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distress in diabetes mellitus type 1

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https://www.readbyqxmd.com/read/29741747/health-related-stigma-in-young-adults-with-type-1-diabetes-mellitus
#1
Yoo Mi Jeong, Laurie Quinn, Nahyun Kim, Pamela Martyn-Nemeth
Young adults with type 1 diabetes mellitus (T1DM) often exhibit poor treatment adherence and suboptimal glucose control. Health-related stigma may adversely influence diabetes self-management behavior. The aim of the current study was to explore health-related stigma among young adults with T1DM using qualitative descriptive methods in focus groups. Data were collected from a purposive sample of 14 young adults ages 20 to 34 with T1DM. Using content analysis, transcripts from two focus groups were analyzed, and five main themes were identified: (a) Desire to be Seen as a Person, Not a Disease; (b) Wanting to be "Normal"; (c) Feeling Ashamed Managing Diabetes in Public; (d) Struggling to Overcome Anger and Distress; and (e) Feeling Distrusted by Others to Manage Their Condition...
May 8, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29723781/emotional-abilities-and-hba1c-levels-in-patients-with-type-1-diabetes
#2
Desireé Ruiz-Aranda, Leehu Zysberg, Ernesto García-Linares, Ana María Castellano-Guerrero, María Asunción Martínez-Brocca, Mencía R Gutiérrez-Colosía
In recent years a growing body of research is focused on the relationships between emotions and health. When it comes to diabetes, findings suggest that distress might play a key role in the acquisition and maintenance of health habits associated with diabetic management. This report describes two studies examining the roles of emotional abilities in diabetic management from two different conceptual points of view using two culturally different samples. In study 1, we examined the relationship between emotional intelligence and HbA1c levels in a sample of eighty-five patients with type 1 diabetes mellitus (DM1) in Israel...
April 20, 2018: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29680319/comrade-a-randomized-trial-of-an-individually-tailored-integrated-care-intervention-for-uncontrolled-type-2-diabetes-with-depression-and-or-distress-in-the-rural-southeastern-us
#3
Lesley D Lutes, Doyle M Cummings, Kerry Littlewood, Chelsey Solar, Marissa Carraway, Kari Kirian, Shivajirao Patil, Alyssa Adams, Stefanie Ciszewski, Bertha Hambidge
BACKGROUND: Emerging evidence suggests that people living with Type 2 diabetes mellitus (T2D) are also at greater risk for depression and distress. If left untreated, these comorbid mental health concerns can have long-lasting impacts on medical and physical health outcomes. DESIGN: This prospective trial randomized rural men and women with uncontrolled T2D (HbA1c ≥ 7.0) who screened positive for co-morbid depressive (PHQ-2 > 3) or distress (DDS-2 > 3) symptoms in a primary medical care setting to receive either: 1) 16 sessions of cognitive and/or behavioral intervention tailored to symptom severity across 12 months along with routine medical care, or 2) usual primary care...
April 20, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29669433/investigation-on-aetiological-factors-in-patients-with-hyperhidrosis
#4
Ayşe Akbaş, Fadime Kilinç
BACKGROUND: Hyperhidrosis is a condition where the amount of sweat released to skin surface increases due to the over-active eccrine sweat glands. Hyperhidrosis causes considerable psychosocial distress in affected people. It affects the quality of life and leads to social anxiety disorders. AIMS: No study has been conducted in our country to investigate the epidemiological, clinical and laboratory data of patients with hyperhidrosis. In this study, we aimed to retrospectively investigate the clinical and demographic characteristics, causes of sweating and laboratory findings in patients treated for hyperhidrosis at our outpatient clinic and to compare these data with the literature data...
April 18, 2018: Cutaneous and Ocular Toxicology
https://www.readbyqxmd.com/read/29574995/effect-of-peer-support-on-diabetes-distress-a-cluster-randomized-controlled-trial
#5
C Ju, R Shi, L Yao, X Ye, M Jia, J Han, T Yang, Q Lu, H Jin, X Cai, S Yuan, B Xie, X Yu, M M Coufal, E B Fisher, Z Sun
AIM: To investigate whether peer support would reduce diabetes distress and improve glycaemic control when added to usual diabetes education among adults with Type 2 diabetes in China. METHODS: We conducted a cluster randomized trial involving 400 adults with Type 2 diabetes from eight communities in Nanjing. All participants received usual education for an average of 2 h each month from physicians, certified diabetes educators, dieticians, psychologists and podiatric nurses...
