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Education And Diabetic And T1DM

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https://www.readbyqxmd.com/read/30291076/transitional-needs-of-australian-young-adults-with-type-1-diabetes-mixed-methods-study
#1
Ashley H Ng, Timothy C Crowe, Kylie Ball, Bodil Rasmussen
BACKGROUND: Young adulthood is marked by transitions that impact diabetes self-management behaviors, which require ongoing diabetes education and support. Traditional diabetes education programs and services currently do not meet the needs of many young adults with type 1 diabetes mellitus (T1DM) as they continue to fall through the cracks of clinical services. Age-centered diabetes education programs and services present an opportunity for young adults to meet in a supportive environment and gain a better understanding about diabetes management...
November 30, 2017: JMIR diabetes
https://www.readbyqxmd.com/read/30249580/exploration-of-users-perspectives-and-needs-and-design-of-a-type-1-diabetes-management-mobile-app-mixed-methods-study
#2
Yiyu Zhang, Xia Li, Shuoming Luo, Chaoyuan Liu, Fang Liu, Zhiguang Zhou
BACKGROUND: With the popularity of mobile phones, mobile apps have great potential for the management of diabetes, but the effectiveness of current diabetes apps for type 1 diabetes mellitus (T1DM) is poor. No study has explored the reasons for this deficiency from the users' perspective. OBJECTIVE: The aims of this study were to explore the perspectives and needs of T1DM patients and diabetes experts concerning a diabetes app and to design a new T1DM management mobile app...
September 21, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/30158448/type-1-diabetic-subjects-with-diabetic-retinopathy-show-an-unfavorable-pattern-of-fat-intake
#3
Minerva Granado-Casas, Anna Ramírez-Morros, Mariona Martín, Jordi Real, Núria Alonso, Xavier Valldeperas, Alicia Traveset, Esther Rubinat, Nuria Alcubierre, Marta Hernández, Manel Puig-Domingo, Albert Lecube, Esmeralda Castelblanco, Didac Mauricio
Medical nutrition therapy is an important part of the management of type 1 diabetes mellitus (T1DM). Proper adherence to a healthy diet may have a favorable impact on diabetes management and its diabetic complications. Our aim was to assess differences in food and nutrient intake of type 1 diabetic patients with and without diabetic retinopathy (DR). This was a two-center, cross-sectional study in patients with T1DM, with and without DR. Subjects were recruited from the outpatient clinic of the two participating centers...
August 29, 2018: Nutrients
https://www.readbyqxmd.com/read/30129485/role-of-social-factors-in-glycemic-control-among-african-american-children-and-adolescents-with-type-1-diabetes
#4
Swashti Agarwal, Aditi Khokhar, Salvador Castells, Albara Marwa, Dawn Hagerty, Laura Dunkley, Jamila Cooper, Vivian Chin, Vatcharapan Umpaichitra, Sheila Perez-Colon
OBJECTIVE: With the rising incidence of Type 1 diabetes (T1DM), it is important to recognize deficiencies in care and areas of improvement to provide better access to resources and education for T1DM patients. The objective of this study was to recognize social factors and compliance barriers affecting glycated hemoglobin (A1c) level in T1D patients among the minority population. METHODS: A total of 84 T1DM patients, ages 3 to 21 years, 49% males, 87% African American participated in the study...
June 25, 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30121207/impaired-cognitive-processing-speed-in-type-1-diabetic-patients-who-had-severe-recurrent-hypoglycaemia
#5
Stefano Bortolotti, Lisa Zarantonello, Ambra Uliana, Nicola Vitturi, Sami Schiff, Patrizia Bisiacchi, Angelo Avogaro, Piero Amodio, Alberto Maran
AIMS: To detect whether adults with type 1 diabetes mellitus (T1DM) have lower cognitive performance than healthy individuals and to detect risk factors for low cognitive performance. METHODS: Twenty-six adults with T1DM and twenty-six healthy subjects matched for age, gender and educational level were compared for cognitive performance by a chronometric computerized test measuring visuo-spatial working memory (N-Back) and by two validated neuropsychological tests (Mini Mental State Examination, Animal Naming Test)...
