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self monitoring in type 2 diabetes

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https://www.readbyqxmd.com/read/27899497/the-effect-of-canagliflozin-a-sodium-glucose-cotransporter-2-inhibitor-on-glycemic-end-points-assessed-by-continuous-glucose-monitoring-and-patient-reported-outcomes-among-people-with-type-1-diabetes
#1
Helena W Rodbard, Anne L Peters, April Slee, Anjun Cao, Shana B Traina, Maria Alba
OBJECTIVE: To assess the effects of canagliflozin, a sodium glucose cotransporter 2 inhibitor, on glycemic parameters and measures of glucose variability assessed by a 9-point self-monitoring blood glucose (SMBG) and continuous glucose monitoring (CGM) profiles, and patient-reported outcomes as an add-on to insulin among participants with type 1 diabetes. RESEARCH DESIGN AND METHODS: In this randomized, double-blind study, 351 participants received canagliflozin 100 or 300 mg or placebo for 18 weeks...
November 29, 2016: Diabetes Care
https://www.readbyqxmd.com/read/27865961/lifetime-depression-and-anxiety-increase-prevalent-psychological-symptoms-and-worsen-glycemic-control-in-type-2-diabetes-the-fremantle-diabetes-study-phase-ii
#2
S R Whitworth, D G Bruce, S E Starkstein, W A Davis, T M E Davis, R S Bucks
AIMS: To determine the contribution of lifetime major depressive disorder (L-MDD) and lifetime generalized anxiety disorder (L-GAD) to current psychological symptom severity, health behaviour and glycaemic control in type 2 diabetes. METHODS: 1285 community-dwelling people with type 2 diabetes (Fremantle Diabetes Study Phase-II; FDS2) completed the PHQ-9 and Brief Life-Time Depression Scale (BLDS) to assess current and past MDD. The Generalized Anxiety Disorder Scale (GADS) and the Generalized Anxiety Disorder Scale-Lifetime (GAD-LT), designed for FDS2, assessed current and past anxiety...
November 9, 2016: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/27864165/text-to-move-a-randomized-controlled-trial-of-a-text-messaging-program-to-improve-physical-activity-behaviors-in-patients-with-type-2-diabetes-mellitus
#3
Stephen Agboola, Kamal Jethwani, Lenny Lopez, Meghan Searl, Sandra O'Keefe, Joseph Kvedar
BACKGROUND: Text messages are increasingly being used because of the low cost and the ubiquitous nature of mobile phones to engage patients in self-care behaviors. Self-care is particularly important in achieving treatment outcomes in type 2 diabetes mellitus (T2DM). OBJECTIVE: This study examined the effect of personalized text messages on physical activity, as measured by a pedometer, and clinical outcomes in a diverse population of patients with T2DM. METHODS: Text to Move (TTM) incorporates physical activity monitoring and coaching to provide automated and personalized text messages to help patients with T2DM achieve their physical activity goals...
November 18, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27862497/can-follow-up-phone-calls-improve-patients-self-monitoring-of-blood-glucose
#4
Cheryl Brown-Deacon, Terri Brown, Constance Creech, Marilyn McFarland, Anupama Nair, Kevin Whitlow
AIMS AND OBJECTIVES: To evaluate the effectiveness of follow-up phone calls in improving frequency of glucose monitoring over a three month period in two groups of patients with type 2 diabetes with the goal to lower haemoglobin A1C. BACKGROUND: Telephone intervention has been successfully used in improving adherence to diabetes self-management and other chronic disease conditions. DESIGN: A quality improvement study. METHODS: Forty one Type 2 diabetic patients with HA1C ≥7·5% were included in the study...
November 13, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27836420/-introduction-of-capillary-glycosylated-haemoglobin-determination-in-a-primary-care-health-area-multicentre-study-of-the-evolution-of-patients-with-type-2-diabetes-mellitus
#5
M Á Núñez-Sánchez, M Á Cervantes-Cuesta, P Brocal-Ibañez, E Salmeron-Arjona, L P León-Martínez, M Cerezo-Sanmartin
PURPOSE: The aim of this study was to evaluate the efficiency of a joint intervention that included educational components, self-assessment, and information to optimise diabetes control through the introduction of instant capillary glycosylated haemoglobin (HbA1c) determination in Primary Care. MATERIALS AND METHODS: A multicentre prospective descriptive study was carried out over 3years in 10Primary Care Centres of the Area VII Murcia East. At the end of the study there were 804 patients with type 2 diabetes (DM2)...
