Lecture 25: Improving Self-Management in Diabetes

Question 1

what is considered acute hypoglycaemia?

Answer 1

[blood glucose] < 3mmol/l - can lead to coma, delirium & seizures

Question 2

what is considered acute hyperglycaemia?

Answer 2

[blood glucose] > 40mmol/l
- can lead to DKA > then vomiting, dehydration and coma.

Question 3

describe the COM-B model

Answer 3

• the COM-B model identifies three factors that need to be present for any behaviour to occur: capability, opportunity and motivation.

Question 4

list some anxiety-related issues a diabetic patient may face

Answer 4

• general anxiety: can result in higher blood glucose levels
• fear of hypoglycaemia: can result in higher blood glucose levels
• fear of hyperglycaemia: can result in recurrent hypos
• specific (e.g. social) or general anxiety + fear of hypo: can result in higher glucose levels

Question 5

which two main therapeutic approaches are used within the psychology servise to support people with their emotional wellbeing and their diabetes management?

Answer 5

CBT and ACT