scholarly journals Perceptions among diabetic patients in the ultra-orthodox Jewish community regarding medication adherence: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Inbar Levkovich ◽  
David Rodin ◽  
Shiri Shinan-Altman ◽  
Mordechai Alperin ◽  
Hodaya Stein
Keyword(s):  
Jewish Community ◽  
Treatment Adherence ◽  
Healthy Lifestyle ◽  
Qualitative Interviews ◽  
Orthodox Jewish ◽  
Diabetic Patients ◽  
Strict Adherence ◽  
Appropriate Treatment ◽  
Medicinal Treatment ◽  
Patients With Diabetes

Abstract Background Promoting a healthy lifestyle and achieving strict adherence to medical treatment among patients with diabetes are key objectives in public health. Yet health behaviors are often culturally driven, especially in closed religious communities. This study seeks to reveal key cultural-religious factors, attitudes and behaviors characterizing the lifestyle in one such closed community—the ultra-Orthodox Jewish community—by understanding the attitudes of ultra-Orthodox patients with diabetes toward coping with their illness and the factors impacting their adherence to medicinal treatment. Method Qualitative interviews were conducted with 16 ultra-Orthodox patients with diabetes using a semi-structured, in-depth questionnaire. Results Three main themes emerged: 1) “The disease as a secret”: Hiding the disease among patients with diabetes in ultra-Orthodox society; 2) “Distinguishing between sacred and secular occasions”: ultra-Orthodox diabetes patients distinguish between treatment adherence on weekdays and treatment adherence on holidays or special occasions; 3) “Ask the rabbi”: In cases of dilemmas that involved conflicts between halakhic rulings and doctors’ instructions, the rabbi’s decision was usually the final one. Conclusions The findings of this study may help provide an in-depth understanding of the obstacles and motives of ultra-Orthodox patients in adhering to medicinal treatment of diabetes in particular and to medicinal treatment in general, thus helping family physicians who treat this population provide optimal and appropriate treatment.

scholarly journals The influence of quality of life in treatment adherence of diabetic patients: a systematic review

2015 ◽  
Vol 49 (5) ◽  
pp. 839-846 ◽  
Author(s):  
Luana de Fátima Gusmai ◽  
Tatiana de Sá Novato ◽  
Lilia de Souza Nogueira
Keyword(s):  
Quality Of Life ◽  
Treatment Adherence ◽  
Web Of Science ◽  
Glycated Hemoglobin ◽  
Diabetic Patients ◽  
Diabetes Treatment ◽  
Review Of The Literature ◽  
Foot Care ◽  
Patients With Diabetes

AbstractOBJECTIVETo verify the influence of quality of life in treatment adherence of patients with diabetes mellitus.METHODSystematic review of the literature using the databases MEDLINE, CINAHL, Scopus, LILACS, SciELO and Web of Science with studies published between 2003 and 2014 in English, Portuguese or Spanish.RESULTSSix studies were included in the review, three were identified as having better quality of life scores, being related to better adherence to diabetes treatment measured by glycated hemoglobin or characteristics related to diet, exercise, use of medication and foot care. No association was found between quality of life and adherence in two investigations and a study found a negative association between these variables.CONCLUSIONThere is causal relationship between quality of life and adherence with diabetes treatment. It is suggested that psychosocial aspects of patients should be considered by health professionals in the search for better clinical outcomes in diabetes care.

