scholarly journals Clinical and psychological aspects of hypoglycemia in patients with diabetes mellitus

2010 ◽  
Vol 13 (3) ◽  
pp. 46-50 ◽  
Author(s):  
Olga Georgievna Mel'nikova ◽  
Alexander Yur'evich Mayorov
Keyword(s):  
Diabetes Mellitus ◽  
Psychological Aspects ◽  
Diabetic Patients ◽  
Patients With Diabetes ◽  
Specialized Care ◽  
Detailed Characteristic ◽  
Key Aspects ◽  
Canadian Diabetes Association

This paper reviews key aspects of hypoglycemia in patients with diabetes mellitus. The description and classification of hyoglycemias are presented inconformity with criteria of American Diabetes Association, European Agency for Evaluation of Medicinal Products, Canadian Diabetes Association,and Russian Algorithm of specialized care for diabetic patients. The main factors responsible for the development of hypoglycemia and its clinicalpicture are considered. A detailed characteristic of abnormal sensitivity to hypoglycemia is given. Psychological aspects of the effects of hypoglycemiaon the quality of life and achievement of target parameters of glycemic control are analysed.

scholarly journals Pharmacist-Led Interventions on Improving Outcomes in Patients with Diabetes Mellitus: Evidence from the Literature

2020 ◽  
Vol 10 (4) ◽  
pp. 49-58
Author(s):  
Sini T Inasu ◽  
MV Kumudavalli
Keyword(s):  
Diabetes Mellitus ◽  
Self Management ◽  
Diabetic Patients ◽  
Health Related Quality ◽  
Randomized Controlled ◽  
Chd Risk ◽  
Patients With Diabetes ◽  
Related Quality ◽  
Health Related

Diabetes mellitus is a rapidly growing major health problem world-wide. The management of type 2 diabetes mellitus is complex, requiring continuous medical care by health care professionals and considerable self-care efforts by patients. A collaborative and integrated team approach in which pharmacists can play a pivotal role should be sought when managing patients with diabetes. Pharmacist-led care programs have been shown to help patients with diabetes succeed in achieving treatment goals and improving outcomes. Hence, the aim of this narrative review is to address and summarize the effectiveness of pharmacist interventions in the management of diabetic patients. A comprehensive literature search was conducted in PubMed/Medline, Scopus, web of Science and the Cochrane Library were searched from the date of database inception to June 2019. All randomized controlled trials evaluating the effectiveness of pharmacist-based interventions on diabetic patients in comparison with usual care were included in study. Outcomes of interest included short-term and long-term measures such as glycated haemoglobin (HbA1c), and secondary outcomes were blood glucose level, blood pressure (BP), lipid profile, body mass index (BMI), 10-year coronary heart disease (CHD) risk, medication adherence, health related quality of life (HRQoL), and economic outcomes. Twenty-five studies were included in this systematic study. They were heterogeneous in terms of interventions, participants, settings and outcomes. Pharmacist-led self-management interventions included education on diabetes and its complications, medication adherence, lifestyle and education of self-management skills. Few studies even focussed on patients need through a tailored intervention. We found that those who received the pharmacist care had a statistically significant improvement in HbA1C, blood pressure, lipid profile, health-related quality of life, and CHD risk. These results underline the added value of pharmacists in patient-related care.  Hence this review supports the involvement of pharmacists as a member of health- care teams in managing diabetic patients at diverse settings worldwide. Keywords: diabetes, self-management, HbA1C, pharmaceutical care, randomized controlled trial

scholarly journals Impact on the Quality of Life and Physiological Parameters in Patients with Diabetes Mellitus

2021 ◽  
Vol 11 (15) ◽  
pp. 6829
Author(s):  
María Reina-Bueno ◽  
Inmaculada C. Palomo-Toucedo ◽  
Manuel Ángel Medina-Núñez ◽  
Pedro V. Munuera-Martínez ◽  
Aurora Castro-Méndez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Physiological Parameters ◽  
Physical Parameters ◽  
Diabetic Patients ◽  
Life Questionnaire ◽  
Adult Women ◽  
Patients With Diabetes