March 25, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29532522/low-prevalence-of-diabetes-distress-following-total-pancreatectomy-with-islet-autotransplantation
#6
Audrey Lane, James S Hodges, Peggy Ptacek, K Louise Berry, Gregory J Beilman, Ty B Dunn, Timothy L Pruett, Srinath Chinnakotla, Barbara Kuzmak, Melena D Bellin
Diabetes distress (DD), or psychological fatigue associated with diabetes management, is common in type 1 and 2 diabetes mellitus and is associated with poor glycemic control. Diabetes distress has never been evaluated in patients undergoing total pancreatectomy with islet autotransplant (TPIAT) for chronic pancreatitis. We analyzed DD after TPIAT in 260 patients (average age 34.3 [standard deviation 15], 75.5% F) undergoing TPIAT between 2006 and 2014. Each patient completed 1 or more diabetes distress scale (DDS) questionnaires from 1 to 7 years post-TPIAT (631 total)...
March 13, 2018: Clinical Transplantation
https://www.readbyqxmd.com/read/29523603/resolution-of-severe-fetal-distress-following-treatment-of-maternal-diabetic-ketoacidosis
#7
Yang Huang Grace Ng, Tat Xin Ee, Devendra Kanagalingam, Hak Koon Tan
Diabetic ketoacidosis (DKA) during pregnancy is a serious metabolic complication of diabetes with high mortality and morbidity if not detected and treated immediately. We report a case of a woman with type 1 diabetes mellitus who had poorly controlled diabetes in the first half of pregnancy and developed DKA at 29 weeks gestation. At presentation, she had a pathological fetal heart tracing but delivery was delayed for maternal stabilisation and reversal of acidosis. Once hyperglycaemia, acidosis and maternal stabilisation were achieved, fetal compromise resolved and delivery was no longer indicated...
March 9, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29505098/the-effectiveness-of-an-emotion-focused-educational-programme-in-reducing-diabetes-distress-in-adults-with-type-2-diabetes-mellitus-vemofit-a-cluster-randomized-controlled-trial
#8
B H Chew, R C Vos, R K Stellato, M Ismail, G E H M Rutten
AIMS: To evaluate the effectiveness of a brief, value-based emotion-focused educational programme (VEMOFIT) in Malay adults with Type 2 diabetes mellitus compared with a programme of active listening to participants' emotional experiences, social support and their opinion on the health clinic diabetes care services (attention control). METHODS: Malay adults with severe diabetes distress [Diabetes Distress Scale (DDS-17) mean score ≥ 3] were included. VEMOFIT consisted of four biweekly group sessions, a booster session after 3 months and a follow-up 6 months post intervention...
June 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29443437/influencing-pathways-to-quality-of-life-and-hba1c-in-patients-with-diabetes-a-longitudinal-study-that-inform-evidence-based-practice
#9
Hui-Chun Hsu, Yau-Jiunn Lee, Ruey-Hsia Wang
BACKGROUND: Determining possible associated factors and the influencing pathways to hemoglobin A1C (HbA1C) levels and quality of life (QoL) will facilitate the development of effective interventions to improve the physical and psychosocial health of patients with type 2 diabetes mellitus (T2DM). OBJECTIVES: To test a hypothesized model that addressed the pathways among personal characteristics, social support, diabetes distress, and self-care behaviors to HbA1C and QoL...
April 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29417612/diabetes-stigma-is-associated-with-negative-treatment-appraisals-among-adults-with-insulin-treated-type-2-diabetes-results-from-the-second-diabetes-miles-australia-miles-2-survey
#10
E Holmes-Truscott, J L Browne, A D Ventura, F Pouwer, J Speight
AIM: To explore factors associated with negative insulin appraisals among adults with Type 2 diabetes, including perceived and experienced diabetes stigma. METHODS: The second Diabetes MILES - Australia study (MILES-2) is a national survey of adults with diabetes, focused on behavioural and psychosocial issues. Subgroup analyses were conducted on the responses of 456 adults with insulin-treated Type 2 diabetes (38% women; mean ± sd age: 61.2 ± 8.8 years; diabetes duration: 14...
