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Barriers to effective diabetes management – A survey of people with severe mental illness

BMC Psychiatry Jun 07, 2018

Mulligan K, et al. - Researchers sought the barriers or enablers of diabetes self-management experienced by people with severe mental illnesses (SMI). Adults with type 2 diabetes and SMI, recruited from UK National Health Service organizations and mental health and diabetes charities were surveyed. Findings suggested that in people with SMI, several aspects of diabetes healthcare and self-management were suboptimal. Respondents' ability to manage their diabetes was noted to be influenced by the level of diabetes healthcare and support received, their emotional wellbeing, the priority they give to diabetes, their perceived ability to manage diabetes or establish a routine to do so, and the perceived consequences of their diabetes management. For this population, they suggested improving diabetes self-management support by integrating diabetes action plans into care planning and providing suitable psychological support to help people with SMI manage their diabetes.

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