Medical Management Metformin, things are different when first diagnosed – to now 10-20 years . Health Service GP – Knowledge Recognises that she needs to keep diabetes under control so test – glucose levels on a regular basis, obtain information from balance magazine that she reads and son is a scientist. Self-Management Changed diet post diagnosis if not got a hypoglycaemic – coma, used to be an erratic eater. No longer follows a proper Guyanese diet but eats peas and rice and cassava occasionally. Aware of the co-morbidities of diabetes e.g. heart problems. Made lifestyle changes. Testing sticks expensive, not free, a problem for many hence no testing. hypertension, degenerative disease affecting all organs in the Complications – body Family history - none UK Came at 23 to join husband and studied to be a teacher. – Work Teacher, head of English Department, enjoyed teaching but became – stressed with OFSTED so retired. Emotional issues Problems with marriage as husband worked overseas so got – a divorce Spiritual A Methodist all her life but still attends Methodist church in UK. – Praying helps. Guyana Good memories, happy growing up in the country side, enjoyed a – free life. Active in the community, helps out at a club. Guyanese Diaspora – Feeling Low- Sometimes gets a low unexplained feeling, difficulties managing a long-term condition Voice Recognises the need for a more holistic service under one roof rather – than having to attend podiatry clinics or retinal screening elsewhere. So many things to check feet, eyes, you have to aware of these things yourself, take – control. Doctors are blinkered, only see diabetes, need to be reminded about doing other tests e.g. kidney, liver. Predisposition Problems with black people with kidneys problems needs – – another way to test
Medical Management – Metformin, things are different when first diagnosed to now 10-20 years . Health Service – GP Knowledge – Recognises that she needs to keep diabetes under control so test glucose levels on a regular basis, obtain information from balance magazine that she reads and son is a scientist. Self-Management – Changed diet post diagnosis if not got a hypoglycaemic coma, used to be an erratic eater. No longer follows a proper Guyanese diet but eats peas and rice and cassava occasionally. Aware of the co-morbidities of diabetes e.g. heart problems. Made lifestyle changes. Testing sticks expensive, not free, a problem for many hence no testing. Complications – hypertension, degenerative disease affecting all organs in the body Family history - none UK – Came at 23 to join husband and studied to be a teacher. Work – Teacher, head of English Department, enjoyed teaching but became stressed with OFSTED so retired. Emotional issues – Problems with marriage as husband worked overseas so got a divorce Spiritual – A Methodist all her life but still attends Methodist church in UK. Praying helps. Guyana – Good memories, happy growing up in the country side, enjoyed a free life. Guyanese Diaspora – Active in the community, helps out at a club. Feeling Low- Sometimes gets a low unexplained feeling, difficulties managing a long-term condition Voice – Recognises the need for a more holistic service under one roof rather than having to attend podiatry clinics or retinal screening elsewhere. So many things to check – feet, eyes, you have to aware of these things yourself, take control. Doctors are blinkered, only see diabetes, need to be reminded about doing other tests e.g. kidney, liver. Predisposition – Problems with black people with kidneys problems – needs another way to test
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