keyword
https://read.qxmd.com/read/38499182/glucometrics-and-device-satisfaction-in-children-and-adolescents-with-type-1-diabetes-using-different-treatment-modalities-a-multicenter-real-world-observational-study
#21
JOURNAL ARTICLE
Valentino Cherubini, Andrea Fargalli, Claudia Arnaldi, Marta Bassi, Riccardo Bonfanti, Giulia Patrizia Bracciolini, Francesca Cardella, Sara Dal Bo, Maurizio Delvecchio, Francesca Di Candia, Roberto Franceschi, Sabrina Maria Galassi, Francesco Gallo, Vanna Graziani, Antonio Iannilli, Chiara Mameli, Marco Marigliano, Nicola Minuto, Sara Monti, Enza Mozzillo, Filomena Pascarella, Barbara Predieri, Ivana Rabbone, Rosalia Roppolo, Riccardo Schiaffini, Valentina Tiberi, Davide Tinti, Sonia Toni, Andrea Scaramuzza, Benedetta Vestrucci, Rosaria Gesuita
AIMS: To analyze metabolic outcomes, diabetes impact and device satisfaction in children and adolescents with type 1 diabetes in Italy who used different treatment modalities for diabetes care in a real-life context. METHODS: In this multicenter, nationwide, cross-sectional study, 1464 participants were enrolled at a routine visit. The following treatment modalities were considered MDI + SMBG; MDI + CGM; Sensor Augmented Pump Therapy; predictive management of low glucose; Hybrid Closed Loop (HCL); Advanced Hybrid Closed Loop (AHCL)...
March 16, 2024: Diabetes Research and Clinical Practice
https://read.qxmd.com/read/38497381/opportunities-to-overcome-underutilization-of-enhanced-insulin-delivery-technologies-in-people-with-type-2-diabetes-a-narrative-review
#22
REVIEW
Davida F Kruger, Diana Isaacs, Lucille Hughes, Eden Miller, Timothy S Bailey
Use of innovative technologies such as continuous glucose monitoring (CGM) and insulin delivery systems have been shown to be safe and effective in helping patients with diabetes achieve significantly improved glycemic outcomes compared to their previous therapies. However, these technologies are underutilized in many primary care practices. This narrative review discusses some of the clinical and economic benefits of tubeless insulin delivery devices and discusses how this technology can overcome the main obstacles inherent to use of conventional insulin delivery devices...
March 18, 2024: Postgraduate Medicine
https://read.qxmd.com/read/38496326/accuracy-of-apple-watch-to-measure-cardiovascular-indices-in-patients-with-chronic-diseases-a-cross-sectional-study
#23
JOURNAL ARTICLE
Alaa Abdulhafiz Khushhal, Ashraf Abdelaal Mohamed, Mahmoud Elshahat Elsayed
BACKGROUND: The validity of the Apple Watch to measure the heart rate (HR) and oxygen saturation (Spo2 ) for patients with chronic diseases such as diabetes mellitus (DM), dyslipidemia, and hypertension is still unclear. Therefore, this study aims to investigate the accuracy of the Apple Watch in measuring the Spo2 and HR in patients with chronic diseases. METHODS: Forty-one patients with chronic diseases, including 20 with hypertension, 10 with diabetes, and 11 with dyslipidemia, completed a cross-sectional study...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38494876/cost-effectiveness-of-closed-loop-automated-insulin-delivery-using-the-cambridge-hybrid-algorithm-in-children-and-adolescents-with-type-1-diabetes-results-from-a-multicenter-6-month-randomized-trial
#24
JOURNAL ARTICLE
D Steven Fox, Julia Ware, Charlotte K Boughton, Janet M Allen, Malgorzata E Wilinska, Martin Tauschmann, Louise Denvir, Ajay Thankamony, Fiona Campbell, R Paul Wadwa, Bruce A Buckingham, Nikki Davis, Linda A DiMeglio, Nelly Mauras, Rachel E J Besser, Atrayee Ghatak, Stuart A Weinzimer, Lauren Kanapka, Craig Kollman, Judy Sibayan, Roy W Beck, Korey K Hood, Roman Hovorka
BACKGROUND/OBJECTIVE: The main objective of this study is to evaluate the incremental cost-effectiveness (ICER) of the Cambridge hybrid closed-loop automated insulin delivery (AID) algorithm versus usual care for children and adolescents with type 1 diabetes (T1D). METHODS: This multicenter, binational, parallel-controlled trial randomized 133 insulin pump using participants aged 6 to 18 years to either AID (n = 65) or usual care (n = 68) for 6 months. Both within-trial and lifetime cost-effectiveness were analyzed...
