Diabetes Self-Management and Improving Health Outcomes Paper

Diabetes Self-Management and Improving Health Outcomes Paper

Living with diabetes and congestive heart failure Diabetes is a risk factor for congestive heart failure.

Implications: high risk of morbidity and mortality and overall disease burden.

Recommendation: adhere to all health care tips, including medications and lifestyle adjustments.

Medication adherence ·         Medication adherence is essential to improving the effectiveness of pharmacological interventions.

·         Lack of adherence leads to poor glycemic control, health complications, and low quality of life (Alqarni et al., 2018). Complications increase mortality and vulnerabilities, further increasing health care costs.

·         Medication adherence tips: constant communication with health care providers, patient education, and alert systems (alarms and timetables).

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·         Synchronize medications: pick medications at the same time monthly to avoid forgetting and interruptions.

Quality of life (QoL) Any disease lowers a patient’s quality of life.

Factors affecting the quality of life in people with diabetes: lifestyles, support, occupation, medication adherence, health complications.

How to Improve the Quality of Life

v  Set achievable health targets for dietary modifications and physical activities.

v  Mindfulness: for people with diabetes, mindfulness training reduces stress and anxiety (Priya & Kalra, 2018). It is an effective coping technique for improving psychological health and blood sugar levels.

v  Use support groups: they help improve mental health, weight control, and tips on coping with lifestyle adjustments and challenges at home (Tran et al., 2020).

Diabetes Self-management Self-management implies learning to live with the disease and doing what is right to avoid health complications. It is primarily about a personal effort that predicts desired outcomes. Self-care behaviors include:

v  Healthy eating and physical activity

v  Risk-reduction behaviors: avoid smoking, drinking too much alcohol

v  Rest and get adequate sleep

v  Monitor blood sugar

v  Healthy coping skills: reading, playing games, a positive mindset, praying (for the religious people), adventure.

Reducing emergency room visits and hospital admissions The rate of emergency room visits and hospital admissions varies according to a person’s ability to manage diabetes. Benoit et al. (2020) found that hospitalization is higher in older adults due to low physical activity, medication adherence problems, and poor disease management interventions overall. Reducing emergency room visits and hospital admissions requires a multifaceted approach, including:

v  Regular communication with health care providers through patient portals.

v  Progress monitoring and updating results in patient portals

v  Seeking instant help

v  Getting reliable support at home to manage activities of daily living

v  Adherence to pharmacological and non-pharmacological treatments.

Always remember to: Prioritize nutritional health and physical activity

Adhere to medications

Seek support when necessary

Constantly communicate with health care providers

Give correct information regarding progress and current situation.


Alqarni, A. M., Alrahbeni, T., Qarni, A. A., & Qarni, H. (2018). Adherence to diabetes medication among diabetic patients in the Bisha governorate of Saudi Arabia – a cross-sectional survey. Patient Preference and Adherence13, 63–71. https://doi.org/10.2147/PPA.S176355

Benoit, S. R., Hora, I., Pasquel, F. J., Gregg, E. W., Albright, A. L., & Imperatore, G. (2020). Trends in emergency department visits and inpatient admissions for hyperglycemic crises in adults with diabetes in the US, 2006–2015. Diabetes Care43(5), 1057-1064. https://doi.org/10.2337/dc19-2449

Priya, G., & Kalra, S. (2018). Mind-body interactions and mindfulness meditation in diabetes. European endocrinology14(1), 35–41. https://doi.org/10.17925/EE.2018.14.1.35

Tran, B. X., Nguyen, L. H., Pham, N. M., Vu, H., Nguyen, H. T., Phan, D. H., Ha, G. H., Pham, H. Q., Nguyen, T. P., Latkin, C. A., Ho, C., & Ho, R. (2020). Global Mapping of Interventions to Improve Quality of Life of People with Diabetes in 1990-2018. International Journal of Environmental Research and Public Health17(5), 1597. https://doi.org/10.3390/ijerph17051597


My patient group is those with diabetes and congestive heart failure as a comorbidity. This pamphlet/brochure intent is to provide education on these diseases that includes medication adherence resulting in improvement of outcomes, quality of life, self-management of disease, and health literacy that reduces emergency room visits and hospital admissions. No title page is required, but reference page is.

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