scholarly journals Diabetes education and medication adjustment in Ramadan (DEAR) program prepares for self-management during fasting with tele-health support from pre-Ramadan to post-Ramadan

2018 ◽  
Vol 9 (8) ◽  
pp. 231-240 ◽  
Author(s):  
Sueziani B. Zainudin ◽  
Khalishah Nadhirah B. Abu Bakar ◽  
Salmiah B. Abdullah ◽  
Aslena B. Hussain
Keyword(s):  
Diabetes Management ◽  
Glycated Hemoglobin ◽  
Diabetes Education ◽  
Glucose Monitoring ◽  
Self Management ◽  
Ramadan Fasting ◽  
Health Support ◽  
Tele Monitoring ◽  
Medication Adjustment

Background: We evaluated the outcome for fasting Muslims with diabetes prepared with pre-Ramadan optimization through education and medication adjustment, tele-support and intervention up to post-Ramadan. Methods: Muslims with diabetes planning to fast were recruited into a focused diabetes program for Ramadan fasting. It consisted of (a) a pre-Ramadan assessment and test fasting to optimize glycemic control, (b) education on diabetes management during fasting, (c) tele-monitoring from pre-Ramadan and (d) a post-Ramadan review. Their metabolic profiles and diaries for meals, activities and glucose monitoring were evaluated. Results: Twenty-nine participants were enrolled, with mean age 58.4 ± 9.2 years, 75.9% female, 79.3% Malays and 93.1% type 2 diabetes. A total of 92% needed medication adjustment and 93% fasted for at least 14 days. Glycated hemoglobin (HbA1c) and weight decreased from 8.8 ± 1.8% (72.7 mmol/mol) pre-Ramadan to 8.5 ± 1.7% (69.4 mmol/mol) post-Ramadan and 76.6 ± 20.3 kg pre-Ramadan to 75.9 ± 21.3 kg post-Ramadan, respectively. There were decreased complications of hypoglycemia from 13.8% to 10.3% and several-fold improvement in hyperglycemia from 31.0% to 3.5% during Ramadan fasting when compared with pre-Ramadan. Conclusions: Muslims with diabetes were able to self-manage when fasting using tele-monitoring support and intervention, with decreased complications during Ramadan compared with pre-Ramadan.

scholarly journals We′ve come this far by faith: Faith and spirituality as a facilitator to self-care management of type 2 diabetes among African-American men

2015 ◽  
Vol 03 (01) ◽  
pp. 026-032 ◽  
Author(s):  
Ledric Sherman
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
Diabetes Management ◽  
African American Men ◽  
Diabetes Education ◽  
Community Outreach ◽  
Phenomenological Approach ◽  
Self Management ◽  
Individual Interviews

Abstract Purpose: To explore and understand how the church, faith, and spirituality plays a role in type 2 diabetes management among African-American men (AA men). Materials and Methods: Participants (n = 19) were AA men ages 35-69 years, who were diagnosed with type 2 diabetes. Participants were recruited via community outreach efforts, including barbershops and churches located in predominantly African-American communities in southeast US. Upon the consent, individual interviews were conducted, audio-recorded and subsequently transcribed. Transcripts were analyzed using a phenomenological approach, and focused on identifying common themes among the descriptions of AA men′s experiences specific to type 2 diabetes. Results: Overall the participants from the present study stated that their faith in God as well as attending church does help them in their daily diabetes management. Interestingly, 2 of the 19 participants chose not to answer the faith and spirituality questions and 1 of the 19 stated that his faith was nonexistent. Conclusions: Diabetes self-management may be facilitated by incorporating the spiritual beliefs and virtues of AA men living with the illness. Little is still known, in general, about the process of how spirituality affects self-management of chronic illness. Further research should also focus on faith-based diabetes education among diabetics of all ethnic backgrounds.

