2016 Volume 56 Issue 12 Pages 1204-1209
Diabetes patients have an issue that they improve their life-style by themselves willingly when they keep up their self-care behaviors (diet, exercise, self-monitoring of blood glucose, medication, insulin injection) in order to maintain good glycemic control throughout their lives. Their cognitive factor is not only to interrupt but to promote behavioral change. Therefore, it is necessary to help patients psychologically motivate self-care behavior and acquire stress coping skills on the basis of the evaluation of their illness perception and self efficacy to self-care behavior. In our educational program for diabetic and obese inpatients, a group therapist encourages them to talk about illness perception so as to adapt themselves to their daily life with diabetes and to engage themselves in self-care behavior. Patients also talk and learn each other about their coping to difficulties of living with diabetes so as to prevent a lapse and a relapse, and eventually, to maintain their self-care behavior. Furthermore, we offer an individual cognitive behavior therapy to outpatient as the individualized and optimized treatment according to the case formulation.
