scholarly journals Understanding Patients Experiences Living with Diabetes Mellitus: A Qualitative Study, Gujarat, India

2021 ◽  
Author(s):  
Angel Christian ◽  
Kailash Nagar
Keyword(s):  
Diabetes Mellitus ◽  
Life Style ◽  
Family Income ◽  
Communicable Disease ◽  
International Diabetes Federation ◽  
Structured Interview ◽  
Social Dimension ◽  
Work Place ◽  
List Type ◽  
Long Term Treatment

ABSTRACTIntroductionDiabetes mellitus is leading health problem in India. India is experiencing the burden of communicable disease as well as non-communicable disease. It is believed due to unhealthy life style and faulty food habits. The International Diabetes Federation estimated that 72.9 million adults in India were living with diabetes in last four years. The study overviews the different factors like personal, familial, social, and financial affecting the life style and management of the disease. Thus, diabetes mellitus affects all the dimensions of health of an individual. The aims of the study to assess quality of life and experiences faced by the patients who are suffering from diabetes mellitus and how the progressive stage of the diseases altered the all the dimensions.ObjectivesTo explore the lived in experiences of diabetes mellitus patients.To explore the various dimensions of the lived in experiences of diabetes mellitus patients.Materials and MethodsA qualitative, exploratory and descriptive design was used to explore and describe the experiences lived by participants suffering from diabetes in the selected areas of Kheda district Gujarat. The investigator used the phenomenological approach of the qualitative paradigm. The study conducted among 10 samples who are suffering from Diabetes Mellitus more than 07 years, sampling technique used was non-probability. Semi structured interview questions were used to conduct the detail history from the participants, where investigator has attain at least 6-8 sitting, (duration 30-45 Min.) with each participants.The investigator used local language for the interview and recorded in mobile, later all the recorded session has been verbatimaccording to the themes and sub-themes.ResultsThe study resulted in the extraction of six themes, which reflect the experiences of the study participants. The themes are: 1) lived time; 2) lived body; 3) lived relationship; 4) lived economical; 5) lived vocational and 6) lived spiritual. It was found that diabetes still causes participants to suffer from fear, depression and anxiety along with they hate to have modification in dietary pattern in which they cannot have sweets and sweet products. Although emotional support was provided by the family members and friends. Participant’s absence from work in their early diagnosis was due to both their health conditions and emotional embarrassment. There are evidences that diabetes has psychological damage to patient’s life and so they feel more anxious and fatigue.ConclusionThe study attempted to explore the lived in experiences of Diabetes Mellitus Patients and it was found that DM has affected all the dimensions of health especially in physical, psychological and economical dimensions. 1) In Physical dimension the patients were having common complaints of giddiness, weakness and headache which was leading them to certain problems. 2) In psychological dimension the patients were having more anxiety, fear regarding the disease and long term treatment along with depression. 3) In economical dimension some patients were having good family income so there were no issues related to expenses on diet and medication 4) In social dimension all the participants were having good relation with their everyone. 5) In vocational dimension all were having difficulty at work place to concentrate in their work but after starting the treatment their health was improved so later they continued their work properly. 6) In spiritual dimension only two participants were not having belief in God rest all were having faith in God and prayed daily.

scholarly journals Understanding Patients Experiences Living with Diabetes Mellitus: A Qualitative Study, Gujarat, India

2021 ◽  
pp. 464-471
Author(s):  
Angel Christian ◽  
Kailash Nagar
Keyword(s):  
Diabetes Mellitus ◽  
Life Style ◽  
Family Income ◽  
Communicable Disease ◽  
International Diabetes Federation ◽  
Sampling Technique ◽  
Structured Interview ◽  
Social Dimension ◽  
Work Place ◽  
Long Term Treatment

