However, even more important is involving patients into their own primary care, as the patient himself is the one playing crucial role in the process of management, thus it is very important to support such people not only physically, but psychologically, giving them enough motivation for that. Effective, ongoing education, matched to each patients ability and capacity to learn, can enable people with diabetes to take responsibility for their own health. People with diabetes should also be empowered to obtain the maximum benefit from healthcare services so that, as far as possible, they are able to participate in activities open to those without diabetes (McKinnon, 1995) In diabetes primary care the first and one of the most important stages is identifying people with diabetes.
According to the estimates, about 80 percent of those, who are diagnosed with diabetes, are able to be taught and to be managed within the limits of the primary care, though the potential patients with Diabetes Type 2 are really diagnosed, as they may live for years without any evident symptoms of the disease, that is why all specialists in all spheres of medicine must always be alert in relation to possible discovery of diabetes among their patients through other symptoms, which at first seem to have no connection with diabetes itself.
In order to increase the effectiveness of the diabetes management in primary care it is necessary undertake the following steps: 1. It is necessary to check all pregnant women on the subject of diabetes; 2. People, who have at least one possible symptom of diabetes, should be carefully investigated for the possible confirmation of diagnosis; 3.
Taking into account that the rates of diabetes among older people are higher than those among the younger, and that the rates of disease are higher among African, Caribbean and Asian races, with those who have hereditary cases in no relation to race or age, should be subjected to special control for discovering the correct diagnosis in time. New criteria for diagnosis and definition of diabetes of both types have been recently announced by the World Health Organization. According to the new definitions and criteria, the indices of glucose have been lowered to the 7.0 mmol/l, thus at present diabetes will be diagnosed at bigger amount of patients, though this will allow more through management and control of diabetes in primary care.
These indices are used for the patients, who have no visual symptoms and the analysis should be repeated several times during several days.
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