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Note on Psychosocial

Believing in yourself

Self-efficacy is commonly described as the confidence that you have in performing goal-directed behaviors, and many studies link it to the behaviors needed to achieve good control of your diabetes. A study published today looked at a number of health care beliefs in a group of people with diabetes, and found that self-efficacy had the strongest connection with better glucose control. Although not examined here, I think that health care providers and others may have a negative impact on self-efficacy when we ask people to do too many tasks related to their diabetes, and provide unrealistic goals. Health care providers could increase self-efficacy and diabetes control by simplifying their advice, and providing people with a realistic, hopeful message that they will be able to avoid diabetes-related complications by addressing a few simple areas.

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