Introduction: Diabetes mellitus is leading health problem in India. India is experiencing the burden of communicable disease as well as non-communicable disease. It is believed due to unhealthy life style and faulty food habits. The International Diabetes Federation estimated that 72.9 million adults in India were living with diabetes in last four years. The study overviews the different factors like personal, familial, social, and financial affecting the life style and management of the disease.  Thus, diabetes mellitus affects all the dimensions of health of an individual. The aims of the study to assess quality of life and experiences faced by the patients who are suffering from diabetes mellitus and how the progressive stage of the diseases altered the all the dimensions. Objectives: To explore the lived in experiences of diabetes mellitus patients. To explore the various dimensions of the lived in experiences of diabetes mellitus patients. Materials and Methods: A qualitative, exploratory and descriptive design was used to explore and describe the experiences lived by participants suffering from diabetes in the selected areas of Kheda district Gujarat. The investigator used the phenomenological approach of the qualitative paradigm. The study conducted among 10 samples who are suffering from Diabetes Mellitus more than 07 years, sampling technique used was non-probability. Semi structured interview questions were used to conduct the detail history from the participants, where investigator has attain at least 6 to 8 sitting, (duration 30-45 Min.) with each participants. The investigator used local language for the interview and recorded in mobile, later all the recorded session has been verbatim according to the themes and sub-themes. Results: The study resulted in the extraction of six themes, which reflect the experiences of the study participants. The themes are: 1) lived time; 2) lived body; 3) lived relationship; 4) lived economical; 5) lived vocational and 6) lived spiritual. It was found that diabetes still causes participants to suffer from fear, depression and anxiety along with they hate to have modification in dietary pattern in which they cannot have sweets and sweet products. Although emotional support was provided by the family members and friends. Participant’s absence from work in their early diagnosis was due to both their health conditions and emotional embarrassment. There are evidences that diabetes has psychological damage to patient’s life and so they feel more anxious and fatigue. Conclusion: The study attempted to explore the lived in experiences of Diabetes Mellitus Patients and it was found that DM has affected all the dimensions of health especially in physical, psychological and economical dimensions. 1) In Physical dimension the patients were having common complaints of giddiness, weakness and headache which was leading them to certain problems. 2) In psychological dimension the patients were having more anxiety, fear regarding the disease and long term treatment along with depression. 3) In economical dimension some patients were having good family income so there were no issues related to expenses on diet and medication 4) In social dimension all the participants were having good relation with their everyone. 5) In vocational dimension all were having difficulty at work place to concentrate in their work but after starting the treatment their health was improved so later they continued their work properly. 6) In spiritual dimension only two participants were not having belief in God rest all were having faith in God and prayed daily.

scholarly journals Prevalence of metabolic syndrome in type 2 diabetes mellitus patients using NCEP/ATP III and IDF criteria in Nepal

2012 ◽  
Vol 1 (2) ◽  
pp. 79-83 ◽  
Author(s):  
S Bhattarai ◽  
SC Kohli ◽  
S Sapkota
Keyword(s):  
Diabetes Mellitus ◽  
Metabolic Syndrome ◽  
Life Style ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
International Diabetes Federation ◽  
Atherosclerotic Cardiovascular Disease ◽  
Susceptible Population ◽  
High Prevalence ◽  
Diabetes Patients

Background: With increasing trends towards sedentary life style, obesity, diabetes mellitus, hypertension, and dyslipidaemia, the prevalence of metabolic syndrome (MetS) is rising in our country. In view of importance of diagnosis of MetS in day to day medical practice for early institution of life style therapies to reduce the atherosclerotic cardiovascular disease risk in susceptible population like in diabetes mellitus, this study has been undertaken to study the prevalence of metabolic syndrome in Nepalese diabetes by applying National Cholesterol Education Programme/Adult Treatment panel (NCEP/ATP) III and International Diabetes Federation (IDF) criteria. Methods: This is a hospital based cross sectional study conducted in diabetes patients aged between 25-75 years of age presenting to Manipal Teaching Hospital, Pokhara. Different components of MetS were studied in diabetes subjects and prevalence of metabolic syndrome was obtained by applying NCEP/ATP III and IDF criteria respectively. The data were collected as per preformed proforma and results analyzed by SPSS-16 software. Results: The prevalence of metabolic syndrome in diabetes patients as per NCEP/ATP III and IDF criteria were 71% and 82% respectively. A higher number of cases with metabolic syndrome were detected using IDF criteria as opposed to NCEP/ATP III criteria in diabetes patients. Nepalese diabetes subjects showed high prevalence of abdominal obesity followed by hypertension. Conclusions: The results of the present study show high prevalence of Mets in Nepalese diabetes patients and more number of cases can be diagnosed by applying IDF criteria as compared to NCEP/ATP III criteria. DOI: http://dx.doi.org/10.3126/njms.v1i2.6604 Nepal Journal of Medical Sciences. 2012;1(2): 78-83

Innate immunity alterations in Type 2 Diabetes Mellitus: understanding infection susceptibility

