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Education in diabetes

Lauren B Shomaker, Lauren Gulley, Allison M Hilkin, Emma Clark, Shelly Annameier, Sangeeta Rao, Bonny Rockette-Wagner, Andrea Kriska, Kenneth P Wright, Eric Stice, Kristen J Nadeau, Megan M Kelsey
BACKGROUND: Depressive symptoms often manifest in adolescence and predict worsening insulin sensitivity, a key precursor in the path to β-cell failure and type 2 diabetes (T2D). OBJECTIVE: To assess the efficacy of a six-week cognitive-behavioral group versus six-week health education group for improving insulin sensitivity and preserving β-cell function in adolescent girls at-risk for T2D with depressive symptoms and evaluate mechanisms underlying the association between depression and insulin dynamics...
October 17, 2018: Contemporary Clinical Trials
Yoshihiko Imamura, Yasunori Takahashi, Toshihide Hayashi, Masateru Iwamoto, Rie Nakamura, Mikiko Goto, Kazuyo Takeba, Makoto Shinohara, Shun Kubo, Nobuhiko Joki
BACKGROUND: Comprehensive education about lifestyle, nutrition, medications and other types of treatment is important to prevent renal dysfunction in patients with chronic kidney disease (CKD). However, the effectiveness of multidisciplinary care on CKD progression has not been evaluated in detail. We aimed to determine whether multidisciplinary care at our hospital could help prevent worsening renal function associated with CKD. METHODS: A total of 150 pre-dialysis CKD outpatients accompanied (n = 68) or not (n = 82) with diabetes mellitus (DM) were enrolled into this study...
October 19, 2018: Clinical and Experimental Nephrology
Onur Asan, Farion Cooper Ii, Sneha Nagavally, Rebekah J Walker, Joni S Williams, Mukoso N Ozieh, Leonard E Egede
BACKGROUND: Emerging health technologies are increasingly being used in health care for communication, data collection, patient monitoring, education, and facilitating adherence to chronic disease management. However, there is a lack of studies on differences in the preference for using information exchange technologies between patients with chronic and nonchronic diseases and factors affecting these differences. OBJECTIVE: The purpose of this paper is to understand the preferences and use of information technology for information exchange among a nationally representative sample of adults with and without 3 chronic disease conditions (ie, cardiovascular disease [CVD], diabetes, and hypertension) and to assess whether these preferences differ according to varying demographic variables...
October 18, 2018: Journal of Medical Internet Research
Jamie Ross, Fiona Stevenson, Charlotte Dack, Kingshuk Pal, Carl May, Susan Michie, Maria Barnard, Elizabeth Murray
BACKGROUND: Evidence on how to implement new interventions into complex healthcare environments is often poorly reported and indexed, reducing its potential to inform initiatives to improve healthcare services. Using the implementation of a digital intervention within routine National Health Service (NHS) practice, we provide an example of how to develop a theoretically based implementation plan and how to report it transparently. In doing so we also highlight some of the challenges to implementation in routine healthcare...
October 19, 2018: BMC Health Services Research
Karen Schneck, Lai San Tham, Ali Ertekin, Jesus Reviriego
Insulin replacement therapy is a fundamental treatment for glycemic control for managing diabetes. The engineering of insulin analogues has focused on providing formulations with action profiles that mimic as closely as possible the pattern of physiological insulin secretion that normally occurs in healthy individuals without diabetes. Hence, it may be helpful to practitioners to visualize insulin concentration profiles and associated glucose action profiles. Expanding on a previous analysis that established a pharmacokinetic (PK) model to describe typical profiles of insulin concentration over time following subcutaneous administration of various insulin formulations, the goal of the current analysis was to link the PK model to an integrated glucose-insulin (IGI) systems pharmacology model...
October 19, 2018: Journal of Clinical Pharmacology
Ya Xing Wang, Wen Bin Wei, Liang Xu, Jost B Jonas
PURPOSE: To assess associations between the amount of physical activity and the prevalence of ocular diseases. METHODS: The participants of the population-based Beijing Eye Study underwent a detailed ophthalmological examination and an interview. Physical activity was assessed in a standardized questionnaire. RESULTS: Out of 3468 study participants, information on their physical activity was available for 3031 (87.4%) individuals (age: 64...
