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Lee: Lifestyle Modification and Diabetes Management
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J Korean Diabetes 2011;12(4):215-218.

Published online: 22 January 2011

DOI: https://doi.org/10.4093/jkd.2011.12.4.215

Lifestyle Modification and Diabetes Management

Jeong Rim Lee

Department of Nursing, Diabetes Education Team, Asan Medical Center, Seoul, Korea

Copyright © 2011 Korean Diabetes Association

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The ultimate goal of diabetes education is to help patients with diabetes change their health- related behaviors and learn more about their condition. The development of programs resulting in longterm, independent behavioral change demands sustainable means for providing appropriate support and motivation and the availability of affordable and accessible resources. More diabetes education research is required to develop effective strategies that patients can successfully and continuously apply to daily life.

Keywords: Life style, Disease management, Diabetes mellitus

REFERENCES

1. American Diabetes Association. Executive summary: standards of medical care in diabetes-2011. Diabetes Care. 2011; 34(Suppl 1):S4–10.
2. Heinrich E, Candel MJ, Schaper NC, de Vries NK. Effect evaluation of a Motivational Interviewing based counselling strategy in diabetes care. Diabetes Res Clin Pract. 2010; 90:270–8.
crossref
3. Herman WH, Hoerger TJ, Brandle M, Hicks K, Sorensen S, Zhang P, Hamman RF, Ackermann RT, Engelgau MM, Ratner RE. Diabetes Prevention Program Research Group. The cost-effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired glucose tolerance. Ann Intern Med. 2005; 142:323–32.
crossref
4. Korean Diabetes Association. Treatment guideline for diabetes. 4th ed.Seoul: Gold Planning and Development;2011. p. 26–9.
5. Peyrot M, Rubin RR. Behavioral and psychosocial interventions in diabetes: a conceptual review. Diabetes Care. 2007; 30:2433–40.
6. Roumen C, Feskens EJ, Corpeleijn E, Mensink M, Saris WH, Blaak EE. Predictors of lifestyle intervention outcome and dropout: the SLIM study. Eur J Clin Nutr. 2011; 65:1141–7.
crossref
7. Söderlund LL, Madson MB, Rubak S, Nilsen P. A systematic review of motivational interviewing training for general health care practitioners. Patient Educ Couns. 2011; 84:16–26.
crossref
8. Wycherley TP, Mohr P, Noakes M, Clifton PM, Brinkworth GD. Self-reported facilitators of, and impediments to maintenance of healthy lifestyle behaviours following a supervised research-based lifestyle intervention programme in patients with type 2 diabetes. Diabet Med 2011 Sep 14 [Epub].http://dx.doi.org/10.1111/j.1464-5491.2011.03451.x.

Table 1.
Behavioral/psychosocial interventions: a step-by-step approach
Intervention Sample question
Problem-focused interventions
1. Start with the patient's problem. “What's the hardest thing about managing your diabetes?”
2. Specify the problem. “Can you give me an example?”
3. Negotiate an appropriate goal. “What is your goal for changing your self-care behavior?”
“Is that realistic?”
4. Identify barriers to goal attainment. “What could keep you from reaching your goal?”
“Why would that keep you from reaching your goal?”
5. Formulate strategies to achieve the goal. “How can you overcome that barrier to reaching your goal?”
“How have you successfully dealt with that before; would that work now?”
6. Contract for change. “What are your criteria for defining success?”
“How will you reward yourself for success?”
7. Track outcomes. “How will you keep track of your efforts?”
8. Provide ongoing support. “What will you do if you slip in your efforts to reach your goal; what can I do to help?”
Emotion-focused intervention
9. Identify diabetes distress. “Do you feel overwhelmed by diabetes?”
10. Alleviate diabetes distress. “What are you saying to yourself when you deal successfully/ unsuccessfully with adiabetes-related challenge?”
11. Identify depression. “In the past 2 weeks have you felt depressed or lost interest or pleasure in things?”
12. Treat disorder or refer for treatment. “Would you like to talk to someone who could help you resolve these problems?”
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