Chapter 14
Improve The Self-Management
of Diabetes
In a scientific paper, Laura Melton (2016, 211-213) defines the progression of ACT for diabetic individuals. Its principle is that diabetes patients require more than therapeutic treatment, for they have an emotional load to tolerate as well.
This paper outlines the following:
  1. Competence and supply administration
  2. The program’s group nature
  3. Reduction of stigma and enlarged contribution.
  4. Time commitment of members.
The beneficial model combined the six procedures of ACT. Since not all subjects were acquainted with ACT at the start of the treatment program, short outlines of each of these mechanisms were provided in the first meeting. The effort on each of the six procedures was dispersed over four workshops of this program.
Meeting one focused on morals and the current moment. The second on intellectual dispersion and reception, starting with an exercise of mindfulness. The third spoke of self-as-context and receipt. In each meeting, the preceding effort was studied, plus exercises and descriptions. Likewise, the submission of ACT to diabetes was clarified. Members finished the workshops by classifying their standards and doing a dedicated action exercise.
This investigational program verified that ACT might be beneficial, as long as members were present throughout the program. Very few were present at all the meetings.
Jennifer Gregg, Steven Hayes, and Glenn Callaghan wrote a guide for treating diabetes with ACT which was uploaded on the San Jose State University website. They clarify their aim for making the guide: Diabetes patients require more than schooling; they require approaches to existing with diabetes. They state the two resolutions:
There can be numerous undesirable moods, opinions, and actions associated with the existence of diabetes. To some customers, the news that they have this disease is devastating. Similarly, there are some characteristics of the involvement that lead to anxiety and worry, such as the essential routine deviations. Gregg, Hayes, and Callaghan list the distinctive routine variations that diabetes patients must tolerate:
  1. Watch the food eaten. They must eat low cholesterol, calories, sugar, protein, sodium, and carbohydrates.
  2. Checking the levels of blood glucose every day to know the effects of everyday actions such as exercise.
  3. Exercise regularly to successively arouse the aptitude of the body to conceal and use insulin.
The difficulties of obesity, sedentary habits, and choosing sweet food make it particularly hard for individuals with full, type 2 diabetes to manage.
Not only does the person have to stick to a medical command and fundamentally change their diet, but anticipating the difficulty and the existence of diabetes is an additional problem. Obviously, evasion is a potential concern. Seeing that food is a remedy to painful moods and opinions, and that carbohydrate-laden food is observed as a relief, talking evasion is dynamic if an individual with diabetes is going to advance their operation in the existence of diabetes.
There is certainly going to be uneasiness and worries related with having diabetes. As per the ACT viewpoint, an all-inclusive therapeutic treatment was intended to attain improved self-management of patients with diabetes. The primary half of this program talks about education on existing with diabetes and the second aims to exact motivational and reception sections. Five units were prearranged:
Module I: Education and Information
Module II: Food, Diabetes, and Your Health
Module III: Exercise and Diabetes
Module IV: Coping and Stress Management
Module V: Acceptance and Action
Therapy is given in groups with clinicians as group leaders.
The guide offers numerous procedures and skill-building actions: registering and self-assessment forms, facts sheets, notes on mindfulness and other subjects, well-being management instructions such as foot care, values questionnaires, questionnaires to record opinions and emotions and unit plans. The last of the resources is a questionnaire for writing down goals.