Re: the challenges of self management of type 2 diabetes

[Guest guest]

Clearly this article points the obvious, but the folks that could make a

difference, are clearly not listening!

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

, who are you referring to? Who's not listening?

I read the article the other day, and as best I can remember, what hit me

(again) was how the crux of the problem is with the patient. Some diabetics

simply choose to play the ostrich. Yes, diabetes is probably the hardest chronic

disease to manage, but since results from the effort to maintain the disease can

be so profound, it's hard to understand how many diabetics can act so

unconcerned.

Dave

~~ Now available: THE ATTACHÉ! -- From Desert Breeze Publishing ~~

Visit: http://www.authordavidbond.com

Upcoming releases:

A TIME TO BUILD -- June, 2012

SWEET MUSIC -- October, 2012

A TIME TO HEAL -- February, 2013

OUT OF THE DESERT -- July, 2013

A TIME TO DANCE -- November, 2013

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

Yes Dave, I agree with you that managing Diabetes is to a very high degree

the responsibility of the patient, but in order for that to happen, we need

the tools to help us complete that task! We have been saying that the meter

is our best friend, and I agree, but that friend isn't much of a friend if

he won't even talk to you! Here in Canada, there is only one meter, which

can hardly be classified as accessible! I have tried everything within my

power to try to get more choices available to no avail!! Also in my view,

making the meter talk is only solving half of the problem! The technology

is here to make a meter fully accessible, (take its own sample and talk)

but companies are for some reason dragging their heels on this one! We have

also seen the problems with the software, which is simply negligence on the

part of the manufacturers! Need I say more?

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

Yes, you can. But I found as a totally blind person that once I tuck myself

in the forearm, I could not find where the stick was! Also, the docs say it

is not as accurate as the fingrs.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of angel.adorno1

Sent: Monday, April 23, 2012 5:37 PM

To: blind-diabetics

Subject: Re: the challenges of self management of type 2

diabetes

hay guys I have a question when getting a blood sample can some one use the

arm like the four arm instead of fingers?

O was wondering cause I am a type 2 but I got sensative fingers. but I need

to start testing.

thanks angel.

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

also I have a fear of needles they hurt me like hell.

I can not wait until they come out with like a startrek thing where you just

wave it over yourself and it gets the readings.what can I do so that my fingers

do not hurt is it the spead of the lance or something else?

thanks Angel.

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

Try running warm water over your finger before pricking, making sure that

your finger is dry before drawing a sample. Try pricking the side of the

finger where there are less nerve endings

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

I have had meetings with my member of government, on more than one occasion,

and the answer I get, is, I'll pass it on to the health minister! The

problem is that we need a large group to advocate, which seems very

difficult to do, getting people together!

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

It seems so unfair. The irony is, as you say, there aren't all that many

blind/visually impaired diabetics relative to the general population, so the

cost to the government would be minimal.

Dave

~~ Now available: THE ATTACHÉ! -- From Desert Breeze Publishing ~~

Visit: http://www.authordavidbond.com

Upcoming releases:

A TIME TO BUILD -- June, 2012

SWEET MUSIC -- October, 2012

A TIME TO HEAL -- February, 2013

OUT OF THE DESERT -- July, 2013

A TIME TO DANCE -- November, 2013

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

I tend to disagree.

I think that there are a lot of blind diabetics out there.

Becky

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

I know what you mean. Sometimes I flinch when I know the needle is coming. What

I do is to brace my arm on the counter to keep my hand steady. Then I have no

problem.

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

No, there really aren't. It may seem like it when we gather in our little group,

but relative to the hundreds of millions of people who are not blind, and/or

diabetic, we are a very small group.

Some of the proof is in what we see happening )or not happening) with our fully

audible meters. The manufacturers of these products are fully aware of our small

numbers, hence the meager offering of products (only 2 or 3 meters), and the

ongoing delay in getting the software to download our readings. I think I've

only ever met in person one other blind diabetic. And I lost my sight due to

diabetic retinopathy about 24 years ago.

Dave

~~ Now available: THE ATTACHÉ! -- From Desert Breeze Publishing ~~

Visit: http://www.authordavidbond.com

Upcoming releases:

A TIME TO BUILD -- June, 2012

SWEET MUSIC -- October, 2012

A TIME TO HEAL -- February, 2013

OUT OF THE DESERT -- July, 2013

A TIME TO DANCE -- November, 2013

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

It seems like I've seen a lot of them.

