Psychosocial care

Placing more value on immediate than delayed rewards is associated with poor self-care among people with type 2 diabetes, a study suggests.

Health psychologist Michael Vallis talks about the impact of the COVID-19 pandemic on people with diabetes, and how clinicians can help (19:02).

Diabetes distress is more common than depression in adolescents with diabetes and is significantly associated with less frequent blood glucose monitoring and higher glycated hemoglobin levels, study findings indicate.

Clinical psychologists Diana Naranjo and Korey Hood tackle the negative feedback loops that can develop around diabetes self-management and offer their insights on strategies to identify and address the roots of distress.

The Flexible Lifestyles Empowering Change intervention has failed to improve glycated hemoglobin levels in a randomized trial involving adolescents with type 1 diabetes, despite improving some psychosocial outcomes.

Carmen Soto and David Strain provide their insights on clinical inertia in diabetes care and present the co-production model of open communication as an innovative means to address this widespread clinical issue.

Diabetes and endocrinology Consultant and Advisory Board member Terence Pang highlights the benefits that a structured approach to glycemic goal setting can bring to your practice and patients with type 1 diabetes.

Loerbroks A et al. Diabetes Res Clin Prac 2018; Advance online publication. doi: 10.1016/j.diabres.2018.03.023

As the utility and availability of devices surges, so too do patient expectations. Advisory Board member Katharine Barnard provides key consultation questions to help determine your patients’ greatest needs and obstacles.

Lawton J et al. BMC Endocr Disord 2018; 18: 12. doi: 10.1186/s12902-018-0239-1

Feldman MA et al. Curr Diab Rep 2018; 18: 15. doi: 10.1007/s11892-018-0981-9

Aziz Z et al. BMC Public Health 2018; 18: 262. doi: 10.1186/s12889-018-5148-8

Clinical Pharmacist and Diabetes Educator, Clipper Young provides his advice on supporting patients through the oftentimes difficult consultation about intensifying their diabetes therapy.

Psychological interventions might have a small positive effect on improving self-care and glucose control in patients with type 2 diabetes, but not for relieving diabetes-related distress, suggest findings from The Cochrane Library.

Young-Hyman D et al. Diabetes Care. 2016; 39: 2126–2140. doi: 10.2337/dc16-2053

Vorderstrasse A et al. Curr Diab Rep 2016; 16: 56. doi: 10.1007/s11892-016-0756-0

Boger E et al. PLoS ONE 2015; 10: e0130990. doi: 10.1371/journal.pone.0130990

Polonsky WH, Fisher L. Curr Diab Rep 2015; 15: 50. doi: 10.1007/s11892-015-0620-7

Stoeckel M, Duke D. Curr Diab Rep 2015; 15: 39. doi: 10.1007/s11892-015-0615-4