November 8, 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/27815290/accuracy-and-longevity-of-an-implantable-continuous-glucose-sensor-in-the-precise-study-a-180-day-prospective-multicenter-pivotal-trial
#6
Jort Kropff, Pratik Choudhary, Sankalpa Neupane, Katharine Barnard, Steve C Bain, Christoph Kapitza, Thomas Forst, Manuela Link, Andrew Dehennis, J Hans DeVries
OBJECTIVE: It is known that continuous glucose monitoring (CGM) systems can lower mean glucose compared with episodic self-monitoring of blood glucose. Implantable CGM systems may provide additional benefits. RESEARCH DESIGN AND METHODS: We studied the Eversense (Senseonics Inc.) implantable CGM sensor in 71 participants aged 18 years and older with type 1 and type 2 diabetes in a 180-day multinational-multicenter pivotal trial. Participants used the CGM system at home and in the clinic...
November 4, 2016: Diabetes Care
https://www.readbyqxmd.com/read/27797932/tangled-up-in-blue-unraveling-the-links-between-emotional-distress-and-treatment-adherence-in-type-2-diabetes
#7
Jeffrey S Gonzalez, Naomi S Kane, Deborah H Binko, Amit Shapira, Claire J Hoogendoorn
OBJECTIVE: We conducted comprehensive assessments of emotional distress to examine relations with diabetes medication adherence over time. RESEARCH DESIGN AND METHODS: Ethnically and socioeconomically diverse adults treated for type 2 diabetes completed validated self-reports (SRs) for diabetes distress and depression, were administered semistructured depression interviews, and provided blood samples for A1C. Medication adherence among 104 participants was electronically monitored (EM) over the subsequent 3 months; validated SRs of medication adherence were also obtained...
October 17, 2016: Diabetes Care
https://www.readbyqxmd.com/read/27795821/predictors-of-hypoglycemia-in-insulin-treated-patients-with-type-2-diabetes-mellitus-in-basrah
#8
Dhuha Tarik Nassar, Omran S Habib, Abbas Ali Mansour
AIM: To measure the incidence and determinants (predictors) of hypoglycemia among patients with type 2 diabetes mellitus (T2DM) who were on insulin treatment for at least one year. METHODS: The present study is an out-patients based inquiry about the risk and predictors of hypoglycemia among patients with T2DM seeking care at the Al-Faiha Specialized Diabetes, Endocrine, and Metabolism Center, in Basrah over a period of 7 mo (from 15(th) of April, 2013 to 15(th) of October, 2013)...
October 15, 2016: World Journal of Diabetes
https://www.readbyqxmd.com/read/27769955/do-web-based-interventions-improve-well-being-in-type-2-diabetes-a-systematic-review-and-meta-analysis
#9
Michelle Hadjiconstantinou, Jo Byrne, Danielle H Bodicoat, Noelle Robertson, Helen Eborall, Kamlesh Khunti, Melanie J Davies
BACKGROUND: Poor diabetes self-care can have a negative impact on psychological well-being and quality of life. Given the scarcity of traditional psychological support and the barriers to uptake of and attendance at face-to-face education programs, Web-based interventions are becoming a popular approach to provide an additional platform for psychological support in long-term conditions. However, there is limited evidence to assess the effect of Web-based psychological support in people with type 2 diabetes...
October 21, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27769877/clinical-effectiveness-and-cost-savings-in-diabetes-care-supported-by-pharmacist-counselling
#10
Magaly Rodriguez de Bittner, Viktor V Chirikov, Ian M Breunig, Roxanne W Zaghab, Fadia Tohme Shaya
OBJECTIVE: To determine the effectiveness and cost savings of a real-world, continuous, pharmacist-delivered service with an employed patient population with diabetes over a 5-year period. SETTING: The Patients, Pharmacists Partnerships (P(3) Program) was offered as an "opt-in" benefit to employees of 6 public and private self-insured employers in Maryland and Virginia. Care was provided in ZIP code-matched locations and at 2 employers' worksites. PRACTICE DESCRIPTION: Six hundred two enrolled patients with type 1 and 2 diabetes were studied between July 2006 and May 2012 with an average follow-up of 2...