May 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29356579/insulin-treatment-cannot-promote-lipogenesis-in-rat-fetal-lung-in-gestational-diabetes-mellitus-because-of-failure-to-redress-the-imbalance-among-srebp-1-scap-and-insig-1
#11
Jinyan Li, Guanhua Qian, Xiaocui Zhong, Tinghe Yu
Gestational diabetes mellitus (GDM) has a higher incidence of neonatal respiratory distress syndrome, and lipogenesis is required for the synthesis of pulmonary surfactants. The aim of this study was to determine the effect of insulin treatment in GDM on the production of lipids in the lungs of fetal rats. GDM was induced by streptozotocin, and insulin was used to manage diabetes. Type II alveolar epithelial cells (AEC II), bronchoalveolar lavage fluid (BALF), and lung tissues of the neonatal rats were sampled for analyses...
March 2018: DNA and Cell Biology
https://www.readbyqxmd.com/read/29301728/prevalence-and-determinants-of-diabetes-distress-in-patients-of-diabetes-mellitus-in-a-tertiary-care-centre
#12
Deepak Gahlan, Rajesh Rajput, Pratibha Gehlawat, Rajiv Gupta
BACKGROUND: Patients of diabetes mellitus experience psychological difficulties associated with their disease which remains unrecognized involving several states related to coping with diabetes. Diabetes distress is a distinct condition which is often mistaken for depression and is related to adverse disease outcomes. AIMS AND OBJECTIVE: To study the prevalence and predictors of diabetes distress in patients of Type 2 Diabetes mellitus (T2DM) in a tertiary care centre...
December 22, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29149182/comparison-between-public-and-private-sectors-of-care-and-disparities-in-adverse-neonatal-outcomes-following-emergency-intrapartum-cesarean-at-term-a-retrospective-cohort-study
#13
COMPARATIVE STUDY
Woonji Jang, Christopher Flatley, Ristan M Greer, Sailesh Kumar
BACKGROUND: Perinatal outcomes may be influenced by a variety of factors including maternal demographics and medical condition as well as socio-economic status. The evidence for disparities in health outcomes stratified by type of care (public or private) is lacking. The aim of this study was to investigate short term neonatal outcomes following category 1 and 2 emergency cesareans at term between publicly and privately funded women at a single major tertiary centre in Australia. Category 1-immediate threat to life (maternal or fetal); Category 2-maternal or fetal compromise that is not immediately life-threatening...
2017: PloS One
https://www.readbyqxmd.com/read/29122108/predictors-of-insulin-uptake-among-adults-with-type-2-diabetes-in-the-stepping-up-study
#14
Elizabeth Holmes-Truscott, John Furler, Irene Blackberry, David N O'Neal, Jane Speight
AIMS: We aimed to investigate predictors of insulin uptake, and change in insulin appraisals, among adults with type 2 diabetes mellitus (T2DM) who participated in the Stepping Up trial. METHODS: The Stepping Up model of care, supporting timely insulin initiation in primary care, was evaluated in a two-armed cluster-randomised controlled trial. Participants were 266 adults (mean±SD age 62±10years; 39% women) with T2DM (median (IQR) duration 8.5 (5, 13)years) from 74 primary care practices (Stepping Up intervention: 57%, control 43%)...
November 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29110972/patient-reported-outcomes-in-patients-with-type-2-diabetes-treated-with-dulaglutide-added-to-titrated-insulin-glargine-award-9
#15
Maria Yu, Kate Van Brunt, Zvonko Milicevic, Oralee Varnado, Kristina S Boye
PURPOSE: This 28-week, randomized, double-blind study compared a once-weekly injection of dulaglutide 1.5 mg to placebo, both added to titrated once-daily insulin glargine (with or without metformin), in patients with type 2 diabetes mellitus and inadequate glycemia control (control defined as hemoglobin A1c , ≥7% and ≤10.5%). Patient-reported outcomes were assessed as an exploratory objective to further understand patients' physical, psychological, and social aspects of well-being and injection-device experience...
