The clinics ddlya patients with diabetes ...

The clinics ddlya patients with diabetes are often faced with poor disease outcome, and perhaps uncertainty about the outcome caharnogo diabetes is a particular problem for those people who have experience an adverse disease course with friends or relatives. Should be actively and sympathetically consider these experiences in order to avoid unnecessary for the patient psihotravmy. Treatment and outcome caharnogo diabetes in our time is much improved since then, as it is diagnosed in elderly patients' relatives. Loss of control Some say that caharny Diabetes

To engage people in the psychological work (and he can do it with great reluctance, or even be hostile) are very important sympathy and tact, rough confrontation should be avoided. During the survey should clarify important psihotsialnye factors and deal with them. Then establish a connection between the periods of deterioration of the regulation of blood glucose and emotional distress or difficulties in social issues. What is important is persistent and consistent work that requires close links between mental health professionals and therapeutic teams. During a certain period of time may need treatment in a therapeutic hospital, while leading the physician should take a leadership role in working with people and coordinate the participation of specialists of therapeutic and psychiatric teams. Confrontation is not always useful: a sign of success in these difficult cases is a tactic of containment of disease progression and stabilization process, with the mandatory removal of the underlying caharnogo diabetes disorders, improved regulation of blood glucose and, potentially, reduced hospital admissions. MENTAL DISORDERS IN DIABETES CAHARNOM difficulties in coping with caharnym diabetes may contribute to the occurrence of mental disorders, but often, these disorders have the same number of reasons which are observed in people without diabetes caharnym: genetic risk factors, life events not related to disease and long-existing problems of social character. Psychological difficulties exist in a continuum, starting with the lungs and ending expressions, and point to mental illness is conditional. What can be considered a slight disorder in humans, otherwise healthy, may have greater clinical significance when it occurs in conjunction with any chronic physical illness, having in mind its impact on the conduct and outcome of somatic diseases. The frequency of mental disorders, diagnosed according to standard criteria for caharnom diabetes is higher than projected in the general population (see Table 1), although it appears that the suicide rate in general does not increase (Harris & Barraclough, 1994). It is noteworthy that in each subgroup are patients with especially high rates of mental disorders - a person with physical complications that often come to hospital to stabilize the state and the suffering caharnym labile diabetes (Tattersal, 1985; Wulsin etal, 1987; Wrigley & Mayou, 1991 ).