A refusal to believe the diagnosis of having diabetes given by the physician.


Defense Mechanism - An unconscious reaction that offers protection to the self from a stressful situation.

 Denial is a process we have "learned" and "used" all our life as a defense mechanism. We become entrapped by our own emotional reactions, which leads to conflict and stress.


 Denial may become serious if allowed to go on too long, preventing adequate care for diabetes.


 For example diabetics in denial may:

            1. Not test blood glucose.
            2. Ignore meal plan.
            3. Forget to take care of feet.
            4. Smoke, denying the consequences.






Feelings of extreme displeasure, hostility, and/or resentment towards the condition of having diabetes.


 Diabetics may feel angry at diabetes for changing their life.

 Diabetics may feel angry at how unfair it is that they have diabetes.

 Diabetics may feel worse and take care of themselves less as their anger grows.

Diabetics may feel angry when a physician tells them they are not following their doctor's advice for treating diabetes. This anger leads the diabetic into a fear of seeing the physician.




Feeling responsible for getting this chronic disease.


Chronic Disease - A disease that persists over a long period of time as compared with the course of an acute disease.

 Many diabetics seem to be following their diabetes care plan exceptionally well, yet the results are not what they expect.

 Diabetics each have a different way of reacting to care; not all care plans work the same for everybody.

 Diabetics who are extremely dedicated to their treatment may feel guilty and blame themselves for doing something wrong even though it is not their fault. 


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