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By Olivier C. Rieppel

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They represent the differences and complexities of human nature and highlight the importance of being aware that for every person with diabetes, how we support their selfmanagement will be different according to their lifestyle and viewpoint. 1 Michelle Bushell Following my diagnosis in November 1994, the changes in diabetes care that I have been privy to have been fairly dramatic. At 10 years old, there is little that can be recalled M. M. D. E. 1007/978-0-85729-573-6_2, © Springer-Verlag London Limited 2012 23 24 M.

I had also started doing some exercise over the summer, so by the time it was autumn I was thinner, if not thin, and was feeling more in control. I still was not well all the time but I could deal with it better, having had the experience of the year before. Since I was at school more, I saw my friends more, and began to go out, drink a little, and meet girls. Life was better! Now that I look back on it, I was still adjusting to having diabetes during that second year. The first year was simply taken up with the “shock and awe” of diagnosis.

Opportunity cost of antidepressant prescribing in England: analysis of routine data. Br Med J. 2005;330:999. 2010. Rosenthal GE, Shah A, et al. Variations in standardized hospital mortality rates for six common medical diagnoses: implications for profiling hospital quality. Med Care. 1998;36(7):955–64. Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med. 2000;160(21):3278–85. NDST: National diabetes support team fact sheet: no 10: working together to reduce length of stay for people with diabetes.

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