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30th October, 2017
New ADA Recommendations on language for diabetes care and education
Dr KK Aggarwal
The importance of communication can never be emphasized enough, especially for a doctor. Communication, rather lack of it, or miscommunication is often the root cause of disputes, including those involving doctors and patients.
 
Avoid the 3 Cs of violent communication: Condemn, criticize and complaint. A positive communication approach is more productive and improves adherence to treatment and patient satisfaction with better therapeutic outcomes. This is very important in cases of chronic diseases such as diabetes. Lifestyle modifications are an integral part of management of type 2 diabetes, which is a lifestyle disorder. Patients have to become accustomed to living with a disease. Therefore, they not only need treatment from their doctor, they also look to them for empathy and support in adjusting to a new lifestyle.

The language that doctors and other healthcare professionals involved in treatment use to discuss the disease may impact both self-perception and treatment outcomes for people living with diabetes.
 
The American Diabetes Association (ADA) and the American Association of Diabetes Educators (AADE) have published a Consensus Report to help guide the language used by healthcare providers to be positive, respectful, inclusive, person-centered and strengths-based, acknowledging the paradigm shift in diabetes care toward a collaborative approach that includes people with diabetes as the primary member of their care team.
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Adequate intake of Vitamin D can prevent the risk of Type 1 diabetes in children
  • It can also lower the risk of developing islet autoimmunity
New Delhi, 29 October 2017: A recent research indicates that children receiving higher levels of Vitamin D during infancy and childhood have significantly lower risk of developing islet autoimmunity as well as Type 1 diabetes. The incidence of Type 1 diabetes is increasing by about 3% to 5% annually worldwide. Statistics indicate that over 80% of people in India are deficient in Vitamin D. Vitamin D represents a candidate protective factor for Type 1 diabetes as it regulates the immune system and autoimmunity.
 
A Islet autoimmunity is detected by antibodies that appear when the immune system attacks the islet cells in the pancreas that produce insulin. This is a precursor to Type 1 diabetes. Type 1 diabetes in children requires consistent care. However, advances in blood sugar monitoring and insulin delivery have improved the daily management of the condition.
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