scholarly journals Barriers to Diabetes Self-Management in a Subset of New Zealand Adults with Type 2 Diabetes and Poor Glycaemic Control

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Lynne Chepulis ◽  
Brittany Morison ◽  
Shemana Cassim ◽  
Kimberley Norman ◽  
Rawiri Keenan ◽  
...  
Keyword(s):  
Glycaemic Control ◽  
Diabetes Management ◽  
Social Stigma ◽  
Self Management ◽  
Poor Glycaemic Control ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Semistructured Interviews ◽  
Medication Side

Background. Despite the fact that there is an increasingly effective armoury of medications to treat diabetes, many people continue to have substantially elevated blood glucose levels. The purpose of this study was to explore what the barriers to diabetes management are in a cohort of people with diabetes and poor glycaemic control. Methods. Qualitative semistructured interviews were carried out with 10 people with diabetes who had known diabetes and a recent HbA1c of >11.3% (100 mmol/mol) to explore their experiences of barriers to diabetes self-management and glycaemic control. Results. Barriers to diabetes management were based around two key themes: biopsychosocial factors and knowledge about diabetes. Specifically, financial concerns, social stigma, medication side effects, and cognitive impairment due to hyperglycaemia were commonly reported as barriers to medication use. Other barriers included a lack of knowledge about their own condition, poor relationships with healthcare professionals, and a lack of relevant resources to support diet and weight loss. Conclusion. People with diabetes with poor glycaemic control experience many of the same barriers as those reported elsewhere, but also experience issues specifically related to their severe hyperglycaemia. Management of diabetes could be improved via the increased use of patient education and availability of locally relevant resources.

scholarly journals Barriers to Diabetes Self-Management in New Zealand Patients with Type 2 Diabetes and Poor Glycaemic Control

2020 ◽  
Author(s):  
Lynne Chepulis ◽  
Brittany Morison ◽  
Shemana Cassim ◽  
Kimberley Norman ◽  
Rawiri Keenan ◽  
...  
Keyword(s):  
Glycaemic Control ◽  
Health Care Professionals ◽  
Diabetes Management ◽  
Social Stigma ◽  
Self Management ◽  
Structured Interviews ◽  
Poor Glycaemic Control ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Medication Side

Abstract Background: Despite the fact that there is an increasingly effective armoury of medications to treat diabetes many patients continue to have substantially elevated blood glucose levels. The purpose of this study was to explore what the barriers to diabetes management are in a cohort of people with diabetes and poor glycaemic control.Methods: Qualitative semi-structured interviews were carried out with 10 people with diabetes who had known diabetes and a recent HbA1c of > 11.3% (100 mmol/mol) to explore their experiences of barriers to diabetes self-management and glycaemic control. Results: Barriers to diabetes management were based around two key themes: biopsychosocial factors and disease awareness / information delivery. Specifically, financial concerns, social stigma, medication side effects and cognitive impairment due to hyperglycaemia were commonly reported as barriers to medication use. Other barriers included a lack of knowledge about their own disease, poor relationships with health care professionals and a lack of relevant resources to support diet and weight loss.Conclusion: people with diabetes with poor glycaemic control experience many of the same barriers as those reported elsewhere, but also experience issues specifically related to their severe hyperglycaemia. Management of diabetes could be improved via the increased use of patient education and availability of locally relevant resources.

scholarly journals Factors Associated with Glycaemic Control among Diabetic Patients Managed at an Urban Hospital in Hanoi, Vietnam

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Luu Quang Thuy ◽  
Hoang Thi Phuong Nam ◽  
Tran Thi Ha An ◽  
Bui Van San ◽  
Tran Nguyen Ngoc ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Associated Factors ◽  
Fasting Blood Glucose ◽  
Management Strategies ◽  
Diabetic Patients ◽  
Urban Hospital ◽  
Glucose Levels ◽  
Blood Glucose Levels

