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We found 8 result(s) that match your search "compliance":

As people with diabetes, we are tasked by our medical teams with conducting our lives in a manner such as to minimize or mitigate the destructive effects of our medical condition. A lot of press is given to the concepts of "patient compliance" and "patient adherence" -- enough to raise the blood pressures of many of us past the levels covered by our antihypertensive, renal-protective pharmaceuticals. The idea of being "a diabetic in control" (or "out of control") has also been known to raise the hackles of a number of the T1s among us, whose blood glucose levels vary with the tempo and dynamic (but none of the grace) of a Mahler symphony.

 

Like the four movements of a symphony, or the members of a string quartet, the cornerstones of diabetes self-care are:

 

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I have not been compliant with my diabetes protocol for several months.  I haven't been testing, I haven't been watching what I eat or exercising.  I've even been eating straight carb snacks - when I'm supposed to "never eat carbs alone! "

 

I can "get away" with this once in a while because I'm early in Type 2.  But today I read a story that  pulled me up short. 

 

People with diabetes are 15 times more likely to have a lower limb amputation than those without the disease.  Yes, FIFTEEN times more likely.  And then, 70% of the people who have amputations are dead within 5 years.

 

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Yesterday, I responded to the question about "things you wish your doctors knew about diabetes and the daily task of living [with it] by mentioning that many healthcare providers' knowledge of diabetes is incomplete and/or out of date. Rather than be a part of the problem, I've proposed a first-draft solution — some things I would put into a Continuing Medical Education (CME) syllabus to fill in some of those gaps. I'm sure I'm missing rather a chunk of stuff, but then again, this is a first draft.

 

If I were to develop a syllabus to fill in the gaps in professional diabetes education, as I perceive they exist today, these are some of the things I would consider:

 

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(continued from Part 1)

 

Underspecified, Overwrought

What has been driving parents even crazier than the scavenger hunt for the impossible-to-find 1.5" gray binder is when The List states merely "blue pens" or "a flash drive, or a folder on another flash drive". Many parents lose all sense of equilibrium trying to figure out themselves how many blue pens their child will need, what size flash drive (or what is meant by a folder on another flash drive or a section in a binder), and just how big a binder should they buy?

 

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If nothing else, diabetes has provided me with stories to tell.

 

Like the time before diagnosis when I peed my pants.  Or the time I told a classmate if they weren't careful, I'd put insulin in their milk and make them diabetic.  Or the time I socked a kid who called a diabetic friend of mine "sugar-freak."  Or the times I've made a donkey of myself during a low.  

 

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I get asked a lot about diabetes care.  Sometimes by other diabetics, sometimes by parents of diabetics.  Most often, though, I get asked about diabetes care by the spouses, partners, and adult caregivers of diabetics.  To be more specific, the spouses, partners, and adult caregivers of less than compliant or noncompliant diabetics.  

 

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It's 8:30 p.m. Sunday, Mother's Day, and I have yet to check my sugar today.

 

It started this morning when No. 1, who is 8, ordered me to stay in bed. I knew what was coming, and even though I suspected a not-so-yummy breakfast in bed, I obliged. To his credit, I got oatmeal, which is my staple breakfast. But, I didn't get a fasting sugar. Heck, I didn't even brush my teeth first. I just did what I was told. I knew it would be the only time today that anyone pampered me.

 

You see, we're preparing our house to put on the market. Yes, we're definitely missing a few screws to try to sell in this market, but with a new job in a new city, we kind of have to.

 

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Blah, blah, blah, here she goes again, pissing and moaning about logging.

Back when the year was shiny and new, as opposed to snow-covered and grubby (and enough with the snow already, ok? I'm SICK of it. Sick.) I resolved to be more diligent about logging Olivia's blood sugars. And for a few weeks I was. And then I forgot for a couple of days. And then it was Thursday and I thought, well, I'll just start over on Monday. And I forgot again.

I've logged in fits and starts over the last 2 months, but mostly, I haven't logged at all. And now she has an endo appointment tomorrow and I'm not going to have that much information to give her and I'm pissed at myself.

I just don't know how to make myself log. I forget. And if I'm forgetting to log, how am I supposed to teach Olivia? I'm not setting a good example at all and they always tell you (who are they anyway?) that you should lead by example when it comes to your kids.
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