2020 ◽  
Vol 20 ◽  
Author(s):  
Ochoa-González Fátima de Lourdes ◽  
González-Curiel Irma Elizabeth ◽  
Cervantes-Villagrana Al-berto Rafael ◽  
Fernández-Ruiz Julio Cesar ◽  
Castañeda-Delgado Julio Enrique
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Immune Response ◽  
Type 2 Diabetes Mellitus ◽  
Innate Immune Response ◽  
Adult Population ◽  
International Diabetes Federation ◽  
Innate Immune ◽  
Cellular Mechanisms

: Diabetes is a chronic disease characterized by marked alterations in the metabolism of glucose andby high con-centrations of glucose in the blood due to a decreased insulin production or resistance to the action of this hormone in pe-ripheral tissues. The International Diabetes Federation estimates a global incidence of diabetes of about 10% in the adult population (20 -79 years old), some 430 million cases reported worldwide in 2018. It is well documented that people with diabetes have a higher susceptibility to infectious diseases and therefore show higher morbidity and mortality compared to the non-diabetic population. Given that the innate immune response plays a fundamental role in protecting against invading pathogens through a myriad of humoral and cellular mechanisms, the present work makes a comprehensive review of the innate immune alterations in patients with type 2 diabetes mellitus (T2D) as well as a brief description of the molecular events leading or associated to such conditions.We show that in these patients a compromised innate immune response in-creases susceptibility to infections.

scholarly journals The Placenta as a Target of Epigenetic Alterations in Women with Gestational Diabetes Mellitus and Potential Implications for the Offspring

Epigenomes ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 13
Author(s):  
Dennise Lizárraga ◽  
Alejandra García-Gasca
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Adult Life ◽  
International Diabetes Federation ◽  
Main Function ◽  
Epigenetic Mechanisms ◽  
Molecular Alterations ◽  
Dna And Rna ◽  
In Pregnancy

Gestational diabetes mellitus (GDM) is a pregnancy complication first detected in the second or third trimester in women that did not show evident glucose intolerance or diabetes before gestation. In 2019, the International Diabetes Federation reported that 15.8% of live births were affected by hyperglycemia during pregnancy, of which 83.6% were due to gestational diabetes mellitus, 8.5% were due to diabetes first detected in pregnancy, and 7.9% were due to diabetes detected before pregnancy. GDM increases the susceptibility to developing chronic diseases for both the mother and the baby later in life. Under GDM conditions, the intrauterine environment becomes hyperglycemic, while also showing high concentrations of fatty acids and proinflammatory cytokines, producing morphological, structural, and molecular modifications in the placenta, affecting its function; these alterations may predispose the baby to disease in adult life. Molecular alterations include epigenetic mechanisms such as DNA and RNA methylation, chromatin remodeling, histone modifications, and expression of noncoding RNAs (ncRNAs). The placenta is a unique organ that originates only in pregnancy, and its main function is communication between the mother and the fetus, ensuring healthy development. Thus, this review provides up-to-date information regarding two of the best-documented (epigenetic) mechanisms (DNA methylation and miRNA expression) altered in the human placenta under GDM conditions, as well as potential implications for the offspring.

scholarly journals OP0007-PARE CAMPAIGN TO PROMOTE PHYSICAL ACTIVITY & EXERCISE TO RMD PATIENTS THROUGH EDUCATION AND PRACTICE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 5.1-6
Author(s):  
A. Iacovou
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Life Style ◽  
National Health System ◽  
List Type ◽  
Exercise Rehabilitation ◽  
Eular Recommendations ◽  
National Strategic Plan ◽  
Sport Events ◽  
Further Development

