Possibilities of behavioral therapy in diabetes mellitus and obesity

Abstract

Being aware of the worldwide spread of diabetes and obesity as well as its economic effects, the authors discuss the complex, behavior remediational methods of the treatment and its current questions. They ephasize the role of chronic stress in the etiopatogenesis of insulin resistance, metabolic syndrome, and type 2 diabetes. All these require a shift of paradigm in the field of treatment too. Based on literature data and on their own practical experience, the authors consider that behavior remediational can integrate two, sometimes still opposing medical philosophical views in order to foster the efficiency of medical work. They review elements of behavior remediation of diabetes, underlining self-management, acceptance of the illness, and motivationn which can be followed by teaching theoretical and practical knowledge, the ongoing diabetes education. Comorbid psychological disorders impede these processes; their early recognition and complex treatment are essential. The authors present a cognitive, behavior remediational programme of weight loss, that can be used in pracise, both in prevention and treament of diabetes. Orv. Hetil., 2012, 153, 410–417.