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Education in diabetes

Mohamed Gadelkarim, Abdelrahman Ibrahim Abushouk, Esraa Ghanem, Ali Mohamed Hamaad, Anas M Saad, Mohamed M Abdel-Daim
With the increasing global prevalence of diabetes mellitus, a significant rise in the number of patients suffering from non-healing wounds is expected. However, available treatments, such as revascularization surgery and foot care education are often insufficient to ensure satisfactory wound healing. One therapeutic strategy that has been identified as particularly promising utilizes adipose-derived stem cells (ADSCs). Through a comprehensive literature search of published and ongoing studies, we aimed to provide an overview of the experimental basis, the scientific background, and advances in the delivery of ADSCs for treating non-healing diabetic wounds...
August 14, 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
Juan José Gagliardino, Jean-Marc Chantelot, Catherine Domenger, Hasan Ilkova, Ambady Ramachandran, Ghaida Kaddaha, Jean Claude Mbanya, Juliana Chan, Pablo Aschner
AIMS: This study aimed to evaluate the impact of diabetes education and access to health care coverage on disease management and outcomes in Latin America. METHODS: Data were obtained from a sub-analysis of 2693 patients with type 1 diabetes mellitus recruited from 9 Latin American countries as part of the International Diabetes Mellitus Practices Study (IDMPS), a multinational, observational survey of diabetes treatment in developing regions. RESULTS: Results from the Latin American cohort show that only 25% of participants met HbA1c target value (<7% [53 mmol/mol])...
August 14, 2018: Diabetes Research and Clinical Practice
J Okely, C Mason, A Collier, N Dunnachie, V Swanson
AIMS: Research regarding the determinants of concordance with gestational diabetes mellitus (GDM) treatment is limited. Here, we test whether the psychosocial changes outlined in the teachable moments model, as proposed by McBride et al. (McBride CM, Emmons KM, Lipkus IM. Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 2003; 18: 156-170) are associated with following GDM treatment recommendations. METHODS: Fifty-nine women completed a baseline questionnaire (1 week after GDM diagnosis) in which they reported risk perception, social support, emotional response, the importance of their maternal identity and self-efficacy...
August 17, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Mohammad Taghi Farzadfard, Mohammad Sobhan Sheikh Andalibi, Amanda G Thrift, Negar Morovatdar, Saverio Stranges, Amin Amiri, Moira K Kapral, Reza Behrouz, Ali Ghabeli Juibary, Naghmeh Mokhber, Mahmoud Reza Azarpazhooh
Background Accurate information about disability rate after stroke remains largely unclear in many countries. Population-based studies are necessary to estimate the rate and determinants of disability after stroke. Methods Patients were recruited from the Mashhad Stroke Incidence Study and followed for five years after their index event. Disability was measured using the modified Rankin scale and functional dependency was measured using the Barthel index. Results Among 684 patients registered in this study, 624 were first-ever strokes...
August 17, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
Mousab Yousef Al-Ayed, Mutasem Ababneh, Asirvatham Alwin Robert, Ahmed Salman, Abdulghani Al Saeed, Mohamed Abdulaziz Al Dawish
BACKGROUND AND AIMS: Considering that diabetic foot ulceration is one of the major health issues globally, we aimed to evaluate the risk factors associated with foot ulcers in patients with type 2 diabetes mellitus (T2DM). METHODS: A total of 81 T2DM patients (age range: 40-80 years) registered at the Diabetes Treatment Center, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia between April and September 2015 were included in this cross-sectional study after purposive selection and assigning of patient numbers...
August 16, 2018: Current Diabetes Reviews
Harsimran Singh, Khajika Soyoltulga, Taylor Fong, John Billimek
Purpose The purpose of this study was to evaluate perinatal outcomes and experiences of managing gestational diabetes (GDM) in a multiethnic cohort from a community hospital. Methods A retrospective cohort study of 647 ethnically diverse women with GDM was conducted. Multivariable logistic regression models were used to examine ethnic differences in cesarean delivery rates and emergency department (ED) utilization during pregnancy. Semi-structured interviews were conducted to evaluate experiences of GDM and perceptions of type 2 diabetes risk...
