scholarly journals Basal insulin persistence, associated factors, and outcomes after treatment initiation among people with type 2 diabetes mellitus in the US

2016 ◽  
Vol 32 (4) ◽  
pp. 669-680 ◽  
Author(s):  
Magaly Perez-Nieves ◽  
Samaneh Kabul ◽  
Urvi Desai ◽  
Jasmina I. Ivanova ◽  
Noam Y. Kirson ◽  
...  
Author(s):  
Kathleen M Fox ◽  
Susan Grandy ◽  

Objective: This investigation evaluated the satisfaction with therapy for adults with the concomitant conditions of type 2 diabetes mellitus (T2DM) and hypertension (HTN). Methods: Respondents to the US S tudy to H elp I mprove E arly evaluation and management of risk factors L eading to D iabetes (SHIELD) 2009 survey reported their disease conditions, current medications, and satisfaction with therapy. Respondents reporting T2DM with concomitant HTN were identified. Current medications were catalogued, as respondents referred to their prescription bottles to record the name of each medication. Therapy satisfaction was captured with 3 separate questions as satisfaction/dissatisfaction with: 1) ability of the medication to prevent or treat your condition, 2) side effects of the medication, and 3) the medication overall; and scored using a 0 (completely dissatisfied) to 5 (completely satisfied) scale for heart disease treatment and diabetes treatment, separately. Scores of 0-2 were categorized as dissatisfied, score of 3 was neutral and scores 4-5 were satisfied. Results: A total of 911 adults with T2DM and HTN reported their satisfaction with therapy. For those who were dissatisfied with their diabetes medication (n = 63), 52.6% were also dissatisfied with their heart disease medication's ability to treat their HTN, 64.5% were dissatisfied with the side effects of their heart medications, and 61.9% were dissatisfied with their heart medication overall. For those who were dissatisfied with their heart disease medication (n = 59), 74.5% were also dissatisfied with their diabetes medication's ability to treat their diabetes, 56.6% were dissatisfied with the side effects of their diabetes medication, and 66.1% were dissatisfied with their diabetes medication overall. Conclusions: Although most respondents with T2DM and HTN were satisfied with their treatment, dissatisfaction with treatment for one condition was associated with therapy dissatisfaction in the other condition. Approximately 53%-65% of respondents who were dissatisfied with their diabetes medication were also dissatisfied with their HTN medication overall and in the ability to treat the condition and medication side effects.


Anemia ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Sewnet Adem Kebede ◽  
Biruk Shalmeno Tusa ◽  
Adisu Birhanu Weldesenbet

Background. Anaemia is one of the commonest blood disorders seen in patients with diabetes. In Ethiopia, chronic illnesses are tremendously raising with their complications. But very little research has been conducted, particularly on anaemia among diabetes mellitus (DM) patients. Therefore, this study aimed at assessing the prevalence of anaemia and associated factors among type 2 diabetes mellitus patients in Northwest Ethiopia. Methods. A cross-sectional study design was employed at University of Gondar Comprehensive Specialized Hospital from March 1 to April 15, 2019, among 372 type 2 diabetes mellitus patients (T2DM). Multivariable logistic regression analysis was fitted, and the corresponding adjusted odds ratio (AOR) and 95% CI were used to identify factors associated with anaemia. Level of significance was declared at the p value less than 0.05. Results. The study revealed 8.06% (95% CI: 5.68–11.31%) of the participants were anaemic. Being male (AOR = 2.74, CI: 1.02, 7.38), combined type of treatment (AOR = 8.38, CI: 1.66, 42.25), having diabetes-related microvascular complications (AOR = 3.24, CI: 1.14, 9.26), and hypertension (AOR = 0.01, CI: 0.002, 0.06) were the significant factors associated with anaemia. Conclusions. The finding of the current study revealed low prevalence of anaemia among T2DM patients. Sex, type of treatment, diabetes-related microvascular complications, and hypertension were factors associated with anaemia. Assessment of haemoglobin levels among T2DM patients may help to prevent ensuing microvascular complications. Incorporate anaemia screening into the routine assessment of diabetic complication particularly for those who are hypertensive and took combined treatment to allow early appreciation and treatment of anaemia and later improve the overall care of patients with diabetes.


2016 ◽  
Vol 7 (4) ◽  
pp. 6-13
Author(s):  
Reeta Devi ◽  
Bimla Kapoor ◽  
M. Meghachandra Singh

Background: There is changing epidemiology of type 2 diabetes mellitus in India. Few studies have reported prevalence of self reported diabetes in Delhi. Aims and Objectives: To assess the prevalence of self–reported Type 2 diabetes mellitus (T2DM) and find out its association with socio-economic-demographic factors among adults above 20 years in a residential area of Delhi. Materials and Methods: This was a community based cross-sectional study done in a residential area of East Delhi. The subjects were identified by door to door survey based onavailable records and self-report. They were interviewed using a pre-tested interview schedule with items on socio-economic and demographic characteristics. Chi-square test was used for qualitative data. Multivariate logistic regression analysis was used to find out associated factors with T2DM. Odds ratio (95% CI) was calculated. ‘p’ < 0.05 considered significant.Results: The self-reported prevalence of T2DM was 8.5% (461/5444) among 20 years andabove population. It was more in males (9.1%) than females (7.8%), highest (25%) in primary educated, least (7.3%) in graduates and above (p<0.001). Age-specific prevalence was maximum (22.4% in 60-69 years), least (0.2%) in 20-29 years (p<0.001). Occupation wise, maximum (19.2%) was in retired and least (0.7%) in unemployed (p<0.001). The associated factors were: age 50 years and above (OR 6.99, 95% CI 5.4-8.9), males (OR 1.33, 95% CI 1.07-1.65), secondary education (OR 1.39, 95% CI 1.05-1.84), unemployed (OR 1.45, 95% CI 1.15-1.83), per capita per month income Indian Rupees (INR) 20001 and above (OR 1.39, 95% CI 1.10-1.75). Conclusion: Self-reported prevalence of T2DM was 8.5%, more among males, >50 years, retired, secondary educated and with per capita income per month of Rs 20001 and above. It is necessary to create awareness among the people to identify, manage and prevent T2DM.Asian Journal of Medical Sciences Vol.7(4) 2016 6-13


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