Why diabetics do not achieve satisfactory glycaemic control?
Diabetes is a disorder which usually progresses overtime & is known to effect whole body from head to toes.
Poor glycaemic control & chronic hyperglycaemia may lead to many complication such as Retinopathy,Neuropathy,Nephropathy,Cardiac ailments etc..Inspite of availability of effective treatment for diabetics many patients do not achieve optimal glycaemic control some of the common reasons are -
Patients do not realize the serious & chronic nature of the disease &complexicity of its management takes it very casually.
Unable to take multiple daily self care decisions that diabetics require.
Patients are unwilling to follow advice & dietplan suggested by the physician & embark on exercise regimen without the counseling with the physician
Fear of disease & restricted life style creates psychological distress
Irregular or self medication with self dose modification as per the convenience
Negative beliefs about disease & therapies as regarding Insulin therapy .or can be completely cured by magical /mystical therapies etc.
Negative arguments with family members & physician as Why should I go for exercise while I am doing my routine work/ household work or why should I follow diabetic diet while taking medicines
Our health care system is also developed only to deliever acute symptom care & poorly cofigured to properly educate the people for such disorders So Patient ignores mild symptoms until creates hinderance
Therefore to overcome this problem-
Self management & diabetic education program is required for each diabetic individual
Patient must be able to set goals &make frequent daily decisions that are efficient &fit for diabetes & their life style
Improve quality of life by retarding or pushing back the diabetic complications as the major complications are due to vascular abnormalities & nerve damage which can be quantified at earliest by the third generation techniques available at specialized diabetic clinics as Diabetic Complication Detection Unit.
Dr.M.S.Singhal Dr.Alka Singhal