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New ADA Recommendations on language for diabetes care and education

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Dr KK Aggarwal    30 October 2017

The importance of communication can never be emphasized enough especially for a doctor. Communication rather lack of it or miscommunication is often the root cause of disputes including those involving doctors and patients. Avoid the 3 Cs of violent communication Condemn criticize and complaint. A positive communication approach is more productive and improves adherence to treatment and patient satisfaction with better therapeutic outcomes. This is very important in cases of chronic diseases such as diabetes. Lifestyle modifications are an integral part of management of type 2 diabetes which is a lifestyle disorder. Patients have to become accustomed to living with a disease. Therefore they not only need treatment from their doctor they also look to them for empathy and support in adjusting to a new lifestyle. The language that doctors and other healthcare professionals involved in treatment use to discuss the disease may impact both self perception and treatment outcomes for people living with diabetes. The American Diabetes Association ADA and the American Association of Diabetes Educators AADE have published a Consensus Report to help guide the language used by healthcare providers to be positive respectful inclusive person centered and strengths based acknowledging the paradigm shift in diabetes care toward a collaborative approach that includes people with diabetes as the primary member of their care team. The task force made five key recommendations for discussing diabetes Use language that is neutral nonjudgmental and based on facts actions or physiology biology Use language that is free from stigma Use language that is strengths based respectful inclusive and imparts hope Use language that fosters collaboration between patients and providers Use language that is person centered The Consensus Report titled The Use of Language in Diabetes Care and Education is published online October 17 2017 in the journal Diabetes Care. Source ADA News Release October 17 2017

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