March 17, 2024: Journal of Diabetes Science and Technology
https://read.qxmd.com/read/38493066/digitising-diabetes-education-for-a-safer-ramadan-design-delivery-and-evaluation-of-massive-open-online-courses-in-ramadan-focused-diabetes-education
#25
JOURNAL ARTICLE
Scott C Mackenzie, Jane Dickson, Salma Mehar, Barakatun Nisak Mohd Yusof, Adhari Alselmi, Bilal Aksi, Mats Stage Baxter, Alex Bickerton, Harnovdeep Singh Bharaj, Nicholas Conway, Kirsten M Cumming, Lee-Ling Lim, Nader Lessan, Nazim Ghouri, Tracey T Flax, Hibbah A Osei-Kwasi, Michelle Es Teo, Salman Waqar, Mohamed Hassanein, Deborah J Wake
AIMS: Ramadan-focused diabetes education is critical to facilitate safer Ramadan fasting amongst Muslim people living with diabetes. We present the design, delivery, and evaluation of two parallel massive open online courses (MOOCs) in Ramadan-focused diabetes education for people with diabetes and HCPs. METHODS: Two Ramadan-focused diabetes education MOOCs were developed and delivered for Ramadan 2023: one for HCPs in English, and another for people with diabetes in English, Arabic and Malay...
March 15, 2024: Primary Care Diabetes
https://read.qxmd.com/read/38492713/the-simultaneous-occurrence-of-gestational-diabetes-and-hypertensive-disorders-of-pregnancy-affects-fetal-growth-and-neonatal-morbidity
#26
JOURNAL ARTICLE
Chioma Onuoha, Carolin C M Schulte, Tanayott Thaweethai, Sarah Hsu, Deepti Pant, Kaitlyn E James, Sarbattama Sen, Anjali Kaimal, Camille E Powe
BACKGROUND: Gestational diabetes (GDM) is associated with an increased risk of hypertensive disorders of pregnancy (HDP), but there are limited data on fetal growth and neonatal outcomes when both conditions are present. OBJECTIVES: We evaluated the risk of abnormal fetal growth and neonatal morbidity in pregnancies with co-occurrence of GDM and HDP. STUDY DESIGN: In a retrospective study of 47,093 singleton pregnancies, we compared the incidence of appropriate for gestational age birthweight (AGA) in pregnancies affected by GDM alone, HDP alone, or both GDM and HDP (GDM/HDP) to that in pregnancies affected by neither disorder using generalized estimating equations (covariates: maternal age, nulliparity, BMI, insurance type, race, marital status and prenatal care site)...
March 14, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38491497/prevalence-of-gestational-diabetes-in-the-united-states-and-canada-a-systematic-review-and-meta-analysis
#27
JOURNAL ARTICLE
Claire E Eades, Katherine A Burrows, Roza Andreeva, Daniel R Stansfield, Josie Mm Evans
BACKGROUND: An understanding of the prevalence of gestational diabetes mellitus among pregnant women is essential at local, national and international level so that appropriate health care interventions can be planned, financed and delivered. METHODS: A systematic review and meta-analysis of primary research reporting the prevalence of gestational diabetes mellitus in Canada or the United States were carried out according to Meta-analysis of Observational Studies in Epidemiology guidelines...
March 15, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38488828/new-approach-to-equitable-intervention-planning-to-improve-engagement-and-outcomes-in-a-digital-health-program-simulation-study
#28
JOURNAL ARTICLE
Jackson A Killian, Manish Jain, Yugang Jia, Jonathan Amar, Erich Huang, Milind Tambe
BACKGROUND: Digital health programs provide individualized support to patients with chronic diseases and their effectiveness is measured by the extent to which patients achieve target individual clinical outcomes and the program's ability to sustain patient engagement. However, patient dropout and inequitable intervention delivery strategies, which may unintentionally penalize certain patient subgroups, represent challenges to maximizing effectiveness. Therefore, methodologies that optimize the balance between success factors (achievement of target clinical outcomes and sustained engagement) equitably would be desirable, particularly when there are resource constraints...
March 15, 2024: JMIR Diabetes
https://read.qxmd.com/read/38486038/internet-of-things-enabled-open-source-assisted-real-time-blood-glucose-monitoring-framework
#29
JOURNAL ARTICLE
Abubeker K M, Ramani R, Raja Krishnamoorthy, Sreenivasulu Gogula, Baskar S, Sathish Muthu, Girinivasan Chellamuthu, Kamalraj Subramaniam
Regular monitoring of blood glucose levels is essential for the management of diabetes and the development of appropriate treatment protocols. The conventional blood glucose (BG) testing have an intrusive technique to prick the finger and it can be uncomfortable when it is a regular practice. Intrusive procedures, such as fingerstick testing has negatively influencing patient adherence. Diabetic patients now have an exceptional improvement in their quality of life with the development of cutting-edge sensors and healthcare technologies...
March 14, 2024: Scientific Reports
https://read.qxmd.com/read/38485520/efficacy-and-safety-of-oral-and-vaginal-administration-of-misoprostol-for-induction-of-labor-in-high-risk-obese-pregnant-women-with-hypertension-or-diabetes-mellitus
#30
JOURNAL ARTICLE
Shi Tian, Li Wang, Yi-Wei Han, Yan-Nan Liu, Feng-Qiu Li, Xiao-Hua Jin
OBJECTIVE: This study aims to compare the safety and efficacy of misoprostol administered orally and vaginally in obese pregnant women at term with either gestational hypertension or diabetes. METHODS: A total of 264 pregnant women were enrolled and categorized into two groups based on their primary condition: hypertension (134 cases) or diabetes mellitus (130 cases) and were further divided into subgroups for misoprostol administration: orally (Oral group) or vaginally (Vaginal group)...
December 2024: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/38484984/innovations-using-telemedicine-to-improve-care-of-predominantly-non-white-youth-with-suboptimal-insulin-dependent-diabetes-control
#31
JOURNAL ARTICLE
Lisa Rasbach, Ginna Purrington, Deanna Adkins, Robert Benjamin
AIM: Despite advances in diabetes treatments, youth commonly fail to meet glucose targets. Telehealth support may help youth meet diabetes related goals. The objective of the project was to assess whether intensive telehealth support in a group of poorly controlled youth with diabetes would help improve glycated hemoglobin (HbA1c) levels and decrease hospitalization rates over a 12-month time frame. METHODS: This quality improvement project included youth aged 8-18 with suboptimal insulin dependent diabetes control and Medicaid insurance, who were willing to use continuous glucose monitoring (CGM)...
March 12, 2024: Diabetes Research and Clinical Practice
https://read.qxmd.com/read/38484900/financial-interventions-to-improve-screening-in-primary-care-a-systematic-review
#32
REVIEW
Samantha Matthews, Nabeel Qureshi, Jonathan S Levin, Nicole K Eberhart, Joshua Breslau, Ryan K McBain
INTRODUCTION: Although health screenings offer timely detection of health conditions and enable early intervention, adoption is often poor. How might financial interventions create the necessary incentives and resources to improve screening in primary care settings? This systematic review aimed to answer this question. METHODS: Peer-reviewed studies published between 2000 and 2023 were identified and categorized by the level of intervention (practice or individual) and type of intervention, specifically alternative payment models (APMs), fee-for-service (FFS), capitation, and capital investments...
March 12, 2024: American Journal of Preventive Medicine
https://read.qxmd.com/read/38482547/impact-of-the-covid-19-pandemic-on-the-rate-of-lower-limb-amputation-in-veterans
#33
JOURNAL ARTICLE
Kierra J Falbo, Nicole R Walker, Amber L Wacek, Juan E Cave, Matthew D Sauerbrey, Amy A Gravely, Mary E Matsumoto, John M Looft
BACKGROUND: The COVID-19 pandemic led to changes in health care, including postponement of nonurgent appointments. These changes, combined with overall decreased activity levels, may have placed individuals with vascular disease at increased risk for skin ulceration and amputation. OBJECTIVE: To determine the rates of lower limb amputation in Veterans due to complications of diabetes and/or vascular disease in the year following onset of the COVID-19 pandemic (March 2020-March 2021) compared to the previous 3 years (March 2017-March 2020)...
March 14, 2024: PM & R: the Journal of Injury, Function, and Rehabilitation
https://read.qxmd.com/read/38477979/the-key-digital-tool-features-of-complex-telehealth-interventions-used-for-type-2-diabetes-self-management-and-monitoring-with-health-professional-involvement-scoping-review
#34
REVIEW
Choumous Mannoubi, Dahlia Kairy, Karla Vanessa Menezes, Sophie Desroches, Geraldine Layani, Brigitte Vachon
BACKGROUND: Therapeutic education and patient self-management are crucial in diabetes prevention and treatment. Improving diabetes self-management requires multidisciplinary team intervention, nutrition education that facilitates self-management, informed decision-making, and the organization and delivery of appropriate health care services. The emergence of telehealth services has provided the public with various tools for educating themselves and for evaluating, monitoring, and improving their health and nutrition-related behaviors...
March 13, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38477973/implementing-a-sodium-glucose-cotransporter-2-inhibitor-module-with-a-software-tool-future-health-today-qualitative-study
#35
JOURNAL ARTICLE
Matthew Suen, Jo-Anne Manski-Nankervis, Caroline McBride, Natalie Lumsden, Barbara Hunter
BACKGROUND: Primary care plays a key role in the management of type 2 diabetes. Sodium-glucose cotransporter 2 (SGLT2) inhibitors have been demonstrated to reduce hospitalization and cardiac and renal complications. Tools that optimize management, including appropriate prescribing, are a priority for treating chronic diseases. Future Health Today (FHT) is software that facilitates clinical decision support and quality improvement. FHT applies algorithms to data stored in electronic medical records in general practice to identify patients who are at risk of a chronic disease or who have a chronic disease that may benefit from intensification of management...
