Diabetes is a major public health issue that affects the nations of our time to a large extent and is described as a non-communicable epidemic. Mental factors are important in sustaining a good glycemic control. Comorbid mental problems and particularly depression have a negative impact on self-care and are associated with poor glycemic outcomes and increased risk of complications. For this reason, health professionals should not overlook mental problems in the management of diabetes and be aware of the risk of suicide especially in depressive patients. The fundamental components of self-management of diabetes are education, diet, follow-up, life style, and compliance with treatment. Perseverance with self-management methods requires high motivation and most of the patients and particularly those experiencing mental and social problems may find the self-management strategies challenging. This paper deals with diabetes, management of diabetes, the nature of mental disorders in diabetes and the effect of diabetes management on patient outcomes. It also stresses the importance of a cooperative and multidisciplinary teamwork that enable the patient to assume an active role in self-care through education and support in the self-management of diabetes within a framework of practicable strategies and individual-focused holistic approach.
Diabetes, mental problems, diabetes management, health professionals
Article Language: Turkish English