The co-existence of complications and diabetes mellitus is related to a worsening in quality of life compared to not presenting comorbidities. This study aimed to investigate whether there is a different impact on quality of life according to gender and to establish the physiological parameters that these patients have in relation to diabetes-related complications. The sampling was continuous non-probabilistic, involving legal age patients with diabetes mellitus. All of the participants were administered the generic SF-36 quality of life questionnaire. The presence of peripheral artery disease was considered from an ankle brachial index <0.9 and grade II to grade IV of the Leriche–Fontaine classification. Nerve dysfunction was detected from a neurotensiometer test, and the presence of diabetic foot was detected from a dermal examination and co-existence with arteriopathy and/or neuropathy. Men presented significantly better quality of life values on the mental health, emotional role and health transition scales. Despite this, in the presence of complications such as vasculopathy, neuropathy or diabetic foot, the perception of well-being changes, showing that men and women face the disease in different ways. Despite the fact that the physical parameters of diabetic patients are similar according to the complications that they present, the adult women in our environment have lower levels of quality of life than men in most cases. This may be related not only to pathophysiological differences but also to sociocultural factors.

scholarly journals Application of artificial intelligence in prediction of cardiovascular complications in patients with diabetes mellitus type 2: A protocol of systematic review

2021 ◽  
Author(s):  
Hengameh Ferdosian ◽  
◽  
Hadi Zamanian ◽  
Sayed Ali Emami ◽  
Elahe Sedighi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Microvascular Complications ◽  
Cardiovascular Complications ◽  
Diabetic Patients ◽  
Increased Risk ◽  
Patients With Diabetes ◽  
Review Question

Review question / Objective: The aim of this systematic review is to evaluate AI-based models in identifying predictors of cardiovascular events and risk predtion in patients with diabetes mellitus type2. Condition being studied: T2DM patients have an increased risk of macrovascular and microvascular complications, lead to decreased quality of life and mortality. Considering the significance of cardiovascular complications in these patients, prediction of such events would be important. Different traditional statistical methods(such as regression) and new AI-besed algorithms are used to predict these complications in diabetic patients.

Respiratory Dysfunction in Patients With Sepsis: Protective Effect of Diabetes Mellitus

2011 ◽  
Vol 20 (2) ◽  
pp. e41-e47 ◽  
Author(s):  
Yong Yang ◽  
Zakir-Hussain Abdul Salam ◽  
Biauw Chi Ong ◽  
Kok Soong Yang
Keyword(s):  
Diabetes Mellitus ◽  
Organ Dysfunction ◽  
Asian Population ◽  
Diabetic Patients ◽  
Respiratory Dysfunction ◽  
Discharge Data ◽  
Patients With Diabetes ◽  
Classification Of Diseases ◽  
International Statistical Classification

Background Sepsis is a common complication in patients with diabetes mellitus. In a Western population, risk of respiratory dysfunction was lower in diabetic patients with sepsis. Objective To compare organ dysfunction, particularly respiratory dysfunction, between sepsis patients with and without diabetes mellitus in an Asian population. Method Hospital discharge data were collected for the period 2004 through 2008. Patients with sepsis, diabetes mellitus, and organ dysfunction were identified by using the International Statistical Classification of Diseases and Related Health Problems, 9th Revision, Australian Modification codes. Results Of the 383 238 patients hospitalized during the 5 years, 2943 of the 9221 who had sepsis also had diabetes (31.9%).The most common organ dysfunctions in patients with sepsis were renal (31.5%), cardiovascular (19.2%), and respiratory (10.9%). Among patients with sepsis, respiratory dysfunction was less likely in patients with diabetes (9.4%) than in those without (11.6%; P = .002), but renal dysfunction was more likely in patients with diabetes (46.5%) than in those without (24.4%; P &lt; .001). However, only 27.6% of patients with diabetes had a respiratory source of sepsis compared with 33.4% in patients without diabetes (P &lt; .001). Among patients with sepsis, diabetes mellitus was a significant and independent predictor of respiratory dysfunction (odds ratio, 0.80; 95% confidence interval, 0.66–0.98) after adjustments for age, sex, ethnicity, admission to intensive care, number of comorbid conditions, and other infection sources. Conclusion Among an Asian population, respiratory dysfunction in patients with sepsis is less likely to develop in those with diabetes than in those without diabetes.

