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Why Do Diabetics Fail To Adhere To Dietary Regimes?
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<blockquote data-quote="datkins65" data-source="post: 1233082" data-attributes="member: 320568"><p>A short definition of success and a goal in treatment in the diabetic mission is to meet the goals of the patient to achieve and maintain an HbA1c within a therapeutic range. (Some can reach normal levels and other may only reach, let's say, 7.) In addition, if weight or abdominal girth is an issue, than hopefully the regimen of diet and exercise chosen by the patient will be effective in reducing both. Many in this clinic cannot afford "the nice" food, as they call it, and we grow foods and provide to this patients. There is no charge. </p><p></p><p>The mission is funded by my husband's family. We have lost many to diabetes in this country, and when the urgency was identified here, they contributed land and minimal funding (rent & utilities) to open the mission. Secondly, grant funding has supported medication, foot clinic, exercise room, and diabetic supplies for blood sugar monitoring. Labs are funded by both grants and donations. This is why there is a difference.</p><p></p><p>I perform all the physical assessment and lab interpretation on each patient. On intake socioeconomic information is obtained (# in family, employment status, etc), and current foods eaten, favorite foods, and we try to identify problems this individual might have obtaining healthy foods. I intake 10 clients a day, working a total of 12 hours. I spend one hour with each, and intake is completed after 1.5 hours and they are discharged to come into the mission kitchen to observe a variation of a traditional dish being prepare. These 10 (and family) get a chance to taste the new recipe, get a copy of the recipe and take a parcel home to prepare. They are invited back the next week for a diabetic education class to learn about foot care, and the importance of control of blood sugar in maintaining eyesight and skin integrity. Each week, and as needed, this patients come to the mission for one or more reasons. Over half come to the dance we hold on Saturdays, some to exercise in our donated gym, some need medication adjustments or dietary adjustment. We see 60 a week in the foot clinic.</p><p></p><p>I believe it is an insult to spend 6 minutes with a patient. If I want someone to take care of my health, and they only take 6 minutes to assess me, than I do not feel anyone could determine what my medical needs are with such a short time spent.</p><p></p><p>We need more time to make a notable change in the treatment and prevention of diabetes (T2DM). With budget cuts across the board everything is being trimmed down, however, the cost on the economy at this point ranged in the 250 billion dollar are, it would seem a little more time could be spend at addressing the problems so that money can be saved in that manner. Sometimes, people cannot see past the end of there nose.</p></blockquote><p></p>
[QUOTE="datkins65, post: 1233082, member: 320568"] A short definition of success and a goal in treatment in the diabetic mission is to meet the goals of the patient to achieve and maintain an HbA1c within a therapeutic range. (Some can reach normal levels and other may only reach, let's say, 7.) In addition, if weight or abdominal girth is an issue, than hopefully the regimen of diet and exercise chosen by the patient will be effective in reducing both. Many in this clinic cannot afford "the nice" food, as they call it, and we grow foods and provide to this patients. There is no charge. The mission is funded by my husband's family. We have lost many to diabetes in this country, and when the urgency was identified here, they contributed land and minimal funding (rent & utilities) to open the mission. Secondly, grant funding has supported medication, foot clinic, exercise room, and diabetic supplies for blood sugar monitoring. Labs are funded by both grants and donations. This is why there is a difference. I perform all the physical assessment and lab interpretation on each patient. On intake socioeconomic information is obtained (# in family, employment status, etc), and current foods eaten, favorite foods, and we try to identify problems this individual might have obtaining healthy foods. I intake 10 clients a day, working a total of 12 hours. I spend one hour with each, and intake is completed after 1.5 hours and they are discharged to come into the mission kitchen to observe a variation of a traditional dish being prepare. These 10 (and family) get a chance to taste the new recipe, get a copy of the recipe and take a parcel home to prepare. They are invited back the next week for a diabetic education class to learn about foot care, and the importance of control of blood sugar in maintaining eyesight and skin integrity. Each week, and as needed, this patients come to the mission for one or more reasons. Over half come to the dance we hold on Saturdays, some to exercise in our donated gym, some need medication adjustments or dietary adjustment. We see 60 a week in the foot clinic. I believe it is an insult to spend 6 minutes with a patient. If I want someone to take care of my health, and they only take 6 minutes to assess me, than I do not feel anyone could determine what my medical needs are with such a short time spent. We need more time to make a notable change in the treatment and prevention of diabetes (T2DM). With budget cuts across the board everything is being trimmed down, however, the cost on the economy at this point ranged in the 250 billion dollar are, it would seem a little more time could be spend at addressing the problems so that money can be saved in that manner. Sometimes, people cannot see past the end of there nose. [/QUOTE]
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