Family management of insulin-dependent diabetes mellitus: a practical problem-solving approach

Insulin-dependent diabetes mellitus (IDDM) as a chronic and potentially life-threatening condition, may have a devastating acute and long-term effect on the patient and his or her family. IDMM's management should include the following components: (a) establishment of a co-operative relationship amongst the patient, his or her family and the members of the diabetes team, (b) emphasis on the promotion of problem-solving strategies, (c) sufficient emotional and psychological support and proper education and training concerning diabetic control, provided not only to the patient but to all the family members involved in his or her care. The treatment regimen, as well as the above mentioned components of IDMM management should be tailored to the individual's specific needs, developmental stage and a level of adjustment. These facilitating conditions can have a positive and long-standing effect on the individual's capacity to cope efficiently in order to improve quality of life and obtain adjustment.