“…Concordance with the recommendations of health care professionals for blood glucose control and lifestyle management may prove more difficult, if the individual is grappling with vision loss. In one study comparing visually impaired individuals with and without DM, participants with DM reported poorer general health, less satisfaction with physical health, and more negative feelings generally (Leksell, Johannsson, Wibell, & Wikblad, 2001). The term ‘psychological insulin resistance’ has been used to describe the ways in which fears and psychological barriers associated with diabetes treatments and lifestyle changes impact upon glycaemic control (Brod, Kongsø, Lessard, & Christensen, 2009; Skinner, 2004).…”