CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2013; 01(02): 066-069
DOI: 10.4103/2321-0656.115298
Review Article
NovoNordisk Education Foundation

Diabetes in the Himalayas: Psychosocial barriers and solutions

Resham Raj Poudel
Department of Internal Medicine, Institute of Medicine, Kathmandu, Nepal
,
Bishwa Raj Adhikari
Department of Internal Medicine, Institute of Medicine, Kathmandu, Nepal
› Author Affiliations
Further Information

Publication History

Publication Date:
19 November 2018 (online)

Abstract

Psychosocial problems are common in diabetic population. Apart from the common issues faced by the diabetics everywhere, the Himalayan population suffer unique psychosocial burden arising out of poor social infrastructures, low economy and education, and extreme bio-geographical disadvantages. The patients are deprived of modern state-of-art scientific health care and mostly depend on conventional medicine. Stress, hostility, and depression emerging out of this misery affect the health of diabetics through modified behaviors, lifestyles, and psychology. Studies have demonstrated that addressing psychosocial issues is unequivocally associated with better outcomes in diabetes management. The psychosocial support and education highlighted by the DAWN study can be rightly adopted to solve the psychosocial problems and improve the daily life of the diabetic people in general as well as in the Himalayas.

 
  • Reference

  • 1 Oxford dictionaries-Oxforddictionaries.com [Internet]. Oxford Oxford University Press; c2012. Available from: http://oxforddictionaries.com/definition/english/Himalayas#m_en_gb0378930 [Last accessed on 2013 May 10].
  • 2 Himalayas people in India. himalayavisit.com [Internet]. Himalaya visit; c2008. Available from: http://www.himalayavisit.com/himalaya/people.tribes.himalayas.html [Last accessed on 2013 May 12].
  • 3 Oxford English dictionary. Available from: http://www.dictionary.oed.com [Last accessed on 2013 May 1].
  • 4 Webster's Encyclopedic Unabridged Dictionary of the English Language. New Jersey: Gramercy Books; 1994
  • 5 Snoek FJ, Skinner TC. Psychological counseling in problematic diabetes: Does it help?. Diabet Med 2002; 19: 265-273
  • 6 Wallace TM, Matthews DR. Poor glycaemic control in type 2 diabetes: A conspiracy of disease, suboptimal therapy and attitude. QJM 2000; 93: 69-74
  • 7 Peyrot M, Rubin RR, Lauritzen T, Snoek FJ, Matthews DR, Skovlund SE. Psychosocial problems and barriers to improved diabetes management: Results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study on behalf of the International DAWN Advisory Panel. Diabet Med 2005; 22: 1379-1385
  • 8 Admetlla J, Leal C, Ricart A. Management of diabetes at high altitude. Br J Sports Med 2001; 35: 282-283
  • 9 Pavan P, Sarto P, Merlo L, Casara D, Ponchia A, Biasin R. et al. Metabolic and cardiovascular parameters in type 1 diabetes at extreme altitude. Med Sci Sports Exerc 2004; 36: 1283-1289
  • 10 Brubaker PL. Adventure travel and type 1 diabetes: The complicating effects of high altitude. Diabetes Care 2005; 28: 2563-2572
  • 11 Kansakar VB. Population Ecology and Health in the Nepal Himalayas. Nepal Library and Consortium. 2012 Sep. Available from: http://www.hdl.handle.net/123456789/37 [Last accessed on 2013 May 10].
  • 12 Awah P. Diabetes and traditional medicines in Africa. Diabetes Voice 2006; 51: 25-26
  • 13 Macleod J, Smith GD. Psychosocial factors and public health: A suitable case for treatment?. J Epidemiol Community Health 2003; 57: 565-570
  • 14 Krantz DS, McKeney MK. Effects of psychological and social factors on organic disease: A critical assessment of research on coronary heart disease. Annu Rev Psychol 2002; 53: 341-369
  • 15 Peyrot M, Rubin RR. Behavioral and Psychosocial Interventions in Diabetes. A conceptual review. Diabetes Care 2007; 30: 2433-2440
  • 16 Rubin R, Peyrot M. Psychological issues and treatments in people with diabetes. J Clin Psychol 2001; 57: 457-478
  • 17 Skovlund SE, Peyrot M. The Diabetes Attitudes, Wishes, and Needs (DAWN) Program: A new approach to improving outcomes of diabetes care. Diabetes Spectr 2005; 18: 136-142
  • 18 Kalra S, Sridhar GR, Balhara YS, Sahay RK, Bantwal G, Baruah MP. et al. National recommendations: Psychosocial management of diabetes in India. Indian J Endocr Metab 2013; 17: 376-395
  • 19 Kalra S, Baruah MP, Ranbir S, Singh NB, Choudhury AB, Sutradhar S. et al. Guidelines for ethno-centric management of diabetes mellitus in India: The north east consensus group statement. J Soc Health Diabetes 2013; 1: 9-14