Diabetes Therapy: Patient Education

Behind diabetes hide a wealth of causes that can trigger this disease and change many areas of everyday life. Doctors can not accompany their patients around the clock. Diabetes is one of the chronic diseases in which the sufferer must be largely responsible for the treatment itself. For this reason, it is important that sufferers learn to deal with their own disease and to integrate them into their daily lives in the best possible way. Important topics are the correct plasma glucose adjustment, nutrition, movement and sport as well as the correct behavior in emergency situations, the detection of chronic and acute complications of the disease and the management of the disease in special situations.

A patient training – better called patient training, because practical exercises are of great importance – can not replace the medical advice and care, but it is an important part of Diabetes Therapy. The range of training courses is varied, because in addition to basic knowledge, people need very different problem-oriented training units depending on the type of illness, the type of therapy, and the duration of the illness. While education and training is the foundation of every person with diabetes and any form of therapy – for which the patient has a right – structured training is still not or insufficiently used, and often not done seriously enough.

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What do you learn in a patient training?

In the past, it was mainly the mediation of Basic knowledge On the subject of diabetes, one tries today to make patient training as practical and experience-oriented as possible and to emphasize the psychosocial components significantly more. Those affected formulate their own personal counseling goals, which they then try to achieve with knowledge and behaviors learned during the course.

The training varies according to the type and therapy of diabetes, but some topics are common to all seminars: The core idea of every patient training is the so-called "empowerment". This means developing motivation to take care of one’s own life with this chronic illness. Those affected should accept the disease as part of their lives and integrate it into their everyday lives as a next step. The contents of the training are therefore geared primarily to the challenges of everyday life in addition to some fundamentals on diabetes. For example, the correct execution of Self control measures (Plasma glucose and blood pressure measurements, foot inspection, etc.) and correct behavior in emergencies (Hypoglycaemia, severe hypoglycaemia, infections) on the program. Also legal / social issues about insurance, occupation, or for example driving ability are to be discussed in detail. The right nutrition and information about the topic movement and Sports form further topics.

There overweight and lack of exercise are among the leading causes of type 2 diabetes, training programs for this group of patients are especially designed for long-term lifestyle changes. So diet and exercise plans are created and practiced. In type 1 diabetes training, this is also mandatory, because increased physical activity and exercise can lead to significant metabolic imbalances inadequate training. Therefore, the effects of exercise on the plasma glucose level must be known and therapy strategies trained and adapted to prevent metabolic lapses while still not significantly affecting the quality of life.

What kind of patient training for diabetics is there?

Patient education is available both as a single and a group offer. In the past, studies on the effectiveness of both variants have repeatedly been carried out and found no significant differences. However, there is evidence that group training is more successful in terms of sustainable lifestyle change. The National Care Guideline Diabetes – Structured Training Programs offers interested parties a list of approved training programs. In the Overview Both the length of the individual courses and the required teaching material are summarized. In addition, those affected can search for training centers in their area. Further course overviews as well as appointments can be found on the Internet under www.diabetes-schulungsprogramme.de.

Good patient training is individually tailored to the patients and practice-oriented. The German Diabetes Association offers a list of recognized diabetes treatment and training programs.

What makes a good training offer?

According to the guidelines of the German Diabetes Society, a structured and good patient training takes into account the individual patient’s individual situation. It is not only intended to convey theoretical knowledge, but also to help those affected to take account of personal needs and needs and to formulate goals in order to implement them in everyday life. Ideally, relatives should also be involved in the training process in order to work together with those affected (eg, a more balanced diet, more exercise, early detection of complications, etc.)..

The training itself is a medical task involving specially trained and certified employees. At the end of 2012, the National Supply Guideline (NVL) "Diabetes – Structured Training Programs" released. The Guideline is freely available on the internet. It contains recommendations on content and didactics as well as an overview of recognized training programs in Germany. In addition, it conveys quality requirements. The aim of the NVL is to disseminate evidence-based recommendations to improve the care of people with diabetes and improve the quality of training programs.

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