. Previous research shows that many adults with diabetes lack the knowledge, skills, behaviors, and support to properly manage their condition. Diabetes self-management education has become an important part of diabetes care guidelines as a way to improve the self-management of adults with diabetes in order to lead to improve patient health and reduce inappropriate health care use and medical costs. Despite this, it is unclear who is actually receiving diabetes self-management education in the US, overall and by mode of delivery and diabetes educator type, and whether education is associated with improved population health. Therefore, the objective of this dissertation research is to investigate the distribution of diabetes self-management education, patient sociodemographic factors that influence the receipt of that education, and its contribution toward diabetes outcomes, medical expenditures, and healthcare use in US adults. We achieved this research objective by completing three specific research aims. We used nationally representative data from the Medical Expenditure Panel Survey and the National Health and Nutrition Examination Survey. We found that although a substantial majority of individuals received some form of diabetes self-management education, receiving diabetes education was associated with race/ethnicity and income (Aim 1), and varied by mode of education delivery. Individuals who received diabetes self-management education were less likely to have glycemic control but were more likely to receive antiglycemic treatment (Aim 2). Receiving diabetes self-management education was associated with greater diabetes-related ambulatory and prescription use, depending on the mode of education delivery (Aim 3). Our findings highlight some strengths of the current state of diabetes management occurring in usual care, including the widespread delivery of some form of diabetes education and its association with greater ambulatory and prescription use. However, we also found evidence of the need for more effective diabetes education delivery systems in usual care in order to improve patient self-care behaviors and reduce inpatient and emergency room use.

Motivational Interviewing in Diabetes Care

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Publisher : Guilford Publications
ISBN 13 : 1462521657
Total Pages : 257 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Motivational Interviewing in Diabetes Care by : Marc P. Steinberg

Download or read book Motivational Interviewing in Diabetes Care written by Marc P. Steinberg and published by Guilford Publications. This book was released on 2015-08-14 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes often struggle to make healthy choices and stay on top of managing their illness. Filling a vital need, this is the first book to focus on the use of motivational interviewing (MI) in diabetes care. The uniquely qualified authors--physician Marc P. Steinberg has devoted much of his career to diabetes care, and renowned clinical psychologist William R. Miller is the codeveloper of MI--present proven counseling techniques that can make any conversation with a patient more efficacious and motivating. Numerous sample dialogues illustrate specific ways to elicit patients' strengths and help them overcome barriers to change in such areas as eating habits, physical activity, medication use, insulin treatment, substance abuse, psychological issues, and more. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers. Winner (First Place)--American Journal of Nursing Book of the Year Award, Adult Primary Care Category

OECD Reviews of Health Systems: Mexico 2016

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Publisher : OECD Publishing
ISBN 13 : 9264230491
Total Pages : 176 pages
Book Rating : 4.2/5 (642 download)

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Book Synopsis OECD Reviews of Health Systems: Mexico 2016 by : OECD

Download or read book OECD Reviews of Health Systems: Mexico 2016 written by OECD and published by OECD Publishing. This book was released on 2016-01-07 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ten years after the introduction of publically-funded universal health insurance, the Mexican health system finds itself at a critical juncture.

Mayo Clinic Essential Diabetes Book

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Publisher : Oxmoor House
ISBN 13 : 9781603200493
Total Pages : 0 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis Mayo Clinic Essential Diabetes Book by : Mayo Clinic

Download or read book Mayo Clinic Essential Diabetes Book written by Mayo Clinic and published by Oxmoor House. This book was released on 2009-03-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: More people than ever before have diabetes. The disease affects an estimated 21 million adults and children in the US and many people with the disease don't have it under control. Unlike years ago, you have a good chance of living an active and healthy life with diabetes - provided you work with your health-care team to take the necessary steps to control your blood sugar. This title covers: the pre-diabetes stage - taking charge to prevent diabetes; types of diabetes; symptoms and risk factors; treatments and strategies for managing your blood sugar; avoiding serious complications; advances in insulin delivery and new medications; and, recipes.

The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook

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Publisher : American Diabetes Association
ISBN 13 : 1580405061
Total Pages : 729 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook by : Anne L. Peters

Download or read book The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.

