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Self-Management Training
The Certified Diabetes Educator explains to patients, who are newly
diagnosed, and frightened, about what their disease means to them and their
lives and futures. The Certified Diabetes Educator illustrates with visual aids
and personal expertise what causes diabetes, what the risks were and how their
blood serum glucose could be controlled, allowing most of them a better than
even chance of living full and productive lives.
The patients are empowered to control their future health through
self-monitoring, diet and exercise and in some cases, the self-delivery of
medications and or insulin.
Not being diabetic myself, I objectively viewed the class. I learned much about
diabetes and it's effective care. I learned that in a normal healthy state, we
consume carbohydrates in some of the foods we eat such as starches and sugars,
and this carbohydrate is converted to glucose (sugar) and enters the
bloodstream. That glucose then enters the cells of the body, aided by insulin,
which comes from the pancreas. The insulin serves as a "key" to unlock the
receptor cells of the body so that the glucose can enter and provide fuel for
the body to function.
Patients learn that diabetes mellitus is the term used for the condition in
which either the pancreas no longer produces insulin, the insulin produced is
not healthy or plentiful enough, or the cells are not able to respond to the
insulin (insulin resistance), therefore the cells are not able to use the
glucose they need for fuel. The body literally starves. I learned the symptoms
and risks of diabetes, what happens when there is a low glucose level in the
blood, and what happens when this level gets too high.
Patients learn about the two main types of diabetes mellitus. Type 1 diabetes is
the case where no insulin is produced by the pancreas, or the insulin produced
is not usable. In this case, insulin is required through injections or a special
insulin pump. Without this outside source of insulin, the diabetic patient could
not live. Type 2 diabetes is the condition where some insulin is produced, but
either it is not enough, the insulin is not healthy or the patient is insulin
resistant, as mentioned above. In the case of type 2 diabetes, sometimes diet
and exercise can bring the balance of glucose and insulin under control. Insulin
resistance can also be lowered this way in some cases. In other cases of type 2
diabetes, medications are needed to stimulate the pancreas into producing more
healthy insulin, or to "unlock" the receptor cells so that they can receive the
insulin and glucose they need as fuel to function.
As the name states, the diabetes self management classes teach patients to
monitor and control their diabetes themselves. They learn to count the
carbohydrates they intake and what that means to their blood glucose levels.
They learn to balance the sugar in their blood, and therefore live, in many
cases, healthy and normal lives.
If you are a sufferer of diabetes, and are fortunate enough to attend the
Marshall Diabetes Center, you are sure to get the best care and training
available. |