Euthymia in Diabetes: Clinical Evidence and Practice-Based Opinion from an International Expert Group.
Journal: Diabetes therapy : research, treatment and education of diabetes and related disorders
Volume: 10
Issue: 3
Year of Publication:
Affiliated Institutions:
Department of Endocrinology, Bharti Hospital and BRIDE, Karnal, Haryana, India. brideknl@gmail.com.
Department of Endocrinology and Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India.
Department of Endocrinology, Excel Hospital, Guwahati, Assam, India.
Department of Endocrinology and Diabetes, Chellaram Diabetes Institute, Pune, Maharashtra, India.
Department of Endocrinology, Rudraksh Superspecialty Care, Siliguri, India.
Department of Endocrinology and Diabetes, Gujarat Endocrine Centre, Ahmedabad, India.
Department of Endocrinology, Osmania Medical College, Hyderabad, India.
Department of Endocrinology, Regency Hospital Ltd., Kanpur, India.
Department of Endocrinology, Apollo Hospitals, Bhubaneswar, India.
Department of Diabetology, Shilpa Medical Research Centre, Mumbai, India.
Department of Diabetology, Apollo Hospitals, Chennai, India.
Department of Diabetology, Lina Diabetes Care and Mumbai Diabetes Research Centre, Mumbai, India.
Department of Internal Medicine, Faculty of Medicine, YARSI University, Jakarta, Indonesia.
Indonesian Association of Endocrinology, Jakarta, Indonesia.
Department of Internal Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Department of Diabetes and Metabolism, Alexandria University, Alexandria, Egypt.
Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
Department of Family Medicine, Korle Bu Teaching Hospital, University of Ghana, School of Public Health Ghana, Accra, Ghana.
Department of Internal Medicine and Diabetes, Kenyatta National Hospital, Nairobi, Kenya.
Department of Internal Medicine, Diabetes and Endocrinology, St. Francis Hospital, Nsambya, Kampala, Uganda.
Department of Internal Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Department of Endocrinology of Bangabandhu Sheikh, Mujib Medical University, Dhaka, Bangladesh.
Department of Endocrinology, Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh.
Department of Endocrinology, Dhaka Medical College and Hospital, Dhaka, Bangladesh.
Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Department of internal Medicine, Indira Gandhi Memorial Hospital, Malé, Maldives.
Department of Internal Medicine, Tribhuwan University Teaching Hospital, Kathmandu, Nepal.
Department of Endocrinologist, Norvic International Hospital Kathmandu, Kathmandu, Nepal.
Department of Endocrinology, Nepal Mediciti Hospital, Kathmandu, Nepal.
Department of Endocrinology & Diabetes, Dr Wiam Clinic, Royal Hospital, Awali Hospital, Awali, Bahrain.
Department of Internal Medicine, Hamad Hospital, Doha, Qatar.
Department of Diabetology, Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.
Department of Internal Medicine, Aster Al Raffah Hospital, Muscat, Oman.
Department of Endocrinology, Shaukat Khanum Hospital and Research Center, Lahore, Pakistan.
Myanmar Society of Endocrinology and Metabolism, Yangon, Myanmar.
Department of Endocrinology, Colombo South Teaching Hospital, Colombo, Sri Lanka.
Department of Endocrinology, Sri Jayawardenapura General Hospital, Sri Jayawardenapure Kotte, Sri Lanka.
Department of Endocrinology, Teaching Hospital Karapitiya, Galle, Sri Lanka.
Department of Endocrinology, District General Hospital, Matara, Sri Lanka.
College of Medicine and Health Science, University of Rwanda, Kigali, Rwanda.
Department of Endocrinology and metabolism, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.
Department of Diabetes and endocrinology, Dr KoyVanny Diabetes & Endocrine Clinic, Phnom Penh, Cambodia.
Department of Endocrinology and Diabetes, Waikato Hospital, Hamilton, New Zealand.
Department of Diabetology & Internal Medicine, Medical university of Warsaw, Warsaw, Poland.
Abstract summary
To develop an evidence-based expert group opinion on various types of euthymia associated with diabetes mellitus (DM) and its management.Diabetes mellitus is a metabolic syndrome characterized by diverse biomedical and psychosocial features. Emotional health disturbances may lead to psychological and psychiatric dysfunction and may negatively influence glycemic control. Patients with DM may experience diabetes distress (DD) associated with burden of self-care, interpersonal issues, and emotional worries regarding the ability to cope with the illness. Euthymia or a state of positive mental health and psychological well-being should be considered a key outcome of diabetes care. Therefore, to achieve optimal outcomes, the consideration and measurement of psychological and psychiatric aspects along with glycemic levels are very important. A group of multidisciplinary clinical experts came together in an international meeting held in India to develop a workable concept for euthymia in diabetes care. A multidisciplinary approach was suggested to enhance the clinical outcomes and facilitate patient-centered care. During the meeting emphasis was given to the concept of a euthymia model in diabetes care. This model focuses on enhancement of self-care skills in diabetic patients and preventative health awareness among diabetes care providers. Euthymia also encompasses patient-provider communication to aid enhancement of coping skills.After due discussions and extensive deliberations, the expert group provided several recommendations on implementing the concept of euthymia in DM care.Introduction of the concept of euthymia in routine clinical practice is important to improve the quality of life and coping skills in patients with DM. A timely clinical assessment of psychological and psychiatric aspects along with patient-reported outcomes of diabetes contributes to overall health and well-being of affected individuals.Sanofi India.
Authors & Co-authors:
Kalra
Das
Baruah
Unnikrishnan
Dasgupta
Shah
Sahay
Shukla
Das
Tiwaskar
Vijayakumar
Chawla
Eliana
Suastika
Orabi
Rahim
Uloko
Lamptey
Ngugi
Bahendeka
Abdela
Mohammed
Pathan
Rahman
Afsana
Selim
Moosa
Murad
Shreshtha
Shreshtha
Giri
Hussain
Al-Ani
Ramaiya
Singh
Raza
Aye
Garusinghe
Muthukuda
Weerakkody
Kahandawa
Bavuma
Ruder
Vanny
Khanolkar
Czupryniak
Study Outcome
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