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Primary Care Diabetes

Rachel P Ogilvie, Shivani A Patel, K M Venkat Narayan, Neil K Mehta
AIMS: Although U.S. territories fall within the mandate outlined by Healthy People 2020, they remain neglected in diabetes care research. We compared the prevalence and secular trends of four recommended diabetes care practices in the U.S. territories of Guam, Puerto Rico, and the U.S. Virgin Islands to the 50 United States and D.C. ("U.S. States") in 2001-2015. METHODS: Data were from 390,268 adult participants with self-reported physician diagnosed diabetes in the Behavioral Risk Factor Surveillance System...
May 9, 2018: Primary Care Diabetes
Kamlesh Khunti, James R Gavin, Andrew J M Boulton, Rick Blickstead, Margaret McGill, Antonio Ceriello, Itamar Raz, Shaukat Sadikot, David A Wood, Xavier Cos, Sanjay Kalra, Ashok Kumar Das, Cutberto Espinosa López
Diabetes is epidemic worldwide and places a huge burden on healthcare systems. The majority of the cost of type 2 diabetes (T2D) is related to hospitalization and the management of complications, and these also have a negative impact on the individual's quality of life. The Berlin Declaration is a global call for early action for the identification of high risk individuals, prevention of T2D and the prevention of complications in those with T2D, through prevention, early detection, early control and early access to the right multidisciplinary interventions...
May 8, 2018: Primary Care Diabetes
Philip Gerretsen, Julia Kim, Parita Shah, Lena Quilty, Thushanthi Balakumar, Fernando Caravaggio, Eric Plitman, Jun Ku Chung, Yusuke Iwata, Bruce G Pollock, Satya Dash, Sanjeev Sockalingam, Ariel Graff-Guerrero
AIMS: Impaired illness awareness or not accepting that one has obesity is an understudied phenomenon that may negatively influence treatment adherence and clinical outcomes. The purpose of this study was to perform a systematic review of available measures of obesity awareness, and subsequently develop and validate a novel scale that measures the core domains of obesity awareness. METHODS: A systematic review of the literature revealed no illness specific measure of subjective obesity awareness...
May 8, 2018: Primary Care Diabetes
Zeinab Jannoo, Naushad Mamode Khan
Diabetes self-care activities is an important aspect for Type 2 Diabetes Mellitus (T2DM) patients. The aim of this study was to examine the construct validity of the Summary of Diabetes Self-Care Activities (SDSCA) measure. This was a cross-sectional study whereby T2DM patients were recruited from endocrine clinics in hospitals. The patients gave their informed consent before the interview. The SDSCA measure was used to gather information about the patients' diabetes self-care. Internal consistency reliability was measured by the Cronbach's Alpha value while the construct validity was measured by Confirmatory Factor Analysis...
May 4, 2018: Primary Care Diabetes
Heidi Hakkarainen, Hanna Huopio, Henna Cederberg, Raimo Voutilainen, Seppo Heinonen
AIMS: Was to determine whether the birth weight of the infant predicts prediabetes (impaired fasting glucose, impaired glucose tolerance, or both) and type 2 diabetes (T2DM) during long-term follow-up of women with or without gestational diabetes mellitus (GDM). METHODS: The women with or without GDM during their pregnancies in Kuopio University Hospital in 1989-2009 (n=876) were contacted and invited for an evaluation. They were stratified into two groups according to the newborn's birth weight: 10-90th percentile (appropriate-for-gestational-age; AGA) (n=662) and >90th percentile (large-for-gestational-age; LGA) (n=116)...
May 4, 2018: Primary Care Diabetes
Xiandong Gu, Xuming Luo, Xiongbiao Wang, Jihong Tang, Wei Yang, Zhuying Cai
BACKGROUND: The aim of this study was to explore the correlation between obstructive sleep apnea (OSA) and diabetic neuropathy. MATERIALS AND METHODS: After working out searching strategy, literatures were screened from the electronic databases: PubMed, Embase, and the Cochrane library. R 3.12 was utilized to perform meta-analysis, and odds ratio (OR) and its 95% confidence interval (CI) were used to present effect size. Heterogeneity was assessed by χ2 -based Q test and I2 statistics...