November 2018: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/30112705/significant-effect-of-group-education-in-patients-with-diabetes-type-1
#6
Zadalla Mouslech, Maria Somali, Livadas Sarantis, Daramilas Christos, Chatzi Alexandra, Papagianni Maria, George Mastorakos, Christos Savopoulos, Apostolos I Hatzitolios
OBJECTIVE: Type 1 diabetes mellitus (T1DM) constitutes a real challenge in everyday practice for both physicians and patients. Due to the complexity of the disease and its unpredictable nature, structured education and training programs are nowadays implemented that ensure active patient involvement and self-care behaviors to achieve adequate glycemic control, prevent diabetic complications, and improve the quality of life of patients. These programs provide patients with the necessary knowledge and skills to self-monitor and self-manage the disease and its associated metabolic conditions...
September 2018: Hormones: International Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/30100521/being-facilitators-in-a-challenging-context-school-personnel-s-experiences-of-caring-for-youth-with-diabetes-type-1
#7
Malin Rising Holmström, Marie Häggström, Siv Söderberg
PURPOSE: The purpose of the study was to describe school personnel's experiences of caring for youth with diabetes type 1. DESIGN AND METHODS: A qualitative design was chosen for this study. Data were collected with individual interviews that were subjected to inductive qualitative content analysis. The sample consisted of 24 school personnel (teachers, principals and school nurses) from Swedish schools. All had experience with youth aged 6 to 18 years old with diabetes type 1...
August 10, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/30027655/is-sex-an-influential-factor-in-type-1-diabetes-neurofunctional-development-a-preliminary-study
#8
Andrés A González-Garrido, Geisa B Gallardo-Moreno, Rebeca Romo-Vázquez, Hugo Vélez-Pérez, Adolfo Flores-Saiffe-Farías, Gerardo Mendizabal-Ruiz, Stewart R Santos-Arce, Vanessa D Ruiz-Stovel, Fabiola R Gómez-Velázquez, Julieta Ramos-Loyo
The aim of the study was to evaluate the neurofunctional effect of gender in Type-1 Diabetes Mellitus (T1DM) patients during a Visual Spatial Working Memory (VSWM) task. The study included 28 participants with ages ranging from 17-28 years. Fourteen well-controlled T1DM patients (7 female) and 14 controls matched by age, sex, and education level were scanned performing a block-design VSWM paradigm. Behavioral descriptive analyses and mean comparisons were done, and between-group and condition functional activation patterns were also compared...
October 2018: Journal of Neuroscience Research
https://www.readbyqxmd.com/read/30014625/accuracy-satisfaction-and-usability-of-a-flash-glucose-monitoring-system-among-children-and-adolescents-with-type-1-diabetes-attending-a-summer-camp
#9
Erik A Hansen, Philippe Klee, Mirjam Dirlewanger, Thérèse Bouthors, Eglantine Elowe-Gruau, Sophie Stoppa-Vaucher, Franziska Phan-Hug, Maria-Christina Antoniou, Jérôme Pasquier, Andrew A Dwyer, Nelly Pitteloud, Michael Hauschild
BACKGROUND: The study aimed to assess accuracy, satisfaction and usability of a flash glucose monitoring system (FGM) in children and adolescents with type 1 diabetes mellitus (T1DM) attending a diabetes summer camp. METHODS: Sixty-six children and adolescents with T1DM aged 6 to 17 years participating in a 7-day medically supervised summer camp were enrolled. Capillary blood glucose (BG) and flash glucose (FG) values were measured simultaneously at breakfast, lunch, and dinner and for any given FG value <72 mg/dL (<4...
July 16, 2018: Pediatric Diabetes
https://www.readbyqxmd.com/read/29916741/combined-sglt1-and-sglt2-inhibitors-and-their-role-in-diabetes-care
#10
Thomas Danne, Torben Biester, Olga Kordonouri
The sodium-glucose cotransporter type 1 (SGLT1) is the primary transporter for absorption of glucose and galactose in the gastrointestinal tract. Inhibition blunts and delays postprandial glucose (PPG) excursion. Sodium-glucose cotransporter type 2 (SGLT2) is expressed in the kidney, where it reabsorbs 90% of filtered glucose. Thus, a dual SGLT1 and SGLT2 inhibition (compared with selective SGLT2 inhibition) could result in lower PPG and robust A1c reduction even in patients with reduced kidney function. Sotagliflozin is an oral potent dual inhibitor of the insulin-independent SGLT1 and SGLT2...
