Some people have always had to find ways of living with long term conditions such as diabetes or celiac disease, but as people live longer, increasing numbers of us now experience long-term poor health. While some conditions that previously limited the length of life are manageable a growing number of people live with long-term conditions. Against this backdrop, Long-Term Conditions explores the complex issues surrounding the experience of long-term illness and the enormous pressure this puts on individuals, their families and careers and on health and social care services.

The perspectives of each of these groups are voiced within this book, with chapters written by people who use health and social care services, careers, policy-makers and practitioners.

Using a variety of research methods to get to the heart of the matter, the book probes assumptions about the experience of long-term poor health and what constitutes good care. Its aim is to challenge readers to think critically about existing policy and provision and to inspire change based on sound evidence and a drive towards greater multi-professional working.

Long-Term Conditions provides academics, practitioners and students with a thorough grounding in the complex issues surrounding the experience and management of long-term illness. It is an ideal text for courses on policy, management and practice in health and social care.

Diabetes and Pregnancy: Service-Users' Perspectives on Services and on Research

Diabetes and pregnancy: Service-users' perspectives on services and on research
Cathy E.Lloyd


  • Diabetes in pregnancy – what are the risks?
  • Medical care for women with diabetes during pregnancy
  • The importance of psychosocial factors
  • Service users' perspectives: Qualitative accounts
  • Service users' experiences and involvement in the research process
  • Future research and practice: Ways forward

Diabetes is the most common medical complication in pregnancy and is associated with an increased risk of obstetric complications, including congenital abnormalities, increased rates of caesarean delivery and perinatal mortality (CEMACH, 2007). Diabetes is a long-term condition for which there is no cure but there are recommendations for ways it can be managed (Department of Health, 2001). Type 1 diabetes occurs in childhood or early adulthood and necessitates the use ...

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