scholarly journals Food security is related to adult type 2 diabetes control over time in a United States safety net primary care clinic population

2017 ◽  
Vol 7 (5) ◽  
pp. e277-e277 ◽  
Author(s):  
M U Shalowitz ◽  
J S Eng ◽  
C O McKinney ◽  
J Krohn ◽  
B Lapin ◽  
...  
1999 ◽  
Vol 92 (7) ◽  
pp. 667-672 ◽  
Author(s):  
NATHAN A. RIDGEWAY ◽  
DONALD R. HARVILL ◽  
LEO M. HARVILL ◽  
THELMA M. FALIN ◽  
GAYLE M. FORESTER ◽  
...  

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Hasliza Abu Hassan ◽  
Hizlinda Tohid ◽  
Rahmah Mohd Amin ◽  
Mohamed Badrulnizam Long Bidin ◽  
Leelavathi Muthupalaniappen ◽  
...  

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Fa’iza Abdullah ◽  
Tin Myo Han ◽  
Mohd Basri Mat Nor ◽  
Mohd Aznan MA ◽  
Ida Zuriaty Ismail

Introduction: Hypertension (HPT) is the most common co-morbidity among type-2 diabetes mellitus (T2DM) patients which ominously increased their morbidity and mortality from cardiovascular diseases (CVD). We aimed to determine the prevalence and control status of HPT, and also the glycemic control among T2DM patients in a primary care clinic in Kuantan, Pahang. Methods: It was a retrospective study of 154 T2DM patients’ records, aged ≥18 years selected by random sampling. The statistical analysis is done by using Chisquare test, paired sample “t” test and ANOVA “F” test. Results: Among T2DM patients; 47% were Malay, 45% Chinese and 9% Indian. The prevalence of HPT was 72.1% and majority of T2DM patients were women (60%). Out of 82 T2DM aged >60 years, 80.5% were hypertensive. 67.2% of T2DM patients between the age of 40-60 years and 25% age <40 years were also hypertensive (p= 0.003). BP-controlled status were classified into controlled, uncontrolled, systolic and diastolic HPT. All patients were compared between the last visit and one year before, which reported 55.8% versus 33.1%, 14.9% versus 51.9%, 20.1% versus 10.4% and 9.1% versus 4.5% respectively. There were significant rises in percentage of systolic BP (by 9.7%) and diastolic HPT (by 4.6%) p<0.0001, from the first visit. BP controlled status for aged group >60 years showed increments in systolic HPT and diastolic HPT which were significant (p<0.0001). Regarding glycemic parameters, 71.4% T2DM patients had poor controlled level of Hb1Ac (≥6.5) and only 20.1% remained controlled after one year (p<0.0001). Conclusions: This pilot study found high prevalence of HPT, increasing prevalence of systolic HPT and diastolic HPT in older age group as well as poor glycemic control among T2DM patients.


2021 ◽  
Vol 6 (1) ◽  
pp. e000559
Author(s):  
Laima Brazionis ◽  
Anthony Keech ◽  
Christopher Ryan ◽  
Alex Brown ◽  
David O'Neal ◽  
...  

ObjectiveTo identify factors associated with sight-threatening diabetic macular oedema (STDM) in Indigenous Australians attending an Indigenous primary care clinic in remote Australia.Methods and analysisA cross-sectional study design of retinopathy screening data and routinely-collected clinical data among 236 adult Indigenous participants with type 2 diabetes (35.6% men) set in one Indigenous primary care clinic in remote Australia. The primary outcome variable was STDM assessed from retinal images.ResultsAge (median (range)) was 48 (21–86) years, and known diabetes duration (median (range)) was 8.0 (0–24) years. Prevalence of STDM was high (14.8%) and similar in men and women. STDM was associated with longer diabetes duration (11.7 vs 7.9 years, respectively; p<0.001) and markers of renal impairment: abnormal estimated Glomerular Filtration Rate (eGFR) (62.9 vs 38.3%, respectively; p=0.007), severe macroalbuminuria (>300 mg/mmol) (20.6 vs 5.7%, respectively; p=0.014) and chronic kidney disease (25.7 vs 12.2%, respectively; p=0.035). Some clinical factors differed by sex: anaemia was more prevalent in women. A higher proportion of men were smokers, prescribed statins and had increased albuminuria. Men had higher blood pressure, but lower glycated Haemoglobin A1c (HbA1c) levels and body mass index, than women.ConclusionSTDM prevalence was high and similar in men and women. Markers of renal impairment and longer diabetes duration were associated with STDM in this Indigenous primary care population. Embedded teleretinal screening, known diabetes duration-based risk stratification and targeted interventions may lower the prevalence of STDM in remote Indigenous primary care services.Trial registration numberAustralia and New Zealand Clinical Trials Register: ACTRN 12616000370404.


2020 ◽  
Vol 143 ◽  
pp. 104267
Author(s):  
Morgan Hampton Randall ◽  
Zachary Merle Haulsee ◽  
Jingwen Zhang ◽  
Justin Marsden ◽  
William Patrick Moran ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document