Diabetes Management and Case Management

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Manage episode 278775173 series 2460299
By AllCEUs Counseling CEUs and Dr. Dawn-Elise Snipes. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Diabetes Counseling & Case Management

~ By the time they’re diagnosed, 50% of people with type 2 diabetes already show signs of complications.
~ Diabetes (destruction or malfunction of beta cells) may begin 10 years before the diagnosis and complications may start 5 years before the diagnosis
~ Cardiovascular disease causes 52% of death and disability in people with type 2 diabetes
~ People with type 2 diabetes have a 200% increased risk of stroke
~ Kidney disease impacts 33% of people with type 2 diabetes and accounts for 11% of deaths in people with type 2 diabetes.

Diabetes
~ Depression is approximately 200% higher in people with diabetes than in the general population.
~ Diabetes is associated with lower dopamine levels
~ Serotonin (central and peripheral) is implicated in regulation of blood glucose. SSRIs may improve A1C in people with diabetes and depression
~ Neuropathy (nerve damage) impacts up to 50% of people with diabetes contributing to slow wound healing, lack of awareness of wounds, erectile dysfunction and chronic pain.
~ Limb amputation occurs in approximately 1:40 people with diabetes will develop a foot ulcer which results in the amputation of a foot or leg.
~ Up to 70% of people die within five years of having an amputation.
~ Life expectancy is reduced, on average, by up to 10 years in people with type 2 diabetes

Function of the Counselor-Case Manager
~ Clinicians may need to deal with diabetes in clients
~ Who have not yet been diagnosed (precontemplation / contemplation)
~ Who have been recently diagnosed and are grieving, anxious about the diagnosis
~ Who have been diagnosed for a while and are either treatment noncompliant or are having increasing difficulties managing their blood sugar and complying with treatment

~ Being active to modulate blood sugar, improve insulin resistance mood and self-esteem (150 minutes/week)
~ Blood sugar monitoring and pattern identification
~ Healthful eating
~ A1C of <7% to prevent microvascular disease ~ Taking Prescribed Medications ~ Aspirin (salicylate) to address CVD risk and inflammation and help with blood sugar regulation ~ Blood pressure monitoring and management ~ Problem solving (preparing for the unexpected) ~ Oral Health ~ Smoking cessation ~ Alcohol moderation or cessation ~ Sleep improvement and sleep apnea treatment ~ Illness prevention: Health education, Motivation for prevention and mindfulness & early intervention ~ Quality of life (dialectics/and) Summary ~ Diabetes impacts people multidimensionally (PACER) ~ Counselors, social workers and case managers can assist through ~ Screening ~ Health education ~ Goal setting and planning ~ Motivational enhancement and maintenance ~ Addressing grief and anxiety issues associated with having a chronic illness

446 episodes