The Role of Skin Hardness, Thickness, and Sensory Loss on Standing Foot Power in the Development of Plantar Ulcers in Patients with Diabetes Mellitus—A Preliminary Study

2003 ◽  
Vol 2 (3) ◽  
pp. 132-139 ◽  
Author(s):  
V. Jacob Thomas ◽  
K. Mothiram Patil ◽  
S. Radhakrishnan ◽  
V. B. Narayanamurthy ◽  
R. Parivalavan
2019 ◽  
Vol 9 (9) ◽  
pp. 98 ◽  
Author(s):  
Kisokanth G. ◽  
Indrakumar J. ◽  
Prathapan S. ◽  
Joseph J. ◽  
Ilankoon I.M.P.S.

This study was aimed to assess the effectiveness of diabetes self-management education (DSME) in the improvement of glycemic control among patients with type 2 Diabetes Mellitus (T2DM) in Batticaloa District, Sri Lanka. The study was a prospective interventional study and conducted as a preliminary study at medical clinic, Base hospital, Kaluwanchikudy, Batticaloa. Thirty patients with T2DM were included based on inclusion and exclusion criteria. A structured individual diabetes self-management education for 10 hours (one hour per week) was delivered to diabetic patients by the trained Nurse Health Educator. Glycosylate hemoglobin (HbA1c) was assessed as a main outcome measure and Fasting Blood Sugar (FBS), Body Mass Index (BMI) of each patient were also measured and recorded before and after the intervention. The respondent rate was 96.7% (n = 29). Majority of them were females (n = 25, 86.2%). A Wilcoxon signed rank test showed that DSME had a statistically significant reduction in HbA1c [8.60 (IQR 2.60) vs. 7.40 (IQR 2.10), p = .000] and FBS level [159.00 (IQR 77.50) vs. 134.00 (IQR 40.50), p = .002] at 3 months of intervention. The mean BMI at baseline was higher compared to 3 months of intervention [24.88 (SD ± 3.06) vs. 24.19 (SD ± 2.79)] which was statistically significant (p = .000). Majority of participants (n = 22, 75.9%) had improved their HbA1c level by ≥ 0.5% in 3 months. The diabetes self-management education is an effective measure in improving glycemic control and other clinical parameters among patients with T2DM. Thus, DSME needs to be implemented among clinic patients with T2DM for the better outcome and the preventions of complications.


2021 ◽  
Vol 22 ◽  
Author(s):  
Raghuvir Keni ◽  
Abinitha Sekhar ◽  
Karthik Gourishetti ◽  
Pawan Ganesh Nayak ◽  
Manas Kinra ◽  
...  

Statins have transformed the treatment of cardiovascular diseases through primary and secondary prevention of events. Despite the success of statin's inefficient management of cardiovascular conditions, certain clinical trials, reviews, and meta-analysis point out that statins have the propensity to induce diabetes. The risk further increases with intensive statin therapy or in with patients with diabetes. A proper mechanism for the induction of the diabetic condition has not yet been determined. The involvement of statin with beta cells in insulin secretion and peripheral cells in insulin resistance has been widely studied and established. The present review provides an update on recent understanding of statin-induced diabetes. This covers the origin of statins, their development, possible mechanisms that explain the adverse effects in glucose homeostasis, and probable targets to remedy the condition.


1989 ◽  
Vol 69 (6) ◽  
pp. 453-459 ◽  
Author(s):  
Michael J Mueller ◽  
Jay E Diamond ◽  
Anthony Delitto ◽  
David R Sinacore

2011 ◽  
Vol 36 (4) ◽  
pp. 247 ◽  
Author(s):  
Praveen Vashist ◽  
Noopur Gupta ◽  
Sameeksha Singh ◽  
Rohit Saxena

Author(s):  
I. Burovska

The article is devoted to the study of the motivational and semantic sphere for patients with diabetes mellitus. Description of the patients’ main directions of the psychological features are distinguished. This study aims to explorer the formation of a hierarchical system of values, attitudes, experiences and motives of this category of patients. Different approaches in the study of this problem were noted, which point to the great possibilities of prevention in the process of rehabilitation in a given subject. The leading role of psychosocial factors of impairment of their mental adaptation and quality of life in patients with diabetes mellitus is determined. Conducting theoretical analysis of modern psychological studies of the motivational and semantic sphere in patients with diabetes makes it possible to identify and analyze the main directions of rehabilitation of this category of persons, to outline the main motivational components of the disease and their relationship with the semantic sphere of each particular person. The peculiarities of the motivational and semantic sphere of persons with diabetes mellitus are described. The relationship between the motivational and intellectual sphere of personality and its influence on the formation of motives are considered. The importance of life-building and the desire to adapt to a particular way of life, to increase its qualitative characteristics and social significance, to take into account the psychological characteristics of patients, are outlined. A detailed examination of the two structural components of this study (which is one of the key tasks of this topic) allows us to more closely combine them into a single entity that forms the life-orienting purposes of patients with diabetes, and draws attention to the dynamics of motivational processes that occur in individuals during the period the course of the disease and the possibility of correction of these processes. The prospects of further researches which consist in formation and modeling of holistic construct of motivational – semantic sphere in patients with diabetes mellitus are outlined.


Sign in / Sign up

Export Citation Format

Share Document