Diabetes is a global problem in increasing propotions.there are an estimated 2.35 million people with diabetes in England and 100,000 more people are diagnosed with diabetes every year (Dpt of Health,2001).this is predicted to grow more than 2.5 million by 2010.the total cost of diabetes in the UK in 1998 was estimated at 1.83 billion, or 3.4 % of health care expenditure (DOH,2001).however 40%   of this cost is used in the management of preventable diabetes complications (CALMAN,1998).The main aim for maintaining normal blood glucose is to prevent development of ketoacidosis,to prevent electrolyte abnormalities, to prevent impairment of leukocyte functions and to prevent impairment of wound healing (Diabetusuk,2002).Structured education can improve knowledge, blood glucose control, weight and dietary management, physical activity and psychological well being (DOH,NSF FOR DIABETES,2010).here I have chosen one of my patient who is having type 1 diabetes and recurrent admission with diabetic ketoacidosis.to fulfil the requirement of her problem I have followed schons (1983)model of reflection .I had an opportunity to look after her while she was admitted in my ward.

Diabetes mellitus comes in many forms-types1, which is insulin dependent, type 2 and gestational diabetes. All theses are inability to self-regulate the levels of blood glucose or cellular fuel in the body. National Diabetics audit and diabetes Quality Outcome Framework (QOF) are providing data that will support effective measurement of improvement in diagnosis and care.

I have learned that reflection is a psychological construct that is related to cognitive processes such as thinking, reasoning,
Considering and purposeful (Gregory, 1987).I think it is most important that we should be followed reflective practice in our
day to day life to bring success in every action. However, we reflect many...