June 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29850598/state-of-diabetes-self-management-education-in-the-european-union-member-states-and-non-eu-countries-the-diabetes-literacy-project
#11
Henna Riemenschneider, Sarama Saha, Stephan van den Broucke, Helle Terkildsen Maindal, Gerardine Doyle, Diane Levin-Zamir, Ingrid Muller, Kristin Ganahl, Kristine Sørensen, Peter Chang, Dean Schillinger, Peter E H Schwarz, Gabriele Müller
Background: Diabetes self-management education (DSME) is considered essential for improving the prevention and care of diabetes through empowering patients to increase agency in their own health and care processes. However, existing evidence regarding DSME in the EU Member States (EU MS) is insufficient to develop an EU-wide strategy. Objectives: This study presents the state of DSME in the 28 EU MS and contrasts it with 3 non-EU countries with comparable Human Development Index score: Israel, Taiwan, and the USA (ITU)...
2018: Journal of Diabetes Research
https://www.readbyqxmd.com/read/29843124/fluid-intake-habits-in-type-1-diabetes-individuals-during-typical-training-bouts
#12
Alex Buoite Stella, Jane Yardley, Maria Pia Francescato, Shawnda A Morrison
BACKGROUND/AIMS: Hyperglycemia may influence the hydration status in diabetic individuals. During exercise, type 1 diabetes mellitus (T1DM) individuals may be challenged by a higher risk of dehydration due to a combination of fluid losses from sweat and increased urine output via glycosuria. So far, no study has characterised spontaneous fluid intake in T1DM individuals during active trainings. METHODS: A validated questionnaire was used to assess T1DM participants' diabetes therapy, sports characteristics and fluid intake during training; results were then compared to an age- and sport-matched sample of non-diabetic individuals...
2018: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/29774417/first-report-on-the-nationwide-incidence-of-type-1-diabetes-and-ketoacidosis-at-onset-in-children-in-serbia-a-multicenter-study
#13
MULTICENTER STUDY
Rade Vukovic, Maja D Jesic, Ivana Vorgucin, Sandra Stankovic, Nevena Folic, Tatjana Milenkovic, Silvija Sajic, Dragan Katanic, Sasa Zivic, Slavica Markovic, Ivan Soldatovic
Data regarding incidence of type 1 diabetes (T1DM), as well as data on frequency and severity of diabetic ketoacidosis (DKA) at the time of T1DM diagnosis is of paramount importance for national and regional healthcare planning. The aim of present multicenter study was to provide the first report regarding nationwide annual incidence rates for T1DM in youth in Serbia, as well as prevalence of DKA at the time of diagnosis. Data on all pediatric patients with newly diagnosed T1DM was retrospectively collected from all 15 regional centers for pediatric diabetes in Serbia during the period 2007-2017...
August 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29771162/facilitation-of-intensive-insulin-therapy-in-the-early-primary-school-setting-narratives-of-australian-diabetes-educators
#14
Anne Marks, Nathan J Wilson, Stacy Blythe, Christine Johnston
The number of early primary school (EPS) children (aged 4-8 years) with type 1 diabetes mellitus (T1DM) rises each year. Intensive insulin therapy (IIT) can be challenging for these children, as adult support may not be available in the school setting. Diabetes educators (DEs) working in the health system facilitate school diabetes care, which can be time-consuming given the large numbers of children with diabetes. These factors are potential barriers for IIT use in the EPS setting. To explore the experiences of Australian DEs who facilitate IIT use in the EPS setting, a qualitative, narrative inquiry method was used to conduct semi-structured telephone interviews with Australian DEs (n = 13) between December 2014 and June 2016...
September 2018: Comprehensive Child and Adolescent Nursing
https://www.readbyqxmd.com/read/29769804/prevalence-of-alcohol-tobacco-cannabis-and-other-illicit-substance-use-in-a-population-of-canadian-adolescents-with-type-1-diabetes-compared-to-a-general-adolescent-population
#15
Kathryn Potter, Paola Luca, Danièle Pacaud, Heidi Virtanen, Alberto Nettel-Aguirre, Laura Kaminsky, Josephine Ho
Background: Youth with chronic conditions may engage in risky behaviour to the same, if not higher, degree as their healthy peers. Objectives: To determine the prevalence of alcohol, tobacco, cannabis and illicit substance use in adolescents with type 1 diabetes (T1DM) compared to a general adolescent population. Methods: Cross-sectional survey of adolescents with T1DM (13 to 18 years). A published contemporary Canadian youth survey on use of alcohol, tobacco and illicit drugs was used as data representative of the general adolescent population...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29731652/adjunctive-therapy-for-glucose-control-in-patients-with-type-1-diabetes
#16
REVIEW
Kira Harris, Cassie Boland, Lisa Meade, Dawn Battise
Type 1 diabetes mellitus (T1DM) is characterized by relative or absolute insulin deficiency. Despite treatment with insulin therapy, glycemic goals are not always met, and insulin therapy is sometimes limited by adverse effects, including hypoglycemia and weight gain. Several adjunctive therapies have been evaluated in combination with insulin in patients with T1DM to improve glycemic control while minimizing adverse effects. Pramlintide, an amylin analog, can improve glycemic control, primarily through lowering postprandial blood glucose levels...
