How To Support Diabetes Families?

How To Support Diabetes Families
What You Can Do –

Learn about diabetes, Find out why and when blood sugar should be checked, how to recognize and handle highs and lows (more below), what lifestyle changes are needed, and where to go for information and help. Know diabetes is individual. Each person who has diabetes is different, and their treatment plan needs to be customized to their specific needs. It may be very different from that of other people you know with diabetes. Ask your friend or relative how you can help, and then listen to what they say. They may want reminders and assistance (or may not), and their needs can change over time. Go to appointments if it’s OK with your relative or friend. You could learn more about how diabetes affects them and how you can be the most helpful. Give them time in the daily schedule so they can manage their diabetes—check blood sugar, make healthy food, take a walk. Avoid blame, Many people with type 2 diabetes are overweight, but being overweight is just one of several factors involved. And blood sugar levels can be hard to control even with a healthy diet and regular physical activity. Diabetes is complicated! Step back. You may share the same toothpaste, but your family member may not want to share everything about managing diabetes with you. The same goes for a friend with diabetes. Accept the ups and downs, Moods can change with blood sugar levels, from happy to sad to irritable. It might just be the diabetes talking, but ask your friend or relative to tell their health care team if they feel sad on most days—it could be depression, Be encouraging, Tell them you know how hard they’re trying. Remind them of their successes. Point out how proud you are of their progress. Walk the talk, Follow the same healthy food and fitness plan as your loved one; it’s good for your health, too. Lifestyle changes become habits more easily when you make them together. Help them feel the power to manage their diabetes. Know the lows, Hypoglycemia (low blood sugar) can be serious and needs to be treated immediately. Symptoms vary, so be sure to know your friend’s or relative’s specific signs, which could include:

Shakiness. Nervousness or anxiety. Sweating, chills, or clamminess. Irritability or impatience. Dizziness and difficulty concentrating. Hunger or nausea. Blurred vision. Weakness or fatigue. Anger, stubbornness, or sadness.

If your family member or friend has hypoglycemia several times a week, suggest that he or she talk with his or her health care team to see if the treatment plan needs to be adjusted. Offer to help them connect with other people who share their experience. Online resources such as the American Association of Diabetes Educators’ Diabetes Online Community pdf icon external icon or in-person diabetes support groups external icon are good ways to get started.

How is the family of a person with diabetes affected?

Fear About Complications – One of the biggest impacts on your family’s emotional wellbeing will be the fear of diabetic complications. Poorly managed diabetes can lead to serious problems such as loss of eyesight, kidney disease, nerve damage, high blood pressure, heart disease, and more.

What lifestyle can cause diabetes?

Overweight, obesity, and physical inactivity – You are more likely to develop type 2 diabetes if you are not physically active and are overweight or have obesity, Extra weight sometimes causes insulin resistance and is common in people with type 2 diabetes.

Why does diabetes run in the family?

Your child’s risk – Type 2 diabetes runs in families. In part, this is due to children learning bad habits—eating a poor diet, not exercising—from their parents. But there is also a genetic basis. The good news is, like in adults, it is possible to delay or prevent type 2 diabetes in youth by encouraging healthy food choices, exercise and weight loss. Learn about type 2 diabetes prevention.

Does diabetes affect marriage life?

Conclusion: – Diabetes distress and psychological issues are major problems related to marriage in young people with T1DM. Counseling of patients, family, relatives, prospective spouse, and increasing social awareness regarding diabetes through mass communication are the keys to their resolution. Keywords: Challenges, counseling, India, marriage, relationships, spouse, Type 1 diabetes

Does diabetes affect intimacy?

What’s the deal with low libido? – Low libido, or sexual desire, is a real problem—and one that affects people with diabetes more than those without. Men and women experience low libido as a result of poorly managed diabetes. If your sex drive is stalled, first look to your diabetes management and take steps to lower your blood glucose levels.

  1. Then consider your medications.
  2. Certain drugs, such as antidepressants, can lower sexual desire, so be sure to talk to your doctor.
  3. Researchers theorize that inflammation may also dampen desire.
  4. Sexual desire is a brain-driven event, so if inflammatory molecules cross the blood-brain barrier and circulate in the area where there is sexual desire, then it’s plausible the desire for sex may be affected.
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Another possible culprit: low testosterone, which often affects men and women with diabetes.

Can you live a full healthy life with diabetes?

Maintaining your health when you have diabetes is vital to ensure the best quality of life. It’s possible to live a normal, fun and healthy life with diabetes and not allow it to dictate your routine. You just need to learn proper diabetes management to take control of your health.

What do diabetics want?

Your Diabetes Essentials List Medically Reviewed by on July 13, 2022 You can manage your diabetes better and with less stress if you know that you’ve got everything you need to care for it. You’ll also know you’re prepared in case of emergencies. Use this guide to diabetes-care supplies to help make sure you’re always well-stocked.