scholarly journals Adhesive capsulitis of the shoulder joint (?frozen shoulder?) in patients with diabetes mellitus

2014 ◽  
Vol 17 (4) ◽  
pp. 16-24
Author(s):  
Nadezhda Viktorovna Maximova ◽  
Maria Vadimovna Amosova ◽  
Evdokiya Sergeevna Tsvetkova ◽  
Natalya Alexandrovna Chubrova ◽  
Galina Afanas'evna Mel’nichenko
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Diabetic Patients ◽  
Patients With Diabetes ◽  
Loss Of Motion

Adhesive capsulitis (АС) has an incidence of 20% in diabetic patients. The tightening of the shoulder capsule ("freezing") can cause gradually increasing limitation in active and passive range of motion (ROM) of shoulder. Consequences of the increasing limitations are reduced quality of life and patient disability. It is thought that AC is a self-limiting disorder that resolves in 1?2.5 years in most cases. However, new clinical data indicate both long-term persistent pain and residual loss of motion in 10% of patients without diabetes and in 85% of patients with diabetes. In this review, we summarize the results from different clinical trials in which risk factors and pathogenesis of AC in diabetic patients as well as the diagnosis and efficacy of various methods for the treatment of AC were examined.

scholarly journals Qualidade de vida na percepção da gravidade da doença em portadores de Diabetes Mellitus

2012 ◽  
Vol 3 (3) ◽  
pp. 143-146
Author(s):  
Geisa Mara Cardoso ◽  
Luciana Mendonça de Arruda Valoes ◽  
Onislene Alves Evangelista De Almeida ◽  
Carlos Kusano Bucalen Ferrari
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Family Health ◽  
Diabetic Patients ◽  
Life Questionnaire ◽  
Calidad De Vida ◽  
Sf 36 ◽  
Patients With Diabetes ◽  
Disease Perception

Objetivo: avaliar a qualidade de vida (QV) e a percepção da doença em pacientes com Diabetes Mellitus (DM) atendidos na Estratégia de Saúde da Família (ESF) em Aragarças-GO. Metodologia: entrevistas para aplicação do questionário sobre qualidade de vida (SF-36) e questões sobre a percepção da doença em 45 pacientes das unidades da ESF em Aragarças-GO. Resultados: a frequência da associação diabetes-hipertensão arterial foi elevada, bem como todos os domínios da QV foram afetados pela doença, especialmente nos pacientes diabéticos com pior percepção da doença. Conclusão: a percepção de gravidade do DM esteve relacionada ao comprometimento da QV.Descritores: Qualidade de Vida, Diabetes Mellitus, Percepção.Quality of life in the perception of disease severity in patients with Diabetes MellitusObjectives: to evaluate the quality of life (QOL) and disease perception in diabetes mellitus (DM) patients attending at the Family Health Strategy in Aragarças-GO. Methodology: interviews for application of the SF-36 quality of life questionnaire and questions regarding disease perception in 45 patients from FHS unities in Aragarças-GO. Results: Beyond the higher frequency of the DM-hypertension association, all QOL domains were affected by disease, especially among diabetic patients with worst disease perception. Conclusion: the perception of seriousness of DM was related to worsening QOLDescriptors: Quality of Life, Diabetes Mellitus, Perception.Calidad de vida en la percepción de la gravedad de la enfermedad en pacientes con Diabetes MellitusObjetivo: evaluar la calidad de vida (CV) y la percepción de la enfermedad en pacientes con diabetes mellitus (DM) tratados en la Estrategia de Salud Familiar (ESF) en Aragarças-GO. Metodología: entrevistas para la aplicación del cuestionario sobre la calidad de vida (SF-36) y preguntas acerca de la percepción de la enfermedad en 45 pacientes de las unidades de la ESF en Aragarças-GO. Resultados: la frecuencia de la asociación diabetes-hipertensión arterial fue alta, así como todos los dominios de la CV se vieron afectadas por la enfermedad, especialmente en los pacientes diabéticos con mala percepción de la enfermedad. Conclusión: la percepción de la gravedad de la DM se relacionó con baja CV.Descriptores: Calidad de Vida, Diabetes Mellitus, Percepción.

