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Keywords management of diabetes in prim...

management of diabetes in primary care

https://read.qxmd.com/read/38500198/triglyceride-glucose-index-a-novel-evaluation-tool-for-all-cause-mortality-in-critically-ill-hemorrhagic-stroke-patients-a-retrospective-analysis-of-the-mimic-iv-database
#21
JOURNAL ARTICLE
Yongwei Huang, Zongping Li, Xiaoshuang Yin
BACKGROUND: Hemorrhagic stroke (HS), including non-traumatic intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH), constitutes a substantial proportion of cerebrovascular incidents, accounting for around 30% of stroke cases. The triglyceride-glucose index (TyG-i) represents a precise insulin resistance (IR) indicator, a crucial metabolic disturbance. Existing literature has demonstrated an association between TyG-i and all-cause mortality (ACM) among individuals suffering from ischemic stroke (IS)...
March 18, 2024: Cardiovascular Diabetology
https://read.qxmd.com/read/38500081/management-of-kidney-transplant-recipients-for-primary-care-practitioners
#22
REVIEW
Manal Alotaibi, Brandon Trollinger, Sam Kant
Patients with kidney transplants have a significant co-morbidity index, due to a high number of pre-existing conditions and use of immunosuppression medications. These patients are at higher risk of developing conditions such as hypertension, dyslipidemia, post-transplant diabetes, cardiovascular events, and anemia. Moreover, they are particularly susceptible to infections such as urinary tract infections or pyelonephritis, cancers, and gastrointestinal complications such as diarrhea, which in turn may be attributed to medication adverse effects or infectious causes...
March 18, 2024: BMC Nephrology
https://read.qxmd.com/read/38496839/bibliometric-analysis-of-systematic-review-and-meta-analysis-on-diabetic-foot-ulcer
#23
JOURNAL ARTICLE
Yanyan Wang, Cong Wang, Lei Zheng
Many clinical management strategies have been proposed to deal with diabetic foot ulcers. However, the occurrence and recurrence of foot ulcers remain the major problems for diabetics. This study aims to identify, visualize, and characterize the meta-analyses on diabetic foot ulcer research. Articles published online were retrieved from the Web of Science core collection database using a search query incorporating MeSH terms and topics related to diabetic foot ulcers and meta-analysis. The publications were then analyzed for basic characteristics, including publication year, countries, topics covered, references, and keywords discussed in the articles...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38495365/advancing-community-care-and-access-to-follow-up-after-acute-kidney-injury-hospitalization-design-of-the-after-aki-randomized-controlled-trial
#24
JOURNAL ARTICLE
Meha Bhatt, Eleanor Benterud, Taylor Palechuk, Coralea Bignell, Nasreen Ahmed, Kerry McBrien, Matthew T James, Neesh Pannu
BACKGROUND: Acute kidney injury (AKI) is a common complication among hospitalized patients with long-term implications including chronic kidney disease (CKD). Although models are available to predict the risk of advanced CKD after AKI, there is limited evidence regarding follow-up for patients with AKI after hospital discharge, resulting in variable follow-up care. A risk-stratified follow-up approach may improve appropriateness and efficiency of management for CKD among patients at risk of declining kidney function following AKI...
2024: Canadian Journal of Kidney Health and Disease
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/38491369/exploring-treatment-burden-in-people-with-type-2-diabetes-mellitus-a-thematic-analysis-in-china-s-primary-care-settings
#26
JOURNAL ARTICLE
Kai Lin, Mi Yao, Lesley Andrew, Rouyan Li, Yilin Chen, Jacques Oosthuizen, Moira Sim, Yongsong Chen
BACKGROUND: Understanding treatment burden is a critical element to the effective management of Type 2 Diabetes Mellitus (T2DM). The current study aims to address the knowledge gap surrounding treatment burden of T2DM from the patient's perspective in China's primary care settings. METHODS: A narrative review informed the creation of an a priori coding structure to identify aspects of T2DM treatment burden. Focus groups were conducted, employing a maximum variation sampling strategy to select participants from diverse sociodemographic backgrounds across urban, suburban, rural, and remote areas in China...