Management of Diabetes Mellitus

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Publisher : Springer Publishing Company
ISBN 13 : 9780826172624
Total Pages : 504 pages
Book Rating : 4.1/5 (726 download)

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Book Synopsis Management of Diabetes Mellitus by : Dr. Diana Guthrie PhD, BC-ADM, CDE, FAADE

Download or read book Management of Diabetes Mellitus written by Dr. Diana Guthrie PhD, BC-ADM, CDE, FAADE and published by Springer Publishing Company. This book was released on 2008-10-22 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: "I strongly recommend this text. Whether the reader is a relative novice or a seasoned veteran in diabetes care, the information will prove useful and concise and will likely stimulate further reading and study. House staff planning to rotate on my endocrine service should be forewarned: Management of Diabetes Mellitus: A Guide to Pattern Management is now required reading." --JAMA Praise for the previous edition "I recommend this book to nurses or physicians confronting patients afflicted with diabetes mellitus, as it presents a patterned approach to the understanding and management of this malady. Any patient with diabetes mellitus or health care professional using the information presented by these experts would be well prepared to manage this disease process" --Gloria K. Twilley, Lieutenant Colonel United States Air Force Nurse Corps The sixth edition of Management of Diabetes Mellitus fully reorganizes and expands upon the previous editions. While the new edition continues to set forth practical and easy-to-use guidelines for management, the newly expanded chapters contain detailed information on managing patients with different types of diabetes (type 1 and type 2), and further differentiates treatment and management strategies for various age groups. This edition also offers clear and concise explanations of the disease process, newly revised guidelines for the use of complementary and alternative therapies, and a guide for developing an educational program. Guthrie and Guthrie also stress the importance of self-management of diabetes, as much of this edition is dedicated to educating the diabetic patient on how to provide self-care, and control both acute and chronic complications of the disease. For the convenience of practitioners and diabetic patients themselves, this book contains reproducible forms, protocols, and guides that can be used for managing diabetes, including: Nutrition questionnaires Meal patterns comparing exchanges Carb Counting and Calorie Points Sample Calorie Point Distributions Exercise Log Intake Assessment Guide Clinical Practice Recommendations A guide to the "pattern approach"

Nurses' Guide to Teaching Diabetes Self-Management

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Publisher : Springer Publishing Company
ISBN 13 : 0826108288
Total Pages : 327 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Nurses' Guide to Teaching Diabetes Self-Management by : Rita Girouard Mertig, MS, RNC, CNS, DE

Download or read book Nurses' Guide to Teaching Diabetes Self-Management written by Rita Girouard Mertig, MS, RNC, CNS, DE and published by Springer Publishing Company. This book was released on 2011-12-19 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an optimistic and empowering approach to the daunting task of teaching diabetes patients to care for themselves. Written by a highly respected diabetes educator who has suffered with diabetes for 25 years, the guide provides the clinical and personal expertise that will help nurses and other health professionals to successfully teach diabetes self-management and compliance to adults, children, adolescents, and parents. The book contains a vast reservoir of information ranging from a thorough overview of diabetes and the physical and emotional toll of living with the disease to number of teaching and motivating strategies that health care professionals can use to create individualized approaches to teaching self-management skills. The guide provides up-to-date information on drug therapies, nutrition management, exercise, chronic complications, glycemic control, diabetes in children, adolescents, and adults, diabetes in adults with special needs or mental illness, and diabetes noncompliance. Addressing the most important and current topics necessary for successful self-regulation and maintenance of diabetes, this innovative desk reference provides a quick guide and instructional tool for nurses and other health professionals who interact with diabetics. This new edition provides: Clinical guidance and expertise to successfully teach diabetes self-management to adults, adolescents, and children The clinical expertise of a leading diabetes educator and the hard-earned personal wisdom of an author who has suffered with diabetes for 25 years A new chapter on chronic complications that describes a multitude of helpful new treatments A greatly expanded section on nutrition and exercise Thoroughly updated chapters A "must read" chapter on noncompliance, including why this occurs and how to prevent it