Euthymia in Diabetes
Date
2019-04-22Author
Kalra, Sanjay
Das, A.K
Baruah, M. P.
Unnikrishnan, A. G.
Dasgupta, Arundhati
Shah, Parag
Sahay, Rakesh
Shukla, Rishi
Das, Sambit
Tiwaskar, Mangesh
Vijayakumar, G.
Chawla, Manoj
Eliana, Fatimah
Suastika, Ketut
Orabi, Abbas
Abdul Rahim, Aly Ahmed
Uloko, Andrew
Lamptey, Roberta
Ngugi, Nancy
Bahendeka, Silver
Abdela, Abdurezak Ahmed
Mohammed, Fariduddin
Pathan, Mohammed Faruque
Rahman, Muhammed Hafizur
Afsana, Faria
Selim, Shajada
Moosa, Muaz
Murad, Moosa
Shreshtha, Pradeep Krishna
Shreshtha, Dina
Giri, Mimi
Hussain, Wiam
Al-Ani, Ahmed
Ramaiya, Kaushik
Singh, Surender
Raza, Syed Abbas
Aye, Than Than
Garusinghe, Chaminda
Muthukuda, Dimuthu
Weerakkody, Muditha
Kahandawa, Shyaminda
Bavuma, Charlotte
Ruder, Sundeep
Vanny, Koy
Khanolkar, Manish
Czupryniak, Leszek
Metadata
Show full item recordAbstract
Aim: To develop an evidence-based expert group opinion on various types of euthymia associated with diabetes mellitus (DM) and its management.
Background: 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.
Results: After due discussions and extensive deliberations, the expert group provided several recommendations on implementing the concept of euthymia in DM care.
Conclusions: 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 wellbeing of affected individuals.