This comprehensive yet practical handbook consolidates information needed by health psychologists working alongside other healthcare professionals. It facilitates the progression of the learner from the classroom to the clinical setting by focusing on the translation of science to practice using practical examples. The Handbook is divided into four major parts. Part I highlights practical issues faced by health psychologists in a medical setting (how to motivate patients, consultation-liaison, assessment and screening, brief psychotherapies, ethical issues, etc.) Part II concentrates on treating unhealthy behaviors (alcohol and nicotine use, noncompliance, overeating/obesity, physical inactivity, stress). Part III considers behavioral aspects of medical problems (pain management, hypertension, diabetes, cancer, sexual dysfunction, HIV/AIDS, irritable bowel syndrome, insomnia). And Part IV takes up special issues relevant to practice and research in the field (minority issues, women’s issues, working with geriatric populations, public health approaches to health psychology and behavioral medicine). The Handbook will prove to be an invaluable resource for those already working in the field of health psychology as well as for those in training.
Chapter 16: Behavioral Management of Type 2 Diabetes
Behavioral Management of Type 2 Diabetes
Type 2 diabetes (DM2) is a chronic illness characterized by a dysregulation of glucose metabolism secondary to an imbalance between insulin sensitivity and insulin secretion. An estimated 11 million people in the United States were diagnosed with diabetes in the year 2000 (Boyle et al., 2001), and approximately 90% of those individuals were diagnosed with DM2. The number of individuals diagnosed with DM2 has been rising at an alarming rate over the past several decades (Harris, 1998). It has been estimated that this figure will increase by 165% to 29 million by the year 2050, reflecting a 7.2% prevalence rate. Such an increase is hypothesized to be the result of changes in demographic composition ...