Skip to main content
SpringerLink
Log in

Why and How to Involve the Diabetic Patient in his Treatment

  • Conference paper
Diabetes Mellitus: Pathophysiology and Therapy

Part of the book series: Bayer AG Centenary Symposium ((BAYER))

  • 170 Accesses

Abstract

Doctors are often accused of wanting to keep their patients ignorant and there is truth in the charge. Medicine grew out of magic and it is in the magician’s self-interest to keep his secrets hidden. Medicine has maintained some of its mystique — we still use jargon and indulge in rituals such as ward rounds, wearing uniform, and laying on hands. It may also be true that some physicians consciously or subconsciously avoid sharing knowledge with patients as this threatens their authority, power, and income [1]. If there are such, they are swimming against the tide; in the past 20 years the public have become more interested in and critical of medicine and believe that the individual should have the right to make decisions affecting his own health. Openness in medical treatment is fashionable as will be obvious if you scan the health care section of a bookstore where you will find patient handbooks covering the alphabet from anorexia nervosa to ulcerative colitis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Assal JP, Muhlhauser I, Pernet A, Gfeller R, Jorgens V, Berger M (1985) Patient education as the basis for diabetes care in clinical practice. Diabetologia 28: 602–613

    Article  PubMed  CAS  Google Scholar 

  2. Joslin EP (1919) A diabetic manual, 2nd ed. Lea and Febiger, New York

    Google Scholar 

  3. Lawrence RD (1925) The diabetic life: its control by diet and insulin. A concise practical manual for practitioners and patients. J and A Churchill, London

    Google Scholar 

  4. Welborn TA, Duncan N (1988) Diabetic staff simulation of insulin-dependent diabetic life. Diabetes Care 3: 679–681

    Article  Google Scholar 

  5. Marteau TM, Gillespie V, Swift PGF (1987) Evaluation of a weekend group for parents of children with diabetes. Diabetic Medicine 4: 488–490

    Article  PubMed  CAS  Google Scholar 

  6. Stone DB (1961) A study of the incidence and causes of poor control in patients with diabetes mellitus. Am J Med 241: 436–442

    Article  Google Scholar 

  7. Williams TF, Martin DA, Hogan MD, Watkins JD, Ellis EV (1967) The clinical picture of diabetic control studied in four settings. Am JH Public Health 57: 441–451

    Article  CAS  Google Scholar 

  8. Miller LV, Goldstein J, Nicolaisen G (1978) Evaluation of patient’s knowledge of diabetic self- care. Diabetes Care 1: 275–280

    Article  PubMed  CAS  Google Scholar 

  9. Kaplan RM, Davis WK (1986) Evaluating the costs and benefits of outpatient diabetes education and nutrition counselling. Diabetes Care 9: 81–86

    Article  PubMed  CAS  Google Scholar 

  10. Mazzuca SA, Moorman NH, Wheeler ML, Norton JA, Fineberg NS, Vinicor F, Cohen SJ, Clark CM (1986) The diabetes education study: a controlled trial of the effects of diabetes patient education. Diabetes Care 9: 1–10

    Article  PubMed  CAS  Google Scholar 

  11. Bloomgarden ZT, Karmally W, Metzger MJ, Brothers M, Nechemias C, Bookman J, Faierman D, Ginsberg-Fellner F, Rayfield E, Brown WV (1987) Randomised controlled trial of diabetic patient education: improved knowledge without improved metabolic status. Diabetes Care 10: 263–272

    Article  PubMed  CAS  Google Scholar 

  12. Graber AO, Christman BD, Alugna MT, Davidson JK (1977) Evaluation of diabetes education programs. Diabetes 26: 61–64

    Article  PubMed  CAS  Google Scholar 

  13. Miller LV and Goldstein J (1972) More efficient care of diabetic patients in a county hospital setting. N Engl J Med 286: 1388

    Article  PubMed  CAS  Google Scholar 

  14. Assal JP (1985) A global, integrated approach to diabetes - a challenge for more efficient therapy. In: Davidson JK (ed) Clinical diabetes mellitus. A problem orientated approach. Thieme Stratton, New York

    Google Scholar 

  15. Edmonds ME, Blundell MP, Morris ME, Thomas EM, Cotton LT, Watkins PJ (1986) Improved survival of the diabetic foot: the role of a specialised foot clinic. J Med 60: 763–771

    CAS  Google Scholar 

  16. Britton JP, Barrie WW (1987) Amputation in the diabetic: ten years’ experience in a district general hospital. Ann R Coll Surgeons 69: 127–129

