Review Article
Volume 5 Issue 3 - 2021
Conceptual Framework for Integrating Continence Screening and Management into ‘Usual’ Diabetes Care
Trisha Dunning1* and Joan Ostaszkiewicz2
1Chair in Nursing, Centre for Quality and Patient Safety Research, Barwon Health Partnership, School of Nursing and Midwifery, Deakin University, Geelong, Australia
2Research Fellow, Centre for Quality and Patient Safety Research, Barwon Health Partnership, School of Nursing and Midwifery, Deakin University, Geelong, Australia
*Corresponding Author: Trisha Dunning, Chair in Nursing, Centre for Quality and Patient Safety Research, Barwon Health Partnership, School of Nursing and Midwifery, Deakin University, Geelong, Australia.
Received: January 12, 2021; Published: February 26, 2021


The association between diabetes and urinary incontinence is well documented, especially in older people and those with multimorbidities. Urinary incontinence is a highly stigmatised and distressing condition that causes many people to conceal the symptom and delay seeking diagnosis and treatment. Both diabetes and urinary incontinence have direct physical, psychological and emotional effects on individuals and their families and their quality of life. Moreover, both share common risk factors such as advanced age, obesity and multimorbidity.

This paper describes the association between the two conditions, outlines key issues to be considered, and proposes a framework to integrate continence screening and management into usual diabetes care and screening for undiagnosed diabetes in people presenting with urinary incontinence. Early initiation of comprehensive diabetes-related care for people with urinary incontinence may improve function and quality of life and reduce unnecessary, burdensome treatment and could have economic benefits. Integrating continence screening and management into usual diabetes care and screening could also reduce the number of missed opportunities for timely discussion about urinary incontinence between clinicians and people with diabetes.

Keywords: Urinary Incontinence; Diabetes; Hyperglycaemia; Continence Care; Conceptual Framework


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Citation: Trisha Dunning and Joan Ostaszkiewicz. “Conceptual Framework for Integrating Continence Screening and Management into ‘Usual’ Diabetes Care”. EC Diabetes and Metabolic Research 5.3 (2021): 32-45.

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