March 15, 2024: BMC Prim Care
https://read.qxmd.com/read/38489032/comparing-continuous-glucose-monitoring-and-blood-glucose-monitoring-in-adults-with-inadequately-controlled-insulin-treated-type-2-diabetes-steno2tech-study-a-12-month-single-center-randomized-controlled-trial
#27
JOURNAL ARTICLE
Nanna Lind, Merete B Christensen, Dorte L Hansen, Kirsten Nørgaard
OBJECTIVE: To compare the 12-month effects of continuous glucose monitoring (CGM) versus blood glucose monitoring (BGM) in adults with insulin-treated type 2 diabetes. RESEARCH DESIGN AND METHODS: This is a single-center, parallel, open-label, randomized controlled trial including adults with inadequately controlled, insulin-treated type 2 diabetes from the outpatient clinic at Steno Diabetes Center Copenhagen, Denmark. Inclusion criteria were ≥18 years of age, insulin-treated type 2 diabetes, and HbA1c ≥ 7...
March 15, 2024: Diabetes Care
https://read.qxmd.com/read/38486038/internet-of-things-enabled-open-source-assisted-real-time-blood-glucose-monitoring-framework
#28
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/38485249/comorbidities-associated-with-adult-asthma-a-population-based-matched-cohort-study-in-finland
#29
JOURNAL ARTICLE
Riikka Emilia Lemmetyinen, Sanna Katriina Toppila-Salmi, Anna But, Risto Renkonen, Juha Pekkanen, Jari Haukka, Jussi Karjalainen
BACKGROUND: Asthma is a common chronic disease characterised by variable respiratory symptoms and airflow limitation, affecting roughly 4%-10% of the adult population. Adult asthma is associated with higher all-cause mortality compared to individuals without asthma. In this study, we investigate the comorbidities that may affect the management of asthma. METHODS: Total of 1648 adults with asthma and 3310 individuals without asthma aged 30-93 were matched with age, gender and area of residency, and followed from 1 January 1997 to 31 December 2013...
March 14, 2024: BMJ Open Respiratory Research
https://read.qxmd.com/read/38482863/unmet-and-unperceived-needs-for-type-2-diabetes-self-management-among-slum-dwellers-in-iran-a-cross-sectional-study
#30
JOURNAL ARTICLE
Fawzieh Ghammari, Habib Jalilian, Masumeh Gholizadeh
AIM: This study aimed to identify unmet and unperceived needs for T2D self-management among those residing in Tabriz slums, Iran, in 2022. BACKGROUND: Type 2 diabetes (T2D) and its complications are more common among slum dwellers. T2D is a lifelong disease that requires continuous care. By contrast, slum dwellers are less likely to adhere to standard health care. METHODS: This study is cross-sectional. We included 400 patients using a systematic random sampling method...
March 14, 2024: Primary Health Care Research & Development
https://read.qxmd.com/read/38482326/prevalence-of-depression-among-diabetic-patients-attending-the-armed-forces-hospital-southern-region-saudi-arabia-a-prospective-cross-sectional-study
#31
JOURNAL ARTICLE
Malak A K Khiro, Ali A S Alshahrani, Shahad H Y Jabali, Yasser A M Alyahya, Moneer M Alamri
BACKGROUND: Depression associated with diabetes is one of major obstacles in diabetic patient management. This study aims to determine the prevalence of depression and its associated risk factors among diabetic patients of both types (I and II). MATERIALS AND METHODS: A cross-sectional analytical study was conducted at Armed Forces Hospital, Southern Region, Kingdom of Saudi Arabia, among adult diabetic patients attending the diabetic center. An interview-validated questionnaire was utilized to collect data...
January 2024: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38482322/errors-in-diabetic-insulin-therapy-and-the-vitality-of-proper-precautions-in-bangladesh-real-life-insights-from-the-developing-world
#32
JOURNAL ARTICLE
Suresh K Tulsan, Rona Laila, Harshkumar Patel, Vyapti Dave, Rabeya M Mary, Sunder Sham, Fnu Anjali, Soumya Jaladi, Sanjay Kirshan Kumar, Priya Singhania, Vivek Podder, Md Ferdous Rahman, Isheka Agarwala
BACKGROUND: Insulin therapy errors can have life-threatening consequences in patients with diabetes. Given the increasing prevalence of diabetes and insulin therapy in Bangladesh, it is crucial to identify and prevent these errors. This study uses case-based clinical experiences to thematically analyze insulin therapy errors and propose preventive measures. The study aims to provide valuable insights into the challenges faced in managing insulin therapy in a developing country setting and the importance of involving various stakeholders...
January 2024: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38482304/the-impact-of-covid-19-in-chhattisgarh-india-a-descriptive-study
#33
JOURNAL ARTICLE
Sanjana Agrawal, Abhiruchi Galhotra, Dharmendra Gahwai, Sonal Dayama
BACKGROUND: India is among the most severely affected countries in the ongoing Covid-19 pandemic, second to the USA. Until July 2022, there were 43 million confirmed Covid-19 cases, with 0.53 million Covid-19 deaths in India. Chhattisgarh, the twelfth-highest affected state by Covid-19 disease, has had an enormous mortality toll, with 14,046 deaths by 15th July 2022. This study is a descriptive analysis of the Covid-19 deaths across Chhattisgarh from September 2021 to February 2022 (the third pandemic wave)...
