Foreword: Today, Mr. Hou graciously shared three insightful articles with us. Although he placed the discussion on psychology in the final article, I believe that "psychology" is the initial "sweet treat" for newcomers to the diabetes community, regardless of their diabetes duration. "Psychology is an essential life course!" So, let's begin with this lesson. Greetings, everyone! Lately, Houliu has been quite occupied and hasn't had much time to write. However, I recently came across a paragraph that I'd like to share, as it has been updated with new insights. Why focus on psychology in Chapter 3? It's not about medication or monitoring, but rather, it stems from my interactions with people with diabetes, where I've observed that many newcomers face psychological challenges (without knowing the exact percentage from any official surveys). I can attest that many, including myself, have experienced a sense of depression upon first managing diabetes, so regulating mental health is a pressing issue once we have the tools to control blood sugar.
Typically, people with diabetes can be categorized into three mental states:
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The Unaware and Fearless: These individuals lack comprehensive knowledge about diabetes (DM). They believe that taking medication or receiving an injection will resolve everything, or they don't consider it a serious illness at all. They neglect monitoring their blood sugar, blissfully unaware of the harm they're causing, much like a frog being boiled in lukewarm water – this is the least desirable state.
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The Overly Cautious: This group has a basic understanding of the risks and knowledge of DM but may have a partial or skewed perception, leading to an irrational fear of DM or the future. They live in constant anxiety and irritation (I've experienced this phase, not because my control was poor, but due to worrying about potential complications. I wouldn't say I cried daily, but there were always dark clouds looming overhead... I felt almost depressed). I've encountered many such individuals, and they represent the majority of new diabetes patients today.
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The Optimistic and Active: These individuals have a more comprehensive understanding of DM and possess effective strategies for managing their condition. They can be considered "old hands" at dealing with diabetes. Newcomers who emerge from the shadows of depression can progress to this stage (which is where I believe I am now). Next, let's discuss how to reach this stage...
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Engage with more diabetes communities or social groups, interact with fellow diabetic, and seek advice from experienced individuals. Only through communication with those in similar situations can you gain more insights and wisdom from veterans, gradually opening your heart.
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Engage in activities that interest you as a distraction (I enjoy gaming, and my phone is filled with games).
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Treadmills and stair-steppers are fine, but stepping out into an open environment for a walk can lift your spirits. Listen to uplifting music and jokes (I recommend "Haha Coke Pie" for a laugh. If it's not funny, feel free to call me out...).
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Conduct a comprehensive physical examination (skip this if you've recently had one upon diagnosis), including a fundus exam, 24-hour urine analysis, and liver and kidney function tests, to fully understand your body and realize that complications are actually far from you – so, don't worry!
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Study DM knowledge diligently. To defeat an enemy, you must first understand it, right? In short, our attitude towards DM should be one of respect but not excessive fear, because it can be conquered! As Mao Taizu said, "Strategically, we must despise the enemy, and tactically, we must pay attention to the enemy." This philosophy can be applied here... A good mood leads to good blood sugar and a healthy body!