October 18, 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27764979/budget-impact-of-treating-commercially-insured-type-1-and-type-2-diabetes-patients-in-the-united-states-with-insulin-degludec-compared-to-insulin-glargine
#11
James Weatherall, Lisa Bloudek, Sarah Buchs
OBJECTIVE: To quantify the annual budget impact if all United States (US) commercially insured type 1 diabetes mellitus patients on basal-bolus therapy (T1DMBBT), type 2 diabetes mellitus patients on basal-oral therapy (T2DMBOT), and type 2 diabetes mellitus patients on basal-bolus therapy (T2DMBBT) switched from insulin glargine (IGlar) to insulin degludec (IDeg). METHODS: A short-term (1-year) budget impact model was developed to evaluate the costs of IDeg vs...
October 21, 2016: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/27758706/self-monitoring-of-blood-glucose-among-patients-with-type-2-diabetes-mellitus-in-eastern-nigeria-need-for-multi-strategic-interventions
#12
Ejiofor T Ugwu, Casmir Jg Orjioke, Ekenechukwu E Young
BACKGROUND: Self monitoring of blood glucose (SMBG) is a useful adjunct to lifestyle modification and medications for optimal management of type 2 diabetes mellitus (DM). This study was aimed at evaluating the practice, cost and associations of SMBG in subjects with type 2 DM in Enugu, Nigeria. METHODS: In a cross-sectional survey conducted at the diabetes clinic in three hospitals, 366 type 2 diabetic subjects aged 18-65 years were consecutively interviewed. Socio-demographic and clinical information were documented and glycated hemoglobin was performed for all the participants...
October 14, 2016: Current Diabetes Reviews
https://www.readbyqxmd.com/read/27754163/sy-11-3-hypertension-in-women-more-dangerous-than-in-men
#13
Suzanne Oparil
Heart disease, stroke, and kidney failure are leading causes of death worldwide, and hypertension is a significant risk factor for each. Hypertension is less common in women, compared to men, in those younger than 45 years of age. This trend is reversed in those 65 years and older. In the US between 2011-2014, the prevalence of hypertension in women and men by age group was 6% vs 8% (18-39 years), 30% vs 35% (40-59 years), and 67% vs 63% (60 years and over). Awareness, treatment, and control rates differ between genders with women being more aware of their diagnosis (85% vs 80%), more likely to take their medications (81% vs 71%) and more frequently having controlled hypertension (55% vs 49%)...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27747955/an-evaluation-of-diabetes-targeted-apps-for-android-smartphone-in-relation-to-behaviour-change-techniques
#14
C D Hoppe, J E Cade, M Carter
BACKGROUND: Mobile applications (apps) could support diabetes management through dietary, weight and blood glucose self-monitoring, as well as by promoting behaviour change. The present study aimed to evaluate diabetes apps for content, functions and behaviour change techniques (BCTs). METHODS: Diabetes self-management apps for Android smartphones were searched for on the Google Play Store. Ten apps each from the following search terms were included; 'diabetes', 'diabetes type 1', 'diabetes type 2', 'gestational diabetes'...
October 17, 2016: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/27730074/evaluation-of-accuracy-of-ambulatory-glucose-profile-in-an-outpatient-setting-in-children-with-type-1-diabetes
#15
Anjana Hulse, Suahma Rai, K M Prasanna Kumar
BACKGROUND: In children with type 1 diabetes, intensive diabetes management has been demonstrated to reduce long-term microvascular complications. At present, self-monitoring of blood glucose (SMBG) by patients at home and glycated hemoglobin estimation every 3 months are used to monitor glycemic control in children. Recently, ambulatory glucose profile (AGP) is increasingly being used to study the glycemic patterns in adults. However, accuracy and reliability of AGP in children have not been evaluated yet...
