Changing the Conversation: Diabetes Management in Adults with Severe Mental Illnesses and Type 2 Diabetes

ConclusionsThis work offers an alternative conceptualization of diabetes management that moves beyond idealized concepts of self-care to introduce the social realities of patients as they attempt to enact and negotiate medical directives. This understanding encourages a shift toward social and contextual understandings of the lived realities of patients. Attention to how social context informs patients' realities may assist in the development of new patient-oriented grounds for public health strategies and clinical practices and may challenge traditional understandings of compliance and noncompliance.RésuméObjectifsLe diabète est l'une des principales causes de mortalité et d'incapacité au Canada. La présence simultanée de la maladie mentale et du diabète est bien étayée. Le diabète est de 2 à 3 fois plus répandu chez les personnes atteintes de maladies mentales que dans la population générale. Dans la pratique clinique, la prise en charge du diabète repose encore sur le modèle des maladies chroniques, qui conçoit le diabète comme un déficit physiologique et comportemental. Par conséquent, les efforts cliniques et politiques visent l'amélioration des techniques de prise en charge autonome par les patients grâce à l'observance du traitement pharmacologique et des recommandations liées au mode de vie. Peu d...
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research

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This study presents findings from a large sample with extensive clinical phenotyping—allowing us to examine the relationships of insulin resistance with a number of key psychopathological, cognitive, and functioning measures, using multivariate methods to assess the relative contributions of different factors to metabolic abnormalities. PwS often have many risk factors for metabolic abnormalities: lifestyle habits, medications, and underlying biological mechanisms including inflammation and oxidative stress. Treatment and prevention of metabolic abnormalities in PwS can be particularly challenging due to these multip...
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