Clare Bradley (2001) FIT: A paradigm shift that recognises the importance of dietary freedom and quality of life in diabetes management.. Health psychology update, 10 (3).
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I was asked by the editorial board of Health Psychology Update to contribute to the centenary issue of Update by writing about a publication that inspired, impressed, or simply interested me. The book I have selected has done all three. It is a book by Kinga Howorka entitled ‘Functional Insulin Treatment’ and was published in its second English edition in 1996 by Springer-Verlag (Howorka, 1996). The fifth German edition and third English edition are soon to be published as is a new edition of a version written for patients. Kinga Howorka and I share the view that diabetes physicians make unrealistic demands on their patients when they expect them to inject specified amounts of insulin at set times of day and then to eat specified amounts of carbohydrate at regular intervals in order to avoid hypoglycaemic episodes. In our work at Royal Holloway to develop an individualised measure of impact of diabetes on quality of life, we have found that dietary restrictions imposed by most diabetes treatments do the most damage to quality of life (Bradley et al., 1999; Speight & Bradley, 2000).
This is a Published version This version's date is: 2001 This item is not peer reviewed
https://repository.royalholloway.ac.uk/items/1ec41707-8607-8a18-908a-5e5f20026dd5/1/
Deposited by () on 23-Dec-2009 in Royal Holloway Research Online.Last modified on 12-May-2010
Bradley C, Todd C, Gorton T, Symonds E, Martin A and Plowright R (1999) The development of an individualised questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL. Quality of Life Research 8: 79-91. Howorka, K. (1996) Functional Insulin Treatment. 2nd English Edition, Berlin, Heidelberg, New York: Springer-Verlag. Mühlhauser I, Jörgens V, Berger M, Graninger W, Gürtler W, Hornke L, Kunz A,Schernthaner G, Scholx V and Voss HE. (1983) Bicentric evaluation of a teaching and treatment programme for Type 1 (insulin-dependent) diabetic patients: improvement of metabolic control and other measures of diabetes care for up to 22 months. Diabetologia 25: 470-76. Müller UA, Femerling M, Reinauer KM, Risse A, Voss M, Jörgens V, Berger M and Mühlhauser I, for the ASD (the working group on structured diabetes therapy of the German Diabetes Association). (1999) Intensified treament and education of type 1 diabetes as clinical routine: a nationwide quality-circle experience in Germany. Diabetes Care 22: Suppl 2, B29-B34. Speight J & Bradley C (2000) ADDQoL indicates negative impact of diabetes on quality of life despite high levels of satisfaction with treatment. Diabetologia 43, suppl 1 A225. 20.4.01