Health Behavior

2

Jasmine Fields

Columbia Southern University

Health Behavior PUH 5304

Dr. Williams

November 15, 2022

Health Behavior

Diabetes management is difficult and time-consuming. New therapies, instruments, and methods of operation are also being introduced into the sector. Whether a person with diabetes (PWD) is performing a new duty in their treatment plan, attending an appointment, or dealing with the emotional burden of having the condition, behavior is always an element of diabetes care. Every day, people with diabetes plan appointments and refill supplies, communicate to others about diabetes, carry supplies and be prepared for the unexpected, and remember and administer prescriptions. The person with diabetes (PWD), the PWD's immediate surroundings, and the diabetes care provider's prescription for a behavior change are all significant components of diabetes treatment behavioral transactions. Whether or whether the PWD accepts the diabetes care provider's recommendations is determined by a variety of variables, including the PWD's degree of knowledge, previous experiences, sentiments, and beliefs (McManus, 2021). This research is founded on the premise that persons with impairments must adjust their behavior to benefit from the recommendations.

Special considerations: eating

Several treatments include monitoring blood sugar levels, injecting insulin, and taking tablets orally. Nonetheless, many individuals with diabetes of all ages and kinds have difficulty eating and often discuss it with their diabetes care professionals. Keeping track of carbohydrates, restricting calories, measuring blood sugar before and after meals, and observing how blood sugar levels vary after meals are all diabetes-related eating habits. It is important to consider eating-related psychological or behavioral difficulties since they might make it difficult to manage diabetes and follow dietary instructions. This little post is intended to present these concepts to the person caring for a diabetic so that they might be considered when making recommendations.

State a minimum of one goal with two objectives for the intervention strategy. Remember, the goal will focus on what and the objective will determine how.

It is unclear how frequent eating disorders are among diabetics compared to the general population, but everyone believes that disordered eating or being diagnosed with an eating disorder is associated with poor blood sugar management and a greater risk of complications. The most frequent methods for losing weight are to eat less and use less insulin. It is estimated that 10% of children and teenagers with type 1 diabetes intentionally do not take their insulin. People with diabetes who binge eat or have a binge eating problem may need specialized treatment (BED). BED is defined by bouts of overeating, inability to regulate how much you eat, eating when you're not hungry, eating for reasons other than hunger, eating in private, and eating in public. Youth who are overweight or have Type 2 diabetes are at a higher risk due to the association between binge eating and fast weight gain.

Higher BMI percentile, more concerns about weight and form, worse general and appearance-related self-esteem, more depressive symptoms, a parent on a diet or who says bad things about food or weight, and less family unity are all associated with BED and disordered eating. Along with clinical observations of these risk variables, validated screeners such as the Eating Disorders Inventory Bulimia subscale and the Youth Eating Disorder Examination Questionnaire may assist clinicians in identifying PWD with disordered eating that impacts how they handle their diabetes (YEDEQ).

Identify the setting in which the intervention will take place.

Community health professionals provide services and conduct lessons one-on-one or in small groups. Intervention activities take happen in the homes of patients, the community, and clinical settings. Community health professionals may operate alone or as part of a broader healthcare team that includes physicians, psychologists, and social workers (e.g., nutritionists, exercise physiologists). Community health workers, also known as promotores de salud, community health advocates, community health advisors, and other titles, link those who cannot afford health care to areas where it may be obtained. They have a unique bond with the individuals they assist since they are from the same community or share similar beliefs. Most community health workers are self-taught and have no formal designations. Community health workers might be paid personnel or volunteers who are recruited by organizations.

Identify community resources needed for the intervention.

Diabetics should consume a well-balanced diet rich in vegetables and legumes (such as chickpeas, lentils, low-salt baked beans and kidney beans). Include some lean protein sources and low-fat dairy products, as well as high-fiber, low-GI carbohydrates like wholegrain breads, cereals, and fruit. Select foods with reduced salt, saturated (bad) fat, and added sugars. Controlling how much you eat at each meal is a simple and efficient strategy to maintain healthy blood sugar levels and weight (Ganesan, 2018). A licensed dietician is the ideal person to consult with to develop a solid nutrition plan.

Develop a timeline for the implementation of the intervention.

Follow a meal plan that specifies when, what, and how much to eat at each meal. This will help you maintain appropriate blood sugar levels and acquire the nutrients you need. A healthy diet plan will take your requirements, tastes, and way of life into consideration, as well as any medicines you may be taking. Non-starchy vegetables such as broccoli, spinach, and green beans should also be included in a balanced diet. Reduce your intake of processed carbohydrates and added sugars. Refined grains include white bread, rice, and pasta. These foods have fewer than 2 grams of fiber per serving. Try to consume more whole foods and fewer processed things (Celli, 2022). The quantity of carbohydrates you consume influences the amount of sugar in your blood. What you eat with carbohydrates affects how rapidly they elevate blood sugar. Drinking fruit juice, for example, has a greater influence on blood sugar levels than eating a full fruit. When you combine carbohydrates with protein, fat, or fiber, you may delay the rate at which your blood sugar levels increase after eating.

References

Celli, A., Barnouin, Y., Jiang, B., Blevins, D., Colleluori, G., Mediwala, S., ... & Villareal, D. T. (2022). Lifestyle intervention strategy to treat diabetes in older adults: a randomized controlled trial. Diabetes Care, 45(9), 1943-1952.

Ganesan, K., Chung, S. K., Vanamala, J., & Xu, B. (2018). Causal relationship between diet-induced gut microbiota changes and diabetes: a novel strategy to transplant Faecalibacterium prausnitzii in preventing diabetes. International Journal of Molecular Sciences, 19(12), 3720.

McManus, L. S., Dominguez-Cancino, K. A., Stanek, M. K., Leyva-Moral, J., Bravo-Tare, C. E., Rivera-Lozada, O., & Palmieri, P. A. (2021). The Patient-centered Medical Home as an Intervention Strategy for Diabetes Mellitus: A Systematic Review of the Literature. Current Diabetes Reviews, 17(3), 317-331.