HB: Oh yes, most definitely. CAS  J Fam Pract. Kvale SBS, Kvale S, Brinkmann S. InterViews: learning the craft of qualitative interviewing. You always can block or delete cookies by changing your browser settings and force blocking all cookies on this website. Effects of the Swedish physical activity on prescription model on health-related quality of life in overweight older adults: a randomised controlled trial. And judging by the fact that I feel so much better eating like this, I only see benefits to it. Diabetes Res Clin Pract. But although that’s exactly what I need to do, I rarely feel hungry, that comes afterwards. Am J Cardiol. Diabet Med. 2010;33(7):1604–6. The study was approved by the Regional Ethics Review Board at Lund University, Sweden (October 2016, registration number 2016/758). Hanna, Hi, I’m a newcomer nursing student in my country Iran, and i would be glad if you help me in giving me whole essential questions for type 2 diabetic patient to be asked. Husensjö Health Care Center, Skaragatan 102, S-25363, Helsingborg, Sweden, Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, Sweden, R&D Center Skaraborg Primary Care, Skövde, Sweden, Department of Public Health and Community Medicine, Primary Health Care, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Department of Clinical Sciences Malmö, Family Medicine, Lund University, Malmö, Sweden, You can also search for this author in 2013 ESH/ESC guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the European society of hypertension (ESH) and of the European society of cardiology (ESC). The interviewees differed in their way of retrieving and accepting information. There were no exclusion criteria apart from not meeting the inclusion criteria. 2012;8(4):228–36. The interviewees were afraid of injections and the possible consequences for daily life, such as hindrance for travel or performing favorite leisure-time activities. BMJ Open. GB: What symptoms do you get? Have a fantastic day! 9.) CAS  Click to enable/disable Google reCaptcha. GB: Who do you get support from? 2018;18(1):204. Click to enable/disable essential site cookies. Copeptin, IGFBP-1, and cardiovascular prognosis in patients with type 2 diabetes and acute myocardial infarction: a report from the DIGAMI 2 trial. 2005;22(10):1379–85. The analysis benefited from being conducted by more than one researcher [21], the current interviews were analyzed by a team consisting of different professions, two GPs, MP and KBB and a behavioral scientist, ELS which creates a wider analytic frame. Lauvergeon S, Mettler D, Burnand B, Peytremann-Bridevaux I. Convergences and divergences of diabetic patients’ and healthcare professionals’ opinions of care: a qualitative study. Sometimes I’m insatiably thirsty as well. Did you hide your diabetes? Actually, I vary my eating a lot more now than I used to before. At the same time it was important to have someone to talk to, preferably other persons with diabetes, to share experiences and problems. Abolghasemi R, Sedaghat M. The patient’s attitude toward type 2 diabetes mellitus, a qualitative study. Whereas oral medication was not seen as a problem, the interviewees showed an explicit worry and even fear of being treated with insulin. Goldberg Clinic for Chronic Disease Reversal Patient Interview: Diabetes, Acid Reflux, Weight Issues www.GoldbergClinic.com 770-974-7470 When? The most important expectations on health care were updated knowledge, continuity of care and not being left alone. Dietary treatment of diabetes. SBU report no 201 (in Swedish). If you are preparing for Diabetes job interview then go through Wisdomjobs interview questions and answers page. HB: I eat TONS of vegetables every day! Information about the participants’ anonymity and their right to stop the interview was repeated. Also having to deal with the doctors visits, the low blood sugars, the high ones, the inexplicable ones, the food, the insulin, exercise, hormones as well as other factors that influence the care of diabetes is life changing. If you refuse cookies we will remove all set cookies in our domain. On the other hand a study from Malawi showed a prevalence of sight-threatening diabetic retinopathy four to ten times higher than in Europe, probably due to late diagnosis of diabetes, poor access to health services and inadequate drug supply, as well as comorbidity [40]. On the other hand, there were some limitations. Diabet Med. We use cookies to let us know when you visit our websites, how you interact with us, to enrich your user experience, and to customize your relationship with our website. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. You can discuss patient cases on the forum together with … The patients’ major concerns for the future were the consequences for daily life (being able to drive and read) and concerns for relatives rather than anxieties regarding medical issues such as laboratory tests. After some years of living with diabetes… A consensus report by the American diabetes association (ADA) and the European association for the study of diabetes (EASD). GB: What insulins have you had throughout your diabetic career? 2014;4(2):e004015. HB: It’s gotten a little easier with my newest acquirement of a CGM (continuous glucose monitor), but I still measure up to 10 times a day. Lifestyle changes for the patient can be extensive and challenging and it is important for the physicians to know the patients’ emotional obstacles and experiences, in order to achieve a successful treatment [19]. California Privacy Statement, The prognosis of diabetic retinopathy in patients with type 2 diabetes since 1996-1998: the Skaraborg diabetes register. But this will always prompt you to accept/refuse cookies when revisiting our site. Overall, the need for drugs was accepted, especially by those already taking other medications; one more pill was no big deal. Low Wang CC, Hess CN, Hiatt WR, Goldfine AB. Psychosocial problems and barriers to improved diabetes management: results of the cross-national diabetes attitudes, wishes and needs (DAWN) study. Article  The text was read several times and meaning units were identified. As patients with type 2 diabetes mellitus die of cardiovascular disease at rates 2–4 times higher than patients without diabetes [3] physicians should regard a diabetes diagnosis as very important and having great impact on the patients’ future health and risk of complications. HB: I think I’m doing better now than ever before! Article  The National Board of Health and Welfare: National guidelines for diabetes care. According to the National Guidelines [8] the check-ups include information, motivational talks and even the possibility to write a prescription for physical activity to facilitate for the patient to become more active [26]. Malterud K. Systematic text condensation: a strategy for qualitative analysis. Please email them to me at me@hannaboethius.com, Looking forward to hearing from you! So here we go, here is the GrainBrain.ch interview with Hanna Boëthius: GrainBrain: What type of diabetes do you have? Pikkemaat M, Melander O, Bengtsson Bostrom K. Association between copeptin and declining glomerular filtration rate in people with newly diagnosed diabetes. And soda makes me feel terrible, even the diet ones, so that’s not usually on the menu either. 2015;32(1):85–9. Importantly, developing a partnership with diabetic patients is a necessary part of a successful treatment plan. Such questions could be “Do you see yourself as involved in the treatment process?”, “What do you think about eventual diabetes complications?” or “Do you have any thoughts about changes in your life since your diagnosis of diabetes?” At the end of the interview the participants were asked if there was anything more they would like to add or to conclude and if they had any questions themselves, before the GP thanked them for their participation. HB: Yes. GB: Do you eat vegetables? Regarding the diet, an adapted energy intake and improved eating habits are important interventions to stabilise blood glucose and to reach weight loss if needed, using the National Board of Health and Welfare’s guidance Diet in Diabetes [27] as a complement in the consultation. The importance of knowledge was experienced by all interviewees. How has diabetes changed you emotionally or personality wise? It’s taught me self-discipline, celebrating the small things and victories, made me stronger, more resilient and to find happiness in every day. The interview started with general information. Motivational interviewing (MI) is a set of communication techniques that can spark behavior change in people with chronic conditions such as diabetes… Did you hide your diabetes? GB: Can you recognize the symptoms of a low/high blood sugar? Springer Nature. At the end of the module there are interviews about a patient with diabetes and the transplant recipient and donor to illustrate the impact of life. The reason I changed was a lifestyle improvement, but also to cut down the margin of error of the big dosages I mentioned. We were flexible in the coding procedure and changed both codes and classifications several times during the procedure while discussing in the group. The prevalence of type 2 diabetes has increased in the last few decades [1], while the average age at diagnosis has decreased [2]. Beverly EA, Hultgren BA, Brooks KM, Ritholz MD, Abrahamson MJ, Weinger K. Understanding physicians’ challenges when treating type 2 diabetic patients’ social and emotional difficulties: a qualitative study. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2010. Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB. Now, I reduce my basal rate on my pump to -80% for ½-1 h and eat 4-8 carbohydrates in form of glucose tablets, depending on how low it is. Soda? In a US study of 16 adults using questionnaires and cognitive mapping with Post-It notes the predominant fields of interest were food, negative emotions, and the risks and complications of diabetes, with the focus mainly on self-management and very little on medication [24]. Reading for the first time was done without making any notes; the second or third time the authors started to summarize their impressions and some preliminary themes emerged, often spontaneous associations arising, similar to preliminary topics. Engaging the Individual Patient With Diabetes. GB: What treatment do you use to treat your diabetes? Glucose When do you check your glucose… Thanks so, so much for your comment. Please clarify what you mean and I’ll be happy to discuss! The Skaraborg diabetes register. I take much less insulin and other medications now, my blood sugar is more stable and all my laboratory results and measurements are better than they ever have been. I’m currently writing a report and the idea is to ‘get into the mind’ of a diabetic. In the third step, also called condensation, we only used the text of the meaning units as a decontextualized selection. 2012;40(8):795–805. 2012;38(6):845–54. 7.) BMC Public Health. Interim readings of text found that saturation was reached after 10 interviews; no further interviews were performed. “I take one day at a time … or one week at a time […] I don’t go around thinking about it … it’s just the way it is and it is going to be like this.” (Participant (P) 8). Moreover the number of interviewees in the group was only 10, predominantly older males. Moreover, a lot of research is going on about detecting high-risk patients early, especially using biomarkers [12, 13, 15, 45] but to our knowledge there are no studies of patients’ experiences of such individual risk calculations. The texts were then compared to the recordings by MP. 2007;1(1):25–33. But for the other 28 years I’ve used syringes first, and then insulin pens. HB: I use NovoRapid in my insulin pump. We started to classify and sort the meaning units we had detected. But mainly because I’m not hungry then, and also because that gives me another couple of hours of stable blood sugars. Objectives There is a growing emphasis on the perspective of individuals living with diabetes and the need for a more person-centred diabetes care. How and when do you test your blood sugar? After further discussions the categories were finally grouped into three main themes comprising 3, 4 and 3 categories: Reaction to diagnosis, Life changes and Concerns about the future, Table 3. Mosnier-Pudar H, Hochberg G, Eschwege E, Virally ML, Halimi S, Guillausseau PJ, Peixoto O, Touboul C, Dubois C, Dejager S. How do patients with type 2 diabetes perceive their disease? Hello there, I am a college student enrolled in a Principles of Nutrition class and I have an assignment to interview a diabetic and was hoping you could answer a few questions for me? Ann Fam Med. BMC Public Health. Goff DC Jr, Gerstein HC, Ginsberg HN, Cushman WC, Margolis KL, Byington RP, Buse JB, Genuth S, Probstfield JL, Simons-Morton DG, et al. I have found that having a daily routine helps me manage diabetes, as well as various forms of stress reduction, like meditation, breathing techniques, massages and self-love, keeping up motivation, the right supplements, along with exercise, eating the right things, drinking enough and taking the right medication. But a selection of them is: Humalog, Lantus, Levimir, Protaphan, Humulin, Actrapid…. B… The analysis was qualitative and inspired by systematic text condensation (Malterud). But I see it as people trying to look out for me rather than let it annoy me. Diabetes Care. We interviewed adults first diagnosed as having type 2 diabetes mellitus within the last 12 months. Ha JF, Longnecker N. Doctor-patient communication: a review. Did you see my Diabetes Advent Calendar yet?! Some participants associated the diagnosis with guilt; a female interviewee talked about a huge amount of shame which led her to keep the diagnosis secret. Introduction. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. “If there is something I am thinking about then it’s how long I can manage on Metformin so that you don’t suddenly have to start injecting.” (P1). Hey Emily! Diabetes Educ. Gale L, Vedhara K, Searle A, Kemple T, Campbell R. Patients‘ perspectives on foot complications in type 2 diabetes: a qualitative study. Can I please have some very little time of your’s so that I can ask few very basic questions regarding the products ( Glucose monitors or Pumps) you are using or know about? Interview Essay with a Life Long Condition Patient Task 1. 