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It's up to me! Experiences of living with pre-diabetes and the increased risk of developing type 2 diabetes mellitus
The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences, Sweden / Skara Primary Health Care Center, Sweden.ORCID iD: 0000-0002-2188-4306
Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University, Box 457, SE 405 30 Göteborg, Sweden.
Department of Public Health and Community Medicine/Primary Health Care, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University, Box 457, SE 405 30 Göteborg, Sweden / Faculty of Social Sciences, Department of Health Studies, University of Stavanger, Norway .
2008 (English)In: Primary Care Diabetes, ISSN 1751-9918, E-ISSN 1878-0210, Vol. 2, no 4, 187-193 p.Article in journal (Refereed) Published
Abstract [en]

Aims: To explore experiences of pre-diabetes and the associated increased risk of type 2 diabetes mellitus. Methods: Eight participants with pre-diabetes were interviewed for a 45-60 min period. The interviews were audio taped, transcribed verbatim and analysed using a phenomenological hermeneutic approach. Results: Living with pre-diabetes means existing on the borderline of being healthy and suffering from T2DM. Three themes were formulated; "seeing possibilities in an uncertain future", "facing obstacles and loss of liberty" and "balancing between possibilities and obstacles" Being on the borderline and balancing between possibilities and obstacles were interpreted as a distressing feeling of being at increased risk of developing T2DM, although this feeling can change to one of either facing possibilities or facing obstacles. Conclusions: Special focus must be directed towards persons with pre-diabetes, as they are caught between possibilities and obstacles. Advanced care in the form of health dialogues can convince these people of their own abilities to influence the outcome of pre-diabetes. The result of this study can guide health care practitioners in comprehending each participant's understanding of the situation, thus helping them to create pedagogical dialogues in which patients' experiences, conceptions, explanations as well as explicit and implicit questions are identified. © 2008 Primary Care Diabetes Europe.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2008. Vol. 2, no 4, 187-193 p.
Keyword [en]
Lifestyle, Nursing, Phenomenological hermeneutics T2DM, Pre-diabetic state, Primary health care, Qualitative research, adaptive behavior, adult, article, attitude to health, comprehension, cost of illness, decision making, disease course, doctor patient relation, female, health behavior, human, impaired glucose tolerance, interview, male, middle aged, non insulin dependent diabetes mellitus, patient attitude, psychological aspect, quality of life, risk factor, risk reduction, Adaptation, Psychological, Choice Behavior, Diabetes Mellitus, Type 2, Disease Progression, Health Knowledge, Attitudes, Practice, Humans, Interviews as Topic, Patient Acceptance of Health Care, Physician-Patient Relations, Prediabetic State, Risk Factors, Risk Reduction Behavior
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-6987DOI: 10.1016/j.pcd.2008.09.001PubMedID: 18996075Scopus ID: 2-s2.0-56349125190OAI: oai:DiVA.org:his-6987DiVA: diva2:585022
Available from: 2013-01-09 Created: 2013-01-09 Last updated: 2014-12-16Bibliographically approved

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