{"id":6120,"date":"2019-07-12T11:48:44","date_gmt":"2019-07-12T06:48:44","guid":{"rendered":"https:\/\/drmohans.com\/?p=6120"},"modified":"2024-11-27T14:36:31","modified_gmt":"2024-11-27T14:36:31","slug":"acceptance-of-diabetes-2","status":"publish","type":"post","link":"https:\/\/drmohans.com\/backend\/acceptance-of-diabetes-2\/","title":{"rendered":"Acceptance of diabetes"},"content":{"rendered":"\r\n<p class=\"wp-block-paragraph\">The three words, \u201cYou have\r\ndiabetes\u201d, usually have a profound effect on the individual, young or old,\r\nespecially the former. People tend to go through myriad emotions, ranging from\r\nguilt, confusion, fear, anger, self \u2013pity and confusion, to even, relief,\r\nultimately. Some people tend to blame themselves, for their poor food habits or\r\nerratic lifestyle, and stress. Some people even feel that its life\u2019s way of\r\npunishing them for some wrong \u2013doing. Of course, one has the right to be on an\r\nemotional \u2018see-saw\u2019, with the onset of diabetes, since it is a major life\r\nchange like any other.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">&nbsp;Onset of diabetes\r\nhas many implications due to its chronic and indefinite nature. Although\r\ndiabetes is a clinical disorder, it has a psychological impact on the\r\nindividual due to nature of the illness, rigorous dietary restrictions and\r\ncomplex treatment regimen. Diagnosis of diabetes maybe viewed as a three stage\r\nprocess:<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\"><li>Prior\r\nhealth status &#8211; good, generally not on much medication.<\/li><\/ol>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\"><li>Insidious onset of diabetes and one\u2019s reactions to it have been likened to the four stages of grief, viz.,<\/li><li> &nbsp;<strong>Denial<\/strong>: It is a way of coping with something when a person is not ready to face it. It is the opposite of acceptance. Hence, one tries to underplay it \u2013 \u201cI\u2019m on the borderline\u201d, \u201cDiabetes is not a big deal\u2019, \u201cThe tests are wrong\u201d, and so on. <\/li><li> <strong>Anger<\/strong>: \u201cWhy me\u201d comes to the fore here, along with, \u201cI do not deserve this\u201d, \u201cI have not hurt anybody\u201d, \u201cWhy bother, I\u2019m going to get complications anyway\u201d. There is a feeling of injustice, and of life being unfair. <\/li><li> <strong>Depression<\/strong>: &nbsp;The individual feels overwhelmed by the many changes they have to make to their lifestyle. They feel that the joy has gone out of their lives. Fear of taking insulin, even if it is only at sometime in the future, sets in. Depression is usually characterized by insomnia, loss of appetite, mood instability, fatigue, and loss of interest in usual activities. If symptoms persist, social support and therapy may be necessary. <\/li><li> <strong>Acceptance<\/strong>: The final stage is acceptance, when the individual comes to terms with reality, accepts he has diabetes and learns to manage it. It is the opposite of denial, in other words. <\/li><li> Learning self management and coping skills. <\/li><\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Initially, it often takes\r\ntime to come to terms with diabetes, from several months to even one or two\r\nyears, occasionally. It is easier to be aware of one\u2019s physical and emotional\r\nlimits, and be realistic about one\u2019s inner feelings about diabetes. Take things\r\nslowly and do not push yourself or let others push you. When one is in denial,\r\nor simply not wanting to acknowledge diabetes, sugars can shoot up due to non\r\n\u2013compliance with diet, exercise and medication.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Those who have not been\r\nseriously \u2018sick\u2019 before, experience a sense of loss of previous good health.\r\nThere is a sense of permanence and powerlessness. Compounded to that, anxiety\r\nof family members, and well meaning friends and relatives, who are willing to\r\ngive a lot of free advice (Take bitter gourd juice and fenugreek seeds first\r\nthing in the morning, Do not take medicines as it will damage the kidney, Try\r\nacupuncture, If you start insulin, it\u2019s for a life time, so avoid it\u2026.),\r\nconfuses and stresses the individual even more. Knowledge and understanding\r\nabout diabetes helps in coping with the daily challenges of managing diabetes\r\nand a sense of being in \u2018control\u2019.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">However, despite ones best\r\nefforts, the fight with diabetes can often appear like a losing battle,\r\nsometimes, both to the individual and the medical team. Some patients are hard on\r\nthemselves, which can be self-defeating and frustrating. This is because they\r\nare trying everything to keep their sugars under control, but with age,\r\nduration, severity, and a host of other clinical factors beyond their control,\r\nit becomes a huge challenge.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Stress and non-compliance\r\nare the two main culprits that act as barriers to effective treatment of\r\ndiabetes. While stress is beyond one\u2019s control (sometimes), compliance, to a\r\ncertain extent, is not. Rigidity of habits and unhealthy lifestyle can be a\r\nhuge deterrent, too. We often find patients unwilling to change, say, their\r\ndiet pattern, timing or lifestyle, simply because they do not want to let go,\r\nor for some strange reason, feel they are being disloyal to their ingrained\r\nvalues, customs and traditions. E g. fasting.