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What is the trigger or motivation to make you change a behavior? If I had the answer to that question, my job would be easy. Health care providers send people to me so I can straighten them out and get them to do what they're supposed to do to manage their diabetes.
Currently, the term "noncompliant" isn't politically correct for many reasons. Often, you want to change but don't know where to begin. Sometimes, it's not the right time or you're in denial. So what's the answer?
As a diabetes educator, it's my job to educate, answer questions, offer encouragement, demystify misconceptions, direct, assist, teach self-management skills, and plant that the initial seed or idea for change in your mind. This is the process of empowerment.
I can't change your behavior; you have to do it yourself. The touchdown for a diabetes educator is to have the light bulb go on for a person during an education session. He'll say: "I get it or I now know what I have to do."
The icing on the cake is to see the person at the next visit with improved blood glucose control, feeling better, and happy about what they've done and where they're at with their diabetes management.
What about scare tactics? Do they work? I'm personally not a believer.
The Center for Disease Control (CDC) is running anti-smoking and tobacco use commercials. After graphic anti-smoking ads were shown, a CDC survey said that before the campaign started, 31 percent of smokers said they had tried to quit for at least one day in the previous three months. This went up to 35 percent after the campaign, and 13 percent said they succeeded.
Research also has shown that your belief in your ability to carry out actions to reduce the threat and/or fear is very important in leading to any change. The use of scare tactics in health communication is complex and controversial and the current research literature on scare tactics reflects this.
What do you think? Can you be scared into changing your behavior?
Have a great week.
Nancy Klobassa Davidson, R.N.
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Paragraph 5 "icing on the cake" might be considered an unfortunate choice of phrase considering the topic.
This is a fight, a battle with diabetes and very personal as you pointed out Nancy. Do I need to be scared? No, but I am always in need of being educated. 16 years of type II with the past year as IDDM. I have my ups and downs with this just like in life in general. What I appreciate the most is my PCP, my Endo, and my wife not giving up on me...therefore I will continue to fight the fight with this support. Chris F.
I had a heart problem begining of Jan 2014.
During my stay in the hospital I was told I am a Type 2 Diabitic And need to follow a healthier diet and also quit smoking after 40 years. I am using 12 Step Principle of One Day At A Time.Blood sugar levels are good and haven't smoked in 36 days and have lost 20 lbs.I would never have done any of this if someone had tried to force me.I needed a bottom and mine was heart issues.
I have been a type 1 diabetic for 60 years. I agree with the statement that it is up to the diabetic not your health care worker, spouse, child or parent if older than 13, to monitor what you eat. I do feel diabetes affects people differently and that there is not a one size fits all solution to this horrendous medical condition.
So many of us know exactly what to do, but the ability to do it is not based on knowledge, though knowledge is necessqry. Nor is it based on self-control alone. The best information I've ever heard on diabetes and obesity was in a recent talk by Peter Attia at TED conference last year: http://www.ted.com/talks/peter_attia_what_if_we_re_wrong_about_diabetes.html . We just don't know the answer yet, but it's not a character flaw when people fail, so scare tactics or shame usually backfire. It sounds like you're doing all that science has realistically discovered you can do at this point.
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