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Mark Peyrot Part 5, Takeaways from ADA Psycho-Social Diabetes Guidelines

In part 5 of this Exclusive Interview, Mark Peyrot talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, CA about the importance of talking with their patients to assess the state of their feelings about their diabetes management.

Mark Peyrot is Professor of Sociology at Loyola University Maryland and Professor of Health and Social Sciences at Bergen University College (Norway). His 300+ publications include a co-edited collection of diabetes psychosocial care guidelines and a ADA position statement on diabetes psychosocial care recently published by ADA.

Transcript of this video segment:

Steve: Looking at the title of your presentation again, and I saw a program on TED talk recently, on what makes a good presenter. They said, there are presentations with beautiful slides, maybe a hundred of them. And, when people walk out they can’t remember a single slide. It’s a waste of that person’s time. What makes a good presenter is someone who presents an idea or a concept and they use it in their practice; that is what makes everybody happy and successful. If there is only a couple of things that you want your audience to take away – let’s assume the audience is nots endocrinologists, but PCPs, pharmacists, nurses, dieticians – what would you like them to take away from your presentation?

Dr. Peyrot: You need to assess peoples’ feelings about diabetes in their life to understand whether they are feeling burdened or overwhelmed by it. Because that is bad for their mental health, which in turn translates into physical health, and also bad for their diabetes self-management because they find it difficult to do. Identifying those issues, where people need psychological care and seeing that they get that care is key.  Second one is, that even if people don’t have severe psychological distress, there are still a lot of psychological factors that are affecting their ability to take care of themselves – we call those psychosocial barriers. Whether that is a spouse who wants you to eat cake all the time because they bake cakes, and that doesn’t work for you as a person with type 2 diabetes, or whether it is somebody who needs help testing their blood glucose, what we want [providers] to do is find out from the patient what they are having the most difficulty doing about taking care of diabetes, because that is often what distresses them out the most and is something they have a desire to change on. When the doctor identifies something that the patient wants to change, that’s the low-hanging fruit, that’s the time when you can go and say: I can help you solve that problem, which will help them do better and it increases their trust and belief in their healthcare provider, to know their healthcare provider is not just scolding them and telling them what they are doing wrong, they are actually helping them do better. Once you get that, you have a team approach to medicine. Where the patient and the provider are working together towards the same goals, instead of working against one another, because that is not likely to be very successful. If we can get them to focus on those two things –  identifying distress when it needs to be addressed and helping patients make the changes they want to make that will be beneficial to their health.  If we can do that, we are achieving the goals of what the guidelines are trying to achieve.

Steve: I have to say in interviewing not just you, but other people in the field of diabetes, that everyone I’ve interviewed has a true passion for what they do, and I have to congratulate you. I can tell you certainly have the passion. I want to thank you for your time, and enjoy the rest of your stay here in San Diego.

Dr. Peyrot:  Thank you.  I love California, I grew up here!

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