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Many a time, stress is\r\nself-imposed, usually due to impractical thinking, high expectations and\r\nwanting to be in control. More flexibility in thinking, and adaptation to\r\nsituations, as and when they come, can help reduce one\u2019s stress. However,\r\nsometimes, stress can be genuine and beyond one\u2019s control, as in having\r\nfinancial problems, relationship issues, job pressures, ill health, going\r\nthrough an emotional crisis, and so on. At such times, one uses coping\r\nstrategies, but unfortunately, the sugars predictably shoot up. Professional\r\nhelp for those who are overwhelmed and unable to cope would be a good idea.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Apart from the pressures of\r\ndealing with situational stress of this kind, those with diabetes also have to\r\nmanage their sugars \u2013 by eating on time, the right foods, taking their\r\nmedication, and doing regular physical activity. Any deviations from the\r\nregimen could result in hyperglycemia or even hypos. This results in a rush to\r\nthe doctor\/ lab, to check if everything is in order. Patients run through a gamut\r\nof emotions at the hospital, ranging from fear, guilt, sadness, hopelessness.\r\nThere is a lot of anguish for putting their families through financial\r\nconstraints and emotional distress when they fall ill, or have to be dependent on\r\nothers. At such times, social and emotional support can help bolster one\u2019s\r\nflagging morale.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Acceptance of diabetes is\r\nthe first step to controlling it. It is more helpful to accept the things that\r\none cannot change than trying to resist it, or keep complaining to aggravate the\r\nproblem. Listed below are some coping strategies to help the newly diagnosed to\r\nmanage diabetes effectively:<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\"><li> <strong>Commitment<\/strong>:      Make a commitmentto manage      your diabetes. Learning more about diabetes can give one a feeling of      empowerment. Learn the basics of diabetes, and follow the rules of healthy      eating and physical activity, apart from prescribed medication. <\/li><li><strong>Stress Management<\/strong>: Stress may lead to      lack of compliance and self care, paving the way for high sugars.      Simultaneously, stress hormones (in response to prolonged stress), oppose      the action of insulin from being released, thereby aggravating the      problem. Prioritizing one\u2019s work and schedule, time management, and de-      stressing through yoga, some sport or hobby helps in compartmentalizing      one\u2019s life.<\/li><li><strong>Lifestyle changes: <\/strong>Make necessary changes      to one\u2019s lifestyle to achieve good results, as far as diabetes is      concerned. It may be a gradual process, but pays off in the long run.      Adaptation is the key word here.<\/li><li><strong>Positive acceptance: <\/strong>Try and replace      negative, self-defeating thoughts with more positive, proactive ones.      Staying positive helps in avoiding resentment and depression, and      maintaining good health and mental well-being. Acceptance does not mean      \u2018surrendering\u2019 to diabetes or feeling resigned. It\u2019s a matter of choice,      which will help you take care of it.<\/li><\/ol>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">At the end of it all, one\r\nwonders whether there is some specific formula to manage one\u2019s diabetes\r\nperfectly, but on the brighter side, readiness to change, self-motivation, a\r\nsense of personal choice, and use of problem solving techniques can make one\r\nfeel more in control of one\u2019s health, and improve one\u2019s quality of life, in the\r\nlong run. Presently, there are many mobile applications and technological\r\ndevices that help in diabetes management.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Peter Asperella, in his\r\nfictional work, \u201cGood Like This\u201d, has neatly summed up the protagonist\u2019s\r\nfeelings about diabetes thus, \u201cIt\u2019s not a horrible disease, it\u2019s not something\r\nI have to conquer or destroy, it\u2019s not an obstacle that I have to surpass.\r\nMaybe it\u2019s just something I learn to live with happily, like a friend\u201d. <\/p>\r\n\r\n\r\n\r\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/oldlive.drmohans.com\/wp-content\/uploads\/2019\/07\/tree.jpg\" alt=\"\" class=\"wp-image-6121\"\/><\/figure><\/div>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Individuals with a\r\nhealthy lifestyle and good compliance remain \u2018rooted\u2019, like the green tree.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Individuals with an\r\nunhealthy lifestyle and lack of self care could end up weak and fragile, like the\r\nbrown tree.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Stay healthy and\r\n\u2018green\u2019.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Vidyulatha\r\nAshok, Psychologist<\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Dr Mohans\r\nDiabetes Specialities Center&nbsp; <\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Gopalpuram<\/strong><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>The three words, \u201cYou have diabetes\u201d, usually have a profound effect on the individual, young or old, especially the former. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":17257,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[350,371],"tags":[],"class_list":["post-6120","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs","category-counselling"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Acceptance of diabetes - Dr. Mohan&#039;s<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drmohans.com\/backend\/acceptance-of-diabetes-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acceptance of diabetes - Dr. Mohan&#039;s\" \/>\n<meta property=\"og:description\" content=\"The three words, \u201cYou have diabetes\u201d, usually have a profound effect on the individual, young or old, especially the former. 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