2018: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
https://www.readbyqxmd.com/read/29686173/indonesia-cohort-of-io-hat-study-to-evaluate-diabetes-management-control-and-complications-in-retrospective-and-prospective-periods-among-insulin-treated-patients-with-type-1-and-type-2-diabetes
#17
COMPARATIVE STUDY
Achmad Rudijanto, Made R Saraswati, Em Yunir, Poppy Kumala, Happy Hs Puteri, Veny Vv Mandang
BACKGROUND: hypoglycemia is a major adverse event of insulin therapy for diabetes mellitus patients. The study was conducted to evaluate the incidence of hypoglycemia among insulin treated patients with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) in the Indonesian cohort. METHODS: this Indonesian cohort study consisted of retrospective and prospective evaluation of hypoglycemic episodes, using International Operations Hypoglycemia Assessment Tool (IO HAT) in 374 patients with diabetes (T1DM; n=17 or T2DM; n=357)...
January 2018: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/29627802/cost-effectiveness-of-insulin-pumps-compared-with-multiple-daily-injections-both-provided-with-structured-education-for-adults-with-type-1-diabetes-a-health-economic-analysis-of-the-relative-effectiveness-of-pumps-over-structured-education-repose-randomised
#18
Daniel John Pollard, Alan Brennan, Simon Dixon, Norman Waugh, Jackie Elliott, Simon Heller, Ellen Lee, Michael Campbell, Hasan Basarir, David White
OBJECTIVES: To assess the long-term cost-effectiveness of insulin pumps and Dose Adjustment for Normal Eating (pumps+DAFNE) compared with multiple daily insulin injections and DAFNE (MDI+DAFNE) for adults with type 1 diabetes mellitus (T1DM) in the UK. METHODS: We undertook a cost-utility analysis using the Sheffield Type 1 Diabetes Policy Model and data from the Relative Effectiveness of Pumps over Structured Education (REPOSE) trial to estimate the lifetime incidence of diabetic complications, intervention-based resource use and associated effects on costs and quality-adjusted life years (QALYs)...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29537892/efficacy-of-dapagliflozin-as-an-adjunct-therapy-in-patients-with-inadequately-controlled-type-1-diabetes-mellitus
#19
Laura Van den Mooter, Simon Caerels, Chantal Mathieu
There is a clear unmet clinical need in people with Type 1 diabetes (T1DM) considering present day insulin therapy. New insulin analogues and novel technologies allowing more tailored insulin administration have improved the quality of life of people with T1DM, but issues like hypoglycemia, weight gain and variability in glucose profiles remain problematic. Areas covered: In this review, the clinical efficacy, safety and tolerability of dapagliflozin, a sodium-glucose cotransporter type 2 inhibitor, in type 1 diabetes (T1DM) is described based on a review of phase 2 and 3 studies to date...
April 2018: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/29534994/health-outcomes-for-youth-with-type-1-diabetes-at-18-months-and-30-months-post-transition-from-pediatric-to-adult-care
#20
K Farrell, R Fernandez, Y Salamonson, R Griffiths, D J Holmes-Walker
AIMS: To identify (a) determinants of glycated haemoglobin (HbA1c) at 18 and 30 months following transition in young people with Type 1 diabetes mellitus (T1DM) to a youth-specific diabetes service; and to (b) evaluate the impact of the service on acute admissions with diabetic ketoacidosis (DKA) over a 14-year period. METHODS: An audit of records of youth with T1DM referred from paediatric services to the multidisciplinary transition service at Westmead Hospital, from 2001 to 2012, and followed-up to 2014...
May 2018: Diabetes Research and Clinical Practice
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