Background:Eular give’ s a lot of attention to outline the need of a change in RMD patients life style that is very well outlined into the 2018 Eular recommendations for Physical Activity (PA).Objectives:Driven by those recommendations that says that “PA should be an integral part of standard care throughout the course of disease”, CypLAR decided to create a campaign to promote PA through educating RMD patients on the PA benefits, make them to change their life style and enroll them to PA programs. More over we want to inform Rheumatologist and HPR’s on that effort and enroll them to that campaign.The CypLAR’ s goal through that campaign is to manage and enroll as much as possible patients to PA Programs for a continual period of about 10 months.Methods:To achieve all the above we decided to move to the following steps:Offer PA Programs organized by CypLAR or HPR associatesIncrease awareness regarding the benefits of the PA (Land based & Aquatic) programs to Rheumatologists, HPR’s and RMD patientsIntegrate PA into National Health System and proceduresOffer incentivesResults:We managed to increase the PA programs that we used to offer from 1 to 3 in every major cities with also some more opportunities ahead. That also increases the number of participants attracting around 100 participants instead of 20 that we uses to before.Towards awareness, we presented Exercise rehabilitation in conferences around Europe (Agora 2017,2018,2019, Eular 2018, Cyprus – Crete Conference 2017, 2019, Enfa 2019, Pain Conference, Athens 2019) and also published related articles on CypLAR’s magazine that is published twice a year that is distributed to more than 5000 members.We managed to include the Aquatic Exercise Rehabilitation to the new National Strategic plan for Rheumatic Diseases.As incentives, we created a fund that is addressed to partially support low income patients. Furthermore we acquire special discount membership fees to our members on PA programs that are offered by associates.We organize our own sport related fund events and also participate in others sport funding events. Especially the Charity Swimming Event “Swim for my fellow” which is co-organized by the Iacovou Swimming Centre and Cyplar for the last 5 years is also under the Limassol Municipality Annual Sport Events called “Lemesia” which this year will have an International promotion due Limassol’s Award as the “European City of Sports” for 2020.We are in the process and in contact with big companies in order to become our campaign SponsorsWe attracted a fund of €2000 from Cyprus Sport Organization that offered a partial financial support to 30 patients for their participation in PA programs for 3 months.Conclusion:We all believe that the success on that campaign is based on Education (articles, presentations), the available options (programs/positions to participate) and Incentives (financial) that all of them needs further development.Disclosure of Interests:None declared

The Experience of Indonesian Men Living with Type-2 Diabetes Mellitus and Erectile Dysfunction: A Semi-structured Interview Study

2021 ◽  
Vol 39 (2) ◽  
pp. 245-260
Author(s):  
Setho Hadisuyatmana ◽  
Ferry Efendi ◽  
Eka Mishbahatul Marah Has ◽  
Sylvia Dwi Wahyuni ◽  
Michael Bauer ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Erectile Dysfunction ◽  
Structured Interview ◽  
Interview Study

Public Health Control Measures in Response to Global Pandemics and Drug Resistance

2015 ◽  
Vol 43 (S2) ◽  
pp. 49-56
Author(s):  
Polly J. Price
Keyword(s):  
Public Health ◽  
Communicable Disease ◽  
International Health ◽  
Control Measures ◽  
World Health ◽  
Legal Authority ◽  
List Type ◽  
Resistant Disease ◽  
Global Pandemic ◽  
Health Organization

These teaching materials explore the specific powers of governments to implement control measures in response to communicable disease, in two different contexts:The first context concerns global pandemic diseases. Relevant legal authority includes international law, World Health Organization governance and the International Health Regulations, and regulatory authority of nations.The second context is centered on U.S. law and concerns control measures for drug-resistant disease, using tuberculosis as an example. In both contexts, international and domestic, the point is to understand legal authority to address public health emergencies.

HUBUNGAN LINGKAR PINGGANG DENGAN KADAR GULA DARAH PADA PENDERITA DIABETES MELITUS TIPE 2 DI PUSKESMAS BOTANIA KOTA BATAM

2020 ◽  
Vol 9 (2) ◽  
pp. 36-44
Author(s):  
Dyah Marianingrum ◽  
Ibrahim ,
Keyword(s):  
Diabetes Mellitus ◽  
Waist Circumference ◽  
Mortality Rate ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Univariate Analysis ◽  
International Diabetes Federation ◽  
Survey Method ◽  
Rank Test ◽  
Spearman Rank

According to the 2017 International Diabetes Federation, the global prevalence rate of Diabetes Mellitus sufferers of 8.8% of the total population in the world from year to year shows an increase. The number of deaths that occurred as many as 4 million people in 2017. The western Pacific region including Indonesia has the highest mortality rate compared to all regions with a mortality rate of 1.3 million in adults. This shows the awareness of the sufferers of Diabetes Mellitus for routine check-ups to health centers is still lacking. According to the 2013 Basic Health Research, the prevalence of people with diabetes mellitus in Indonesia based on a diagnosis or symptoms of 2.1% increased from previous research of 1.1%. The prevalence of DM in Riau Islands Province increased from 0.8 to 1.5%. According to Batam City Health Office data in 2016, the incidence of Diabetes Mellitus in several Puskesmas with 3,724 visits, Botania Puskesmas was the third highest after Lubuk Baja and Balik Padang. This study used a survey method with a cross-sectional approach. The population in this study was Type 2 diabetes mellitus patients who examined themselves at the Botania Health Center in Batam City. Sampling using a purposive sampling technique with criteria established by researchers. The dependent variable in this study is blood sugar level because it is a diagnosis of diabetes mellitus while the independent variable is the measurement of waist circumference. Data analysis using the Spearman rank test. The results of the univariate analysis showed 73.7% of the majority of respondents had a high sugar level. Bivariate analysis with the Spearman Rank test, the results of the analysis found there is a relationship between waist circumference size and blood sugar levels (P-value = 0.341) with the direction of a positive relationship and the strength of the relationship is sufficient (r = 0.409). There is a significant relationship between waist circumference size and blood sugar level with sufficient strength of a relationship

scholarly journals Awareness of fishermen for managing fish sanctuary in some selected areas of Jamalpur District in Bangladesh

