Management of a Patient With Insulin-Dependent Diabetes Mellitus Learning Biofeedback-Assisted Relaxation

Abstract

Psychological stress can have profound disruptive effects upon glycemic control in individuals with diabetes. Presented here is a case study in which biofeedback- assisted relaxation techniques were used to help a young woman with a 10-year history of insulin- dependent diabetes mellitus to more effectively manage stress, thereby improving glycemic control. Hypoglycemia is a frequently encountered problem with this technique, so the patient was taught to identify causes of hypoglycemic episodes and to take action to prevent their occur rence. The team approach of a diabetes nurse educator working in conjunction with a biofeedback therapist was vital to the success of this program.