Becky

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

Actually I believe that about %40 of all diabetics go on to have some kind

of visual impairment, which is no small number! The one very obvious point

that the big guys miss, is that if a meter is easier for us, it is easier

for everyone!

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals

[Guest guest]

Hmmm. It's usually t1's who develop retinopathy, and only 7% of diabetics are

t1. I'll stick with my statement that we are a relatively small group.

Dave

~~ Now available: THE ATTACHÉ! -- From Desert Breeze Publishing ~~

Visit: http://www.authordavidbond.com

Upcoming releases:

A TIME TO BUILD -- June, 2012

SWEET MUSIC -- October, 2012

A TIME TO HEAL -- February, 2013

OUT OF THE DESERT -- July, 2013

A TIME TO DANCE -- November, 2013

the challenges of self management of type 2

diabetes

The Challenges for the Self-Management of Diabetes

People with diabetes invest a lot of time and effort managing their

condition including not only monitoring the level of sugar in their blood,

organizing their medication and following a restrictive diet, but also

social challenges such as negotiating relatives' input and gaining access

to

doctors when they need to....

<http://ads.diabetesincontrol.com/www/delivery/ck.php?oaparams=2__bannerid=2

78__zoneid=17__cb=c1f01e2950__oadest=http%3A%2F%2Fclk.atdmt.com%2FDHC%2Fgo%2

F371530910%2Fdirect%2F01%2F>

Advertisement

The primary strategy for helping patients is a short educational course on

how to self-manage the condition. The new research suggests that this

approach is unlikely to succeed in isolation because it ignores the many

factors that are outside the patients' control such as food labeling in

restaurants, local availability of healthy foods and the expectations and

behavior of other people including family members, at school and at work.

Only around one per cent of a diabetic person's time is spent in the

company

of health professionals. The remaining 99 per cent of the time, the

patient

is managing their own diabetes.

The research was an 'ethnographic' study which looked in depth at a small

group of 30 people with diabetes. Their ages ranged from 5 to 88 and they

included different ethnic groups to reflect the fact that diabetes is

particularly common in South Asians. Researchers shadowed the people for

several periods of between two and five hours while they were going about

their daily lives, noting how they managed their condition and the

challenges they faced.

Trisha Greenhalgh, Professor of Primary Health Care at Queen ,

University of London, led the study. She said: " Until now there has been

very little research on what people with diabetes do and how they cope

when

health professionals aren't around. We have shown that self-management of

diabetes is hard work both practically and emotionally, and that many but

not all people with diabetes are skilful at undertaking and coordinating

all

the different tasks involved. "

The research showed that people with diabetes and their families devoted a

lot of time and hard work to managing their disease. For those who were

not

managing well, the reasons tended to be that they were overstretched by

family responsibilities, had other illnesses, were struggling financially

or

a combination of these. Many had other medical conditions, some very

serious, for example, paralysis following a stroke, visual impairment or

heart failure. These factors severely limited people's opportunities to

manage their condition, meaning that those who would benefit most from

self-management were also those least able to achieve it.

Lack of food labeling in cafes and restaurants also proved challenging

because it made calculating the correct dose of insulin difficult.

Some but not all health professionals were enthusiastic about people

acquiring advanced knowledge about their diabetes and learning how to

self-manage.

Professor Greenhalgh added: " There is a trend towards encouraging

individuals to look after their own health. This study highlights that

whilst many people with diabetes are ready and able to do this, health

professionals and wider society could be doing more to support them. Sadly

there is still a great deal of ignorance, stigma and stereotyping. "

" We need to know a lot more about how patients manage their disease

outside

of the clinic. In the meantime, doctors should be aware of the work their

patients put in to self-management and understand that many factors will

influence how successful they are at controlling their diabetes. "

The research is published in BMC Health Services Research. Queen ,

University of London

Related Articles

Lifestyle

<http://www.diabetesincontrol.com/articles/53-diabetes-news/12383-lifestyle-

counseling-dramatically-reduces-time-to-reach-treatment-goals> Counseling

Dramatically Reduces Time to Reach Treatment Goals