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Diabetes Management

  • David E. BaumanEmail author
  • Bridget R. Beachy
  • Stacy A. Ogbeide
Chapter

Abstract

Never in human history has there been as many medications and technologies available to help people manage their diabetes, yet the sequelae of poorly managed diabetes continue to wreak havoc on patients and health-care systems alike. While estimates of the prevalence rates of diabetes mellitus (DM) in the United States range from 6 to 13% (Centers for Disease Control [CDC], 2011; Li et al., 2011), upward to 14% of all health-care expenditures can be traced back to poor DM management (Mokdad et al., 2003). Diabetes management, especially for type 2 DM, is largely contingent upon behavioral factors related to ones’ eating, physical activity, and medication treatment adherence habits. Viewing DM management through the lens of the Quadruple Aim (i.e., improved outcomes, decreased cost, improved patient experience, and increased support for medical providers), health-care systems and agencies are in dire need of implementing evidence-informed/evidence-based treatments in a cost-effective, stepped-care, and team-based manner. The authors of this chapter aim to organize ideas for accomplishing this all while honoring the humanity of patients. To this end, we will provide a brief overview of DM, screening and diagnostic procedures, and the research on tried and true behavioral interventions. We will also address the barriers and obstacles to DM management and the specific roles and strategies the interdisciplinary teams can utilize to help patients manage DM, starting from the least to the most intensive.

Keywords

Diabetes management Integrated behavioral health Stepped-care approaches for DM Lifestyle changes for DM 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • David E. Bauman
    • 1
    Email author
  • Bridget R. Beachy
    • 2
  • Stacy A. Ogbeide
    • 3
  1. 1.Family Medicine, Central Washington Family Medicine ResidencyYakimaUSA
  2. 2.Behavioral Health, Community Health of Central WashingtonYakimaUSA
  3. 3.Departments of Family and Community Medicine and PsychiatryUT Health San AntonioSan AntonioUSA

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