scholarly journals Hypertension and diabetes mellitus: a collision of two heavyweight non-communicable diseases

2021 ◽  
pp. 1-13
Author(s):  
Pillay Somasundram
Keyword(s):  
Diabetes Mellitus ◽  
Communicable Diseases ◽  
Non Communicable Diseases

scholarly journals Prevalence of Non-Communicable Diseases among Retired Military Personnel

2021 ◽  
Vol 16 (2) ◽  
pp. 35-39
Author(s):  
Md Mazharul Islam Khan ◽  
Ariful Haque ◽  
- Md Shamimuzzaman ◽  
Chyochyo Nancy ◽  
Farzana Zafreen
Keyword(s):  
Diabetes Mellitus ◽  
Military Personnel ◽  
The Elderly ◽  
Communicable Diseases ◽  
Ischemic Heart ◽  
Military Hospital ◽  
Epidemiologic Transition ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Mortality And Morbidity

Introduction: Non-communicable diseases (NCDs) have become burning issues worldwide, especially among the elderly individuals. Bangladeshi elderly is also susceptible cohort to NCDs for its recent epidemiologic transition and the NCDs is casting as prominent risk for major mortality and morbidity related issues. Objectives: To find out the prevalence of common NCDs and its risk factors among the Bangladeshi retired military personnel. Methods: This cross-sectional study was conducted among the retired military personnel admitted in Combined Military Hospital (CMH), Savar from January 2019 to July 2019. A face-to-face interview was carried out among the respondents using a semi-structured questionnaire. Results: Among 153 retired military personnel; most common NCDs were hypertension (80.4%), diabetes mellitus 66.7%, ischemic heart disease37.3% and only 3.9 % had low back pain. Most of them accessed their health in CMH (66.7%), where 17.6% reported to Govt. hospital and only a minor portion (15.7%) to private hospital. Moreover, 70.6% of them were not willing to regular health check-up. Conclusions: The most common NCDs were hypertension, diabetes mellitus and ischemic heart disease. This study concluded with a few intervention strategies and community-based health promotion programs to reduce the burden of NCDs among the retired military personnel. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 35-39

scholarly journals Pemberian Jus Buah Naga Merah dapat Menurunkan Kolesterol Total Wanita dengan Diabetes Melitus

2019 ◽  
Vol 7 (1) ◽  
pp. 90-95
Author(s):  
Ike Ulantari ◽  
Kusdalinah Kusdalinah ◽  
Eliana Eliana
Keyword(s):  
Diabetes Mellitus ◽  
Total Cholesterol ◽  
Cholesterol Level ◽  
Fruit Juice ◽  
Communicable Diseases ◽  
Wilcoxon Test ◽  
Non Communicable Diseases ◽  
Cholesterol Levels ◽  
Dragon Fruit ◽  
Diabetes Melitus

Non-communicable diseases caused global death. Deaths due to non-communicable diseases are expected to continue to increase throughout the world. More than 70% of the global population will die of non-communicable diseases such as cancer, heart disease, stroke and diabetes mellitus. Purpose of this research to analyze effect of red dragon fruit (Hylocereus polyrhizius) on total cholesterol levels of women with type 2 diabetes mellitus. This study was pre-experiment with one group Pretest and Posttest design. The subjects of the study were women with diabetes mellitus who had cholesterol levels of ≥200mg / dl as many as 20 people. The intervention for 14 days was given red dragon fruit juice at a dose of 5.72 g / kgBB. The normality test uses the Shapiro Wilk test. Statistical analysis using the Wilcoxon test. The highest cholesterol level before intervention was 327 mg / dl, lowest was 209 mg / dl. The highest cholesterol level after intervention was 312 mg / dl, lowest was 198 mg / dl. There were differences before and after the intervention (p = 0.025). Red dragon fruit juice supplement can decrease total cholesterol on women with Diabetes melitus.

scholarly journals Prevalence and pattern of non-communicable diseases among elderly in a sub-urban area of Delhi

2021 ◽  
Vol 33 (1) ◽  
pp. 75-81
Author(s):  
Tushar Prabhakar ◽  
Manish Kumar Goel ◽  
Anita Shankar Acharya ◽  
Sanjeev Kumar Rasania
Keyword(s):  
Diabetes Mellitus ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Obesity Hypertension ◽  
Systemic Examination ◽  
Study Participants

