scholarly journals Experiences and challenges of adults living with type 2 diabetes mellitus presenting at the University Teaching Hospital in Lusaka, Zambia

2019 ◽  
Vol 7 (1) ◽  
pp. e000497
Author(s):  
Kunda Faith Mwila ◽  
Phoebe Albina Bwembya ◽  
Choolwe Jacobs
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Teaching Hospital ◽  
Treatment Guidelines ◽  
Self Care ◽  
Mental Illnesses ◽  
University Teaching ◽  
The University

ObjectiveThe study explored the experiences and challenges of adults living with type 2 diabetes mellitus (T2DM) presenting at the University Teaching Hospital (UTH) in Lusaka.Research designA qualitative descriptive study was conducted. The research relied on purposive sampling to select 28 participants for in-depth interviews. Participants were interviewed during clinical visits at UTH.ResultsViews from participants showed that some adults living with T2DM experienced physical and mental illnesses. Participants’ views reflected that their livelihood with T2DM was influenced by family support, poor or non-adherence to treatment guidelines and access to information, education and communication materials. The most important challenges reported were psychosocial and financial.ConclusionThe study concluded that some adults living with T2DM experience a lot of physical sicknesses and their challenges, especially of the psychosocial nature may require professional attention. However, particular attention should be paid to the patient’s self-care and psychosocial therapy. Self-care protocols should be tailored to complement the different types of patients with diabetes and improve their quality of life.Cite Now

scholarly journals Functional Health Literacy and Self-Care Behaviors Among Type 2 Diabetic Patients at a University Teaching Hospital in Kigali

2020 ◽  
Vol 3 (1) ◽  
pp. 49-59
Author(s):  
Vestine Mukanoheli ◽  
Marie Claire Uwamahoro ◽  
Valens Mbarushimana ◽  
Pamela Meharry
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Literacy ◽  
Teaching Hospital ◽  
Self Care ◽  
University Teaching ◽  
Functional Health ◽  
Functional Health Literacy

Background Type 2 Diabetes Mellitus (T2DM) is a significant health burden in high-income countries and emerging in sub-Sahara African countries, including Rwanda. Prevention and treatment of T2DM are imperative and need to focus on functional health literacy and self-care practices among people with diabetes. Objective To determine if functional health literacy is associated with self-care behaviors among T2DM patients. Method This study was a descriptive cross-sectional design conducted at a University Teaching Hospital in Kigali. The sample comprised of 223 T2DM patients recruited from the university outpatient department. The questionnaire was developed from two studies.  Descriptive statistics were used to analyse the data. Results Results indicated a low-level of functional health literacy, with a wide range of scores from 6.5% to 93.5%, and a mean of 51.66 (SD 15.77).The majority of 123 (55.3%) had inadequate functional health literacy and self-care behaviors. There was a strong association between functional health literacy and self-care behaviors (p < 0.001). Conclusion The level of functional health literacy among T2DM patients needs to be increased and patients should be highly encouraged to adhere to self-care behaviors. Future research could involve an interventional study to discover the best method to educate T2DM patients. Keywords: Type 2 diabetes mellitus; functional health literacy; self-care behaviors; patients T2DM; sub-Saharan Africa

scholarly journals Frequency of neuropathic pain in type 2 diabetes mellitus at the Lagos University Teaching Hospital: A questionnaire-based outpatient survey

2016 ◽  
Vol 13 (2) ◽  
pp. 46 ◽  
Author(s):  
OluwadamilolaO Ojo ◽  
IfedayoA Odeniyi ◽  
SandraO Iwuala ◽  
OlajumokeO Oshinaike ◽  
NjidekaU Okubadejo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Neuropathic Pain ◽  
Teaching Hospital ◽  
University Teaching

scholarly journals Prevalence of diabetes mellitus among adults treated in Imo State University teaching hospital Orlu local government area, Imo State, Owerri, Nigeria

2019 ◽  
Vol 6 (6) ◽  
pp. 1835
Author(s):  
Ezeama Martina C. ◽  
Enwereji Ezinna E.
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Fatty Acids ◽  
Type 2 Diabetes Mellitus ◽  
Teaching Hospital ◽  
University Teaching ◽  
Diabetes Research ◽  
Imo State

