Type 1 diabetes: beyond the compliance paradigm
Date
2015
Authors
Hill, K.E.
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Journal article
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Transplant Nurses Journal, 2015; 24(3):14-17
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Abstract
Type 1 diabetes mellitus (T1DM) is a condition that requires a lifetime of diligent self-management to avoid complications. Some people fare poorly with their glycaemic management and develop kidney failure, requiring dialysis and organ transplantation at a comparatively young age and why this occurs is not completely understood. Whilst treatment regimens are prescribed and then commonly viewed as the responsibility of the individual, aspects of a person's social environment, such as their family composition, socio-economic status and educational attainment can impair their capacity for self-management and, as a consequence, impact on their relationships with health care providers. This can result in 'dropping out of care', which is a significant problem in the management of chronic conditions. Being disengaged from the health care system prevents the early detection and appropriate management of complications in T1DM, but also in the setting of organ transplantation. It is vitally important for us to understand people's experience of their disease, their history of care, levels of trust in health care services and how broader structural issues can impact on health.
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Copyright 2015 Transplant Nurses' Association