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Archive for the ‘Diabetes Mellitus’ Category

Once the information we prioritize what will be the area of intervention and the assumptions regarding the causes that are motivating the problems identified. Typically, areas of intervention can be in:

- The family as a system.
- Regarding neurocognitive and/or school.
- At the individual level.

Regarding the type of intervention, we propose that normally use, without this leading to underestimate other different approaches. In this sense, we consider different models of intervention and the appropriateness of applying them in each situation. Read the rest of this entry »

- Classical Conditioning Techniques

When fears are well structured in relation to illness or taking in charge by the subject of self-management techniques (insulin injections) usually apply some desensitization techniques from this paradigm.
Potential difficulties in managing the patient, family, health personnel and their possible solutions.

The following list includes the major psychological difficulties of managing diabetes:

• Compliance, and difficulties with it, the rules on food.
• expertise in insulin delivery.
• The failure to complete the recommended exercise.
• Difficulties and arguments with regard to adherence to medical indications. Read the rest of this entry »

Or therapeutic approach to patient care, family and personal health
Having known some psychological aspects associated disease propose some techniques to treat it:

- Inoculation techniques and coping with stress

Basically, this technique is analyzed stressors and the availability of resources to meet each family member. The strategy to overcome commonly used are the talks that serve as catharsis and relieve the discomfort. Recommendations tend to be both cognitive and behavioral, that are useful to deal with the situation. Read the rest of this entry »

Family General Psychological Mechanisms

1. Need for coping mechanisms
2. Adjustments to the new family situation
3. Strategy for promoting self-care and prevent deterioration of the quality of life.

The real disease-anxious depression. The clinical magnitude of these will significantly put the hold in charge of the patient. And even facilitate the emergence of these same symptoms in the patient. Sometimes, depending on the characteristics of each of the members of the family and coping skills and problem solving, parents can feel overwhelmed by new responsibilities in relation to care giving rise to situations of conflict against sick or between parents. Read the rest of this entry »

Psychological Aspects of The Disease Involves

Individual Prognostic Factors

Both age and gender presentation has shown a significant weight as risk factors for developing consistent secondary pschology in the diagnosis of diabetes. Thus, it seems that the earlier the disease occurs the greater the risk of emotional and social maladjustments.

Younger patients may have adaptive problems mainly related to the school, while those with ages ranging from puberty to adolescence will be more affected in regard to their social life. In senile appearance is even more impaired and psychosocial problems ensuing guilt.

These aspects have not been clearly elucidated, although in relation to age, it is said that once the patient is relatively younger age are the chances of understanding the constraints of self and the attitude of parents is much more interventionist and overprotective , on the other side the elderly suffer from disorders of care and feeling of embarrassment. Read the rest of this entry »

What Types of Diabetes Exist?

• Type 1 Diabetes: results from the destruction of cells in the pancreas that produce insulin (beta cells) that predisposes to a severe metabolic imbalance called diabetic ketoacidosis. It is more typical in young people (below 30 years).

• Type 2 Diebetes: Characterized by insulin resistance that can be associated or not with insulin deficiency and can be present with few symptoms for a long time. This form is more common in people over 40 years but is becoming more frequent to appear in younger subjects.

• Gestational Diabetes: diabetes whose onset is recognized during pregnancy. Women who suffer from it should be studied after birth because diabetes may or may not persist after. Read the rest of this entry »

Diabetes mellitus is a disease caused by an alteration of metabolism (metabolism is a set of chemical reactions that occur in body cells), characterized by an increase in the amount of glucose in the blood and the appearance of microvascular complications (blood vessel disease, thin body, including blood vessels) and cardiovascular (relative to the heart and blood vessels) that greatly increase the damage in other organs (kidneys, eyes, heart, peripheral nerves) and mortality associated with disease and reduces the quality of life of those affected.

Diabetes affects between 5 and 10% of the general population, this variation depends on the studies consulted. It should be noted that it is estimated that for every known diabetic there is another undiagnosed. Its frequency increases with age and with being overweight and sedentary lifestyle, for these reasons it is expected a significant increase in the number of diabetics in the coming decades. Read the rest of this entry »

Tracking

Once the diagnosis of GDM, the patient is monitored every 2 weeks in the outpatient department of our hospital by determining blood glucose levels in both fasting and 2 hours after meals, as it has been shown that this last the main cause of fetal complications, and at each visit are recorded data such as blood pressure, weight gain, addiction to food management etc.

All patients are invited to join the Self Help Group and Self-control of diabetes in pregnancy, in addition to being an educational program, we can in the form of interactive workshops to influence the technical implementation of insulin, emotional factors, medical or other practices which are negatively involved in achieving optimal control necessary during pregnancy, as well as serve as a vehicle of integration into the patient’s family and others who are going through the same situation. Read the rest of this entry »

The test is considered positive for the diagnosis of GDM when more than 2 high values according to the following criteria:

Fasting: 95 mg/dl.

1 hr: 180 mg/dl.

2 hr: 155 mg/dl.

3 hr: 140 mg/dl.

This test should also be performed when fasting glucose levels exceed normal limits for pregnancy but not be diagnostic for diabetes, ie over 105 mg/dl and below 126 mg/dl.

Another way to make the diagnosis of GDM is when:

° is 2 fasting glucose levels on 2 different days separated by at least 48 hrs between feeds with values equal to or greater than 126 mg / dl.

• 1 figure greater than 200mg, no matter what time of day, with or without symptoms. Read the rest of this entry »

Definition

Gestational Diabetes is defined as carbohydrate intolerance that begins or is first detected during pregnancy, regardless of gestational age or persisting after it. As in other forms of hyperglycemia (high blood glucose), there is an alteration in the function of insulin-producing cells in the pancreas (beta), which prevent this hormone is produced or released in sufficient quantity or preventing its function properly, we call this resistance to the action of insulin.

The DMG is found in people with risk factors for developing type 2 diabetes mellitus has been considered as a state prior to further development of the disease in a few years after pregnancy, regardless of having normal blood glucose levels immediately at the end of it. Read the rest of this entry »