scholarly journals Knowledge, Attitude, and Practice of Diabetes Mellitus

Thrita ◽  
2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei
Keyword(s):  
Diabetes Mellitus ◽  
Healthy Lifestyle ◽  
Medical Center ◽  
Diabetic Patients ◽  
Attitude And Practice ◽  
Single Person ◽  
Patients With Diabetes ◽  
Level Of Knowledge ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Background: To begin an educational program for diabetic patients, the assessment of their current level of knowledge (K), attitude (A), and practice (P) was necessary. Objectives: This research aimed to estimate the knowledge, attitude, and practice (KAP) of the general public, because of diabetes mellitus. Methods: A convenient sampling method was used to select 384 of every single person who was admitted to a research, educational and medical center, in the western north of Tehran, in 2018. KAP questionnaire on diabetes was completed, and the level of KAP was evaluated in diabetic and non-diabetic people using SPSS software. Results: The overall mean (± SD) of the knowledge, attitude, and practice was 12.13 ± 3.84, 5.52 ± 5 and 10.68 ± 51.96, respectively. Several linear regressions in the two groups for the total knowledge scores, total attitudes scores, and total practice scores displayed several significant (adjusted) associations. Conclusions: The results of this study showed that we need to increase the knowledge and attitude of patients with diabetes about a healthy lifestyle, including regular exercise, a healthy diet, and weight loss.

scholarly journals Cutaneous Manifestations of Diabetes Mellitus and Prediabetes

2019 ◽  
Vol 32 (6) ◽  
pp. 459 ◽  
Author(s):  
Maria Mendonça Sanches ◽  
Ângela Roda ◽  
Rita Pimenta ◽  
Paulo Leal Filipe ◽  
João Pedro Freitas
Keyword(s):  
Diabetic Patients ◽  
Secondary Effects ◽  
Metabolic Evaluation ◽  
Sensitive Skin ◽  
Cutaneous Manifestations ◽  
Appropriate Treatment ◽  
Patients With Diabetes ◽  
Care Costs ◽  
Timely Referral

Diabetes is a serious, chronic disease with a rising prevalence worldwide. Its complications are a major cause of morbidity and mortality and contribute substantially to health care costs. In this article the authors review the most common and sensitive skin manifestations that can be present on patients with diabetes and prediabetes. The prompt recognition of these frequently underestimated entities is extremely important as it may trigger not only an adequate metabolic evaluation but also a timely referral and appropriate treatment, minimizing the secondary effects of long-term diabetes and improving the prognosis of diabetic patients.

Intramuscular Nerve and Neuromuscular Junction Alteration In Extraocular Muscles of Diabetic Mice

1985 ◽  
Vol 43 ◽  
pp. 682-683
Author(s):  
Bruce R. Pachter
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Nerves ◽  
Sudden Onset ◽  
Extraocular Muscles ◽  
Diabetic Patients ◽  
Oculomotor Palsy ◽  
Third Nerve Palsy ◽  
Patients With Diabetes ◽  
Intramuscular Nerve ◽  
Oculomotor Nerves

Diabetes mellitus is one of the commonest causes of neuropathy. Diabetic neuropathy is a heterogeneous group of neuropathic disorders to which patients with diabetes mellitus are susceptible; more than one kind of neuropathy can frequently occur in the same individual. Abnormalities are also known to occur in nearly every anatomic subdivision of the eye in diabetic patients. Oculomotor palsy appears to be common in diabetes mellitus for their occurrence in isolation to suggest diabetes. Nerves to the external ocular muscles are most commonly affected, particularly the oculomotor or third cranial nerve. The third nerve palsy of diabetes is characteristic, being of sudden onset, accompanied by orbital and retro-orbital pain, often associated with complete involvement of the external ocular muscles innervated by the nerve. While the human and experimental animal literature is replete with studies on the peripheral nerves in diabetes mellitus, there is but a paucity of reported studies dealing with the oculomotor nerves and their associated extraocular muscles (EOMs).

Management of the Asymptomatic Diabetic Patient with Evidence of Ischaemia

2010 ◽  
Vol 6 (1) ◽  
pp. 62
Author(s):  
Dimitrios Bliagos ◽  
Ajay J Kirtane ◽  
Jeffrey W Moses ◽  
◽  
◽  
...  
Keyword(s):  
Coronary Artery ◽  
Medical Therapy ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Diabetic Patients ◽  
Ageing Population ◽  
Patients With Diabetes ◽  
Risk Patients ◽  
Asymptomatic Diabetic Patient ◽  
Artery Disease

In the US, a total of 23.6 million people have diabetes, representing 7.8% of the population, and the prevalence of diabetes is on the rise due to an increasingly sedentary lifestyle, increasing obesity and an ageing population. Coronary artery disease is the leading cause of death in patients with diabetes, despite a reduction in cardiovascular events over the last 50 years, due in part to better medical therapy. Asymptomatic diabetic patients with evidence of ischaemia on stress testing have higher cardiac mortality; increasing amounts of ischaemia are associated with higher mortality rates. Revascularisation of high-risk patients, or those with significant ischaemia, has the potential to improve outcomes in this patient population. The choice of which revascularisation strategy to choose – either percutaneous coronary intervention (PCI) or coronary artery bypass grafting – should be carefully individualised, and must always be implemented against the background of optimal medical therapy.