August 17, 2018: Diabetes Educator
Eldad Fisher, Liora Lazar, Shlomit Shalitin, Michal Yackobovitch-Gavan, Liat de Vries, Tal Oron, Ariel Tenenbaum, Moshe Phillip, Yael Lebenthal
Aims: The transition of emerging adults with type 1 diabetes (T1D) from pediatric diabetes clinics to adult clinics between 18 and 21 years of age could result in decreased clinic attendance and thus worsen glycemic control. Our institutional policy offering surveillance till age 30 enabled us to evaluate clinic attendance without the confounding effect of transition. Our aim was to determine the association between glycemic control (HbA1c) and attendance rate. Methods: The medical records of 261 (54% males) young adult T1D patients (median age 22...
2018: Journal of Diabetes Research
Lisa S Chow, Rachel Zmora, Sisi Ma, Elizabeth R Seaquist, Pamela J Schreiner
Objective: We constructed a predictive model of long-term risk for severe hypoglycemia (SH: hypoglycemia requiring assistance) in patients with type 2 diabetes (T2DM). Research design and methods: Data from the Action to Control Cardiovascular Risk in Diabetes (ACCORD) study (original n=10 251, n=5135 used in the current analysis), a randomized, multicenter, double 2×2 factorial design study examining the effect of glycemic, blood pressure, and lipid control on cardiovascular outcomes in patients with diagnosed T2DM, were used...
2018: BMJ Open Diabetes Research & Care
Daniel Wood, Nicholas Lightfoot
AIM: Patients presenting for elective surgery frequently omit one or more regular medications. There is evidence that withholding some medication classes may lead to harm in the peri-operative period. We aim to quantify medication non-compliance in an adult, elective surgical population and identify the reasons for this non-compliance. METHOD: Data was collected over a four-week period at an elective surgical facility on adult patients presenting for surgery. Surgery and anaesthesia type, the names of regular medications and reasons for omission were recorded...
August 17, 2018: New Zealand Medical Journal
Yazed AlRuthia, Haya Almalag, Ibrahim Sales, Ahmed Abdulrahman Albassam, Fawaz Abdullah Alharbi, Alanoud Mushaal Almutairi, Nouf Alquait, Yousif Asiri
BACKGROUND: Patients' trust in their physicians is critical to ensuring quality in healthcare. Despite the fact that both medication knowledge and trust in healthcare providers positively correlate with improved clinical outcomes, the presence of a link between these two attributes remains to be established. OBJECTIVES: To determine whether a relationship exists between patients' trust in their primary care physicians and their medication knowledge. METHODS: Patient trust was measured using the healthcare relationship (HCR) trust scale, and the medication knowledge by the self-reported medication knowledge questionnaire...
August 9, 2018: Research in Social & Administrative Pharmacy: RSAP
Eunjeong Kang, Joongyub Lee, Hyo Jin Kim, Miyeun Han, Woo Wan Kim, Kyu-Beck Lee, Suah Sung, Tae-Hyun Yoo, Wookyung Chung, Curie Ahn, Kook-Hwan Oh
BACKGROUND: Left ventricular hypertrophy (LVH) is one of the risk factors for cardiovascular (CV) disease and mortality. However, the relationship between socioeconomic status (SES) and LVH in chronic kidney disease remains unclear. METHODS: Data were collected from the KoreaN Cohort Study for Outcome in Patients With Chronic Kidney Disease (KNOW-CKD, NCT01630486 at ). Subjects with CKD and aged ≥50 were included. SES was characterized based on monthly income and educational attainment, each of which was divided into three strata...
August 16, 2018: BMC Nephrology
Rashmi Supriya, Bjorn T Tam, Angus P Yu, Paul H Lee, Christopher W Lai, Kenneth K Cheng, Sonata Y Yau, Lawrence W Chan, Benjamin Y Yung, Sinead Sheridan, Parco M Siu
OBJECTIVE: Metabolic syndrome (MetS) or prediabetes is a complex disorder that is defined by a clustering of cardiometabolic risk factors, including obesity, hypertriglyceridemia, reduced high-density lipoprotein (HDL) cholesterol, hypertension, and insulin resistance. Among cardiometabolic risk factors, central obesity plays a key role in the development of MetS through alterations in the secretion of adipokines and interacts with other MetS risk factors to unfavorably influence overall cardiometabolic risk...
2018: PloS One
Yuan-Yuan Yang, Yi-Hua Fang, Xue Wang, Ying Zhang, Xiao-Jun Liu, Zong-Zhi Yin
This study aims to investigate major complications or symptoms of pregnant women, causes of maternal near-miss, and issues that are relevant to severe maternal disease.A retrospective analysis was performed in the "maternal individual investigation form," which included all critical maternity patients admitted to the First Affiliated Hospital of Anhui Medical University from January 1, 2012 to September 31, 2015.A total of 14,014 pregnant patients who delivered at 28 to 42 weeks of gestation were included...
