1 Type 1 diabetes can occur in an older individual due to destruction of the pancreas by alcohol, disease, or removal by surgery. 2  It also results from progressive failure of the pancreatic beta cells, the only cell type that produces significant amounts of insulin. Type 1 diabetes involves about 10% of all people with diabetes in the United States. 2  Type 1 diabetes is typically diagnosed during childhood or adolescence. 3  It used to be referred to as juvenile-onset diabetes or insulin-dependent diabetes mellitus.
Clinical pastoral education (CPE) is education to teach pastoral care to clergy and others.CPE is the primary method of training hospital and hospice chaplains and spiritual care providers in the United States, United Kingdom, Canada, Australia and New Zealand.n underpinning theory of education that structures clinical pastoral education is the  Action-Reflection  mode of learning.
In this article we will briefly explore the DSM and define generally what it is. the value that the DSM can have for the Pastoral Counselor. of the Pastoral Counselor using the DSM (or the pitfalls of the DSM generally). Admittedly, the DSM is a complex Manual.