Thursday, January 24, 2008

Why do you think clients, who are diagnosed with diabetes mellitus, are not compliant with their dietary regim


Why do you think clients, who are diagnosed with diabetes mellitus, are not compliant with their dietary regim?
Why do you think clients, who are diagnosed with diabetes mellitus, are not compliant with their dietary regimen?
Diabetes - 5 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Because it is very discouraging to have a disease you know that you'll have a for a lifetime, without at least sometimes having something that is not appropriate for you at that time. Young diabetics often have the attitude that "nothing will ever happen to them", so they eat and drink whatever they want. Some people don't bother to educate themselves on the dangers of continous high blood sugar. And some people simply don't understand it, while others just refuse to change their diets because they have no intention of changing anything, even though it would improve their life.
2 :
Nutrition intervention is an integral part of type 2 diabetes care. Dietary management entails a series of eating behavior changes regarding meal planning, food selection, food preparation, dinning out, portion control, as well as appropriate responses to eating challenges. Diabetic patients encounter several difficulties in complying with the dietary regime. They exhibit restrictive eating behaviors, they express feelings of dietary deprivation, and rigid dietary control is perceived as the only way to a proper diet and weight management. However, pressure to conform to nutritional recommendations may render diabetics more prone to dietary under-reporting. Binge eating, restraint and body dissatisfaction frequently occur among these patients. Health professionals, therefore, need to take into account these difficulties in their collaboration with the patients in order to improve the effectiveness of nutrition intervention. Hope this helps.
3 :
There could be many reasons, some as simple as them having trouble changing their eating habits. But a diabetic would have more trouble with a new diet than a non-diabetic would, at least at first. Once a diabetic's BG has been higher than normal for a while, it feels normal. And a diet that lowers it will make them feel terrible. They will feel like they have low BG all the time until their body adjusts. And don't forget that insulin is a hormone. Fluctuations in insulin production can make people very moody, forgetful and it can impair their judgment. To me it feels like i'm going a little crazy, and it's nearly unbearable. High BG also causes depression, and depressed people are less likely to want to help themselves. I know a woman, T1, in her 40's whose average BG is 200+ She's got the beginnings of neuropathy and her eyes are going but she really doesn't care. She feels good where she's at and doesn't feel like putting forth the effort to change.
4 :
They do not understand the gravity of this disease. Plus everything seems fine now , so why worry. Many doctors are incompetent when it comes to diabetes. Many people are so ignorant of what to do , that they just coast along. I was one of these , until I got a computer. Also the same question could be asked about Exercise. One of the key steps in controlling type 2 diabetes. Here are the steps that I take to have a fasting glucose level of 96 and a HBA1C of 5.2 There are 4 key steps to controlling glucose levels. Here are the 4 keys: 1) Knowledge- http://www.phlaunt.com/diabetes/index.ph… This is a great site for info 2) Meds. Metformin to start. Never , ever take Actos or Avandia. They may kill you. Bone fractures, heart problems and what diabetics really don't need is that they change Bone Stem Cells to Fat Cells. 3)diet- A low carb diet is in order. I can't count carbs so I use Mendosa's Glycemic Index Diet. Great for the whole family. http://www.mendosa.com/gilists.htm 4) EXERCISE- Walking is fine but Nordic Walking is Great. Exercise also lowers Glucose levels , lowers Cholesterol and lowers Blood Pressure. Google it. Great question , you get a star Tin
5 :
Some people just take it for granted and don't understand how serious it is. They assume that because their numbers are just maybe a little high it won't really hurt them in the long run. Unfortunately every time your BGLs are high it has a lasting effect on you. The other reason is that sometimes it is not very easy to cope with a lifelong disease. I am a type 1 diabetic and people don't realize how frustrating it is. You can just go in the kitchen and grab a snack or drink and have at it. I can't. I have to check my BGLs before every little thing I eat. Then I have to calculate the carb amount. Then I have to get a shot. Which is a frustrating. They leave bruises all over me. And still I have to check my BGLs 2 hours later to make sure they're OK. Now imagine doing that 6-8 times a day for years on on until you die? And even with my BGLs in a healthy range it doesn't mean I can eat whatever I want. I still can't do huge carb amounts or anything high in sugar. I have had my lesson with high BGLs so I try to avoid anything unhealthy for me, but can you understand why sometimes we might want to say whatever and have a snack!? LOL