case 6 - self management

Question 1

what is self management

Answer 1

the process of actively engaging in self-care activities with the goals of improving one’s behaviours and wellbeing

Question 2

why is self management important in diabetes

Answer 2

T2DM is challenging to manage
Integrating complex self-management regimens into daily life can cause high emotional distress, anxiety, depression and reduce wellbeing
Maintaining good glycemic control can reduce complications associated with diabetes

Question 3

how can physical activity help

Answer 3

regularly exercising helps to lower blood glucose levels, reduce blood pressure, maintain a healthy weight and promotes feelings of better well-being and mental health. Current advice from diabetes suggests that people with diabetes should aim to do at least 30 minutes of exercise (e.g., walking, cycling, swimming) five times a week.

Question 4

how can eating behaviours help

Answer 4

the changes individuals have to make to their eating behaviours varies and losing weight may be important if the person is overweight or obese.

Question 5

what are the two tests used to measure blood glucose

Answer 5

HbA1c
finger prick

Question 6

what is the finger prick test

Answer 6

the individual can do this themselves several times a day to monitor their levels throughout the day to help them work out what they need to eat and how much medication they need to take (only some individuals with Type 2 diabetes will need to do this – NICE guidance states that the routine self-monitoring of blood glucose levels should not be recommended unless there are specific reasons

Question 7

what model helps with illness cognitions

Answer 7

SRM

Question 8

what model helps with rational and impuse

Answer 8

PRIME

Question 9

what model helps us to understand if he is capable, is he motivated, does he have physical and social opportunity

Answer 9

COM-B

Question 10

please go over the different model diagrams as seen in notes