Background: With increasing proportion of geriatric population across societies, the occurrence and prevalence of non-communicable diseases has been steadily increasing as well. The study tries to showcase the pattern and proportion of NCDs among the elderly population in a sub-urban part of Delhi. Aim & Objective: To assess the prevalence and study the morbidity profile of NCDs among geriatric population of Delhi. Materials & Methods: A community based cross sectional study was done in 350 elderly participants in Mehrauli, Delhi. Data was collected using a semi-structured questionnaire. Detailed general and systemic examination was also done. Results: A total of 87.4% of the study population was suffering from at least one NCD; 68% were having an already known NCD(s) while 19.4% were newly diagnosed during the study. 2.41 NCDs were found per patient. The prevalence of hypertension was 58%, 49.4% suffered from senile cataract, 32.9% had osteoarthritis, 30.3% had diabetes mellitus, and 26.9% had obesity. Hypertension and diabetes mellitus together were present in 18.3% while the combination of hypertension, diabetes mellitus and obesity was seen in 9.4% of the study participants. Conclusion: Burden of NCDs among the elderly was notably high with a large proportion of them having multimorbidity. It gets important to focus on preventive measures to delay the onset and stem the progression of NCDs to facilitate healthy ageing.

scholarly journals Program Gerakan Masyarakat Hidup Sehat (Germas) dan Deteksi Dini Penyakit Tidak Menular (PTM)

2020 ◽  
Vol 1 (2) ◽  
pp. 64-70
Author(s):  
Aminuddin ◽  
I Wayan Supetran ◽  
Masudin ◽  
Linda Linda ◽  
Kadar Ramadhan
Keyword(s):  
Diabetes Mellitus ◽  
Health Service ◽  
Community Service ◽  
Blood Pressure Measurement ◽  
Effective Interaction ◽  
Health Department ◽  
Communicable Diseases ◽  
Health Care Facilities ◽  
Effective Prevention ◽  
Non Communicable Diseases

Effective prevention and control of PTM requires effective interaction between health care facilities from the primary level to the referral level, which includes promotive, curative, palliative and rehabilitative prevention of PTM cases. All first-level health service facilities must be staged in stages to be able to manage PTM in an integrated manner with a focus on families. The aim of the activity is to increase awareness, willingness and the ability of people to behave in healthy living and early detection of non-communicable diseases. Methods lectures, questions and answers, blood pressure measurement, blood sugar testing, gout, measurement of body weight, height, fruit eating movements and stretching exercises. Target audience Age ≥ 15 years and over, obesity has a history of suffering from hypertension and DM. The number of participants is 56. The results of this community service showed that out of 56 people, 25% had a waist circumference >90cm, identified 66% had hypertension, 39.3% identified symptoms of diabetes mellitus until they were identified as having diabetes mellitus. Conclusion not all people willing to do a health check. It is recommended to the health department so that the results of community service activities can be followed up by the Health Service through the nearest Puskesmas so that people who are detected as having non-communicable diseases (PTM) can be immediately dealt with.

scholarly journals General Practitioners’ Autonomy in the Management of Non-Communicable Diseases (NCDs) in the JKN Era: Is It Feasible?

2019 ◽  
Vol 2 (3) ◽  
pp. 89
Author(s):  
Nur Afrainin Syah
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Heart Attack ◽  
Metabolic Disorders ◽  
Communicable Diseases ◽  
Increase Life Expectancy ◽  
Non Communicable Diseases ◽  
Indonesian Population ◽  
Type 2 Dm

Demographic, epidemiological, and nutritional transitions increase life expectancy, changes in lifestyles and behaviors of Indonesian people. These changes are resulting in a growing contribution of non-communicable diseases (NCDs) to morbidity and mortality, especially metabolic disorders, such as type 2 diabetes mellitus (DM), hypertension, and dyslipidemia. Approximately 10.9% of the Indonesian population above 15 years old suffers from type 2 DM (21.2 million) and 34.1% have hypertension (66.3 million) in 2018. These figures increase significantly from 2013 figure; 6.9% and 25.8% respectively1. The metabolic disorders, which in turn, are responsible for vascular problems such as renal failure, stroke, and heart attack. Not surprisingly, then, 60% of Indonesian national health insurance (JKN) funds are spent on the NCDs. This condition causes a deficit and threatens the sustainability of the JKN program.

