Patients with insulin-dependent diabetes mellitus (IDDM) facemajor changes in lifestyle and the possibility of debilitatingand life-threatening complications. Treatment requires a knowledgeablehealth care team that includes a physician, a nurse educator,other health care professionals, and the patient and family.The Diabetes Control and Complications Trial (DCCT) demonstratedthat intensive treatment can delay the onset and slow the progressionof microvascular complications.1 The message to the patientis that success in learning how to take better care of oneselfcan make a difference in the course of IDDM. However, patientsmay find the prospect of the disease and . . . [Full Text of this Article]
The Therapeutic Relationship
The Onset of Disease
Complications of IDDM
Short-Term Complications
Long-Term Complications
Adherence to Treatment
Depression
Eating Disorders
Anxiety Disorders
Source Information
From the Department of Psychiatry, Harvard Medical School, and the Joslin Diabetes Center — both in Boston.
Address reprint requests to Dr. Jacobson at the Joslin Diabetes Center, One Joslin Pl., Boston, MA 02215.
References
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