Background: Type 2 diabetes is the result of complex interplay between genetic and environmental factors. Diabetes epidemic is largely due to unhealthy diet and lifestyles. Dietary composition affects both its development and complications because fatty acids influence glucose metabolism by altering cell membrane function, enzyme activity, insulin signalling, and gene expression. Therefore, replacing saturated fats and trans-fatty acids with unsaturated fats has beneficial effects on insulin sensitivity and in reducing the risks of type 2 diabetes. Research has shown that if people with diabetes, together with the health care workers manage diabetes well, that the risk of complications will be greatly reduced or prevented or delayed. This study focused on assessing the prevalence and causes of type 2 diabetes, types of complications patients presented, and the likely preventive interventions given to them in University Teaching Hospital Orlu.Methods: A retrospective study that carried out extensive review of hospital records of adults admitted and treated for type 2 diabetes mellitus from 2015 to 2017 in University Teaching Hospital was done. The review of the adult patients' records lasted for three working weeks. In the review, summaries of causes of diabetes, types of complications and preventive measures health workers provided to the patients were documented.Results: Finding showed that 79 adults made up of 43(54.4%) males and 36(45.6%) female between 41-77 years were admitted and treated for various causes of type 2 diabetes between 2015 and 2017. Most of the patients treated were civil and public servants. The main cause of diabetes mellitus 51(65%) among the patients studied was physical inactivity due to sedentary work. The common complications presented were hypertension, diabetic ulcer, depression and obesity. Health talks and group counselling were the interventions provided. These interventions concentrated on types of healthy dietary intakes and lifestyles the patients should adopt.Conclusions: Regular and sustained health care services that would emphasize healthy diet and lifestyle modifications to reduce the risk factors of type 2 diabetes mellitus should be provided to all  patients treated  in this  hospital. Therefore, obese diabetic patients should be encouraged to engage in physical exercises so as to maintain healthy body weight which is a cornerstone for prevention of type 2 diabetes mellitus.   

scholarly journals Diet Pattern and Dyslipidemia Among Type II Diabetes Mellitus Patients Diagnosed More Tthan One Year Visiting Tribhuvan University Teaching Hospital

2021 ◽  
Vol 4 (1) ◽  
pp. 433-438
Author(s):  
Samiksha Niroula ◽  
Rama Subba ◽  
Aarem Karkee
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Teaching Hospital ◽  
Dietary Pattern ◽  
University Teaching ◽  
Dietary Habit ◽  
Study Results ◽  
One Year

Introduction: Dyslipidemia is a risk factor for coronary artery disease, a leading cause of mortality in patients with type 2 diabetes mellitus. This study aims to study the dietary pattern and dyslipidemia of type 2 diabetes mellitus patients visiting Tribhuvan University Teaching Hospital. Materials and Methods: Quantitative study was done to find out the dietary pattern and dyslipidemia of type 2 diabetes mellitus patients visiting Tribhuvan University Teaching Hospital. Patients with type 2 diabetes mellitus diagnosed for more than one year were included in the study. Results: The percentage of dyslipidemia in type 2 diabetes mellitus was found to be 88.5%. Dyslipidemia was found to be significantly associated (p<0.05) with alcohol consumption, regular dietary management, sedentary behavior, waist-hip ratio, body mass index, glycated hemoglobin, and hypertension. Dyslipidemia was also found to be significantly associated (p<0.05)  with the dietary habit (vegetarian and non-vegetarian), consumption of cereals and its product, consumption of fruits, consumption of fast foods and street foods, consumption of red meat, and consumption of oilseeds. Conclusions: This study indicates the importance of dietary awareness and lifestyle modification for the management of dyslipidemia among type 2 diabetes mellitus.

Self-Care in Adults with Type 2 Diabetes Mellitus: A Systematic Review

2020 ◽  
Vol 16 (6) ◽  
pp. 598-607 ◽  
Author(s):  
Rebeca Barbosa da Rocha ◽  
Cristiano Sales Silva ◽  
Vinícius Saura Cardoso
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Latin American ◽  
Self Care ◽  
Health Science ◽  
Science Literature ◽  
Patients With Diabetes

Background: Self-care is essential for the prevention of complications in patients with diabetes, but several authors report that even with health education programs, the incidence of complications in patients with diabetes continues to increase. Objective: We aimed to examine adherence to self-care strategies and the repercussions of adherence on the clinical profiles of individuals with type 2 diabetes. Methods: We performed a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. We searched for related studies in 4 databases: PubMed, Web of Science, Scopus, and Latin American and Caribbean Health Science Literature (LILACS). We included observational studies in English and Portuguese that evaluated the effects of selfcare in individuals with type 2 diabetes. Results: The search resulted in the identification of 615 articles, of which 34 met all the inclusion criteria. General self-care was considered unsatisfactory. Physical exercise was classified as the self-care activity that was performed less frequently by individuals with type 2 diabetes mellitus; adherence to medication was the most frequent behavior among volunteers. Conclusion: The studies indicated poor adherence of the population to good self-care practices, reflected by the increase in complications related to DM.

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