The Fine Balancing Act of Managing Diabetes

Nyhlin, Kerstin Ternulf

doi:10.1111/j.1471-6712.1991.tb00107.x

Cited by 17 publications

(10 citation statements)

References 19 publications

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“…She found that health was about making it work, and was related to peoples' own perceptions of conducting healthy behaviors (Elverdam, 2003). The current study's findings are also compatible with Nyhlin's study showing how patients with diabetes had to find a balance between the diabetes regime and the social world in which they interacted with others (Nyhlin, 1991). Ingadottir and Halldorsdottir (2008) discussed the fluctuating and temporary nature of self-management behavior further.…”

Section: Discussionsupporting

confidence: 90%

The Experience of Living With Diabetes Following a Self-Management Program Based on Motivational Interviewing

et al. 2011

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Self-management is an important part of diabetes treatment, but the promotion of self-care activities is still a challenge. In this study, we explored how living with diabetes in everyday life was experienced following a self-management intervention program based on motivational interviewing. We conducted seven focus group interviews, each comprising 3 to 5 participants diagnosed with type 1 or type 2 diabetes. Data analysis based on a phenomenological method revealed three main themes concerning diabetes self-management: becoming a self-regulating practitioner, managing the rules of self-management, and creating a supportive social network. Narrative analysis revealed a divergence in patients' self-perceived competence in handling diabetes. The study findings indicate that people with diabetes have specific needs for support in the daily responsibility of managing diet, exercise, medication, and blood glucose monitoring. A meaningful treatment from the patient's perspective would appear to be one aimed at overcoming problems the patient experiences in self-management of diabetes.

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Section: Discussionsupporting

confidence: 90%

The Experience of Living With Diabetes Following a Self-Management Program Based on Motivational Interviewing

et al. 2011

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“…To overcome this problem it has been suggested that authors publish parts of their work as a series of different articles (Morse 1998). Nyhlin (1990aNyhlin ( , 1990bNyhlin ( , 1991, for example, adopts this strategy. However, some editors do not encourage this practice, and there are instances when we have included papers that lack detail about method, but nonetheless provide valuable information related to the arguments presented.…”

Section: Methodsmentioning

confidence: 99%

“…The influence of significant others Social interaction may crucially affect self-care in various ways. Nyhlin (1991) points out that people may not follow instructions about self-care for diabetes because they try to conceal their condition from other people. They may feel that there is stigma attached to the disease.…”

Section: Diversitymentioning

confidence: 99%

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‘Self-care’ and its relevance to developing demand management strategies: a review of qualitative research

Chapple

Rogers

1999

Health &Amp; Social Care in the Community

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The promotion of self-care has been recognized as an important aspect of managing demand for health care more effectively. Self-care is increasingly being seen by policy makers as a hidden health care resource to be viewed in the context of health care provided by the formal health care sector. Quantitative studies are important for understanding the effectiveness of interventions in terms of the impact they may have on health service utilization. However, questions remain about the reasons people may or may not adopt self-care, the mechanisms for change and the way in which social context may affect the way in which people respond to self-care interventions. Qualitative research that has focused on people's self-care practices provide insights into these aspects. The qualitative studies reviewed here suggest that a number of factors need to be considered when devising health care interventions for managing demand better. These include an assessment of the meaning of the disease to the person so that self-care information can be designed in a way that fits people's prior beliefs and lifestyles. Timing and the stage in a person's illness career are also important factors to consider when designing effective self-care interventions. Social interaction and the impact of significant others may affect whether or not a self-care regime is followed, and autonomy and control are also relevant to designing acceptable self-care strategies. Incorporating these aspects of self-care as a dynamic and interactive process is important for both devising and assessing the impact of interventions aimed at the better management of demand.

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“…HbA1c levels of less than or equal to 6.5%) is associated with poor quality of life measures of mental health and physical health. 198,203,204 One of the reasons why those individuals with tight glycemic control rate their health as poorer may be due to greater episodes of hypoglycemia when HbA1c levels are lower, 198,205,206 which can range from 2 to 4 episodes per year among those type 2 diabetics trying to manage their diabetes. For example, the Diabetes Control and…”

Section: Glycemic Control and Mental Healthmentioning

confidence: 99%

Glycemic Control: Risk Factors, Quality of Life, Workforce Participation, and Mortality Among US Adults with Type 2 Diabetes

Davila¹

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The Fine Balancing Act of Managing Diabetes

Cited by 17 publications

References 19 publications

The Experience of Living With Diabetes Following a Self-Management Program Based on Motivational Interviewing

The Experience of Living With Diabetes Following a Self-Management Program Based on Motivational Interviewing

‘Self-care’ and its relevance to developing demand management strategies: a review of qualitative research

Glycemic Control: Risk Factors, Quality of Life, Workforce Participation, and Mortality Among US Adults with Type 2 Diabetes

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