The introduction of self-management in Type 2 Diabetes care: A narrative review
نویسندگان
1 Department of Health Education and Promotion, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
2
doi
چکیده
Type 2 diabetes is one of the most life-threatening public health challenges in the world. Itcauses a high disease burden including increased disability, reduced life expectancy and everincreasing costs of care in almost every country. The growing burden of diabetes along withrapid cultural changes, aging population, increasing urbanization, changes in nutritional habits,reduced physical activity, and improper lifestyle and behavior patterns would inexorably driveincreased health care costs and demands. Several models of education have been proposedto reduce the complications of chronic diseases including diabetes. However, it is widely knownand acknowledged that adopting self-care and self-management behaviors play a fundamentalrole in diabetes control and treatment.A non-systematic (narrative) search strategy was used tocollect necessary data. Several models of diabetes care such as compliance-based or curativemodels exist. Neither the curative model nor the compliance/adherence model is rigorouslyeffective in diabetes care. The model of self-empowerment – based on the three fundamentalaspects of chronic illness care: choices, control, and consequences – is much more applicablein the management of diabetes. This point to an approach which recognizes that patients areresponsible for their diabetes care. Self-empowerment model has the potential to place diabetescare into context – a context which is based on active involvement of patients and informed,proactive healthcare professionals in the process of care.