Denial and difficulty in Diabetes management

Denial mode in which a person and his or her family comes to a doctor is very important factor which makes patient management by their doctor difficult. It is known that very one wants to be healthy form whole time of their life but its unfortunately natural to have one or the other disease with varying intensities. Even the most healthiest person if under goes a whole body screening he or she will have something which not absolutely normal, but may be it will be in functionally acceptable condition (that we call as normal).

What we are trying to impress is that very one wants to be normal but due to there genetic make-up and its response to environmental factors and age + lifestyle one or the other disease will come-up, it is true for even diabetic patient. This aspect of disease is not acceptable to many of the patients and they go into denial mode where they don't accept that they have a problem called diabetes and even if they have it they continue to doubt the diagnosis of the same. By doing this they are actually asking for trouble. As all of us know any disease treatment involves not only medication but also lifestyle changes along with plus or minus dietary changes.

Now the Problem is here - till the patient is in denial mode for diabetes his or her dietary changes and lifestyle modifications including exercises are not going to be very disciplined and loses the initial control advantage, which could be very useful in anyone's postponement of complications of diabetes and other disease.

Here is the role of Physician to make the patient and their family members to understand the problem and get them out of the denial mode so that they can put there 100% efforts in fighting the disease and take control of the disease in their youth to live long healthily

Why we try to hide our disease including diabetes?

As a human I you & everyone has tendency to put forward our best face, that is true even in diabetic patients that they want to be healthy and they at least want to declare themselves healthy. Its good for every one that positive thinking is flowing across, but it has negative impact also. You may ask how people with disease want be healthy but they decide to declare themselves healthy and fail to follow healthy life style then the trouble becomes big. Even though social behavior of an individual is heavily affected by the societies attitude towards the people with problem, which never get resolved.

This situation can be explained better with example. Think about a diabetic who is young wants to have a good job and life (as every one of us want it) but that person is afraid of declaring the diabetic status due to the fear of not getting best out of this world. But individual continue to take medication for diabetes, and some good day he fails to take proper food and lands up in hypoglycemia leading unconsciousness. Here is the problem if every one know that the individual is diabetic first think will think about is diabetic complication - hypoglycemia or hyperglycemia, get for immediate medical attention and prevent the catastrophic event in a hypoglycemic patient.

This is how any one should think about concealing disease and its effects then take a decision to conceal it or not. If you want conceal it for any compelling reasons then at least don't conceal it from your near and dear ones and carry a card in your pocket about your disease status so that even a unknown person can understand you health problem when you are in need.

Weight loss variables and confusin

Variables in weight loss and confusion, is a long standing problem & been food for thought without any doubts. People who accepts that are happy while discussing it and other don't feel frustrated. The best way to understand any situation is by going through it personally or by learning through examples which are happening in front of us on day to day basis.

Here also its better to understand that variability in weight loss by example, so that we can avoid confusion. For example a person who is diabetic obese hypertensive and also ages 55yrs is different from person aged 35yrs obese diabetic and hypertensive. This was just an example to tell how much variability is seen in these patients. Just to explain if we add or subtract any disease to any age group the whole situation for that person changes and the way he or she has to reduce weight for their healthy life will be different. Variables are limitless even though all of us try to give a universal prescription to weight loss, which is some time very risky.

Lesson learnt is think about the dangerous variables in any patient or individual before prescribing weight loss protocols.