Client perceptions of group education in the management of type 2 diabetes mellitus in South Australia

2016 ◽  
Vol 22 (4) ◽  
pp. 360 ◽  
Author(s):  
Cynthia Smith ◽  
Darlene A. McNaughton ◽  
Samantha Meyer
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Self Management ◽  
Systematic Observation ◽  
Future Health ◽  
Group Education

Type 2 diabetes mellitus (T2DM) is a progressive chronic disease that requires significant self-surveillance and adherence to the treatment protocols for successful management and future health. There is a growing body of evidence suggesting that diabetes education is beneficial for patient outcomes. However, there is some debate about how best to deliver diabetes education, whether individually or in groups. Although several studies have investigated the role of group education in improving the management of T2DM, few studies have examined this issue from the client’s perspective. It is here that this study makes a contribution to understanding diabetes management. Drawing on systematic observation of group education sessions provided by diabetic resource nurses and in-depth interviews with clients, this paper describes the experiences, perspectives and significance of these sessions to clients. Our results suggest that group education sessions were seen as valuable to the clients for: the opportunity they provided to meet others living with diabetes; to improve motivation for managing the disease; and to enhance knowledge of diabetes, its management and long-term implications. In short, this study demonstrates that the clients value group education sessions for the social contact, increasing knowledge about the disease for self-management and support they provide; factors recognised as important to maintaining health. In addition, group education sessions appear to be a cost-effective method for diabetes self-management that funders need to consider.

Monitoring Behavioral Changes in Diabetes Care With the Diabetes Self-Management Record

1995 ◽  
Vol 21 (5) ◽  
pp. 426-431 ◽  
Author(s):  
Mary K. Bielamowicz ◽  
Wayne C. Miller ◽  
Eric Elkins ◽  
Howard W Ladewig
Keyword(s):  
Educational Intervention ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Glucose Monitoring ◽  
Behavioral Changes ◽  
Self Management ◽  
Evaluation Instrument ◽  
Positive Behaviors ◽  
Behavior Monitoring ◽  
Fat Consumption

An evaluation instrument called the diabetes self-management record has been developed to better document the positive behavioral changes associated with diabetes education programming. This record is a simple behavior monitoring system that awards points for positive behaviors associated with exercise, glucose monitoring, and nutrition management. A group of 39 adults with diabetes monitored their behaviors with the record prior to, immediately after; and 4 to 6 weeks following a diabetes education programming course. Overall diabetes management scores were higher (mean ± SEM=56.2 ± 3.5 vs 66.3 ± 2.9) following the educational intervention, as well as specific behavioral scores for exercise, glucose monitoring, fat consumption, refined sugar/carbohydrate consumption, and eating behavior. These behaviors were maintained for at least 4 to 6 weeks postprogramming. The diabetes self-management record can be used as an adjunct to diabetes education programming, as an evaluator of the educational intervention, and/or as a behavior monitoring tool for diabetes self-management.

2180-PUB: Integration of Continuous Glucose Monitoring in Diabetes Self-Management Education for Type 2 Diabetes Improves Glycemic Control

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 2180-PUB
Author(s):  
ADDIE L. FORTMANN ◽  
ALESSANDRA BASTIAN ◽  
CODY J. LENSING ◽  
SHANE HOVERSTEN ◽  
KIMBERLY LUU ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Continuous Glucose Monitoring ◽  
Management Education ◽  
Glucose Monitoring ◽  
Self Management

scholarly journals Glycemic variability and cardiovascular disease in patients with type 2 diabetes

2021 ◽  
Vol 9 (1) ◽  
pp. e002032
Author(s):  
Marcela Martinez ◽  
Jimena Santamarina ◽  
Adrian Pavesi ◽  
Carla Musso ◽  
Guillermo E Umpierrez
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Glycated Hemoglobin ◽  
Glucose Monitoring ◽  
Glycemic Variability ◽  
Cardiovascular Complications ◽  
Glucose Levels ◽  
Increased Risk ◽  
Patients With Diabetes

Glycated hemoglobin is currently the gold standard for assessment of long-term glycemic control and response to medical treatment in patients with diabetes. Glycated hemoglobin, however, does not address fluctuations in blood glucose. Glycemic variability (GV) refers to fluctuations in blood glucose levels. Recent clinical data indicate that GV is associated with increased risk of hypoglycemia, microvascular and macrovascular complications, and mortality in patients with diabetes, independently of glycated hemoglobin level. The use of continuous glucose monitoring devices has markedly improved the assessment of GV in clinical practice and facilitated the assessment of GV as well as hypoglycemia and hyperglycemia events in patients with diabetes. We review current concepts on the definition and assessment of GV and its association with cardiovascular complications in patients with type 2 diabetes.

