Newly diagnosed patients with type 2 diabetes receive necessary and appropriate diabetes education, which can improve compliance and help them master diabetes knowledge as early as possible and achieve ideal diabetes control.
Through daily communication with many newly diagnosed diabetic patients, it is found that there are generally the following three typical reactions after being newly diagnosed with type 2 diabetes: (1) distrust or psychological unwillingness to accept, delay or unwillingness to undergo formal treatment treatment; (2) Nervous, anxious, not familiar with diabetes, and afraid of diabetes complications; (3) It doesn’t matter, because there is no obvious discomfort, and I think it will not have any impact on my life.
distrust or unwillingness to accept
Such patients do not understand or do not want to believe that they have diabetes, so they will go to various major hospitals and experts to undergo retests until the results are consistent before they finally accept the test. Because they attach great importance to it, they will do this. Therefore, for this type of patients, it is suitable to adopt the "one, two, and three" principle: one lecture, two suggestions, and three management. In the first lecture, patients are told in detail the current international diagnostic methods and diagnostic standards for type 2 diabetes, letting them know that this is an internationally unified standard and not a one-size-fits-all approach. Second suggestion, if the patient still does not want to believe it, give different suggestions according to his blood sugar situation. Hyperglycemia, combined with the current symptoms (increased urinary foam, weight loss, thirst, etc.), will inform you of possible acute complications and their harm. It is recommended that you receive treatment first and then re-test later. Although the patient has doubts at this time, because the symptoms and data are real, and because he is worried about the danger to his life, he often chooses to receive treatment first. For those who meet the diagnostic criteria and have no obvious symptoms, it is recommended that they choose to re-test to eliminate their doubts. However, once the diagnosis is consistent, they need to receive formal treatment and management. Third management: After receiving a diagnosis, patients hope to be cured. Because they do not know enough about diabetes, they often inquire about the "latest" news through various channels and buy a large number of "medicines" and "health products" that are supposed to cure diabetes. At this time, it is necessary to help them discover their bad living habits and misunderstandings through group lectures or one-on-one education, and formulate individualized disease management plans for them.
Nervous, anxious
Many patients do not know what kind of disease diabetes is, what kind of medicine insulin is, or they see/hear that people around them suffer from blindness, kidney failure, amputation, marital relationship breakdown or even death due to diabetes, which increases their understanding of the situation. Fear of illness, leading to stress, anxiety and even depression. For these patients, we first need to reduce their psychological burden. We can help them correctly understand diabetes through three gradual questions: "Do you know about high blood pressure?", "Do you think high blood pressure is scary?", "Do you think high blood pressure is scary?" Which is more serious, diabetes or hypertension?", explaining the importance of blood sugar control to patients from the perspective of both being chronic diseases, and making them pay attention to behavioral changes. In addition, it would be beneficial for such patients to communicate more with old patients. Friendly comparisons with old patients are a mirror for newly diagnosed patients, from which newly diagnosed patients can see their own problems and learn experiences and methods that suit them.
It doesn't matter
There are also some newly diagnosed patients who think that diabetes is nothing, it is not painful or itchy, and they don’t need to worry about it. If you blindly emphasize to him that he should pay attention to diabetes, there will be almost no effect. Some patients will say: "I have a colleague/neighbor who has had diabetes for many years. He eats whatever he likes and lives a good life." At this time, you can also help him face diabetes through a series of questions, such as "Do you know his blood sugar?" "Does he exercise and take medicine?" "Can you tell me what he eats? How he eats?" etc. . Because patients often only see a superficial phenomenon and do not necessarily understand it, asking questions can prompt them to think and find answers. This process invisibly changes him, allowing him to discover that there are many ways to control blood sugar and understand what is Really "live well".