October 18, 2018: Acta Ophthalmologica
Ahmad Shahzad, Muhammad Masood Ahmad, Ijaz Anwer, Noor Ijaz, Maheen Shahzad, Muhammad Usman
INTRODUCTION: Diabetes mellitus is an emerging public health concern. The aim of this study was to assess the gender-specific knowledge of patients about diabetes mellitus, its complications, and its management. METHODS: A cross-sectional study was conducted in outpatient clinics of Faisalabad, Pakistan, from November 2017 to March 2018. Consecutive patients with diabetes, aged >18 years, were administered a validated questionnaire related to knowledge of diabetes, its complications, and its management...
August 8, 2018: Curēus
Hannah Xu, Christina Geros, Emma Turner, Mikaela Egan, Kristie Cocotis, Colin Mitchell, Natalie Arambasic, Jennifer Browne
Diabetes contributes considerably to the health disparities in the Aboriginal population. To address the lack of Aboriginal-specific diabetes education tools, Feltman was designed for health professionals to deliver diabetes prevention and management information. This qualitative study aims to explore how this resource was used and its perceived effect on diabetes prevention and management in Victorian Aboriginal communities. Convenience sampling was used to recruit 18 participants (n=6 were Aboriginal) who had attended Feltman training between 2010 and 2016...
October 19, 2018: Australian Journal of Primary Health
Ana Yibby Forero, Jenny Alexandra Hernández, Sandra Milena Rodríguez, Jhon Jairo Romero, Gina Emely Morales, Gabriel Ángel Ramírez
Introduction: Type II diabetes mellitus (DMII) is one of the main causes of morbidity and mortality both worldwide and in Colombia. It mainly affects men and women over 45 years of age. Inadequate control of this disease can generate greater health complications making it one of the most costly diseases in the country. Treatment includes activities other than glycemic control and requires constant monitoring by medical personnel and educational processes directed at the patient and his or her family. Objective: To characterize the feeding of patients with DMII in three public hospitals of Cundinamarca...
September 1, 2018: Biomédica: Revista del Instituto Nacional de Salud
Ralf Schiel, Rolf Bambauer, Antje Steveling
Worldwide the number of people with diabetes mellitus is increasing. There are estimations that diabetes is one of the leading causes of death. The most important goals for the treatment of diabetes are self-management of the disease and an optimal quality of diabetes control. In the therapy new technologies, like real-time continuous interstitial glucose monitoring, continuous subcutaneous insulin infusion (CSII), electronic tools for the monitoring of therapeutic approaches, automated bolus calculators for insulin and electronic tools for education and information of patients, have become widespread and play important roles...
October 18, 2018: Artificial Organs
Bishal Gyawali, Joakim Bloch, Abhinav Vaidya, Per Kallestrup
Type 2 diabetes is an increasing burden in low- and middle-income countries (LMICs). Knowledge of effective prevention programs in LMICs is thus important. The aim of this review was to establish an overview of studies evaluating the effectiveness of community-based interventions for prevention of Type 2 diabetes in LMICs. A literature review with searches in the databases using MEDLINE in Ovid (Ovid MEDLINE® In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily, Ovid MEDLINE and Version (R); Embase; PsycINFO; Global Health; and Google Scholar) between 1 January 2000 and 31 December 2015 was conducted...
October 16, 2018: Health Promotion International
Yaru Li, Liyun Zhao, Dongmei Yu, Gangqiang Ding
OBJECTIVES: This study aimed to examine the prevalence and risk factors of dyslipidemia in different diabetic progression stages among middle-aged and elderly Chinese populations. METHODS: The 2010-2012 China National Nutrition and Health Survey (CNNHS) is a nationally representative cross-sectional study. In the present study, a total of 69,974 participants aged ≥ 45 years were included. Dyslipidemia was defined based on the Chinese adult dyslipidemia prevention guide...
2018: PloS One
Yacob Pinchevsky, Frederick Raal, Neil Butkow, Tobias Chirwa, Larry Distiller, Alan Rothberg
Purpose: With the realities of resource constraints existing in South Africa's public sector and the evidence of disparities in health care between populations, the study sought to compare the quality of diabetes care and health-related quality of life (HRQoL) in patients with type 2 diabetes mellitus (T2DM) receiving care within two specialized settings: one in the public and the other in the private sector. Particular emphasis was placed on complication rates at the two sites. Patients and methods: Quantitative and qualitative data were collected between June and October 2016 from existing patients' records at each setting...
