Turning points in self-management of type 2 diabetes

Abstract

A turning point is described in the literature as a powerful emotional experience or insight leading to a fundamental change in a person's life, and requires a new way of managing the illness. However, turning points are not sufficiently described in the literature, particularly not with respect to diabetes.

The aim of this study was to throw light on turning points in self-management as described by people with type 2 diabetes.

Eighteen participants diagnosed with type 2 diabetes within the previous two years, and who received treatment in primary health care, were invited to participate. Semi-structured interviews were analysed using qualitative content analysis.

The findings demonstrated that the turning point in self-management among individuals living with type 2 diabetes included four themes: being in a life and death struggle, being at a crossroads with no return, being the one who decides, and being the one who can change the outcome.

Turning point transitions include existential and emotional aspects that can increase inner motivation and power for changed behaviour. Turning points are possible to identify, and self-management could be facilitated if more attention is paid to the emotional and existential aspects of having an illness. Copyright © 2012 FEND. Published by John Wiley & Sons, Ltd.