Glucose testing stripsA monitor, which usually gives readouts within 5 secondsA carrying case for the meter and, if you take, your, pens, needles, and alcohol swabsLancets and lancing devicesLiquid kits, to make sure your meter readings are correct

Some kits include other items, like a clear cap for testing on different parts of your body. All monitors have a memory feature that keeps track of your past glucose readings. Some will compute your daily average blood sugar. If you have problems with your eyesight, some monitors have a voice function that tells you how to check your sugar and gives you your test result.

A record book for tracking your glucose levels

If you inject for your diabetes, you’ll want to have these supplies on hand:

InsulinSyringes, or disposable or reusable insulin pensNeedlesA sharps container for safely disposing of needlesGlucose tablets or gels2 glucagon shot kits

Depending on where you live, you may be able to buy needles and syringes in bulk without a prescription. If you buy extra supplies of insulin to cut costs, store bottles that aren’t open in the refrigerator until they expire. You may need to store pens or cartridges another way – ask your pharmacist.

You can bring cold insulin to room temperature just before using it so you have less pain and irritation. Or you can keep a bottle you’re using at room temperature for up to a month. But after a month, throw out any opened insulin that isn’t used. Some syringes come with a magnifying lens. You can put it on the syringe to read the dosage easier.

You can also get safety guards for shots and aids to help steady the needle when you are putting it in the insulin bottle or under your, If you don’t have a sharps container, you can re-cap used needles and put them in a heavy-duty opaque (not clear) plastic bottle.

Sharps containers are not costly, though. Ask your local garbage removal service how to get rid of syringes and needles safely. Glucose tablets and gels can help you avoid, If your blood sugar is low (below 70 mg/dL) and you have symptoms of, you can take 3-4 glucose tablets or one serving of glucose gel.

Wait about 15 minutes and then levels again. If they are still low, take another 3-4 glucose tablets or a serving of glucose gel. Continue testing and treating in the same way until your blood sugar levels are normal. (If your meter reading is low but you have no symptoms, you should probably retest first to confirm your blood sugar is low, then proceed as above.) You need to keep glucagon with you at all times.

But why two kits? If you use one, you’ll have another on hand in case an emergency happens before you can get to a drugstore. Glucagon expires in about a year. Keep track of the date so you can ask your doctor for a new prescription before it expires. Make sure that the people you’re around the most know where you keep your glucagon and how to use it in case you pass out.

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If you use an, keep these supplies handy:

Rapid or fast-acting insulinInfusion setsReservoirs to hold the insulinExtra batteriesAn emergency supply of syringes or insulin pens in the unlikely, but possible, event that the pump stops working

If you use an insulin pump, it’s always good to have extra infusion sets on hand, because you need a new one every few days. And they do get yanked out sometimes. Some diabetes educators advise keeping an emergency syringe or pen and insulin in your purse or wallet if you pump. Another important item to stock if you have is:

A home ketone test, to test for ketones in your urine or blood

This can help you know how well insulin is working to fuel cells. You can get home ketone test strips for urine at your local drugstore. Some of the newer home blood-sugar meters can also measure ketone levels in the blood. But the ketone test strip for meters is different than the one used for checking your blood sugar. To keep your blood glucose at good levels, it’s a good idea to have:

Glucose tablets or other emergency sugar sources for between mealsLow-sugar drinks (including water) to stay hydrated

Keep a good supply of fast-acting sugars in several places – such as a backpack, purse, gym locker, and car – in case of sugar lows. Glucose tablets are easy to carry. Other possible sources include apple or orange juice or regular soda. C is not good because it takes longer to digest.

Medical alert ID (such as a bracelet, necklace, or card) that says you have diabetesEmergency contact informationEmergency preparedness supplies

The American Diabetes Association recommends storing 3 days’ worth of in case of emergencies such as hurricanes, earthquakes, tornados, or blizzards. Depending on how you manage your diabetes, this could include diabetes pills, insulin and insulin supplies, extra batteries, and quick-acting sources of glucose, as well as standard supplies such as food that doesn’t spoil, and water.

  • Store these supplies in a waterproof container in a place where you can get to them easily.
  • You may want to keep a set of emergency supplies at home, work, and in your car.
  • Diabetes can affect every part of your body.
  • Prevent and tend to cuts or other wounds right away – it can help prevent infections and skin conditions.

These items can help you care for your skin:

Mild or moisturizing soapSkin moisturizerAntibiotic cream or ointment (if your doctor advises using it), sterile gauze, and paper tape or cloth bandages for cutsMild shampoo

Take good care of your feet to help yourself avoid that people with diabetes tend to have. These supplies can help:

Toenail scissors and an emery board or nail fileMirror, if needed, to help you inspect your feet daily for cuts or Seamless, padded socks if you have in your feet

Diabetes raises your chances of getting and other dental problems. Keep these supplies handy for daily mouth care:

A with soft, rounded bristles, which are less likely to hurt your gums than the stiffer bristles on a standard brushFluoride Dental floss, to clean away plaque and food from between and below the gum lineAntiseptic mouthwash to rinse daily

Replace your toothbrush when the bristles are worn, or every 3 to 4 months. © 2022 WebMD, LLC. All rights reserved. : Your Diabetes Essentials List

How can the community help with diabetes?