2016 ◽  
Vol 27 (3) ◽  
pp. 339-345
Author(s):  
L Akter ◽  
MJ Hoque ◽  
MA Kashem ◽  
TD Nath
Keyword(s):  
Family Income ◽  
Structured Interview ◽  
The Other ◽  
Farm Size ◽  
Communication Media ◽  
Extension Service ◽  
Interview Schedule ◽  
Level Of Education ◽  
Significant Relationships ◽  
Agricultural Knowledge

The purposes of the study were to determine the extent of awareness of the fishermen in managing fish sanctuary and to find out the relationships between the extent of awareness of the fishermen and their selected characteristics. Data were collected from 90 purposively selected fishermen (out of 105) from Ghosherpara Union of Melandah Upazila Under Jamalpur District. A pre-tested and structured interview schedule was used to collect data from the fishermen during the period of 19 March to 30 March, 2013. The findings indicated that majority of the respondents (74.5 percent) had medium awareness and 25.5 percent having high awareness. Out of ten selected characteristics, the fishermen’s age, level of education, fish culture experience, communication exposure and agricultural knowledge on fish sanctuary showed significant positive relationships with their extent of awareness in managing fish sanctuary. On the other hand, household size, farm size, annual family income, training exposure and credit received had no significant relationships with their extent of awareness in managing fish sanctuary. So, to increase awareness of the fishermen in managing sanctuary, proper guidance and strengthening fisheries extension service should be done by fisheries extension workers/ upazila fisheries officer through arranging different activities including training, field visit or using different communication media etc.Progressive Agriculture 27 (3): 339-345, 2016

scholarly journals Diabetes mellitus: an important risk factor for reactivation of tuberculosis

2016 ◽  
Vol 2016 ◽  
Author(s):  
Ernesto Solá ◽  
Carmen Rivera ◽  
Michelle Mangual ◽  
José Martinez ◽  
Kelvin Rivera ◽  
...  
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Risk Factor ◽  
Pulmonary Tuberculosis ◽  
Important Risk Factor ◽  
World Population ◽  
Lung Field ◽  
List Type ◽  
Global Public Health ◽  
Pulmonary Tb

Summary Diabetes mellitus was identified as a risk factor for developing tuberculosis (TB) infection, and relapse after therapy. The risk of acquiring TB is described as comparable to that of HIV population. The fact that diabetics are 3× times more prone to develop pulmonary TB than nondiabetics cannot be overlooked. With DM recognized as global epidemic, and TB affecting one-third of the world population, physicians must remain vigilant. We present a 45-year-old woman born in Dominican Republic (DR), with 10-year history of T2DM treated with metformin, arrived to our Urgency Room complaining of dry cough for the past 3months. Interview unveiled unintentional 15lbs weight loss, night sweats, occasional unquantified fever, and general malaise but denied bloody sputum. She traveled to DR 2years before, with no known ill exposure. Physical examination showed a thin body habitus, otherwise well appearing woman with stable vital signs, presenting solely right middle lung field ronchi. LDH, ESR, hsCRP and Hg A1C were elevated. Imaging revealed a right middle lobe cavitation. Sputum for AFB disclosed active pulmonary TB. Our case portrays that the consideration of TB as differential diagnosis in diabetics should be exercised with the same strength, as it is undertaken during the evaluation of HIV patients with lung cavitation. Inability to recognize TB will endanger the patient, hospital dwellers and staff, and perpetuate this global public health menace. Learning points Diabetes mellitus should be considered an important risk factor for the reactivation of pulmonary tuberculosis. High clinical suspicious should be taken into consideration as radiological findings for pulmonary tuberculosis in patients with diabetes mellitus may be atypical, involving middle and lower lobes. Inability to recognize pulmonary tuberculosis will endanger the patient, hospital dwellers and staff, and perpetuate this global public health menace.

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