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Patients with insulin-dependent diabetes mellitus (IDDM) face major changes in lifestyle and the possibility of debilitating and life-threatening complications. Treatment requires a knowledgeable health care team that includes a physician, a nurse educator, other health care professionals, and the patient and family. The Diabetes Control and Complications Trial (DCCT) demonstrated that intensive treatment can delay the onset and slow the progression of microvascular complications.1 The message to the patient is that success in learning how to take better care of oneself can make a difference in the course of IDDM. However, patients may find the prospect of the disease and . . .
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A. Jacobson (1996) studied this question.
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