January 2024: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38482282/glycemic-control-in-the-era-of-bariatric-surgery-a-systematic-review-and-meta-analysis-of-published-studies-on-the-saudi-arabian-population
#34
REVIEW
Ahmed Atiah S Alzahrani, Muath Abdulaziz S Alsoliman, Thamer Mohammad A Alattiah, Nasser Saleh N Almohussein
We aim in our systematic review and meta-analysis to summarize and evaluate the efficacy of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB) as two types of bariatric surgery in reducing the body mass index (BMI) and controlling the glycemic state in obese, diabetic patients. Our systematic review and meta-analysis (MA) were carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for randomized studies. We searched PubMed, Web of Science, Scopus, and Cochrane library for included studies...
January 2024: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38481166/barriers-and-facilitators-to-primary-care-management-of-type-2-diabetes-in-shijiazhuang-city-china-a-mixed-methods-study
#35
JOURNAL ARTICLE
Xuanchen Tao, Limin Mao, Puhong Zhang, Xinyan Ma, Zhenyu Liang, Kaige Sun, David Peiris
BACKGROUND: The prevalence of type 2 diabetes (T2DM) in China is over 10%, affecting around 114 million people. Despite the inclusion of T2DM in the National Basic Public Health Service Program (NBPHSP), most people with T2DM experience challenges in achieving optimal management targets. This study aimed to identify barriers and facilitators of diabetes management from the perspectives of primary health care (PHC) service providers and recipients. METHODS: This mixed-methods study was conducted in Shijiazhuang City, Hebei Province, China...
March 13, 2024: BMC Prim Care
https://read.qxmd.com/read/38478293/enhancing-diabetes-management-through-personality-assessment-a-pilot-study
#36
JOURNAL ARTICLE
Steven K Huprich, Brandi C Roelk, Theresa Poppe
The aims of this study were to evaluate the utility of therapeutic assessment (therapeutic assessment) as a brief intervention to target reduction in A1C levels and to assess the levels of personality functioning and broad trait domains described in the DSM-5 Alternative Model for Personality Disorders in a sample of patients with Type 2 diabetes and their relationship to A1C levels at baseline and follow-up. Participants (n = 99) were recruited from a primary care office and provided feedback on how their personality functioning and pathological personality traits might influence their diabetes management...
March 13, 2024: Journal of Clinical Psychology in Medical Settings
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
#37
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
#38
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/38477463/improving-diabetic-wound-healing-outcomes-with-topical-growth-factor-therapies-systematic-review-and-network-meta-analysis-of-randomised-controlled-trials
#39
JOURNAL ARTICLE
Andrew Yew Wei Wong, Natalie Ming Foong Hooi, Brian Sheng Yep Yeo, Rehena Sultana, Yong Mong Bee, Ainsley Ryan Yan Bin Lee, Sook Muay Tay
CONTEXT: Diabetes mellitus is associated with morbid complications such as diabetic foot ulcers (DFUs) that may lead to amputations or mortality if not managed adequately. OBJECTIVE: New adjunctive interventions to treat diabetic wounds include topical biologics and growth factors. This study aims to evaluate their efficacy in improving wound healing outcomes and safety. DATA SOURCES: Comprehensive database searches of MEDLINE via PubMed, EMBASE and Cochrane performed from inception to December 2022...
March 13, 2024: Journal of Clinical Endocrinology and Metabolism
https://read.qxmd.com/read/38472402/cluster-analysis-of-patient-characteristics-treatment-modalities-renal-impairments-and-inflammatory-markers-in-diabetes-mellitus
#40
JOURNAL ARTICLE
Milena Cojic, Aleksandra Klisic, Amina Sahmanovic, Nemanja Petrovic, Gordana Kocic
Type 2 diabetes mellitus (T2DM) is caused by an interplay of various factors where chronic hyperglycemia and inflammation have central role in its onset and progression. Identifying patient groups with increased inflammation in order to provide more personalized approach has become crucial. We hypothesized that grouping patients into clusters according to their clinical characteristics could identify distinct unique profiles that were previously invisible to the clinical eye. A cross-sectional record-based study was performed at the Primary Health Care Center Podgorica, Montenegro, on 424 T2DM patients aged between 30 and 85...
March 12, 2024: Scientific Reports
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