Psychological problems have a great impact on insulin treatment

When starting an insulin treatment plan, patients may refuse or intentionally delay insulin treatment. This phenomenon is called "Psychological Insulin Resistantane (PIR)", which may lead to a delay in insulin treatment or be detrimental to the maintenance of intensive insulin treatment. Ultimately, the patient's blood sugar cannot be effectively controlled.

Therefore, helping diabetic patients who use insulin treatment eliminate the following psychological problems and have a more positive effect on insulin treatment control. It also has a certain precautionary effect for people with diabetes who do not use insulin treatment!

Question 1: Insufficient knowledge of diabetes and related knowledge

Most patients with diabetes have no conscious symptoms in the early stages of the disease. They think that high blood sugar is not a serious problem and do not pay enough attention. Therefore, patients should take the initiative to learn basic knowledge about diabetes, especially those who only use oral hypoglycemic drugs. If blood sugar cannot be controlled, If the target is reached, the treatment plan needs to be adjusted in time.

Although it is a chronic pathological process, it is not terrible in itself. Poor blood sugar control can cause a variety of complications. Acute complications mainly include diabetic ketoacidosis, lactic acidosis, etc. Chronic complications such as cardiovascular and cerebrovascular diseases, Diabetic nephropathy, eye complications, diabetic foot, etc., patients' lives are seriously affected. Through psychological intervention, patients should eliminate blind optimism and improve their understanding of the disease.

Problem 2: Excessive fear and anxiety

Because patients are afraid of the pain of injections, are unfamiliar with injection techniques, inaccurate locations, lax disinfection, difficulty in converting doses, inconvenient storage and carrying of drugs, etc., especially after discharge from the hospital, it is difficult to insist on continuing treatment at home. Diabetes patients can use the nurse to Train under guidance until you become proficient.

Nowadays, with the development of new technologies and new products, insulin injection pens are easy to use. There is no need to convert doses. There are also pictures of the injection site for direct comparison on the body. Insulin pens are more convenient to store, carry and use. They are very user-friendly and easier for people with diabetes to accept.

Question 3: Worry about “addiction” to insulin injection

Some patients confuse insulin injections with psychotropic drug injections, believing that once insulin is injected, they cannot stop taking it for life. This is a conceptual misunderstanding, which leads to avoidance of medical treatment.

Patients should realize that diabetes is a series of metabolic disorder syndromes caused by absolute or relative insufficient insulin secretion and reduced sensitivity of target organs to insulin. Once diagnosed, life-long treatment is required. Insulin injection is complementary replacement therapy, which is two different things from addiction to psychotropic drugs. Completely different concepts, thereby correcting misunderstandings.

Question 4: Hypoglycemic reaction

Some patients have experienced hypoglycemic reactions during insulin treatment and have stopped taking the drug. They should learn the symptoms and countermeasures of hypoglycemia in time. Once symptoms such as hunger, palpitation, dizziness, fatigue, and cold sweats occur, they can eat candies, biscuits and other foods. Eat in time after injecting insulin. It is not advisable to do strenuous exercise after meals. Elderly patients have less obvious symptoms of sympathetic nerve excitement and are difficult to detect when hypoglycemia occurs. For this characteristic of elderly patients, more points are needed (2 meals before and 2 meals after three meals). h and once before going to bed) monitor blood sugar closely.

Timely communication with the doctor to adjust the treatment dosage can effectively avoid the occurrence of hypoglycemia. Do not stop eating due to choking and adhere to regular treatment.

Question 5: Worry about cost

Some elderly patients think that insulin treatment is more expensive than oral drugs and give up. People with diabetes should understand that oral medications are no longer effective and blood sugar cannot be controlled at an ideal state, which will lead to a series of complications, such as cardiovascular and cerebrovascular diseases, kidney disease, cataracts, diabetic foot, etc. Hospitalization will increase the cost of treatment and the cost of living. quality decline, and strive for support from family members, children and society.

Question 6: Impact on self-esteem

This is more common among people with high school education or above and working people. Some patients think that injecting drugs is a sign of serious illness and exposure of privacy, and they are concerned about the strange eyes of the people around them.

At present, the prevalence rate of diabetes in our country is as high as 11.4%. It is a common disease and frequently-occurring disease. With reasonable care and treatment, people with good blood sugar control can still live and work normally. Treat it with a normal heart and get the support of their family members. Patients encourage each other and establish a positive attitude towards the disease.

Question 7: Believe in folk remedies

This is more common among the elderly. Some unscrupulous people in society use the media to exaggerate and falsely promote certain health care drugs, deceiving some people into believing in so-called folk remedies and refusing formal treatment to delay their illness.

By learning the basic principles of insulin treatment of diabetes and the examples of individual patients around them who believed in folk remedies that worsened the disease, they understood the importance of adhering to regular treatment and followed doctor's orders to adhere to regular treatment.