More evidence needed on the cost effectiveness of peer support in type 2 diabetes

effectiveness of peer support in type 2 diabetes

The modern world offers our society a global acceleration of life. Day after day passes, people build a career, live an active social life, and periodically struggle with emerging problems and diseases. In this rhythm, it is impossible not to pay attention to the fact that the younger generation often remains left to themselves. Of course, parents try to give their children the maximum possible, and we, as teachers, fill in the missing “puzzle pieces”. In addition to education, students learn to interact with each other, to accept their peers with advantages and disadvantages. What if one or two or more students are predisposed to diseases more serious than seasonal ARI? It is known that there are people with diabetes in all countries of the world. Despite the fact that the risk of developing it varies in different parts of the world, residents of developed countries are more susceptible to this disease. Improving the standard of living, food diversity, industrial processing and refinement of products-all this negatively affects people’s health and diabetes can become a real plague of the 21st century, moreover, I believe that we can already talk about an epidemic.

Despite the disease, children become school children and enter a new stage of adulthood. The difference now is that the home care of relatives must now be shared by the staff of the educational institution. Children’s diabetologists all over the world are unanimously convinced that their wards should be trained in standard educational institutions. In specialized schools, there is probably increased control over the problem, but only in a homogeneous society is it possible to form a healthy child’s psyche. Students with diabetes should not be separated from their peers in any way, moreover, it is necessary to involve them in the school curriculum and social life. Strictly speaking, any discrimination should be eliminated at the root. Of course, sometimes the reaction of peers is not quite adequate – a child with diabetes adheres to a diet, eats by the hour, does not run at recess for sweets, but he always has a candy that he can not share (it is for an emergency). We, as teachers, must convince children that their sick friend is not a “white crow”, but a kind of example for them – he knows how to restrain his food desires, trains willpower, physical activity is his daily work. It is believed that the educational process in our country is better established than anywhere else. But when faced with the realities, we can assume that the “near-educational” sphere needs a little modernization.

First, I would like to suggest an iron rule: the class teacher and the school nurse should be warned in advance by the parents of a child suffering from diabetes. This is incredibly important, for a variety of reasons: elementary school Students may forget to control their condition; middle school Students may be shy to do the injection in the environment of their peers, for fear of ridicule and judgment; a Sick child may sometimes need a snack during the lesson – this is not a whim, it is a vital necessity; Physical activity for diabetics, according to modern doctors, is absolutely necessary, but, of course, without “fanaticism” and under the supervision of a teacher. Secondly, an important component is the adaptation of the student in the social sphere, is the work with his classmates. What can we do as teachers? Spending “hours of health”. Briefly, without physiological details, explain to our wards about certain diseases; Give clear explanations that only narrow-minded people laugh at a sick person; Together with the nurse, explain the initial, elementary rules of first aid (including for diabetes: how to recognize the deterioration of the condition, what to do in such a situation); it is not superfluous to recall old, but still relevant mottos (for example: one for all and all for one). In high school increases the load on the students – more items, the stress of the upcoming changes in my life, the upcoming exams.

Naturally, almost 100% of students are going to take exams and continue their education in higher educational institutions. One of the forms of adaptation of a high school student can be help and advice on choosing a profession. Of course, there are a number of professions that people with diabetes can not allow (managing an airliner, a train, a profession where there is responsibility for the lives of other people). When considering future professional opportunities, teachers, school psychologists, and parents need to come together and identify the child’s best interests. In any case it is not necessary to apply pressure or to imply inferiority. We have a huge responsibility for what kind of people our children will grow up to be, so it’s better to sacrifice time and help with the choice. Returning to everyday life, I want to note: it is considered that type 2 diabetes is “age – related” (although in the 21st century it has become much “younger” due to an incorrect, sedentary lifestyle, Hyper-abundant nutrition), and type 1 – manifests itself from the early years of life (i.e. 90% of schoolchildren with diabetes are type 1 diabetics). Psychologists say that children with type 1 diabetes should think of themselves as a member of a large team. realize that they are not worse/better than others, that they will always be helped if necessary, but most importantly – that they are not alone. Students with diabetes face all kinds of difficulties, both physical and psychological. The vast majority of teenagers are aware of the complications of diabetes and their health risks (possible blindness, kidney failure, coma), but this knowledge often forms psychological problems: self-doubt and their abilities, a sense of hopelessness and hopelessness, a sense of anxiety about the future, fear of death and indifference to life. 12-16 years old and without additional factors is a very difficult age when a child is “built” in all planes: education, communication, self – knowledge, and the problem of diabetes can create a skew in its own direction-without proper control, trouble is possible. The fact is that most parents, in trying to build an absolutely safe existence for their child, may forget that in addition to the disease, they also have “just life”, that at school the child is not only diabetic, but also a student/friend/girlfriend/headman/leader/inspirer, etc. Of course, we, as teachers, cannot dictate to parents how to educate and treat students, but we simply must at least try to explain that diabetes (like any other disease) is not a sentence, give examples (for example, the famous football player Pele, who achieved everything in life, despite the disease).

Explain that you do not need to build barriers between the child and society, on the contrary, you need to put as much effort as possible from assimilation. Another opportunity to improve the control and adaptation of students with diabetes is our scientific and technological progress. Yes, it can help all parties – the student, the teacher, and the parents. Let me give you the simplest example: parents are very afraid (and possibly opposed) to their child’s education in a comprehensive school. Parents at work, do not know how their son/daughter feels, do not know what condition they are in, whether they have measured sugar, etc. A regular phone can come to the rescue. Of course, I do not believe that a student should correspond with his mother in class, conduct conversations, and so on, but knowing about the problem in advance, the teacher can work out a kind of schedule together with the parents. For example: time intervals are defined When a student informs parents about their condition (if we are dealing with younger classes, the teacher can and should remind them that it is time to “calm down the mother”, a game form is welcome, for better memorization of such a duty). The most important thing is not to let the child become isolated in the problem or, worse, be shy about it (statistics show that 30% of school-age children are so shy and clamped down that they will choose to remain silent and bring their condition to a critical point rather than attract attention and ask for help). In conclusion, I would like to sum up: a student’s diabetes Is not a reason to refuse to study, attend clubs and sections. Discipline, responsibility, regime and awareness of load distribution can make life more interesting, brighter, more exciting, help in realizing that the disease is just a feature of him and his body, almost on a par with the color of his eyes or hair, but in no case a disadvantage or problem.

We, as teachers, for our part, must build a trusting circle of communication between us and parents, us and students. It may not be easy at first – because until recently it was not customary to talk about such problems, but the result that we can get in the end is worth starting to act. As teachers, we can do a lot: pass on our knowledge, instill moral values, and most importantly – lay together with our parents a wonderful Foundation for a healthy, intelligent and promising person and citizen of our country.

Douglas Badenoch
I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

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