Impact of Active Antihyperglycemic Components as Herbal Therapy for Preventive Health Care Management of Diabetes

2019 ◽  
Vol 19 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Harsha Kashyap ◽  
Sarika Gupta ◽  
Renu Bist
Keyword(s):  
Side Effects ◽  
Healthy Lifestyle ◽  
Preventive Health Care ◽  
Diabetic Patients ◽  
Steroidal Saponin ◽  
Herbal Therapy ◽  
Diabetes Type Ii ◽  
Artificial Insulin ◽  
Artery Disease ◽  
Sensory Fibers

Diabetes is a metabolic hyperglycemic condition that progressively develops, effect small and large sensory fibers in the affected population. It has various complications as hypertension, coronary artery disease, stroke, blindness, kidney disease as well as peripheral neuropathy. Sulfonylureas, thiazolidinediones, metformin, biguanidine, acarbose and insulin are commonly used drugs for diabetic patients, but these all have certain side effects. Even metformin, that is known as the miracle drug for diabetes has been found to be associated with side effects, as during treatment it involves complications with eyes, kidneys, peripheral nerves, heart and vasculature. In the present article, we hypothesize recent discoveries with respect to active ingredients from Indian medicinal plants i.e., polypeptide-p (protein analogue act as artificial insulin), charantin (a steroidal saponin), momordicin (an alkaloid) and osmotin (ubiquitous plant protein and animal analogue of human adeponectin) possessing anti-hyperglycemic potential for diabetes type II. Therefore, plants as herbal therapy have preventive care of hyperglycemia accompanied with healthy lifestyle which can provide significant decline in the incidences of diabetes in future.

The cost-effectiveness of insulin analogs and regular insulin for diabetes control: a case study in Iran

2020 ◽  
Vol 33 (4/5) ◽  
pp. 323-331
Author(s):  
Mohsen pakdaman ◽  
Raheleh akbari ◽  
Hamid reza Dehghan ◽  
Asra Asgharzadeh ◽  
Mahdieh Namayandeh
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Regular Insulin ◽  
Diabetes Control ◽  
Diabetic Patients ◽  
Insulin Analogs ◽  
Content Type ◽  
Patients With Diabetes ◽  
The Government ◽  
The Cost

PurposeFor years, traditional techniques have been used for diabetes treatment. There are two major types of insulin: insulin analogs and regular insulin. Insulin analogs are similar to regular insulin and lead to changes in pharmacokinetic and pharmacodynamic properties. The purpose of the present research was to determine the cost-effectiveness of insulin analogs versus regular insulin for diabetes control in Yazd Diabetes Center in 2017.Design/methodology/approachIn this descriptive–analytical research, the cost-effectiveness index was used to compare insulin analogs and regular insulin (pen/vial) for treatment of diabetes. Data were analyzed in the TreeAge Software and a decision tree was constructed. A 10% discount rate was used for ICER sensitivity analysis. Cost-effectiveness was examined from a provider's perspective.FindingsQALY was calculated to be 0.2 for diabetic patients using insulin analogs and 0.05 for those using regular insulin. The average cost was $3.228 for analog users and $1.826 for regular insulin users. An ICER of $0.093506/QALY was obtained. The present findings suggest that insulin analogs are more cost-effective than regular insulin.Originality/valueThis study was conducted using a cost-effectiveness analysis to evaluate insulin analogs versus regular insulin in controlling diabetes. The results of study are helpful to the government to allocate more resources to apply the cost-effective method of the treatment and to protect patients with diabetes from the high cost of treatment.

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