Person-Centered Primary Care and Type 2 Diabetes: Beyond Blood Glucose Control

J Midwifery Womens Health. 2019 May;64(3):312-323. doi: 10.1111/jmwh.12973. Epub 2019 May 8.

Abstract

With an estimated 9% of persons in the United States diagnosed with diabetes, primary care providers such as midwives and nurse practitioners are increasingly working with persons who have diabetes and are seeking primary care services. This article reviews the current literature with regard to the initial evaluation of individuals who are diagnosed with diabetes, and what is entailed in comprehensive continuing management of care. A person-centered interprofessional approach to care of the person with diabetes is presented. Recommendations are given that address dietary habits, activities of daily living, medication regimens, and potential alternative therapies. Social constructs related to effective care of individuals with diabetes also are addressed. Knowledge of current research that has identified effective care practices for individuals with diabetes is imperative to ensuring their well-being, and promoting a person-centered and interprofessional approach is best for offering optimal care to those diagnosed with diabetes.

Keywords: nutrition; patient education; primary care; public health; screening and diagnostic tests.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living
  • Complementary Therapies
  • Diabetes Mellitus, Type 2 / psychology*
  • Diabetes Mellitus, Type 2 / therapy*
  • Diet, Healthy
  • Disease Management*
  • Exercise
  • Female
  • Humans
  • Intersectoral Collaboration
  • Male
  • Medication Adherence
  • Midwifery
  • Nurse Practitioners
  • Patient-Centered Care*
  • Preconception Care
  • Pregnancy
  • Primary Health Care*
  • Social Support