Self-Management Skills In Chronic Disease Management

Self-Management Skills In Chronic Disease Management

Self-Management Skills In Chronic Disease Management


Discuss about the Self-management skills in chronic disease management.


The case scenario of Susan illustrates a case of poorly controlled type 2 diabetes with obesity and symptoms of depression. The high insulin doses contributed to her weight gain, the similarity of symptoms of hyperglycaemia and depression, combination of therapy in type 2 diabetes. After she presented with poorly controlled diabetes, she was advised to intake insulin and lose weight. However, with increase in insulin dosage for hyperglycemia correction, she gained weigh from glycosuria cessation, increase in fat synthesis and fluid retention. When Susan tried to decrease her calorie intake, there was mismatch of insulin to her food consumption that resulted in symptoms of hypoglycaemia and low blood glucose levels (Inzucchi et al. 2015).

Considering Susan’s condition, the poor access to healthcare and cost of care has serious implications for her health and wellbeing. The poor management of diabetes is associated with lack of access to healthcare services. The diminished access to healthcare and relative isolation is linked to “missed patient” with diabetes in Susan’s case (Grabovschi, Loignon and Fortin 2013). The inaccessibility to healthcare services and lack of insurance coverage has an impact on her overall diabetes care and course of treatment. She has shifted to a community where there is no access to healthcare centres resulting in worse diabetes care and poor health outcomes. There is no diabetes educator to teach her about hypoglycaemic symptoms and manage it through lifestyle modifications. As a result, she is at greater risk for diabetic complications (Syed, Gerber and Sharp 2013).

Susan is unable to visit a diabetes educator or diabetologist in healthcare services who can assist her in managing diabetes. She is medically uninsured with limited healthcare services that make it difficult for her to manage her diabetes condition. The cost of treatment and need for lifelong diabetic medications coupled with limited access to anti-diabetic medications in the community are the major issues for treatment and management compliance (Sanders, Solberg and Gauger 2013). As she is uninsured with no access to healthcare coverage, it is less likely for her receive the proper standards of care that includes regular glucose checkups and monitoring, preventative measures for her eyes and feet.

Apart from access to healthcare and cost implications, poor numeracy skills and low health literacy about diabetes is also associated with poor glycemic control. Health literacy acts as a part of routine care for the optimal diabetic management. Susan and her husband, Paul has inadequate knowledge about diabetes, its symptoms and control and as a result, they are unable to obtain, understand and communicate diabetic related information for making informed health decisions (Mackey et al. 2016). The family is unable to manage the situation and there is overall pressure on the relationship. There is lack of awareness about understanding of diabetes and that is resulting in delayed complications recognition. The overall implications of poor diabetic management are serious and can progress towards potential complications of diabetes. It can cause life-threatening conditions like neuropathy, eye and foot damage, heart and blood vessel disease, hearing impairments and psychological complications. Depression, obesity and high blood pressure are co-morbid conditions that are affecting her quality of life. Therefore, access to healthcare, patient education and empowerment are important for encouraging Susan and her family in healthcare participation and better disease management.