Type 2 diabetes self-management: spirituality, coping and responsibility

2021 ◽  
Vol 26 (8) ◽  
pp. 743-760
Author(s):  
Natasha Duke
Keyword(s):  
Type 2 Diabetes ◽  
Health Beliefs ◽  
Diabetes Management ◽  
Coping Styles ◽  
Glycated Haemoglobin ◽  
Self Management ◽  
Living Situation ◽  
Care Plans ◽  
Interpretive Method

Background In England, although The National Institute of Health and Care Excellence recommends that patients’ religious beliefs should be incorporated into individual healthcare plans, these components are often neglected in diabetes management care plans. A literature review identified a paucity of research regarding how the spirituality of British people may influence their approach to their self-management of type 2 diabetes (T2D). Aims To explore how the spirituality of a small group of adults with T2D, living in England, influenced their coping strategies and self-management of diet and exercise. Methods Biographic Narrative Interpretive Method of two interviews per participant and thematic analysis for data interrogation ( n = 8). Data as glycated haemoglobin, living situation, age, length of time since T2D diagnosis, body mass index and diabetic medicines contextualised the interview data. Results Participants’ spirituality, health beliefs, coping and sense of responsibility for T2D self-management overlapped in complex layers. Three themes were generated: (a) spirituality influences expectations in life; (b) beliefs influence coping styles of diabetes self-management; and (c) responsibility influences diabetes self-management. A model was created to assist nurses in addressing these components. Conclusion Nurses should consider how patients’ self-management of T2D may be influenced by their spirituality, health beliefs, coping and sense of responsibility.

scholarly journals Translating Research into Practice: Impact of an Interprofessional Diabetes Education Model on Patient Health Outcomes

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Olayinka O. Shiyanbola ◽  
Becky Randall ◽  
Cristina Lammers ◽  
Karly A. Hegge ◽  
Michelle Anderson
Keyword(s):  
Health Promotion ◽  
Clinical Outcomes ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Health Behaviours ◽  
Self Management ◽  
Health Promotion Program ◽  
Diabetes Knowledge ◽  
Foot Care ◽  
Eye Care

Background: Patient education programs encouraging diabetes self-management can improve clinical outcomes and lessen diabetes complications. This study implemented an innovative interprofessional student-led diabetes self-management and health promotion program for an underserved population and demonstrated an improvement in participant clinical outcomes and students’ understanding of interprofessional aspects of diabetes care.Methods and Findings: This community-based program was implemented at two sites that serve medically underserved individuals. Students from five health career professions led educational sessions designed to demonstrate critical components of diabetes self-management. The six-month longitudinal program covered topics within the Alphabet Strategy, including Advice, Blood pressure, Cholesterol, Diabetes control, Dental care, Diet, Eye care, Foot care, and Guardian drugs. Participants completed surveys evaluating diabetes knowledge, understanding of diabetes care, and health behaviours. Clinical values were collected before and after the program. Student surveys assessed their understanding of diabetes self-management. Upon completion of the program, all assessments were repeated to determine if there were improvements in outcomes. Thirty-eight participants and thirty students completed the study. There were significant improvements in participants’ diabetes knowledge, understanding of diabetes management, and clinical outcomes. There were significant improvements in the students’ ability to educate patients about foot care, eye care, and guardian drugs, as well as increased awareness of the role of each health profession in diabetes care.Conclusions: This interprofessional health promotion model showed significant improvements in patient and student outcomes. This innovative student-led program could be implemented in other settings and for the management of other chronic diseases.

scholarly journals Building a Virtual Environment for Diabetes Self-Management Education and Support

2013 ◽  
Vol 5 (3) ◽  
pp. 68-80 ◽  
Author(s):  
Constance Johnson ◽  
Kevin Feenan ◽  
Glenn Setliff ◽  
Katherine Pereira ◽  
Nancy Hassell ◽  
...  
Keyword(s):  
Virtual Environment ◽  
Second Life ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Management Education ◽  
Diabetes Education ◽  
Self Management ◽  
Key Aspects ◽  
Health Applications

The authors developed an immersive diabetes community to provide diabetes self-management education and support for adults with type 2 diabetes. In this article the authors describe the procedures used to develop this virtual environment (VE). Second Life Impacts Diabetes Education & Self-Management (SLIDES), the VE for our diabetes community was built in Second Life. Social Cognitive Theory, behavioral principles and key aspects of virtual environments related to usability were applied in the development in this VE. Collaboration between researchers, clinicians and information technology (IT) specialists occurred throughout the development process. An interactive community was successfully built and utilized to provide diabetes self-management education and support. VEs for health applications may be innovative and enticing, yet it must be kept in mind that there are substantial effort, expertise, and usability factors that must be considered in the development of these environments for health care consumers.

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