Home | About us | Editorial board | Search | Ahead of print | Current issue | Archives | Submit article | Instructions | Subscribe | Contacts | Advertise | Login 
 
Search Article 
  
Advanced search 
  Users Online: 3478 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  

 
Table of Contents
LETTER TO THE EDITOR
Year : 2017  |  Volume : 21  |  Issue : 3  |  Page : 486-487

Indian and American guidance on psychosocial care of persons with diabetes


1 Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India
2 Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India

Date of Web Publication2-May-2017

Correspondence Address:
Yatan Pal Singh Balhara
Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijem.IJEM_545_16

Rights and Permissions

How to cite this article:
Balhara YP, Kalra S. Indian and American guidance on psychosocial care of persons with diabetes. Indian J Endocr Metab 2017;21:486-7

How to cite this URL:
Balhara YP, Kalra S. Indian and American guidance on psychosocial care of persons with diabetes. Indian J Endocr Metab [serial online] 2017 [cited 2020 Feb 18];21:486-7. Available from: http://www.ijem.in/text.asp?2017/21/3/486/205494

Sir,

The American Diabetes Association (ADA) has recently published its position statement on psychosocial care of people with diabetes.[1] As per their acknowledgment, the authors mention that the process of preparing this document began a decade ago, in 2006–2007. This long journey highlights the efforts it has taken for researchers to get psychosocial care accepted as an integral part of diabetes management.

India has a relatively shorter history of modern diabetes care. In contrast to the ADA, which was founded in 1940, the Research Society for Study of Diabetes in India turns 45 this year (2017).[2],[3] Similarly, The Endocrine Society of USA began a 100 years ago, while the Endocrine Society of India was formed in 1971.[4],[5] Yet,[6] India was able to publish National Recommendations on Psychosocial Management of Diabetes in 2013. Written by 13 authors from multiple specialties (endocrinology/diabetology, psychiatry, psychology and community medicine), this comprehensive document covers a wide spectrum of psychological, psychiatric and social issues, and lists 94 specific recommendations. The Indian guidelines describe means of improving skills of health-care professional and awareness of patients as well as the community at large. A detailed description of how to assess and manage psychological, psychiatric, and social challenges is provided. Indian acronyms to explain the attributes of a good diabetes care provider (CARES)[7] and motivational interviewing (WATER)[8] are highlighted. Indigenous forms of treatment or support, such as yoga, meditation, and folk dance therapy, are suggested.

While the national guidelines do not mention the phrase “life course considerations,” they do focus on unique psychosocial needs (and solutions for) children and adolescents, poor socioeconomic class, rural-dwellers, and women. The contribution of family, custom/religion, and community, in achieving effective diabetes care is stressed upon.

The ADA position statement will be taken as a landmark in comprehensive diabetes care. The Indian recommendations on psychosocial management are an equally robust and relevant contribution to psychosocial care and should be acknowledged as such.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
Young-Hyman D, de Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: A position statement of the American Diabetes Association. Diabetes Care 2016;39:2126-40.  Back to cited text no. 1
[PUBMED]    
2.
American Diabetes Association. The journey & the dream: A history of the American Diabetes Association. Arlington: American Diabetes Association; 1990. p. 23.  Back to cited text no. 2
    
3.
RSSDI. Available from: http://www.rssdi.in/new/aboutus.php. [Last accessed on 2016 Dec 11].  Back to cited text no. 3
    
4.
The Endocrine Society. Available from: https://www.endocrine.org/about-us. [Last accessed on 2016 Dec 11].  Back to cited text no. 4
    
5.
Kalra S, Unnikrishnan AG, Joshi S. Academic endocrinology in India: Forty, fifteen or both? Indian J Endocrinol Metab 2011;15:237-8.  Back to cited text no. 5
    
6.
Kalra S, Sridhar GR, Balhara YP, Sahay RK, Bantwal G, Baruah MP, et al. National recommendations: Psychosocial management of diabetes in India. Indian J Endocrinol Metab 2013;17:376-95.  Back to cited text no. 6
    
7.
Kalra S, Kalra B, Batra P. Patient motivation for insulin/injectable therapy: The Karnal model. Int J Clin Cases Investig 2010;1:11-5.  Back to cited text no. 7
    
8.
Kalra S, Kalra B. A good diabetes counselor ′Cares′: Soft skills in diabetes counseling. Internet J Health 2010;11:7098.  Back to cited text no. 8
    




 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
 References

 Article Access Statistics
    Viewed454    
    Printed3    
    Emailed0    
    PDF Downloaded125    
    Comments [Add]    

Recommend this journal