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'Day-to-day self-management of diabetes is difficult but necessary to achieve optimal levels of glycaemic control and to avoid diabetes complications. Motivation for self-management can fluctuate over time and in response to life events. Diabetes education programmes can prepare people with the knowledge and ...

'Day-to-day self-management of diabetes is difficult but necessary to achieve optimal levels of glycaemic control and to avoid diabetes complications. Motivation for self-management can fluctuate over time and in response to life events. Diabetes education programmes can prepare people with the knowledge and skills to manage diabetes but do not specifically address motivation for self-management and this can be affected by negative thoughts, feelings, mood and ‘burn out’. Psychological treatments for people with type 1 and type 2 diabetes usually rely on the therapeutic alliance between the therapist and person with diabetes and typically involve speaking or communicating. The effectiveness of interventions can vary and we still do not necessarily know which type of psychological treatment, works best for whom or who should deliver it. However, people with diabetes want psychological support and therefore there is a need to continue to develop these treatments. But do we know which psychological therapies work best for people with diabetes and why?

Keywords: psychological interventions, diabetes, self-management, mood, burn out, therapeutic alliance


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