September 2016: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27726091/risk-of-macrosomia-remains-glucose-dependent-in-a-cohort-of-women-with-pregestational-type-1-diabetes-and-good-glycemic-control
#16
Katarzyna Cyganek, Jan Skupien, Barbara Katra, Alicja Hebda-Szydlo, Izabela Janas, Iwona Trznadel-Morawska, Przemysław Witek, Elżbieta Kozek, Maciej T Malecki
Macrosomia risk remains high in type 1 diabetes (T1DM) complicated pregnancies. A linear relationship between macrosomia risk and glycated hemoglobin A1c (HbA1c) was described; however, low range of HbA1c has not been studied. We aimed to identify risk factors and examine the impact of HbA1c on the occurrence of macrosomia in newborns of T1DM women from a cohort with good glycemic control. In this observational retrospective one-center study we analyzed records of 510 consecutive T1DM pregnancies (1998-2012)...
October 11, 2016: Endocrine
https://www.readbyqxmd.com/read/27712713/adherence-to-self-care-behaviors-among-patients-with-type-2-diabetes-the-role-of-risk-preferences
#17
Tzahit Simon-Tuval, Amir Shmueli, Ilana Harman-Boehm
OBJECTIVES: To examine whether the degree of risk aversion is associated with adherence to disease self-management among adults with type 2 diabetes. METHODS: This was a cross-sectional study of patients with type 2 diabetes (n = 408) aged 21 to 70 years who presented for routine visits in the diabetes clinic at a university medical center in Beer-Sheva, Israel. The authors used validated questionnaires to estimate adherence, risk preferences, motivation, self-efficacy, impulsivity, perceptions about the disease and the interpersonal process of care, and demographic and socioeconomic characteristics, in addition to retrieving data from computerized patient medical records of clinical indicators of disease severity...
September 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27705031/a-short-term-cost-utility-analysis-of-insulin-degludec-versus-insulin-glargine-in-patients-with-type-1-or-type-2-diabetes-in-denmark
#18
R F Pollock, C K Tikkanen
BACKGROUND AND AIMS: Insulin degludec is an insulin analog with an ultra-long duration of action that exhibits less intra-patient variability in its glucose-lowering activity, and reduces nocturnal, overall, and severe hypoglycaemia relative to insulin glargine. The aim of the present study was to evaluate the cost-effectiveness of insulin degludec relative to insulin glargine in patients with: type 1 diabetes (T1D), type 2 diabetes receiving basal-only therapy (T2DBOT), and type 2 diabetes receiving basal-bolus therapy (T2DBB) in Denmark...
October 5, 2016: Journal of Medical Economics
https://www.readbyqxmd.com/read/27703334/patients-attitudes-to-the-use-of-modern-technologies-in-the-treatment-of-diabetes
#19
Lucie Cerna, Petra Maresova
BACKGROUND: The incidence of diabetes is rising across the world. This global problem significantly affects the economic and social development in the 21st century. If the disease is diagnosed in time, the number of complications as well as the costs of therapy will be lower. Modern technologies permeate all spheres of medicine, and diabetes treatment is no exception. Therefore, the aim of this article is to analyze patients' attitudes to the use of modern technologies in the treatment of diabetes (type 1 diabetes mellitus [T1DM] and type 2 diabetes mellitus [T2DM])...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27671320/self-care-disparities-among-adults-with-type-2-diabetes-in-the-usa
#20
REVIEW
Lindsay Satterwhite Mayberry, Erin M Bergner, Rosette J Chakkalakal, Tom A Elasy, Chandra Y Osborn
Suboptimal glycemic control is more common among non-Hispanic Blacks (NHBs) and Hispanics than non-Hispanic Whites (NHWs). Disparities in the performance of self-care behaviors may contribute to this. To synthesize knowledge on current self-care disparities, we reviewed studies from January 2011-March 2016 that included NHWs, NHBs, and Hispanics with type 2 diabetes in the USA. Self-care behaviors included diet, exercise, medications, self-monitoring of blood glucose (SMBG), self-foot exams, and not smoking...
November 2016: Current Diabetes Reports
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