I think change gets harder with age. I cringe inside when I find out I'm going to have to change the way I've been doing something at work and learn a new way, for example. It seems the only thing we can be certain about with change is that it will happen again. Health care behaviors seem to be some of the hardest changes to make.

A number of theories about human behavior and change exist. One such theory, by Kurt Lewin and Edgar Schein, proposes that change is a three-stage process — unfreezing a behavior, changing, and then refreezing the new behavior.

Getting motivated: Unfreezing
The first stage — the unfreezing stage — is becoming motivated to change. How do we become motivated to change? A new diagnosis of diabetes, a poor A1C report from the medical care provider, nudges from a family member or self-evaluation all might motivate change. At this stage, the change process becomes a mental game of mind over matter. We realize the current situation isn't working and that ignoring the condition won't make things better. Real and unreal anxieties can slow down and impede the process of change. You might question if you can change, how to start or if it will make a difference.

Making changes
The change stage follows making the decision that a change needs to occur. Next, we must decide what needs to change. Activities that help us change are beneficial in the change stage. These activities might include:

Choosing a specific behavior you want to work on changing Being realistic — avoid trying to change everything at onceWriting down the change and posting it in plain sight to give yourself a daily reminderDiscussing the change with others around you and asking for their support and encouragementFinding a support groupSeeing your diabetes health care team regularlyChanging your environment to support your change, such as getting snacks out of the home

Making it permanent: Refreezing
The refreezing stage — making the change permanent — is probably the hardest stage. This final stage is when the change becomes habitual and includes developing a new self-concept. You become a person identifying and living for wellness.

Your thoughts?

Have a great week!
Nancy

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I love technology and all the gadgets that go along with it, including diabetes apps (applications) that help with managing diabetes. I recently read in Health Data Management news that the use of mobile and internet tools helped a group of people with diabetes lower their blood glucose levels. The group that used these tools saw an average A1C level decrease of almost 2 percent, which was more than twice the decrease seen in the control group. Other research has shown that even a 1 percent decrease in A1C helps to prevent complications of diabetes.

I typed in "diabetes" on my mobile device and downloaded several different diabetes apps that aim to help with managing diabetes. Costs varied from free to around $12. You have many diabetes apps to choose from to quickly record your blood sugar, blood pressure, pulse, weight, medications, food (usually carbohydrates) and exercise. You even have the ability to print or email your blood glucose record to your health care provider.

In our practice, I find that most people don't mind testing their blood sugar, but they don't care for writing down their readings. We understand busy schedules and know that it can be difficult to find the time to test your blood sugar, let alone write it down. However, keeping a record of your blood sugar levels can help you identify patterns of blood sugar levels that are too high or too low. A blood sugar record also helps your health care team evaluate the effectiveness of your diabetes medications, including insulin.

If you're comfortable with the technology, consider a mobile diabetes app to help you record your blood sugar levels. Mobile technology isn't for everyone, and that's all right! But it can be a good option for many.

We'd love to hear your experiences with mobile technology and diabetes management.

Peggy