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Table of Contents
LETTER TO THE EDITOR
Year : 2013  |  Volume : 17  |  Issue : 5  |  Page : 945-946

Diabetes education: "Personal" family member or "impersonal" diabetes educator?


1 Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
2 MAIMRE, Agroha, Hisar, Haryana, India
3 S. N. Medical Center, Karnal, Haryana, India

Date of Web Publication29-Aug-2013

Correspondence Address:
Jaikrit Bhutani
121-B, Model Town, Karnal - 132 001, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.117204

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How to cite this article:
Bhutani J, Bhutani S, Bhutani J K. Diabetes education: "Personal" family member or "impersonal" diabetes educator?. Indian J Endocr Metab 2013;17:945-6

How to cite this URL:
Bhutani J, Bhutani S, Bhutani J K. Diabetes education: "Personal" family member or "impersonal" diabetes educator?. Indian J Endocr Metab [serial online] 2013 [cited 2020 Aug 12];17:945-6. Available from: http://www.ijem.in/text.asp?2013/17/5/945/117204

Sir,

The role of patient and peer involvement in the management of metabolic and chronic disease burden like diabetes, as suggested by Indian Journal of Endocrinology and Metabolism, offers a novel and practical idea. [1]

Diabetes self-management education has long been considered to be an important part of the clinical management of diabetes in the West. [2] There is a growing need to develop an effective educational program to enable patients of chronic, especially people with diabetes (PwD) deal adequately with the complexities of living with their chronic condition. [3]

Generally, physicians/diabetologists have limited time; thus, training of medical, paramedical, and nonmedical personnel, especially empowered PwD and their close family members as diabetes educators would be of immense help. They use interpersonal and communication skills to develop a tailor made patient-centered diabetes management plan. [4]

On the lines of Certification of Diabetes Educator in the West, a National Diabetes Educator Program (NDEP), under the auspices of the Indian Association of Diabetes Educators and Dr Mohan's Diabetes Education Academy, was completed from June 2011 to March 2012 to create a cadre of certified diabetes educators in India. The 10 enrolled participants, in a center at Karnal, Haryana were followed-up after a year of NDEP training for six cardinal management targets (fasting and prandial blood glucose levels, HBA1c, blood pressure, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol and triglycerides) [5] for diabetes. Simultaneously, the PwD relatives were also educated about the same targets on first visit and followed-up similarly. Interestingly, the PwD relatives had a better recall of these cardinal targets and their respective family members had a much better disease control (HbA1C).

This difference could be because of direct contact of the family members with the patient and the doctor. Moreover, the relatives are more responsible, responsive, and empathetic to the problems of the patients, thus can manage them better. [6] Thus, an ideal diabetes educator should have a triad of NDEP training, sociosensitive skills, and act as a family member to the patient.

Last, the editor has appropriately expressed the need for Diabetes Peer Support Program involving the PwD and their families. Further, this peer support system can be strengthened by development of recall improving audiovisual mechanisms and even smartphone applications in coming years.

 
   References Top

1.Aswathy S, Unnikrishnan AG, Kalra S, Leelamoni K. Peer support as a strategy for effective management of diabetes in India. Indian J Endocrinol Metab 2013;17:5-7.  Back to cited text no. 1
[PUBMED]    
2.Martin C, Daly A, McWhorter LS, Shwide-Slavin C, Kushion W. American Association of Diabetes Educators. The scope of practice, standards of practice, and standards of professional performance for diabetes educators. Diabetes Educ 2005;31:487-512.  Back to cited text no. 2
    
3.WHO. Innovative care for chronic conditions. Building blocks for action. Global report. Geneva: WHO; 2002.  Back to cited text no. 3
    
4.Drab S. The evolving role of the diabetes educator. Am J Med Sci 2013;345:307-13.  Back to cited text no. 4
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5.Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, et al. Management of hyperglycemia in type 2 diabetes: A patient-centered approach: Position Statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2012;35:1364-79.  Back to cited text no. 5
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6.Baksi AK. Experiences in peer to peer training in diabetes mellitus: Challenges and implications. Fam Pract 2010;27:i40-5.  Back to cited text no. 6
[PUBMED]    




 

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