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<blockquote data-quote="Indy51" data-source="post: 505499" data-attributes="member: 48386"><p>I recently followed a link at another forum to a German brochure about the treatment of diabetes in that country. They put a lot more emphasis on the psychological aspects of diabetes than seems to happen in the UK. A quote from the document says:</p><p></p><p><em>"In diabetes management, the patient takes on a decisive role since he/she must carry out the essential therapeutic measures on in day to day life, in a responsible manner and on a permanent basis. As a consequence, the prognosis for diabetes largely depends on how successful the patient is in this endeavour, taking into consideration his or her social, cultural, family, and work environment."</em></p><p></p><p><a href="http://www.deutsche-diabetes-gesellschaft.de/fileadmin/Redakteur/Leitlinien/Englische_Leitlinien/Patient_guideline_psychosocial_and_diabetes.pdf" target="_blank">http://www.deutsche-diabetes-gesellschaft.de/fileadmin/Redakteur/Leitlinien/Englische_Leitlinien/Patient_guideline_psychosocial_and_diabetes.pdf</a></p><p></p><p>I agree with the poster who suggested CBT. Seems pretty clear you need some help in sorting out why you are self-sabotaging. As Dillinger said, you can ignore your diabetes, but don't kid yourself for one moment that it's ignoring you back.</p><p></p><p>Re. Champix - using it helped me give up smoking for the third (and hopefully final) time 3 years ago - and just like the other times I put on 20kg and ended up with a Type 2 diagnosis. Not wanting to be flippant, but weight gain/loss is really not that big a deal compared to the other issues you face. One of the tricks I found really useful from the Alan Carr book was calculating what you've spent over a lifetime on helping yourself into an early grave. I was a chain smoker for 45 years and figured I could probably have bought 2 houses for the amount I'd thrown away on smoking <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite35" alt=":greedy:" title="Greedy :greedy:" loading="lazy" data-shortname=":greedy:" /></p></blockquote><p></p>
[QUOTE="Indy51, post: 505499, member: 48386"] I recently followed a link at another forum to a German brochure about the treatment of diabetes in that country. They put a lot more emphasis on the psychological aspects of diabetes than seems to happen in the UK. A quote from the document says: [I]"In diabetes management, the patient takes on a decisive role since he/she must carry out the essential therapeutic measures on in day to day life, in a responsible manner and on a permanent basis. As a consequence, the prognosis for diabetes largely depends on how successful the patient is in this endeavour, taking into consideration his or her social, cultural, family, and work environment."[/I] [url]http://www.deutsche-diabetes-gesellschaft.de/fileadmin/Redakteur/Leitlinien/Englische_Leitlinien/Patient_guideline_psychosocial_and_diabetes.pdf[/url] I agree with the poster who suggested CBT. Seems pretty clear you need some help in sorting out why you are self-sabotaging. As Dillinger said, you can ignore your diabetes, but don't kid yourself for one moment that it's ignoring you back. Re. Champix - using it helped me give up smoking for the third (and hopefully final) time 3 years ago - and just like the other times I put on 20kg and ended up with a Type 2 diagnosis. Not wanting to be flippant, but weight gain/loss is really not that big a deal compared to the other issues you face. One of the tricks I found really useful from the Alan Carr book was calculating what you've spent over a lifetime on helping yourself into an early grave. I was a chain smoker for 45 years and figured I could probably have bought 2 houses for the amount I'd thrown away on smoking :greedy: [/QUOTE]
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