& Strandberg, E.L. “I have got diabetes!” – interviews of patients newly diagnosed with type 2 diabetes. Interim readings of text found that saturation was reached after 10 interviews; no further interviews were performed. So it has affected my whole family in many, many ways. This makes the current study, showing the respondents’ thoughts about risk and complications, important. HB: I would tell them three things: Freeman J, Loewe R. Barriers to communication about diabetes mellitus. We defined three main themes: Reaction to diagnosis, Life changes and Concerns about the future. The experiences and observations the interviewees expressed in the current study were not homogeneous, as has been previously been shown [33], making it difficult to generalize about how communication with a patient with diabetes should be conducted, apart from the importance of individualizing and being aware of the different points of view [36]. Motivational interviewing (MI) is a set of communication techniques that can spark behavior change in people with chronic conditions such as diabetes… 2001;358(9280):483–8. Regarding the risk of complications there is a great deal of previous research as well as ongoing research to refine the prediction of risk and to detect high-risk patients at an early stage, including the use of biomarkers [12,13,14,15]. Did you see my Diabetes Advent Calendar yet?. HB: Of course, that’s what I have to do to feel well. The worldwide epidemiology of type 2 diabetes mellitus--present and future perspectives. 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. Your email address will not be published. HB: Not nearly as annoyed as I get by the word “diet”! Correspondence to There were considerable differences in how much patients wanted to know about their future risks. Personal responsibility was seen clearly by most interviewees. Have a nice day, Dear Respected Hanna!! On the other hand, there were some limitations. 2010;33(7):1604–6. J Diabetes Complicat. Lancet. Whereas one can find a lot of studies on interviews with diabetes patients who have had their diagnosis for a long time, published qualitative studies on newly diagnosed diabetes patients are harder to find. 3. Save my name, email, and website in this browser for the next time I comment. These professionals also steer public awareness initiatives. Google Scholar. The patients have to be approached individually after expressing their personal wishes and preferences. The GP performing the interviews presented herself and the aim of the project once more. The physicians are more focused on laboratory test results and guidelines than on understanding the patients’ point of view and treatment goals. Do doctors address the concerns of patients with diabetes? Br J Gen Pract. Garberg G, Lovestam-Adrian M, Nasic S, Bostrom KB. HB: I was diagnosed with diabetes at the age of 2, 29 years ago now. Ten adults (7 men/3 women, aged 50–79) diagnosed with type 2 diabetes within the last 12 months were interviewed at a primary health care center in Sweden. Pikkemaat M, Melander O, Bengtsson Bostrom K. Association between copeptin and declining glomerular filtration rate in people with newly diagnosed diabetes. The interview started with general information. 7.) The authors declare that they have no competing interests. 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. Goff DC Jr, Gerstein HC, Ginsberg HN, Cushman WC, Margolis KL, Byington RP, Buse JB, Genuth S, Probstfield JL, Simons-Morton DG, et al. Gedebjerg A, Almdal TP, Berencsi K, Rungby J, Nielsen JS, Witte DR, Friborg S, Brandslund I, Vaag A, Beck-Nielsen H, et al. At the same time we continued working on the preliminary themes, especially merging some of the preliminary themes. Lifestyle changes were mainly accepted but hard to achieve. Before that it was 7-12 times a day, depending on how I felt and what I was doing. That changed a few years later when he diagnosed with type 1 diabetes at the age of 23. They were patients at a PHCC in southern Sweden where the first author, MP, works as a GP. “You have to shut your ears to some people, the people around you saying that I should go out for a walk, I should do this and that.” (P7). HB: There’s much more to diabetes than eating and taking insulin. Soda? GB: What is the hardest part of being diabetic? 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? 2 Diabetes Case anager Interview Guide. I can’t say I ever took pride in having diabetes before. BMJ Open. Michael is a man diagnosed with type 2 diabetes mellitus (DM), at the age of 45 years a disease he believes is genetically acquired as his … Hey Safdar! Drink lots of water? The funders had no role on the study design, data analysis, interpretation and writing of the manuscript in this study. Health Expect. Surprisingly, the majority of the interviewees did not express many feelings or had made no important changes in life after their diabetes diagnosis. Some patients even deny or repudiate the diagnosis, while others fear the complications [10, 11]. GB: How long have you had diabetes? Physicians might think more about preventing myocardial infarction, kidney disease or stroke while patients are more focused on practical changes in their daily life such as not being able to travel, to drive a car, to practice their favorite leisure-time activities or to be in need of help from others. This is especially interesting because even the current consensus report from the American Diabetes Association and the European Association for the Study of Diabetes focuses on a patient-centered approach and individual treatment goals and strategies [44]. Therefore, starting at the time of diagnosis the patient is prescribed several drugs over a short time. 2015;18(1):111–23. Diabet Med. Or financially? HB: Since about a year, I use an insulin pump. Qualitative research including research interviews are valuable complements to quantitative research, helping us to understand individuals and to focus on their thoughts and experiences [16, 17]. You have the support of countless others who have felt the same shock. Specific questions were mainly used by the GP when the participant fell silent for some time. How do you balance your diet with your medication or insulin? The patient’s view of a diagnosis of diabetes has been studied before. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M, Christiaens T, Cifkova R, De Backer G, Dominiczak A, et al. At a follow-up those patients expressed a need for primary care professionals who had expertise in diabetes care, had more dedicated time and were more accessible than general practitioners [22]. I’ve done an interview with none other than my fabulous self. GB: What treatment do you use to treat your diabetes? They talked spontaneously about problems and complications other people with diabetes suffered from, such as fainting, becoming blind or dying early. 2015;35(4):503–11. Check to enable permanent hiding of message bar and refuse all cookies if you do not opt in. In contrast, need for insulin treatment in the future was seen as a huge threat, associated with prejudices and fear. But of course there are moments I have to sit down and take it easy rather than going at full speed…. Keywords: Type 2 diabetes, Newly diagnosed, Interview, Primary health care, Complications, Qualitative content analysis Background The prevalence of type 2 diabetes … Glucose When do you check your glucose… HB: Yes, most of the times I can. The PHCCs are responsible for a certain number of listed patients. The prognosis of diabetic retinopathy in patients with type 2 diabetes since 1996-1998: the Skaraborg diabetes register. 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