    CAS  Google Scholar 

  17. Assal JPh, Aufseesser-Stein M (1986) Patient education in diabetes therapy. Diabetes Annual 2: 156–168

    Google Scholar 

  18. Wise PH, Dowlatshahi DC, Farrant S, Fromson S, Meadows KA (1986) Effect of computer based learning on diabetes knowledge and control. Diabetes Care 9: 504–508

    Article  PubMed  CAS  Google Scholar 

  19. Carter Center of Emory University (1985) Closing the gap: the problem of diabetes mellitus in the United States. Diabetes Care 8: 391–406

    Article  Google Scholar 

  20. Tattersall RB, McCulloch DK, Aveline M (1985) Group therapy in the treatment of diabetes. Diabetes Care 8: 180–188

    Article  PubMed  CAS  Google Scholar 

  21. Haynes RB, Taylor DW, Sackett DL (eds) (1979) Compliance in health care. Johns Hopkins Press, Baltimore

    Google Scholar 

  22. Gillum RF, Barsky AJ (1974) Diagnosis and management of patient noncompliance. JAMA 228: 1563–1567

    Article  PubMed  CAS  Google Scholar 

  23. Lipkin M (1987) The care of patients: perspectives and practices. Yale University Press, New Haven

    Google Scholar 

  24. Dunn SM (1986) Reactions to educational techniques: coping strategies for diabetes and learning. Diabetic Medicine 3: 419–429

    Article  PubMed  CAS  Google Scholar 

  25. Dunn SM, Turtle JR (1981) The myth of the diabetic personality. Diabetes Care 4: 640–646

    PubMed  CAS  Google Scholar 

  26. Rosenstock IM (1985) Understanding and enhancing patient compliance with diabetic regimens. Diabetes Care 8: 610–661

    Article  PubMed  CAS  Google Scholar 

  27. Ruzicki DA (1984) Relationship of participation preference and health locus of control in diabetes education. Diabetes Care 7: 372–377

    Article  PubMed  CAS  Google Scholar 

  28. Rovet JF, Ehrlich RM (1988) Effect of temperament on metabolic control in children with diabetes mellitus. Diabetes Care 11: 77–82

    Article  PubMed  CAS  Google Scholar 

  29. Mason C (1985) The production and effects of uncertainty with special reference to diabetes mellitus. Soc Sci Med 21: 1329–1344

    Article  PubMed  CAS  Google Scholar 

  30. McNeal B, Salisbury Z, Baumgartner P, Wheeler FC (1984) Comprehension assessment of diabetes education program participants. Diabetes Care 7: 232–235

    Article  PubMed  CAS  Google Scholar 

  31. Tattersall RB (1983) Diabetes, the young person, their family and the doctor. Int Diabetes Fed Bull 27: 1–5

    Google Scholar 

  32. Flexner CW, Weiner JP, Saudek CD, Dans PE (1984) Repeated hospitalisation for diabetic ketoacidosis: the game of sartoris. Am J med 76: 691–695

    Article  PubMed  CAS  Google Scholar 

  33. Garrity TF (1981) Medical compliance and the clinician-patient relationship. Soc Sci Med 15E: 215–222

    CAS  Google Scholar 

  34. Stearns S (1953) Some emotional aspects of the treatment of diabetes mellitus and the role of the physician. N Engl. J Med 249: 471–476

    Article  PubMed  CAS  Google Scholar 

  35. Inglefinger FJ (1980) Arrogance. N Engl J Med 303: 1507–1511

    Article  Google Scholar 

  36. Peabody FW (1927) The care of the patient. JAMA 88: 877–882

    Google Scholar 

Download references

Authors
  1. R. Tattersall
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Medizinische Klinik und Poliklinik Abteilung für Gastroenterologie und Endokrinologie, Georg-August-Universität Göttingen, Robert-Koch-Straße 40, 3400, Göttingen, Germany

    Werner Creutzfeldt

  2. Diabetes, Nutrition and Metabolic Disorders Unit, CHU Sart Tilman (B 35), 4000, Liège, Belgium

    Pierre J. Lefèbvre

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Tattersall, R. (1989). Why and How to Involve the Diabetic Patient in his Treatment. In: Creutzfeldt, W., Lefèbvre, P.J. (eds) Diabetes Mellitus: Pathophysiology and Therapy. Bayer AG Centenary Symposium. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74255-2_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74255-2_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50506-8

  • Online ISBN: 978-3-642-74255-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation