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insulin self care ethnic

Lyndsay A Nelson, Lindsay S Mayberry, Kenneth Wallston, Sunil Kripalani, Erin M Bergner, Chandra Y Osborn
BACKGROUND: Among adults with type 2 diabetes mellitus (T2DM), adherence to recommended self-care activities is suboptimal, especially among racial and ethnic minorities with low income. Self-care nonadherence is associated with having worse glycemic control and diabetes complications. Text messaging interventions are improving the self-care of adults with T2DM, but few have been tested with disadvantaged populations. OBJECTIVE: To develop Rapid Education/Encouragement And Communications for Health (REACH), a tailored, text messaging intervention to support the self-care adherence of disadvantaged patients with T2DM, based on the Information-Motivation-Behavioral skills model...
September 8, 2016: JMIR Human Factors
Charlotte R Kuo, Judy Quan, Sarah Kim, Audrey Hui-Yu Tang, Deborah Payne Heuerman, Elizabeth J Murphy
AIMS AND OBJECTIVES: To evaluate the effect of an "insulin introduction" group visit on insulin initiation and A1C in adults with type 2 diabetes. BACKGROUND: The clinical course of type 2 diabetes involves eventual beta-cell failure and the need for insulin therapy. Patient psychological insulin resistance, provider-related delays and system barriers to timely initiation of insulin are common. Group visits are widely accepted by patients and represent a potential strategy for improving insulin initiation...
September 7, 2016: Journal of Clinical Nursing
Sara M St George, Alan M Delamater, Elizabeth R Pulgaron, Amber Daigre, Janine Sanchez
BACKGROUND: A better understanding of parent and adolescent interest in using smartphone technology for type 1 diabetes (T1D) management is needed prior to developing technology-based interventions for ethnic minorities. This study examined access to and interest in technology-based programs for T1D in primarily Hispanic adolescents and their parents. SUBJECTS AND METHODS: During a scheduled clinic visit, adolescents with T1D (n = 50; 52% female; 13.6 ± 2...
February 2016: Diabetes Technology & Therapeutics
Cheryl Pui Yan Au, Camille H Raynes-Greenow, Robin M Turner, Angela E Carberry, Heather E Jeffery
OBJECTIVE: Pregnancies complicated with gestational diabetes mellitus (GDM) are at a higher risk for caesarean and instrumental deliveries as well as adverse neonatal outcomes such as fetal overgrowth, hypoglycaemia and neonatal intensive care admission. Our primary objective was to describe neonatal outcomes in a sample that included term infants of both GDM mothers and mothers with normal glucose tolerance (NGT). DESIGN AND SETTING: this cross-sectional study included 599 term babies born between September and October 2010 at Royal Prince Alfred Hospital, Sydney, Australia...
March 2016: Midwifery
S M Sildorf, N T Hertel, J Thomsen, S Fredheim, H Hastrup, C Pipper, B Hertz, J Svensson
AIMS: To examine trends in diabetes treatment in Danish children and adolescents with Type 1 diabetes mellitus, comparing treatment intensity with metabolic outcomes in the population, and to describe the challenges of population-based registries in a clinical setting with rapidly changing treatment methods. METHODS: This observational study is based on the Danish national population registry of childhood diabetes, which includes 99% of children diagnosed with Type 1 diabetes before the age of 15 years...
April 2016: Diabetic Medicine: a Journal of the British Diabetic Association
Julie Silverman, James Krieger, Meghan Kiefer, Paul Hebert, June Robinson, Karin Nelson
BACKGROUND: Food insecurity- lack of dependable access to adequate food-may play a role in poor diabetes control. OBJECTIVE: We aimed to determine the relationship between food security status and depression, diabetes distress, medication adherence and glycemic control. DESIGN: Secondary analysis of baseline data from Peer Support for Achieving Independence in Diabetes, a randomized controlled trial that enrolled patients from November 2011 to October 2013...
October 2015: Journal of General Internal Medicine
Dara H Sorkin, John Billimek, Kristin J August, Quyen Ngo-Metzger, Sherrie H Kaplan, Andrew R Reikes, Sheldon Greenfield
AIMS: To examine the relative contribution of glycaemic control (HbA1C) and depressive symptoms on diabetes-related symptom burden (hypoglycaemia and hyperglycaemia) in order to guide medication modification. METHODS: Secondary analysis of medical records data and questionnaires collected from a racially/ethnically diverse sample of adult patients with type 2 diabetes (n = 710) from seven outpatient clinics affiliated with an academic medical centre over a 1-year period as part of the Reducing Racial Disparities in Diabetes: Coached Care (R2D2C2) study...
June 2015: Family Practice
Jodi Krall, Robert Gabbay, Susan Zickmund, Megan E Hamm, Kelly R Williams, Linda Siminerio
BACKGROUND: Psychological insulin resistance (PIR) refers to reluctance of providers to prescribe and patients to take insulin. Processes and tools have been developed to address PIR. The purpose of this qualitative study was to examine current understanding and opinions of insulin therapy of primary care providers (PCPs) and patients with type 2 diabetes (both naive to insulin and insulin users). SUBJECTS AND METHODS: Providers (n=23 PCPs) and patients (n=96) participated in 1:1 interviews and 12 racially/ethnically diverse focus groups, respectively, conducted by trained qualitative researchers using pilot-tested scripts...
April 2015: Diabetes Technology & Therapeutics
Julienne K Kirk, Thomas A Arcury, Edward Ip, Ronny A Bell, Santiago Saldana, Ha T Nguyen, Sara A Quandt
AIMS: To evaluate the demographic and health correlates of reporting diabetes symptoms, and the relationship between diabetes symptoms and self-management behaviors in rural older adults. METHODS: Cross-sectional interviews were conducted with 489 African American, American Indian, and white female and male adults 60 years and older. Participants with diabetes were recruited from eight North Carolina counties. Participants completed the 34-item Diabetes Symptom Checklist (DSC)...
January 2015: Diabetes Research and Clinical Practice
Scott Metcalfe, Peter Moodie, Hew Norris, Dilky Rasiah
AIMS: (1) To identify actual dispensings of publicly funded blood glucose test strips (SMBG) in New Zealand according to severity of disease, as proxied by the type of medicines prescribed; and (2) To compare these rates with published consensus guidelines on SMBG usage. METHOD: All dispensings of diabetes medicines and blood glucose test strips (SMBG) in 2011 were identified and matched to patients, using encrypted National Health Index numbers (NHIs). Five hierarchical treatment groups were identified, as the use of: -Insulins without oral hypoglycaemic agents (OHs); -Insulins with OHs; -Sulphonylurea-containing OH regimens without insulins (with or without other diabetes medicines); -Metformin alone, with or without glitazones or acarbose; and -No diabetes medication but accessing SMBGs...
November 28, 2014: New Zealand Medical Journal
Pamela Jo Johnson, Neha Ghildayal, Todd Rockwood, Susan A Everson-Rose
PURPOSE: The purpose of this study is to examine differences in diabetes self-care activities by race/ethnicity and insulin use. METHODS: Data were from the 2011 Behavioral Risk Factor Surveillance System for adults with diabetes. Outcomes included 5 diabetes self-care activities (blood glucose monitoring, foot checks, nonsmoking, physical activity, healthy eating) and 3 levels of diabetes self-care (high, moderate, low). Logistic regression models stratified by insulin use were used to estimate the odds of each self-care activity by race/ethnicity...
November 2014: Diabetes Educator
Marilia Brito Gomes, Carlos Antonio Negrato, Roberta Cobas, Lucianne Righeti Monteiro Tannus, Paolla Ribeiro Gonçalves, Pedro Carlos Barreto da Silva, João Regis Ivar Carneiro, Alessandra Saldanha Mattos Matheus, Sergio Atala Dib, Mirela Jobim Azevedo, Márcia Nery, Melanie Rodacki, Lenita Zajdenverg, Renan Magalhães Montenegro Junior, Janice Sepulveda, Luis Eduardo Calliari, Deborah Jezini, Neuza Braga, Jorge L Luescher, Renata S Berardo, Maria Carmo Arruda-Marques, Renata M Noronha, Thais D Manna, Roberta Salvodelli, Fernanda G Penha, Milton C Foss, Maria C Foss-Freitas, Antonio C Pires, Fernando C Robles, Maria de Fátima S Guedes, Patricia Dualib, Saulo C Silva, Emerson Sampaio, Rosangela Rea, Ana Cristina R Faria, Balduino Tschiedel, Suzana Lavigne, Luis Henrique Canani, Alessandra T Zucatti, Marisa Helena C Coral, Daniela Aline Pereira, Luiz Antonio Araujo, Monica Tolentino, Hermelinda C Pedrosa, Flaviane A Prado, Nelson Rassi, Leticia B Araujo, Reine Marie C Fonseca, Alexis D Guedes, Odelissa S Matos, Catia C Palma, Rossana Azulay, Adriana C Forti, Cristina Façanha, Ana Paula Montenegro, Naira H Melo, Karla F Rezende, Alberto Ramos, João Soares Felicio, Flavia M Santos
BACKGROUND: To evaluate the determinants of intensive insulin regimens (ITs) in patients with type 1 diabetes (T1D). METHODS: This multicenter study was conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. Data were obtained from 3,591 patients (56.0% female, 57.1% Caucasian). Insulin regimens were classified as follows: group 1, conventional therapy (CT) (intermediate human insulin, one to two injections daily); group 2 (three or more insulin injections of intermediate plus regular human insulin); group 3 (three or more insulin injections of intermediate human insulin plus short-acting insulin analogues); group 4, basal-bolus (one or two insulin injections of long-acting plus short-acting insulin analogues or regular insulin); and group 5, basal-bolus with continuous subcutaneous insulin infusion (CSII)...
2014: Diabetology & Metabolic Syndrome
Keith C Ferdinand, Fatima Rodriguez, Samar A Nasser, A Enrique Caballero, Gary A Puckrein, Farhad Zangeneh, Michael Mansour, JoAnne Micale Foody, Priscilla E Pemu, Elizabeth O Ofili
Cardiovascular disease (CVD), including heart disease and stroke, is the leading cause of death in the USA, regardless of self-determined race/ethnicity, and largely driven by cardiometabolic risk (CMR) and cardiorenal metabolic syndrome (CRS). The primary drivers of increased CMR include obesity, hypertension, insulin resistance, hyperglycemia, dyslipidemia, chronic kidney disease as well as associated adverse behaviors of physical inactivity, smoking, and unhealthy eating habits. Given the importance of CRS for public health, multiple stakeholders, including the National Minority Quality Forum (the Forum), the American Association of Clinical Endocrinologists (AACE), the American College of Cardiology (ACC), and the Association of Black Cardiologists (ABC), have developed this review to inform clinicians and other health professionals of the unique aspects of CMR in racial/ethnic minorities and of potential means to improve CMR factor control, to reduce CRS and CVD in diverse populations, and to provide more effective, coordinated care...
April 2014: Cardiorenal Medicine
Woon May Ong, Siew Siang Chua, Chirk Jenn Ng
BACKGROUND: Self-monitoring of blood glucose (SMBG) helps to improve glycemic control and empowerment of people with diabetes. It is particularly useful for people with diabetes who are using insulin as it facilitates insulin titration and detection of hypoglycemia. Despite this, the uptake of SMBG remains low in many countries, including Malaysia. PURPOSE: This study aimed to explore the barriers and facilitators to SMBG, in people with type 2 diabetes using insulin...
2014: Patient Preference and Adherence
Scott M Blackman, Dan Raghinaru, Saleh Adi, Jill H Simmons, Laurie Ebner-Lyon, H Peter Chase, William V Tamborlane, Desmond A Schatz, Jennifer M Block, Jean C Litton, Vandana Raman, Nicole C Foster, Craig R Kollman, Stephanie N DuBose, Kellee M Miller, Roy W Beck, Linda A DiMeglio
Insulin delivery via injection and continuous subcutaneous insulin infusion (CSII) via insulin pump were compared in a cross-sectional study (n = 669) and retrospective longitudinal study (n = 1904) of young children (<6 yr) with type 1 diabetes (T1D) participating in the T1D Exchange clinic registry. Use of CSII correlated with longer T1D duration (p < 0.001), higher parental education (p < 0.001), and annual household income (p < 0.006) but not with race/ethnicity. Wide variation in pump use was observed among T1D Exchange centers even after adjusting for these factors, suggesting that prescriber preference is a substantial determinant of CSII use...
December 2014: Pediatric Diabetes
Roberta Arnoldi Cobas, Marcos Bosi Ferraz, Alessandra Saldanha de Mattos Matheus, Lucianne Righeti Monteiro Tannus, Aline Tiemi Kano Silva, Luiz Antonio de Araujo, Carlos Antonio Negrato, Sérgio Atala Dib, Marilia Brito Gomes
BACKGROUND AND AIMS: Regional differences in the clinical care of Type 1 diabetes (T1D) in Brazil have been recently described. This study aimed to estimate the costs of T1D from the public health care system's perspective across the regions of Brazil and to determine the components that influence these costs. METHODS: This was a retrospective, cross-sectional and nationwide multicenter study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities...
2013: Diabetology & Metabolic Syndrome
Eric J Epstein, Jamie L Osman, Hillel W Cohen, Swapnil N Rajpathak, Oksana Lewis, Jill P Crandall
OBJECTIVE: Insulin resistance has been described in type 1 diabetes mellitus, is related to risk of vascular complications, and may be more common in certain ethnic groups. Estimated glucose disposal rate (eGDR) is a validated clinical tool for estimating insulin sensitivity in type 1 diabetes. Because previous reports of eGDR in adults with type 1 diabetes have included few ethnic minorities, this study explored interethnic differences in eGDR and the relationship of eGDR with diabetic vascular complications...
August 2013: Diabetes Care
Giyeon Kim, Katy L Ford, David A Chiriboga, Dara H Sorkin
This study examined racial and ethnic differences in healthcare use, delayed care, and management of care of older adults with a self-reported diagnosis of diabetes mellitus. Drawing on the 2009 California Health Interview Survey (CHIS), the sample included 3,003 adults (representative of N = 998,795) aged 60 and older from five racial and ethnic groups: non-Hispanic white (n = 2,153), African American (n = 213), Hispanic (n = 336), Asian (n = 306), and American Indian and Alaska Native (AI/AN) (n = 59). All self-reported a diagnosis of diabetes mellitus...
December 2012: Journal of the American Geriatrics Society
Giesje Nefs, Mariska Bot, Jessica L Browne, Jane Speight, François Pouwer
BACKGROUND: As the number of people with diabetes is increasing rapidly worldwide, a more thorough understanding of the psychosocial aspects of living with this condition has become an important health care priority. While our knowledge has grown substantially over the past two decades with respect to the physical, emotional and social difficulties that people with diabetes may encounter, many important issues remain to be elucidated. Under the umbrella of the Diabetes MILES (Management and Impact for Long-term Empowerment and Success) Study International Collaborative, Diabetes MILES--The Netherlands aims to examine how Dutch adults with diabetes manage their condition and how it affects their lives...
2012: BMC Public Health
EunSeok Cha, Kyeongra Yang, Jia Lee, Jiwon Min, Kevin H Kim, Sandra B Dunbar, Bonnie Mowinski Jennings
PURPOSE: The purpose of this study was to explore potential factors affecting the self-management behaviors of Korean immigrants with type 2 diabetes mellitus (KIT2Ds). METHODS: A qualitative descriptive design guided this study. Semistructured interviews lasting 45 to 60 minutes were conducted with 20 KIT2Ds in the participants' preferred language; in all cases, this was Korean. Each interview was audiotaped, transcribed, and analyzed using conventional content analysis...
November 2012: Diabetes Educator
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