May 1, 2018: Primary Care Diabetes
Zainab Ahmad, Aysha Ahmad
No abstract text is available yet for this article.
April 30, 2018: Primary Care Diabetes
A O Grøn, E-M Dalsgaard, A R Ribe, S Seidu, G Mora, A M Cebrián-Cuenca, M Charles
BACKGROUND AND AIM: Individuals with severe mental illness (SMI) who suffer from type 2 diabetes (T2DM) are likely to be sub-optimally treated for their physical condition. This study aimed to review the effect of interventions in this population. METHODS: A systematic search in five databases was conducted in July 2017. RESULTS: Seven studies on multi-faced interventions were included. These comprised nutrition and exercise counselling, behavioural modelling and increased disease awareness aiming to reduce HbA1c, fasting plasma glucose, body mass index and weight...
April 27, 2018: Primary Care Diabetes
Tora Grauers Willadsen, Volkert Siersma, Anni Brit Sternhagen Nielsen, Rasmus Køster-Rasmussen, Ann Dorrit Guassora, Dorte Ejg Jarbøl, Paolo Eusebi, Kirsti Malterud, Susanne Reventlow, Niels de Fine Olivarius
AIMS: To explore the effect of structured personal care on diabetes symptoms and self-rated health over 14 years after diabetes diagnosis while patients are gradually diagnosed with other chronic conditions (multimorbidity). METHODS: Post hoc analysis of the Danish randomized controlled trial Diabetes Care in General Practice including 1381 patients newly diagnosed with type 2 diabetes. The effect of structured personal care compared with routine care on diabetes symptoms and self-rated health was analysed 6 and 14 years after diagnosis with a generalized multilevel Rasch model...
April 25, 2018: Primary Care Diabetes
Dong-Dong Wang, Xiao Chen, Yang Yang, Chen-Xu Liu
AIMS: rs5219 is in Potassium inwardly-rectifying channel, subfamily J, member 11 (KCNJ11) E23K gene, located at 11p15.1. Researches on the association between rs5219 gene polymorphism with type 2 diabetes mellitus (T2DM) were performed extensively, but the results remain controversial. To investigate the relationship, a meta-analysis involving 21,464 individuals was conducted. METHODS: Odds ratios (OR) and 95% confidence intervals (CI) were used to assess the strength of this association...
April 20, 2018: Primary Care Diabetes
Farhad Gholizadeh, Jalal Moludi, Ned Lotfi Yagin, Mohammad Alizadeh, Seyed Mostafa Nachvak, Hadi Abdollahzad, Khadijeh Mirzaei, Mostafa Mostafazadeh
INTRODUCTION: Prediabetes is considered as an increased risk factor for cardiovascular disease and overt diabetes and is the precursor stage of diabetes. Dietary Diversity Score (DDS) is recognized as an essential factor of a high-quality diet. However, diets with more varieties of food items might increase calorie intake and body weight. Therefore, this study was carried out to determine the association of DDS with metabolic syndrome features in adults with prediabetes. METHODS: Three hundred subjects were randomly selected from participants who were undergone diabetes test screening program...
April 9, 2018: Primary Care Diabetes
Lise Juul, Gill Rowlands, Helle Terkildsen Maindal
AIMS: To investigate associations between health literacy (HL) and diet and physical activity, and motivation and diet and physical activity in Danish people with type 2 diabetes. METHODS: We used a cross-sectional design including 194 individuals with type 2 diabetes participating in peer-led support groups provided by the Danish Diabetes Association between January-December 2015. The participants completed a questionnaire at the first meeting including; The Summary of Diabetes Self-Care Activities (SDSCA) measure, The Treatment Self-Regulation Questionnaire (TSRQ) (Self-Determination Theory) measuring type of motivation, and two HL scales: The HLS-EU-Q16, and the Diabetes Health Literacy scale (Ishikawa, H)...
