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Year : 2013  |  Volume : 17  |  Issue : 3  |  Page : 376-395

National recommendations: Psychosocial management of diabetes in India

1 Department of Endocrinology, Bharti Hospital, Karnal, India
2 Endocrine and Diabetes Centre, Visakhapatnam, India
3 Department of Psychiatry, National Drug Dependence Treatment Centre (NDDTC), AIIMS, New Delhi, India
4 Department of Endocrinology, Osmania Medical College, Hyderabad, India
5 Department of Endocrinology, St. John's Medical College, Bengaluru, India
6 Department of Endocrinology, Excel Centre Hospitals, Guwahati, India
7 Providence Endocrine and Diabetes Specialty Centre, Trivandrum, India
8 Department of Endocrinology, Amrita Institute of Medical Sciences, Kochi, India
9 Department of Psychology, Andhra University, Vishakhapatnam, India
10 Consultant Psychologist, Noida, India
11 Department of Community Medicine, Amrita Institute of Medical Sciences, Kochi, India
12 Department of Endocrinology, Center For Diabetes, Kanpur, Uttar Pradesh, India
13 Department of Endocrinology, CDEC and Bangalore Diabetes Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Sanjay Kalra
Bharti Hospital, Kunjpura Road, Karnal, Haryana - 132 001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-8210.111608

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Although several evidence-based guidelines for managing diabetes are available, few, if any, focus on the psychosocial aspects of this challenging condition. It is increasingly evident that psychosocial treatment is integral to a holistic approach of managing diabetes; it forms the key to realizing appropriate biomedical outcomes. Dearth of attention is as much due to lack of awareness as due to lack of guidelines. This lacuna results in diversity among the standards of clinical practice, which, in India, is also due to the size and complexity of psychosocial care itself. This article aims to highlight evidence- and experience-based Indian guidelines for the psychosocial management of diabetes. A systemic literature was conducted for peer-reviewed studies and publications covering psychosocial aspects in diabetes. Recommendations are classified into three domains: General, psychological and social, and graded by the weight they should have in clinical practice and by the degree of support from the literature. Ninety-four recommendations of varying strength are made to help professionals identify the psychosocial interventions needed to support patients and their families and explore their role in devising support strategies. They also aid in developing core skills needed for effective diabetes management. These recommendations provide practical guidelines to fulfill unmet needs in diabetes management, and help achieve a qualitative improvement in the way physicians manage patients. The guidelines, while maintaining an India-specific character, have global relevance, which is bound to grow as the diabetes pandemic throws up new challenges.

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