24/10/18 - Guardian article about diabetes: 'diabetes is BPS'

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notthecandyman

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Hello, first post.

Just read an article in The Guardian (https://amp.theguardian.com/society/2018/oct/24/diabetes-ticking-time-bomb-nhs) about diabetes being a 'time-bomb' for the NHS. It includes this line from Professor Khalida Ismail:

""We have to move away from thinking of diabetes as a medical condition,” she said. “It’s a biopsychosocial condition.”"

I find this statement very concerning. BPS is controversial. A reasonably quick web search will underline this.
 
A biopsychosocial condition? That’s a ludicrous term, a posh way of saying lifestyle. Did that cause diabetes in all the T2s on the forum? Some? A few?
 
I’d no idea what this meant, so I did a bit of Googling. The impression I got was that it’s not referring to the causes, but the way it’s treated. The study I looked at talked about Type 1, and the fact that very matter of fact people do well with their control, whereas more emotional people don’t, and you need to treat the whole person, not the condition. in that context, it made sense to me. (in fact it seemed a bit NSS to me)

https://www.jstor.org/stable/2676370?origin=crossref&seq=1#page_scan_tab_contents
 
Robin said:
I’d no idea what this meant, so I did a bit of Googling. The impression I got was that it’s not referring to the causes, but the way it’s treated. The study I looked at talked about Type 1, and the fact that very matter of fact people do well with their control, whereas more emotional people don’t, and you need to treat the whole person, not the condition. in that context, it made sense to me. (in fact it seemed a bit NSS to me)

https://www.jstor.org/stable/2676370?origin=crossref&seq=1#page_scan_tab_contents
Click to expand...

Yes, it seems excellent that it's not just dish out pills, but address the social, mental, and physical aspects of the patient.
 
travellor said:
Yes, it seems excellent that it's not just dish out pills, but address the social, mental, and physical aspects of the patient.
Click to expand...
Mind you, there will probably never be the money to do that!
 
Diabetes is A ticking time bomb, Increase in population, longevity of humans.
It is a pc way of saying obese lazy type 2 diabetics.
I remember a year or so ago in USA. An infant child became the youngest type 2 diabetic.
This is certainly geared around the good old subject money.
 
Its definitely true that as a nation we are ignoring the lifestyle factors - or at least, placing the blame for these factors at the feet of the patient, not the fact that it's quite diffict to find breakfast cereal easily compatable with government guidelines; that primary schools dish out free sweets to kids at a shocking rate; that many people dont have the financial means / space in their lives to exercise; that many parts of society don't have a culture of exercising.

These problems are at least as much environmental / social as down to the individual in a lot of cases.
 
Mind you, poor people get plenty of exercise if you include walking. They can’t afford cars or public transport.
 
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