scholarly journals Relationship of Respondent’s Characteristic with The Risk of Diabetes Mellitus and Dislipidemia at Tanah Kalikedinding

2017 ◽  
Vol 5 (1) ◽  
pp. 130
Author(s):  
Nina Widyasari
Keyword(s):  
Diabetes Mellitus ◽  
Eating Habits ◽  
Simple Random Sampling ◽  
Communicable Diseases ◽  
P Value ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Regular Control ◽  
The World ◽  
Relationship Of

Non-communicable diseases is one of the health problems of the world and Indonesia, which until now is still a concern in the world of health because of one cause of death. Several types of PTM encountered are dyslipidemia and diabetes mellitus (DM). The purpose of this study is to describe the relationship of age, sex, and education with DM and dyslipidemia in Tanah Kecamatan kecamatan kecamatan This study is a cross sectional study. The population in this study is all residents who live in RT 05 RW 02 Kelurahan Tanah kali Kedinding Kenjeran District with a population of 125 KK consisting of 402 people. The sample was taken by simple random sampling with Slovin formula of 125 KK. The sample in this research is 50 people. The results of this study indicate that there is a relationship of age of respondents (p value = 0.005); Respondent’s gender (p value = 0,000); Education last respondent (p value = 0,001) with risk of Diabetes Mellitus disease. And there is a significant relation between age of respondent (p value = 0,007); Gender (p value = 0,000); Education (p value = 0,000) with the risk of dyslipidemia. It is suggested to residents of Kalikedinding lands that implementing improved lifestyle by undergoing regular control of eating habits, exercise, and blood glucose and dyslipidemia checkups is necessary. Keywords: non-communicable diseases, diabetes mellitus, dislipidemia

scholarly journals Setting up a nurse-led model of care for management of Hypertension and Diabetes Mellitus in a high HIV prevalence context in rural Zimbabwe: a descriptive study

2019 ◽  
Author(s):  
Marthe Marie Frieden ◽  
Blessing Zamba ◽  
Nisbert Mukumbi ◽  
Patron Titsha Mafaune ◽  
Brian Makumbe ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Low Income ◽  
Descriptive Study ◽  
Communicable Diseases ◽  
Hiv Prevalence ◽  
Sub Saharan Africa ◽  
Income Country ◽  
Model Of Care ◽  
Non Communicable Diseases ◽  
Low Income Country

Abstract Background In light of the increasing burden of non-communicable diseases on health systems in low- and middle-income countries, particularly in Sub-Saharan Africa, context adapted cost effective service delivery models are now required as a matter of urgency. Multiple models have thus been trialled across Africa with varying degrees of success. Zimbabwe is a low-income country with unique socio-economic challenges but similar dual disease burden of infectious chronic diseases such as HIV and non-communicable diseases. We aim to describe the experience of setting up and organising a nurse-led Diabetes Mellitus (DM) and Hypertension (HTN) model of care in a rural context of a low-income country from July 2016 to June 2019.Methods A descriptive study based on a conceptual framework successfully applied in the roll-out of antiretroviral therapy in Manicaland Province, Zimbabwe. Attempting to mirror the HIV experience, we describe the key enablers in the design and implementation of the model: decentralization of services, integration of care, simplification of management guidelines, mentoring and task-sharing, provision of affordable medicines, quality assured laboratory support, patient empowerment, a dedicated monitoring and evaluation system, and a robust referral system.Results 11 out of 51 health facilities were selected in Chipinge district, of which nine were primary health care (PHC) clinics and two were hospitals. DM/HTN services were set up and integrated into the general out-patient department or pre-existing HIV clinics. In one hospital, an integrated chronic care clinic was established. Through structured intensive mentoring, including simplified protocols, nurses in seven PHC facilities and one hospital developed sufficient knowledge and skills to diagnose, initiate treatment and monitor DM/HTN patients. Overall, more than 3000 patients were registered in a dedicated recording system and offered education. Free medication with differentiated periodic refills and regular monitoring of blood pressure and/or blood glucose with the use of glycosylated haemoglobin were provided.Conclusion Our experience shows that it is feasible to implement nurse-led decentralized integrated DM/HTN care in a high HIV prevalence rural, low-income context. Developing a context-adapted efficient model of care is a dynamic process.

scholarly journals Setting up a nurse-led model of care for management of Hypertension and Diabetes Mellitus in a high HIV prevalence context in rural Zimbabwe: a descriptive study

