DOI: 10.5176/2315-4330_WNC14.97

Authors: Dr.Sudhakar Dayalan and Mrs.R.NimmiSudhakar

Diabetes mellitus is a group of metabolic disorders with one common manifestation: hyperglycemia. Chronic hyperglycemia causes damage to the eyes, kidneys, nerves, heart and blood vessels. The etiology and pathophysiology leading to the hyperglycemia, however, are markedly different among patients with diabetes mellitus, dictating different prevention strategies, diagnostic screening methods and treatments. The adverse impact of hyperglycemia and the rationale for aggressive treatment have recently been reviewed.
The prevalence of type 2 diabetes, which comprises 90–95{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} of diabetes cases, is increasing at an alarming rate, reflecting recent cultural changes in our eating and exercise habits and a sharp increase in the prevalence of obesity and its associated insulin resistance.
The need is becoming more urgent for innovative and effective behavior change strategies in diabetes management. Further, as Glasgow and Eakinp.144 have noted, "to impact diabetes management, behavioral assessments, interventions, and models should be practical and efficient, be readily understood by non-psychologists, and address issues that diabetes patients and providers (rather than psychologists) perceive as important."
Diabetes is a major risk factor for stroke and coronary heart disease, which includes heart attack. People with diabetes may avoid or delay heart and blood vessel disease by controlling the other risk factors. It's especially important to control weight and blood cholesterol with a low-saturated-fat, low-cholesterol diet and regular aerobic physical activity. It's also important to lower high blood pressure and not to smoke. Making lifestyle changes for persons with diabetes can be challenging. However, to achieve metabolic control for many persons with diabetes, changes in nutrition and physical activity are essential. In the past, nutrition and exercise recommendations have been rigid and have allowed for little flexibility; however, there is no longer one set of guidelines that applies to all persons with diabetes. By individualizing treatment and focusing on metabolic outcomes, health care professionals can assist persons with diabetes to make lifestyle changes and to achieve metabolic goals.
Education about life style modifications reduces the patient’s dependency on health care system and also changes the behavioral pattern. The behavioral changes should be related to diet, exercise, smoking, alcohol, and stress and strain.

Keywords: Life style Changes-Good Quality of Life, Structured Teaching-Health Education, Diabetes Mellitus- diseases related to blood glucose elevation

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