Empowerment and self-management

English

Self-care: an important and cost-effective investment

The elevated cost of diabetes can be seen as the result of all previous failures of treatment. As illustrated in this article, treating diabetes complications is far more expensive than taking preventative measures. Future cost cutting, therefore, can only be achieved by improving the level of care, especially in the field of self-management. People with diabetes must be given the means to do this, which can only be attained by future investment.

Helping people with diabetes: a rewarding task for the PUMCH Diabetes Education Centre in China

Diabetes has ‘arrived’ in China. This condition was relatively rare among the Chinese population until 20 years ago. As life has become more and more westernized and industrial, the prevalence of diabetes has increased rapidly. The average prevalence rate has increased from just under 1 percent in 1980 to as high as nearly 7 percent in some areas in 1996. Chinese health resources are struggling to keep up with this explosion. However, the Peking Union Medical College Hospital (PUMCH) have an education programme which is producing positive outcomes.

Becoming experts

Increasing the knowledge of people with diabetes gives them motivation and promotes better diabetes control. This, in turn, enhances quality of life and delays, if not totally prevents, the onset of complications. The Danish Diabetes Education Centre, opened in Odense, 1993, does just that, by providing teaching and assistance to people with diabetes and their friends and families. The centre educates over 500 people in total each year.

New roles in diabetes care

Empowerment is a philosophy that recognizes the fundamental right of people with diabetes to be the primary decision makers in the management of their condition. It represents a more compatible model of care and education needed for a self-managed illness such as diabetes.

Empowerment: a matter of choice

There has been an enormous change over the last 30 years in diabetes care and education in Germany and most of Western Europe. Nowadays, feelings of frustration have decreased for both healthcare professionals and people with diabetes, as it is finally becoming recognized just who is responsible for what.

Successful self-care: the best sign of empowerment

Editor-in-Chief's editorial

An individual decision

President's editorial

A dream becomes reality

Palma, Mallorca, 3-8 July, 2001. The VIII European Masters Championships in Swimming, Diving and Open Water Swimming took place. James Foley of the Diabetes Federation of Ireland’s and John Keeler, former Editor of Identity, the Federation’s magazine, were there to take part! James, from Dublin, is 39 years old and has had diabetes for 19 years. I, also of Dublin, am 30 and have had diabetes for 26 years.

Cognitive behaviour therapy: how to improve diabetes self-management

'It doesn't matter how hard I try, I'll still get the complications' is a typical example of how some people with diabetes feel when faced with the hardships of self-management and with the difficulty in controlling the condition despite all good intentions. It is, however, possible to escape from these negative feelings and gain renewed confidence in one's ability to manage diabetes, and in the positive impact of treatment on one's well-being, thanks to CBT – Cognitive Behaviour Therapy.

Future directions in diabetes care: how soon is now?

The science of diabetes is experiencing dramatic change and the implications for everyone affected by diabetes are enormous. We have good grounds for optimism and real expectations of a 'cure' for Type 1 diabetes in the longer term. This future would release us from the drudgery and risks of living with diabetes, and from the discrimination and social difficulties that go with it. Yet esoteric scientific advances are only part of the story. Each advance precedes the resulting improvements in treatment by many years, and in most parts of the world will seem irrelevant.

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