Type 2 diabetes (T2DM) epidemic is rising in Vietnam. Identifying associated factors with glycaemic control in patients with T2DM is vital to improve treatment outcomes. This study is aimed at examining the uncontrolled glycaemic level of patients with type 2 diabetes (T2DM) at an urban hospital in Hanoi, Vietnam, and determining associated factors. An observational longitudinal cohort survey was performed among T2DM patients. Glycaemic control was evaluated by using the HbA 1 c   level ≥ 6.5 % or fasting blood   glucose   level ≥ 7.5   g / mmol . Information about sociodemographic, clinical, and behavioral characteristics was collected. Multivariate mixed-effects logistic regression was employed to identify associated factors with control glycaemic level conditions. Among 189 T2DM patients, 70.4% had an uncontrolled glycaemic level. A higher number of comorbidities were associated with a lower likelihood of having uncontrolled glycaemic levels ( OR = 0.71 , p < 0.001 , 95 % CI = 0.52 − 0.98 ). Meanwhile, a higher body mass index ( OR = 1.15 , p < 0.05 , 95 % CI = 1.02 − 1.29 ), higher initial HbA1C ( OR = 3.75 , p < 0.01 , 95 % CI = 2.59 − 5.44 ), and higher initial fasting blood glucose levels ( OR = 1.57 , p < 0.01 , 95 % CI = 1.29 − 1.90 ) were positively associated with a higher risk of uncontrolled glycaemic levels. This study reveals that poor glycaemic control was common among T2DM patients in the urban hospital in Vietnam. Findings underlined the need for appropriate management strategies to control glycaemic levels and weight in this population.

scholarly journals Application of Diabetes Self Management Education (DSME) in Patients with Type 2 Diabetes Mellitus based on Blood Glucose Levels

2020 ◽  
Vol 1 (2) ◽  
pp. 42-46
Author(s):  
Andi Akifa Sudirman ◽  
Dewi Modjo
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Glucose ◽  
Management Education ◽  
T Test ◽  
Self Management ◽  
Glucose Levels ◽  
Blood Glucose Levels

Diabetes Self Management Education (DSME) uses guidelines, counseling, and behavioral intervention methods to increase knowledge about diabetes and improve individual and family skills in managing diabetes mellitus (DM). This research is a quantitative study using a pre-experimental design that provides treatment or intervention to the research subjects then the effect of the treatment is measured and analyzed. This design is used to compare the results of the intervention of the application of Diabetes Self Management Education (DSME) on controlling blood glucose levels in patients with type 2 diabetes mellitus. The analysis used the dependent t-test / paired t-test. The results showed that there were significant differences in blood glucose levels in the measurement after giving DSME to the respondents, indicating that the measurement of blood glucose levels after treatment was smaller than the measurement before treatment. It is necessary to develop a program to increase the competence of nurses in nursing care for diabetic clients and education related to diabetic self-care to increase the knowledge and skills of nurses in managing diabetes.

scholarly journals The use of low-glycaemic index diets in diabetes control

2010 ◽  
Vol 104 (6) ◽  
pp. 797-802 ◽  
Author(s):  
D. E. Thomas ◽  
E. J. Elliott
Keyword(s):  
Blood Glucose ◽  
Glycaemic Control ◽  
Diabetes Management ◽  
Weighted Mean Difference ◽  
Blood Glucose Control ◽  
Glycaemic Index ◽  
Cochrane Library ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Improved Glycaemic Control

The aim of diabetes management is to normalise blood glucose levels since improved blood glucose control is associated with fewer complications. Food affects blood glucose levels; however, there is no universal approach to the optimal diabetic diet and there is controversy about the usefulness of the low-glycaemic index (GI) diet. To assess the effects of low-GI diets on glycaemic control in diabetes, we conducted electronic searches of the Cochrane Library, MEDLINE, EMBASE and CINAHL. We assessed randomised controlled trials (RCT) with interventions >4 weeks that compared a low-GI diet with a higher-GI diet for type 1 or type 2 diabetes. Twelve RCT (n612) were identified. There was a significant decrease in glycated Hb (HbA1c) with low-GI diet than with the control diet, indicating improved glycaemic control (seven trials,n457, weighted mean difference (WMD) − 0·4 % HbA1c, 95 % CI − 0·7, − 0·20,P = 0·001). In four studies reporting the results for glycaemic control as fructosamine, three of which were 6 weeks or less in duration, pooled data showed a decrease in fructosamine (WMD − 0·23 mmol/l, 95 % CI − 0·47, 0·00,P = 0·05),n141, with low-GI diet than with high-GI diet. Glycosylated albumin levels decreased significantly with low-GI diet, but not with high-GI diet, in one study that reported this outcome. Lowering the GI of the diet may contribute to improved glycaemic control in diabetes.