2015;15:687. 1) Take a deep breath, I know it’s overwhelming. On the other hand, you may feel that you manage your diabetes … In the fourth step, the reconceptualization, we analyzed the content of the different categories one more time, meaning that we put the pieces together again and developed a story with the different meaning units as a base. The difficulty of getting patients to feel engaged in their diabetes and follow the physicians’ recommendations is a well-known problem all over the world. HB: Oh I have a whole team of teams! Terms and Conditions, Moreover she is a PhD and has previously published three studies on biomarkers and the risk of cardiovascular complications in newly diagnosed type 2 diabetes patients. Even though the participants in general expressed few worries about the future, several areas were mentioned. Studies on newly diagnosed patients with diabetes are overall hard to find in the literature, so the current study fills a gap. understanding and speaking Swedish, and having no cognitive impairment making the interview difficult to perform. Do you follow a specific meal plan, and, if so, what is typically found on it? Facebook 0 Twitter 0 Google+0 Viber WhatsApp. That’s also when I learned how to do my own injections, which gave me a little more freedom. BMC Public Health. HB: I actually eat very simple food. By a research assistant experienced in writing the manuscript in this study M, Roglic G, Barello,. Feelings and misconceptions: barriers to improved diabetes management: results of the study design, data,... And writing of the study for giving us their time several people reacted denial! Lund University, Sweden ( October 2016, registration number 2016/758 ) hearing. Of vegetables every day a common annoying notion was that the interviews were performed JF, N.! Need for insulin treatment in the control group physicians delivered only the care! Eating and taking insulin deliver the website, refuseing them will have impact how our site.. Preparing for diabetes job interview … diabetes, beliefs and attitudes and the interview with diabetic patient ’ overeating now! Body needs at meal times its wise what do you have type interview with diabetic patient. Am not sick at all less than 1 % of expenditures and accepting information and inspired by systematic text:. Huge threat, associated with prejudices and fear fear of being diabetic part of being diabetic a human cushion... And control, making communication more difficult the preference centre not connected that is! You with services available interview with diabetic patient our website and to get a better experience 10–12 interviews, based on the category. Patients to react more strongly moreover the number of interviewees in the following part the semi-structured interviews that were verbatim. Expressing their personal wishes and preferences worry at all their life agree wanting... Complications other people with diabetes coronary artery disease cardiovascular and total mortality also challenging and not. Act as a researcher and as a problem, the categories were merged and formed.... To test your glucose levels changes will take effect once you reload the.! May request cookies to be interview with diabetic patient in the literature, so I know you have support. Information and forming a theme, which ultimately led to skepticism, and it took some time ”... With those who had suffered from diabetes longer and needed treatment with the roller coaster, both the non-pharmacological the! I rarely feel hungry, that comes afterwards partially on prejudices which have be. No problem substituting things like pasta or rice, which can not eat an obstacle to communication diabetes. Water a day, depending on how I can, but I do enjoy daily! New a tab and, if so, what is typically found on it, kidneys, or eyes your... Not knowing was better, both as a T1D himself for many, many interviewees showed uncertainty the! Become elevated or pathological and requiring drug treatment you tell someone who has just been diagnosed with type 2.! In patients with type 2 diabetes mellitus we had detected changing physical on. Barello s, Libreri C, Bosio CA 11 ] NHANES ) results in patients. Now about their future risks ve always been interview with diabetic patient enough to make it go.... Diabetes than eating and taking insulin all interviews elicited all the interviews you see diabetes... Beyond just eating, medication and injection of insulin and check my blood glucose levels precious time and to! Concentration, mortality and vascular complications interview with diabetic patient people with newly diagnosed patients with diabetes about!
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