August 2018: Medicine (Baltimore)
Tami L Jakubowski, Tracy Perron, Anne Farrell, Carole Kenner, Christy Hullings
BACKGROUND: The Smart Nutrition and Conditioning for Kids (SNACK) program was developed in response to the 2010 Childhood Obesity Study () recognizing a 49% childhood obesity rate in Trenton New Jersey. Lifestyle influences contributing to childhood obesity and Type 2 diabetes mellitus include poor food choices, inadequate access to healthy foods, decrease in physical activity, and insufficient access to safe play environments. METHODS: Second-grade students were selected by teachers to be in the SNACK intervention group or a control group based on their classroom assignment...
September 2018: MCN. the American Journal of Maternal Child Nursing
Haleh Ghaem, Nima Daneshi, Shirin Riahi, Mostafa Dianatinasab
Globally, diabetic retinopathy (DR) is one of the leading causes of blindness, that diminishes quality of life. This study aimed to describe the prevalence of DR, and its associated risk factors. This cross-sectional study was carried out among 478 diabetic patients in a referral center in Fars province, Iran. The mean±standard deviation age of the participants was 56.64±12.45 years old and DR prevalence was 32.8%. In multivariable analysis, lower education levels (adjusted odds ratio [aOR], 0.43; 95% confidence interval [CI], 0...
August 9, 2018: Diabetes & Metabolism Journal
So Hun Kim, Seung Youn Lee, Chei Won Kim, Young Ju Suh, Seongbin Hong, Seong Hee Ahn, Da Hae Seo, Moon Suk Nam, Suk Chon, Jeong Taek Woo, Sei Hyun Baik, Yongsoo Park, Kwan Woo Lee, Young Seol Kim
BACKGROUND: The aim of the study was to assess the impact of socioeconomic status (SES) on health behaviors, metabolic control, and chronic complications in people with type 2 diabetes mellitus (T2DM) from South Korea, a country with universal health insurance coverage and that has experienced rapid economic and social transition. METHODS: A total of 3,294 Korean men and women with T2DM aged 30 to 65 years, participating in the Korean National Diabetes Program (KNDP) cohort who reported their SES and had baseline clinical evaluation were included in the current cross-sectional analysis...
June 29, 2018: Diabetes & Metabolism Journal
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...
August 15, 2018: Hormones: International Journal of Endocrinology and Metabolism
Arathi S Nandyala, Lyndsay A Nelson, Andrea E Lagotte, Chandra Y Osborn
Many people with type 2 diabetes do not take medications as prescribed, resulting in suboptimal glycemic control and a greater risk of diabetes complications. Taking medications regularly requires adequate health literacy and numeracy skills, but associations between health literacy and numeracy skills and medication taking are mixed. We used validated, reliable, and widely accepted measures to examine the relationship between health literacy, numeracy, and medication adherence among a sample of patients with T2D...
January 2018: Health Literacy Research and Practice
Daniela Sandoval, Carolina Nazzal, Tomás Romero
Background: Limited information exists on blood pressure (BP) control factors and adherence to antihypertensive drug therapy (Rx) in developing countries. Methods: Cross-sectional study in randomly selected 992 hypertensive patients under a Chilean national comprehensive Cardiovascular Health Program (CVHP). Association of education, income, diabetes, obesity, physical activity, psychosocial characteristics, smoking, and alcohol abuse with BP control and adherence were evaluated by multivariate logistic regression...
2018: International Journal of Hypertension
Shwu-Jiuan Sheu, Wen-Liang Lin, Yea-Huei Kao Yang, Chi-Min Hwu, Ching-Lan Cheng
BACKGROUND: Pay-for-Performance programs have shown improvement in indicators monitoring adequacy and target achievement in diabetic care. However, less is known regarding the impact of this program on the occurrence and long-term effects of diabetic retinopathy. The objective of this study was to determine the effect of pay-for-performance program on the development of treatment needed for diabetic retinopathy in type 2 diabetes patients. METHODS: We conducted a nationwide retrospective cohort study with a matching design using the Taiwan National Health Insurance Research Database from 2000 to 2012...
August 15, 2018: BMC Health Services Research
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