2018: International Journal of General Medicine
Roli Dwivedi, Christina Cipolle, Chris Hoefer
Objective. To develop an educational module that would optimize the diabetic management of individuals observing Ramadan, and to evaluate the effectiveness of the module based on the special needs of fasting individuals. Methods. A needs assessment was conducted to understand the knowledge gaps of health care professionals and the perceived usefulness of an interprofessional curriculum focused on the management of diabetes during Ramadan. Following this assessment, an interdisciplinary team developed and implemented a comprehensive curriculum...
September 2018: American Journal of Pharmaceutical Education
Feng-Juan Zhuang, Yan Chen, Wen-Bo He, Zhi-You Cai
White matter hyperintensities (WMHs) that arise with age and/or atherosclerosis constitute a heterogeneous disorder in the white matter of the brain. However, the relationship between age-related risk factors and the prevalence of WMHs is still obscure. More clinical data is needed to confirm the relationship between age and the prevalence of WMHs. We collected 836 patients, who were treated in the Renmin Hospital, Hubei University of Medicine, China from January 2015 to February 2016, for a case-controlled retrospective analysis...
December 2018: Neural Regeneration Research
Maryam Sina, Freya MacMillan, Tinashe Dune, Navodya Balasuriya, Nouran Khouri, Ngan Nguyen, Vasyngpong Jongvisal, Xiang Hui Lay, David Simmons
BACKGROUND: Poor diabetes management prior to conception, results in increased rates of fetal malformations and other adverse pregnancy outcomes. We describe the development of an integrated, pre-pregnancy management strategy to improve pregnancy outcomes among women of reproductive age with diabetes in a multi-ethnic district. METHODS: The strategy included (i) a narrative literature review of contraception and pre-pregnancy interventions for women with diabetes and development of a draft plan; (ii) a chart review of pregnancy outcomes (e...
October 15, 2018: BMC Pregnancy and Childbirth
Ya-Nan Song, Ping Wang, Wei Xu, Jie-Qiong Li, Xi-Peng Cao, Jin-Tai Yu, Lan Tan
BACKGROUND: The conclusions about risk factors for rapid cognitive decline (RCD) in Alzheimer's disease (AD) and mild cognitive impairment (MCI) remain contradictory. OBJECTIVE: To explore the factors predicting RCD in AD and MCI. METHODS: We searched the PubMed, EMBASE, and the Cochrane Library from inception to May 27, 2017 for studies investigating factors associated with faster cognitive progression in AD and MCI. Effect sizes were meta-analyzed using fixed-effects and random-effects models...
September 29, 2018: Journal of Alzheimer's Disease: JAD
Mihyun Jeong, Elizabeth Reifsnider
Purpose The purpose of this study was to investigate the associations of diabetes-related distress and depressive symptoms with glycemic control in Korean Americans (KAs) with type 2 diabetes mellitus (T2DM). Methods The cross-sectional, correlational descriptive study explored glycemic control in KA. A total of 119 KA adults with T2DM were recruited from Korean communities in Arizona between July and November 2016. Data were collected by a finger-stick glucose test for A1C, the Diabetes Distress Scale for diabetes-related distress, the Center for Epidemiological Studies Depression for depressive symptoms, and sociodemographics...
October 15, 2018: Diabetes Educator
Stuart Chalew, Ricardo Gomez, Alfonso Vargas, Jodi Kamps, Brittney Jurgen, Richard Scribner, James Hempe
INTRODUCTION: Black youth with type 1 diabetes (T1D) have higher HbA1c than whites. To understand HbA1c differences, we examined the relationship of psycho-social factors and glucose testing with HbA1c. METHODS: Glucose tests per day (BGs/d) and mean blood glucose (MBG) were calculated from meter data of youth self-identified as black (n = 33) or white (n = 53) with T1D. HbA1c, family income, insurance status, concentrated disadvantage (CDI), psychological depression (DSC), mother educational attainment (MEA), and insulin delivery method (IDM) data was were analyzed...
August 10, 2018: Journal of Diabetes and its Complications
Yunkoo Kang, Sowon Park, Seung Kim, Hong Koh
The prevalence of metabolic syndrome is increasing worldwide in adolescents. Metabolic syndrome is a systemic disease that is likely to be associated with other diseases. Studies have shown a relationship between muscle strength, muscle quality, and metabolic syndrome. Handgrip strength is known as a simple tool to measure muscle strength. Therefore, we aimed to investigate the relationship between handgrip strength and metabolic syndrome and each metabolic syndrome features in adolescents. Data were obtained from 1050 adolescents (574 boys, 476 girls; age 10-18 years) who participated in the Korea National Health and Nutrition Examination Survey...
September 8, 2018: Journal of Clinical Densitometry
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