Additional Findings – In 17 of the included studies, community health workers were used in team-based care.

  • Patients’ glycemic control was the same when community health workers implemented interventions alone or were engaged in team-based care (-0.6% A1c for both)
  • Greater changes in blood pressure were seen among patients when community health workers were used in,
    • Interventions that engaged community health workers in team-based care decreased systolic blood pressure by 2.6 mmHg and diastolic blood pressure by 3.0 mmHg (10 studies)
    • Interventions that used community health workers alone increased systolic blood pressure by 2.2 mmHg and diastolic blood pressure by 1.4 mmHg (12 studies)
  • Three studies evaluated the incremental effectiveness of adding community health workers to diabetes management interventions and reported improvements in glycemic control (1 study) and blood pressure (2 studies).

Detailed results from the systematic review are available in the, Economic evidence indicates that interventions engaging community health workers for diabetes management are cost-effective. All monetary values are reported in 2016 U.S. dollars. The economic review included 13 studies (10 from the United States, 2 from the United Kingdom, and 1 from Australia).

  • Median intervention cost per person per year: $585 (13 studies)
  • Median change in healthcare cost per person per year: $72 reduction (4 studies)
  • Median cost per quality adjusted life year (QALY) gained: $38,276 (5 studies). This estimate falls below $50,000 a benchmark for cost-effectiveness.
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Based on results, the CPSTF finding should be applicable to interventions that engage community health workers in the following settings and populations:

  • Adults with type 2 diabetes
  • Women and men
  • Hispanics, African-Americans, and Asians
  • Low-income and low-education populations
  • Urban and rural environments
  • Clinics, community, and home settings

The CPSTF identified several areas that have limited information. Additional research and evaluation could help answer the following questions and fill remaining gaps in the evidence base. ()

  • How effective are large-scale programs (i.e., >500 participants), programs conducted in rural settings, and programs evaluated over a longer time period?
  • What are the challenges or barriers that impact the recruitment and retention of male clients?
  • How will changes in Centers for Medicaid (CMS) reimbursement rules affect the use of community health workers and the roles and services they provide?
  • How effective are interventions among younger and older adult populations?
  • What are the long-term effects on diabetes-related complications and health outcomes?
  • How can community health workers be more engaged as outreach, enrollment, and information agents, patient navigators, and community organizers?
  • What are the roles and effects of community health workers in a team-based care environment?
  • Included studies had the greatest suitability of design (individual randomized control trials, group randomized controlled trials, before-after with a comparison group, other design with concurrent comparison groups ); moderate suitability of design (retrospective cohort ); and least suitability of design (before-after without a comparison group ).
  • Studies were conducted in the United States (39 studies), the United Kingdom (3 studies), and Australia (2 studies).
  • Studies were conducted in urban (21 studies), rural (6 studies), or mixed (3 studies) areas; 14 studies did not report this information.
  • Included studies evaluated interventions in clinics (e.g., primary care settings, Federally Qualified Health Centers; 13 studies), community centers (e.g., YMCA, faith-based organization; 6 studies), homes (3 studies), or multiple settings (22 studies).
  • In the included studies, CHWs served adults ages 18 64 years old (32 studies), older adults ages 65 years and older (1 study), adults 18 years and older (3 studies), or patients of all ages (3 studies); 5 studies did not report this information.
  • Participants had type 2 diabetes (31 studies), type 1 or 2 diabetes (6 studies), or diabetes of unspecified type (7 studies).
  • Across all 44 studies, more than 70% of participants were female.
  • Included studies mainly focused on underserved populations and targeted the following populations:
    • Latinos (16 studies), African-Americans (2 studies), Asians (3 studies), Native Hawaiian or Pacific Islanders (2 studies study), and American Indians (2 studies)
    • Low-income populations (18 studies; annual incomes of $30,000 or less)
    • People with less than high school education (14 studies), or people who averaged less than 12 years of education (8 studies)
  • Community health workers engaged participants using a team-based care approach (17 studies), as a member of care delivery team (10 studies), or as the primary implementer (17 studies).

    In the 27 team studies, the other team members were most often physicians (19 studies), nurses (15 studies), or registered dietitians (12 studies).

  • Community health workers met a median of 3.5 of the 10 core roles defined in the Community Health Worker Core Consensus (C3 Project, 2016). These included the following:
    • Providing culturally appropriate information (37 studies)
    • Building individual and community capacity (33 studies)
    • Coaching (32 studies)
    • Coordinating care or case management (17 studies)

When starting an effectiveness review, the systematic review team develops an analytic framework. The analytic framework illustrates how the intervention approach is thought to affect public health. It guides the search for evidence and may be used to summarize the evidence collected.

Why is diabetes support important?

As diabetes is a chronic disease which requires extensive behavioral changes and adherence to a complex diet, social support is considered as one of the influential and important factors for performing self-care and for adherence to the treatment and disease control which can facilitate self-care behaviors and