Individualized Diabetes Type 2 Management

1.2 The Three Stages

InDiMa’ is based upon a three-phase process:

The Individualized Diabetes Management system ‘InDiMa’ is supporting you on your very personal way to cope with your Diabetes.

(1) Analysis and insight alone does not help; support for an addictive eating disorder is needed
(1) Unconditioned acceptance, empowerment and enabling create the basis for success
The ‘Medical Team’ is analyzing the bio-medical situation of the Patient, gives a wise advice, warns and is prescribing medication: The Doctor and the Diabetes Team show unconditioned acceptance, are empowering and enabling you as Patient to cope with your diabetes through Individualized Self-Care and Individualized support from Partner, Family Group:
…‘but that alone does not help in most of the cases (only 10% are able to put the advice into practice)’ … …‘the unconditioned acceptance creates trust, the Doctor and the Diabetes Team are empowering you to control the diabetes’…
(2) Rational appeals to a patient with an addictive eating disorder are not helpful
(2) Trust building for cooperative openness of the patient and Individualized Support from Doctor and Diabetes Team are necessary
For our standard treatment we explain the need for the adaptation of lifestyle and regular self-monitoring: For our ‘InDiMa’ management we are creating a basis of trust. The patient is encouraged to talk openly about the diabetes challenges and cooperate as our partner, supported by the ‘InDiMa’ Support Program:
… ‘but that is not sufficient for 70% of the patients – at best we achieved control of the core criteria in 30 % of the cases’ … … ’so the patient can control the diabetes, can reach step by step a better lifestyle adaptation and a successful coping with diabetes’ …
(3) No support for a healthy lifestyle and combining this with quality of life
(3) ‘InDiMa’ helps to adapt to a healthy lifestyle and to combine it with quality of life
The Medical Team requires a healthy lifestyle and shows risks of unhealthy living: The patient will adapt to a healthy lifestyle and will learn to combine it with quality of life:
… ’that creates anxiety, sometimes even fear – but it does not help in most of the cases: The Medical team cannot offer any help and daily support.’. …’that helps against anxiety, creates self-confidence – and with the InDiMa Individualized Action Program you will be successful to cope with your diabetes.’

The traditional diabetes treatment and diabetes management did not take care of the addictive pattern: The patients are feeling hungry. Against this, a ‘rational appeal’ or a ‘motivation’ is not helpful. The patient feels incompetent and is losing self-confidence, because he cannot control his ‘feeling of hunger’ and his addiction. So the answer for a successful diabetes Management needs to be different. The patient needs first unconditioned acceptance. Then he is enabled and empowered. The patient understands to accept his reality: He has a biomedical problem (feeling of hunger). He is ‘okay’ and is not showing ‘a lack of discipline’ or even a ‘lack of social competence’.