2020 ◽  
Author(s):  
Marthe Marie Frieden ◽  
Blessing Zamba ◽  
Nisbert Mukumbi ◽  
Patron Titsha Mafaune ◽  
Brian Makumbe ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Low Income ◽  
Communicable Diseases ◽  
Hiv Prevalence ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Model Of Care ◽  
Integration Of Care ◽  
Non Communicable Diseases ◽  
Design And Implementation

Abstract Background In the light of the increasing burden of non-communicable diseases on health systems in low- and middle-income countries, particularly in Sub-Saharan Africa, context-adapted, cost-effective service delivery models are required urgently. Multiple models have been trialled across Africa with varying degrees of success. Zimbabwe is a low-income country with unique socio-economic challenges and a dual disease burden of infectious chronic diseases such as HIV and non-communicable diseases. We describe the experience of setting up and organising a nurse-led Diabetes Mellitus (DM) and Hypertension (HTN) model of care in rural Zimbabwe from July 2016 to June 2019. Programme design and implementation We used a conceptual framework successfully applied in the roll-out of antiretroviral therapy in Zimbabwe. Mirroring the HIV experience, we describe key enablers in the design and implementation of the model: decentralization of services, integration of care, simplification of guidelines, mentoring and task-sharing, provision of affordable medicines, quality assured laboratory support, patient empowerment, a dedicated monitoring and evaluation system, and a robust referral system. DM and HTN services were set up in 9 primary health care (PHC) facilities and two hospitals in Chipinge district, and integrated into the general out-patient department or pre-existing HIV clinics. In one hospital, an integrated chronic care clinic (ICCC) emerged. We provided mentoring for staff using simplified protocols, and patient education. Free medication and monitoring with point of care (POC) glycosylated haemoglobin (HbA1c) were provided. Nurses in 7 PHC facilities and one hospital developed sufficient knowledge and skills to diagnose and manage DM and HTN patients, and 3094 patients were registered. Major lessons learned include: the value of POC devices in the management of diabetes; the pressure on services due to added caseload, exacerbated by the availability of free medications; and the importance of leadership in successful programme implementation. Conclusion Our experience demonstrates a model for nurse-led decentralized integrated DM and HTN care in a high HIV prevalence rural, low-income context. Developing a context-adapted model of care is a dynamic process. We present our lessons learned with the intention of sharing experience which may be of value to other public health programme managers.

scholarly journals Prevalence of non-communicable diseases and their risk factors in Papua New Guinea: A systematic review

2020 ◽  
Vol 8 ◽  
pp. 205031212097384
Author(s):  
Patricia Rarau ◽  
Shuaijun Guo ◽  
Shaira Nicole Baptista ◽  
Justin Pulford ◽  
Barbara McPake ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Papua New Guinea ◽  
Disease Risk ◽  
Communicable Disease ◽  
New Guinea ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
Non Communicable Disease

Introduction: The mortality associated with non-communicable diseases has increased significantly in most countries in the World Health Organization Western Pacific Region over the last 20 years, as have the underlying risk factors. This study aimed to collate evidence on the prevalence of four major non-communicable diseases and their risk factors in Papua New Guinea in order to inform appropriate policy for their prevention and management. Methods: We performed a systematic review of Papua New Guinea-based population prevalence studies of cardiovascular diseases, type 2 diabetes mellitus, chronic respiratory diseases, and cancers, as well as non-communicable disease risk factors published before 2016. Five online databases were searched and screened against eligibility criteria according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: A total of 57 articles were included in this review, most of which (n = 48) were published prior to 2000. Eleven articles reported on diabetes, six reported on chronic lung disease/asthma, two reported on cardiovascular diseases, and two reported cancer as the primary outcome, while the remaining 36 papers reported non-communicable disease risk factors. Conclusion: This review demonstrated variations in the prevalence of non-communicable diseases (0%–19%) and their risk factors (0%–80.6%) attributed to the lifestyle and genetic diversity of the Papua New Guinea population. There is a strong suggestion that the prevalence of non-communicable diseases (particularly type 2 diabetes mellitus) and key non-communicable disease risk factors (hypertension, overweight, and obesity) has increased, but there is a lack of recent data. As such, there is an urgent need for new and up-to-date data in all areas of Papua New Guinea.

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