March 17, 2018: Primary Care Diabetes
Katja Vince, Tamara Poljičanin, Marko Brkić, Urelija Rodin, Ratko Matijević
AIMS: The aim of this study was to determine the prevalence of diabetes among women 5 years after having gestational diabetes during pregnancy. Also, we sought to determine whether women who develop diabetes after GD during pregnancy differ from women who do not develop diabetes after GD during pregnancy. METHODS: This longitudinal study was performed using data from medical birth certificates and CroDiab diabetes registry. Women burdened with gestational diabetes in Croatia in 2011 were followed up until year 2016...
March 5, 2018: Primary Care Diabetes
Joseph Jonathan Lee, Matthew James Thompson, Juliet Alexandra Usher-Smith, Constantinos Koshiaris, Ann Van den Bruel
BACKGROUND: The epidemiology of type 1 diabetes mellitus (T1DM) suggests diagnostic delays may contribute to children developing diabetic ketoacidosis at diagnosis. We sought to quantify opportunities for earlier diagnosis of T1DM in primary care. METHODS: A matched case-control study of children (0-16 years) presenting to UK primary care, examining routinely collected primary care consultation types and National Institute for Health and Care Excellence (NICE) warning signs in the 13 weeks before diagnosis...
June 2018: Primary Care Diabetes
Amr Ahmed El-Arabey
No abstract text is available yet for this article.
June 2018: Primary Care Diabetes
Samuel Seidu, Setor K Kunutsor, Xavier Cos, Syed Gillani, Kamlesh Khunti
BACKGROUND: Sodium-glucose co-transporter 2 (SGLT2) inhibitors may have renal protective effects in people with impaired kidney function. We assessed the use of SGLT2 inhibitors in people with type 2 diabetes with or without renal impairment [defined as estimated glomerular filtration rate (eGFR) of ≥30 and <60ml/min/1.73m2 and/or UACR>300 and ≤5000mg/g] by conducting a systematic review and meta-analysis of available studies. METHODS: Randomised controlled trials (RCTs) were identified from MEDLINE, EMABASE, Web of Science, the Cochrane Library, and search of bibliographies to March 2017...
June 2018: Primary Care Diabetes
Seth A Berkowitz, Stephanie A Eisenstat, Lily S Barnard, Deborah J Wexler
AIMS: To explore the patient perspective on coordinated multidisciplinary diabetes team care among a socioeconomically diverse group of adults with type 2 diabetes. METHODS: Qualitative research design using 8 focus groups (n=53). We randomly sampled primary care patients with type 2 diabetes and conducted focus groups at their primary care clinic. Discussion prompts queried current perceptions of team care. Each focus group was audio recorded, transcribed verbatim, and independently coded by three reviewers...
June 2018: Primary Care Diabetes
Ilker Tasci, Umut Safer, Ilkin Naharci, Alper Sonmez
In recent years, modified glycemic targets have been defined for older adults with diabetes mellitus. In a sample of elderly patients, we have identified several inconsistencies between the real life applicability of glycated hemoglobin goals recommended by the American Diabetes Association and the American Geriatrics Society.
April 2018: Primary Care Diabetes
Ramfis Nieto-Martínez, Jeffrey I Mechanick, Imperia Brajkovich, Eunice Ugel, Alejandro Risques, Hermes Florez, Juan Pablo González-Rivas
OBJECTIVE: The prevalence of diabetes in multiple regions of Venezuela is unknown. To determine the prevalence of diabetes in five populations from three regions of Venezuela. METHODS: During 2006-2010, 1334 subjects ≥20years were selected by multistage stratified random sampling from all households from 3 regions of Venezuela. Anthropometric measurements and biochemical analysis were obtained. Statistical methods were calculated using SPSS 20 software. FINDINGS: Mean (SE) age was 44...
April 2018: Primary Care Diabetes
Andrés Gaviria-Mendoza, Jorge Andrés Sánchez-Duque, Diego Alejandro Medina-Morales, Jorge Enrique Machado-Alba
AIMS: To determine the prescription patterns of antidiabetic medications and the variables associated with their use in a Colombian population. METHODS: A cross-sectional study using a systematized database of approximately 3.5 million affiliates of the Colombian Health System. Patients of both genders and all ages treated uninterruptedly with antidiabetic medications for three months (June-August 2015) were included. A database was designed that included sociodemographic, pharmacological, comedication, and cost variables...
April 2018: Primary Care Diabetes
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