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Diabetes Spectrum 14:10-12, 2001
© American Diabetes Association ®, Inc., 2001

Preface

Personal Barriers to Diabetes Care: Is It Me, Them, or Us?: Preface

David Simmons, MRCP, FRACP, MD(Cantab)

This From Research to Practice section focuses on personal barriers to diabetes care (Figure 1), emphasizing the need to see through the eyes of those with diabetes if we are to achieve the goals of high quality of life, community participation, and morbidity and mortality rates comparable to the rest of the population. We now know that, in the study setting, we can normalize pregnancy risk1 and greatly reduce the complications of both type 1 and type 2 diabetes.2,3 However, we also know that outside of the study setting, we are not doing so well.4,5 What is stopping us?


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  		Figure 1. Personal barriers to diabetes care

 
Perhaps the first step is to appreciate that "us" includes those with diabetes and those around them as well as diabetes health professionals. Toni Tripp-Reimer, PhD, RN, FAAN, and her colleagues (p. 13) point out that we should see many of the problems of providing care to those with diabetes as arising from the biomedical culture through which health care is generally delivered. Janice C. Zgibor, RPh, PhD, and Thomas J. Songer, PhD, MSc (p. 23), explain that modern health care is indeed delivered in a way that often makes it difficult for many people with diabetes to effectively carry out self-care. Beth Ann Coonrod, PhD, MPH, RN, CDE (p.28), focuses on how physical factors can hinder self-care and how many of these factors can be overcome with appropriately delivered care. And Russell E. Glasgow, PhD, and his colleagues (p.33) emphasize the many psychological factors that contribute to the decision making . . . [Full Text of this Article]

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Copyright © 2001 by the American Diabetes Association.