March 13, 2024: JMIR Formative Research
https://read.qxmd.com/read/38476579/the-economic-impact-of-obesity-in-turkey-a-micro-costing-analysis
#36
JOURNAL ARTICLE
Dilek Gogas Yavuz, Omar Akhtar, Kaywei Low, Adrien Gras, Batu Gurser, Esra Safak Yilmaz, Amaury Basse
BACKGROUND: Turkey currently has the highest obesity prevalence among its European counterparts. 32% and 61% of the population live with obesity and overweight, respectively. Overweight and obesity are linked to non-communicable diseases that incur incremental health and economic costs. The significant public health concern warrants an assessment of the cost of obesity. METHODS: A micro-costing approach from the public payer perspective was conducted to estimate direct healthcare costs associated with ten obesity-related comorbidities (ORCs) in Turkey...
2024: ClinicoEconomics and Outcomes Research: CEOR
https://read.qxmd.com/read/38476578/medical-costs-associated-with-high-moderate-low-likelihood-of-adult-growth-hormone-deficiency-a-healthcare-claims-database-analysis
#37
JOURNAL ARTICLE
Kevin C J Yuen, Lewis S Blevins, David R Clemmons, Mads Faurby, Andrew R Hoffman, Nicky Kelepouris, Janice M Kerr, Jens Magelund Tarp, Maria Fleseriu
PURPOSE: Adult growth hormone deficiency (AGHD) is often underdiagnosed and undertreated, leading to costly comorbidities. Previously, we developed an algorithm to identify individuals in a commercially insured US population with high, moderate, or low likelihood of having AGHD. Here, we estimate and compare direct medical costs by likelihood level. PATIENTS AND METHODS: Retrospective, observational analysis using the Truven Health MarketScan database to analyze direct medical costs relating to inpatient and outpatient claims, outpatient prescription claims, medication usage, clinical utilization records, and healthcare expenditures...
2024: ClinicoEconomics and Outcomes Research: CEOR
https://read.qxmd.com/read/38476253/barriers-and-facilitators-to-screening-for-kidney-disease-among-older-adults-with-hypertension-and-diabetes-in-mbarara-southwestern-uganda-healthcare-providers-perspective
#38
JOURNAL ARTICLE
Judith Owokuhaisa, Catherine N Abaasa, Rose Muhindo, Pius Musinguzi, Godfrey Zari Rukundo
BACKGROUND: Screening for kidney disease (KD) among high-risk patients (patients with hypertension or diabetes) allows early diagnosis, intervention and delayed progression of the disease. In low- and middle-income countries (LMIC), KD screening is still sub-optimal. This study explored the healthcare providers' perceived barriers and facilitators to KD screening among older adults with hypertension and diabetes in Mbarara southwestern Uganda. METHODS: This was a descriptive qualitative study among healthcare providers caring for older adults with diabetes mellitus and hypertension at Mbarara Regional Referral Hospital (MRRH) in southwestern Uganda...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38474251/the-efficacy-of-stem-cells-in-wound-healing-a-systematic-review
#39
REVIEW
Banu Farabi, Katie Roster, Rahim Hirani, Katharine Tepper, Mehmet Fatih Atak, Bijan Safai
Wound healing is an intricate process involving coordinated interactions among inflammatory cells, skin fibroblasts, keratinocytes, and endothelial cells. Successful tissue repair hinges on controlled inflammation, angiogenesis, and remodeling facilitated by the exchange of cytokines and growth factors. Comorbid conditions can disrupt this process, leading to significant morbidity and mortality. Stem cell therapy has emerged as a promising strategy for enhancing wound healing, utilizing cells from diverse sources such as endothelial progenitor cells, bone marrow, adipose tissue, dermal, and inducible pluripotent stem cells...
March 5, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38471526/temporal-trend-in-maternal-morbidity-and-comorbidity
#40
JOURNAL ARTICLE
Yara H Diab, Jim Huang, Lea Nehme, George Saade, Tetsuya Kawakita
OBJECTIVE:  This study aimed to examine the temporal trends of severe maternal morbidity (SMM) in the U.S. population in relation to trends in maternal comorbidity. STUDY DESIGN:  We performed a repeated cross-sectional analysis of data from individuals at 20 weeks' gestation or greater using U.S. birth certificate data from 2011 to 2021. Our primary outcome was SMM defined as the occurrence of intensive care unit admission, eclampsia, hysterectomy, uterine rupture, and blood product transfusion...
March 12, 2024: American Journal of Perinatology
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