scholarly journals Clinical characteristics and determinants of glycaemic control among type 2 diabetes mellitus (T2DM) patients in Fiji

2020 ◽  
Author(s):  
Pablo Romakin ◽  
Donald Wilson ◽  
Sabiha Khan ◽  
Masoud Mohaammadnezhad
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycaemic Control ◽  
Blood Sugar ◽  
Diabetes Management ◽  
Control Level ◽  
Poor Glycaemic Control ◽  
Care Workers

Abstract Background Diabetes is a global health problem reaching pandemic proportions. In Fiji, diabetes has a prevalence rate of 15.6% in 2011which is estimated to rise to 19.3% in 2020. The aim of this study was to determine the proportion of poor glycaemic control level and its determinants among type 2 diabetes mellitus (T2DM) patients. Methods This retrospective study was conducted in three selected health centres in Suva, Fiji with the following inclusion criteria: adult T2DM ≥ 18 years old registered during 2011 to 2016; on treatment for > 1year; had > 4 clinic visits and; had a recent HbA1c result in 2017. Logistic regression analysis was performed and p < 0.05 considered as significant. Results There were 200 female (59.2%) and 138 male (40.8%) T2DM patients in this study with a mean age of 56.5 years (SD = ± 9.9). Most of T2DM patients have poorly controlled random blood sugar (RBS), 67.1% and fasting blood sugar (FBS), 63.0%. Two-thirds (65.4%) had associated medical conditions. The proportion of poor glycaemic control (HbA1c < 7%) was 77.2%. Mean HbA1c was 8.6% (± 2.04). RBS, FBS, cholesterol, estimated glomerular filtration rate (eGFR) and diastolic blood pressure (DBP) were significant (p < 0.05) determinants of poor glycaemic control. Conclusions Health care workers dealing with T2DM patients should consider the clinical determinants of poor glycaemic control for a more effective diabetes management.

scholarly journals Clinical characteristics and determinants of glycaemic control among type 2 diabetes mellitus (T2DM) patients in Fiji

2021 ◽  
Author(s):  
Pablo Romakin ◽  
Donald Wilson ◽  
Sabiha Khan ◽  
Masoud Mohaammadnezhad
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Glycaemic Control ◽  
Blood Sugar ◽  
Diabetes Management ◽  
Control Level ◽  
Poor Glycaemic Control

Abstract Background: Glycemic control is the centre in diabetes management. In patients with type 2 diabetes mellitus (T2DM), glycemic control is associated with clinical determinants. The aim of this study was to determine the proportion of poor glycemic control level and its clinical determinants among T2DM patients.Methods: This retrospective cross-sectional study was conducted on the medical records of T2DM patients attending diabetes clinics at the three selected health centres in Suva, Fiji. Patients who met the following criteria were included in the study: adult T2DM >18 years old registered during 2011 to 2016; on treatment for >1year; had >4 clinic visits and; had a recent HbA1c result in 2017. Logistic regression analysis was performed. A p value of <0.05 was considered as significant.Results: There were 200 female (59.2%) and 138 male (40.8%) T2DM patients included in this study with a mean age of 56.5 years (SD = + 9.9). Majority have poorly controlled random blood sugar (RBS), 67.1% and fasting blood sugar (FBS), 63.0%. Two-thirds (65.4%) had co-morbidities. The proportion of poor glycaemic control (HbA1c <7%) was 77.2% with mean HbA1c of 8.6% (+ 2.04). RBS, FBS, cholesterol, estimated glomerular filtration rate (eGFR) and diastolic blood pressure (DBP) were significant (p<0.05) determinants of poor glycaemic control.Conclusions: This study identified clinical determinants of T2DM patients that are highly associated with glycemic control. Health care workers managing T2DM patients should address these clinical determinants in order to achieve glycemic control.

scholarly journals TINJAUAN LITERATUR MANAJEMEN BERPUASA RAMADHAN BAGI PENDERITA DIABETES MELITUS TIPE 2

2019 ◽  
Vol 4 (2) ◽  
pp. 155
Author(s):  
Ayu Dinda Fatimah
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Diabetes Mellitus Type 2 ◽  
Self Management ◽  
Ramadan Fasting ◽  
Spiritual Awareness ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
The World

<p>One of the main causes of death in Indonesia is non-communicable diseases. One of the most common non-communicable disease is diabetes mellitus. Type 2 diabetes mellitus is a category of diabetes that most people in the world suffer from. Diabetes mellitus is a chronic disease characterized by high levels of blood glucose which can lead a number of symptoms and complications if there is no regular monitoring of blood glucose levels and not paying attention to things that can affect blood glucose levels. Things that can affect blood glucose levels are adequate nutritional intake and physical activity.</p><p>Indonesia is a religious country because it recognizes 6 religions. Indonesia is also a country with the largest Muslim population in the world. One of the activities carried out continuously every year by a Muslim is fasting during the month of Ramadan. Fasting is one form of spiritual awareness that has many benefits, such as, heightening consciousness of God, adopting healthier lifestyle, loving and charity, increasing community spirit, and raising people to become a better version of themselves.</p><p>However, people with type 2 diabetes mellitus have to know that changes in nutritional intake and physical activity can affect their bodies. Therefore, people with diabetes mellitus have to know the management of diabetes mellitus during Ramadan fasting and they have to do self-management properly to avoid complications that can occur, such as hypoglycemia, hyperglycemia, diabetic ketoacidosis, dehydration, and thrombosis.</p><p> </p><p><strong>Keyword:</strong><strong> Diabetes Mellitus Type 2, Spiritual Awareness, Self-management, Ramadan Fasting, Glucose Blood Level, Complication</strong></p>

Can Type 2 Diabetes be Reversed?

2016 ◽  
Vol 12 (02) ◽  
pp. 76
Author(s):  
Osama Hamdy ◽  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Body Weight ◽  
Alternative Model ◽  
Diabetes Management ◽  
Surgical Interventions ◽  
Glucose Levels ◽  
Blood Glucose Levels

Over the last few years, the question, “can type 2 diabetes be reversed?” came to the surface after several observations of partial or complete remission from the disease were seen in response to surgical and non-surgical interventions for weight management. This leads us to propose an alternative model for type 2 diabetes management by targeting body weight instead of our current classic model of targeting blood glucose levels by anti-hyperglycemic medications. The proposed alternative model may be successful in the early stages of type 2 diabetes as we currently have several effective tools. Untimely, this model of intervention may reduce cost and improve patients’ quality of life.

scholarly journals Diabetes Self-Management Education: Miles to Go

2013 ◽  
Vol 2013 ◽  
pp. 1-15 ◽  
Author(s):  
Helen Altman Klein ◽  
Sarah M. Jackson ◽  
Kenley Street ◽  
James C. Whitacre ◽  
Gary Klein
Keyword(s):  
Management Education ◽  
Meta Analysis ◽  
Self Management ◽  
Post Intervention ◽  
Self Monitoring ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
The Impact

This meta-analysis assessed how successfully Diabetes Self-Management Education (DSME) interventions help people with type 2 diabetes achieve and maintain healthy blood glucose levels. We included 52 DSME programs with 9,631 participants that reported post-intervention A1c levels in randomized controlled trials. The training conditions resulted in significant reductions in A1c levels compared to control conditions. However, the impact of intervention was modest shifting of only 7.23% more participants from diabetic to pre-diabetic or normal status, relative to the control condition. Most intervention participants did not achieve healthy A1c levels. Further, few DSME studies assessed long-term maintenance of A1c gains. Past trends suggest that gains are difficult to sustain over time. Our results suggested that interventions delivered by nurses were more successful than those delivered by non-nursing personnel. We suggest that DSME programs might do better by going beyond procedural interventions. Most DSME programs relied heavily on rules and procedures to guide decisions about diet, exercise, and weight loss. Future DSME may need to include cognitive self-monitoring, diagnosis, and planning skills to help patients detect anomalies, identify possible causes, generate corrective action, and avoid future barriers to maintaining healthy A1c levels. Finally, comprehensive descriptions of DSME programs would advance future efforts.

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