Monday, 9 November 2009

The Carrot and the Stick

Some people have recently said on the forum how being told the bare, unpalatable truth about the consequences of poor blood sugar control has really made them sit up and start getting serious about their diabetes. If you let your guard slip then terrible things can creep up on you before you know it. So, sometimes tough love can be what is needed should complacency or rebellion set in. On the other hand, a person might find that encouragement is the key to success, possibly by being given the opportunity to get funding for an insulin pump with all the wonderful flexibility and enhanced control that brings. I feel that, currently, I am driven to keep good control mainly due to the fear of complications. This is not to say that I am in constant dread, but that I have an incentive to do everything by the book to give myself the best chance.

Diabetes nurses, so pleased you could attend,
Your patients will be glad you came – on you they all depend!
Today we’ll learn a technique called the carrot and the stick,
If carrots do not work for you, then the stick might do the trick!

Now, if a patient comes to you and their levels have been poor,
You might suggest a pump for them, describing its allure,
But sometimes a really harsh approach is the one that you should pick –
Frighten them with neuropathy and beat them with that stick!

They must avoid complacency, so keep them on their toes!
A pump might be a carrot dangled right before their nose,
And if you get their hopes up that a pump may soon be theirs,
You’ll be their favourite DSN – a nurse that really cares!

Assess your patient carefully, decide which method’s best,
But make sure that they know that they must inject, record and test,
For minor inconvenience they’ve everything to gain,
Avoiding complications and a life that’s filled with pain.

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