November 2017: Clinical Therapeutics
https://www.readbyqxmd.com/read/29089913/diabetes-related-distress-and-depressive-symptoms-are-not-merely-negative-over-a-3-year-period-in-malaysian-adults-with-type-2-diabetes-mellitus-receiving-regular-primary-diabetes-care
#16
Boon-How Chew, Rimke C Vos, Rebecca K Stellato, Guy E H M Rutten
For people with type 2 diabetes mellitus (T2DM) the daily maintenance of physical and psychological health is challenging. However, the interrelatedness of these two health domains, and of diabetes-related distress (DRD) and depressive symptoms, in the Asian population is still poorly understood. DRD and depressive symptoms have important but distinct influences on diabetes self-care and disease control. Furthermore, the question of whether changes in DRD or depressive symptoms follow a more or less natural course or depend on disease and therapy-related factors is yet to be answered...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29024981/diabetes-in-pregnancy-worse-medical-outcomes-in-type-1-diabetes-but-worse-psychological-outcomes-in-gestational-diabetes
#17
A M Egan, F P Dunne, K Lydon, S Conneely, K Sarma, B E McGuire
Background: Women with diabetes experience an increased risk of adverse pregnancy outcomes. Aim: We aim to describe and quantify the psychological impact of the diagnosis of diabetes in pregnant women with type 1 diabetes and gestational diabetes mellitus (GDM) compared to each other and to their counterparts without diabetes. Design: This is a survey-based study with prospective collection of pregnancy outcome data. Methods: A total of 218 pregnant women (50% with diabetes) were administered questionnaires relating to psychological health...
November 1, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/28954185/psychological-interventions-for-diabetes-related-distress-in-adults-with-type-2-diabetes-mellitus
#18
REVIEW
Boon How Chew, Rimke C Vos, Maria-Inti Metzendorf, Rob Jpm Scholten, Guy Ehm Rutten
BACKGROUND: Many adults with type 2 diabetes mellitus (T2DM) experience a psychosocial burden and mental health problems associated with the disease. Diabetes-related distress (DRD) has distinct effects on self-care behaviours and disease control. Improving DRD in adults with T2DM could enhance psychological well-being, health-related quality of life, self-care abilities and disease control, also reducing depressive symptoms. OBJECTIVES: To assess the effects of psychological interventions for diabetes-related distress in adults with T2DM...
September 27, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28801859/cross-cultural-adaption-and-psychometric-properties-of-the-chinese-version-of-the-diabetes-behavior-rating-scale-a-pilot-study
#19
Jing Zhu, Jingjing Xu, Yang Chen, Yong Gu, Li Ji, Yufeng Zhou, Min Zhu, Hsiang-Ting Hsu, Xiaoping Huang, Cuiping Yuan, Yun Shi, Dan Yan, Lili Xie, Shuang Chen, Tao Yang, Wei He
Self-care behavior plays a major role in diabetic management. However, in China, a satisfactory instrument has not yet been developed to evaluate the compliance of self-care behavior for young patients with type 1 diabetes mellitus (T1DM). The Diabetes Behavior Rating Scale (DBRS) has a potential to be the first mature instrument. The purpose of this study is to cross-culturally adapt the DBRS, and preliminarily evaluate its psychometric properties. The instrument translation included translation, back translation and culture adaptation...
March 2018: Science China. Life Sciences
https://www.readbyqxmd.com/read/28782273/up-regulation-of-transient-receptor-potential-vanilloid-trpv-and-down-regulation-of-brain-derived-neurotrophic-factor-bdnf-expression-in-patients-with-functional-dyspepsia-fd
#20
C K Y Cheung, L L Lan, M Kyaw, A D P Mak, A Chan, Y Chan, J C Y Wu
BACKGROUND: The role of immune activation in Functional Dyspepsia (FD) patients without previous infection is unclear. We compare the gastric and circulating brain-derived neurotropic factor (BDNF), receptor potential vanilloid type (TRPV) families and various cytokines in FD patients. METHODS: Consecutive adult FD patients (Rome III) with no recent history of gastroenteritis and asymptomatic healthy controls were recruited for upper endoscopy. Subjects with GERD and IBS as predominant symptoms, diabetes mellitus, current or previous Helicobacter pylori infection, psychiatric illness and recent use of NSAID or PPI were excluded...
February 2018: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
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