scholarly journals Social Networking Services-Based Communicative Care for Patients with Diabetes Mellitus in Korea

2016 ◽  
Vol 07 (03) ◽  
pp. 899-911
Author(s):  
Hun-Sung Kim ◽  
Yoo Jeong ◽  
Sun Baik ◽  
So Yang ◽  
Tong Kim ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Social Networking ◽  
Community Care ◽  
Diabetic Patients ◽  
Social Networking Services ◽  
Glucose Levels ◽  
Insulin Regulation ◽  
Patients With Diabetes ◽  
Insufficient Knowledge

SummarySocial networking services (SNS)-based online communities are good examples of improving quality of care by incorporating information technology into medicine. Therefore, we created an SNS-based community care webpage for communication among patients with diabetes mellitus (DM). We aimed to identify what diabetic patients wanted to know and were interested in by analyzing their posts and classified content in which users were interested.As opposed to the existing physician-focused health information websites, we built a patient-focused experience exchange website, “I love insulin (http://www.iloveinsulin.co.kr).” The DM communication webpage was divided into “My Web-Chart,” “My community-free board,” and “Life & Health.” The contents analysis targeted users’ postings, and replies were classified by theme from May 2012 to June 2013. The data included number of questions asked, answers, and question-to-answer (QA) ratio in each category.A total of 264 patients registered on the “I Love Insulin” website. The most frequent topic of posts classified as questions were about diabetes itself (23%), diet (22%), and glucose levels (19%). Conversely, most answers and information provided by users were about daily life with no relationship to diabetes mellitus (54%). While there were many questions about diet, there were very few answers (2%). Whereas there was much provision of knowledge about general DM, sharing diet information was rare. The ratios of answers to questions on diet (ratio=0.059, 1/17), glucose level (ratio=0.067, 1/15), insulin regulation (ratio=0.222, 2/9) and webpage (ratio=0.167, 1/6) were significantly low compared to DM itself (all p < 0.001).Patients in Korea with DM tend to have insufficient knowledge about diet and insulin regulation; continuously providing diet and insulin regulation information are desirable. It is hoped that the patients would be motivated to participate actively by “knowledge sharing.” Through this process, patients learn about their diseases not from the physicians but from among themselves.Citation: Kim H-S, Jeong YJ, Baik SJ, Yang SJ, Kim TM, Kim H, Lee H, Lee S-H, Cho JH, Choi I-Y, Yoon K-H. Social networking services-based communicative care for patients with diabetes mellitus.

scholarly journals Depression, anxiety, and associated factors in patients with diabetes: evidence from the Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study

2020 ◽  
Author(s):  
Sy-Cherng Luke Woon ◽  
Hatta Sidi ◽  
Arun Ravindran ◽  
Paula Junggar Gosse ◽  
Roslyn Laurie Mainland ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Personality Traits ◽  
Associated Factors ◽  
Diabetic Patients ◽  
Depression And Anxiety ◽  
Prevalence Of Depression ◽  
Patients With Diabetes ◽  
Anxiety Depression

Abstract Background: Depression and anxiety are common psychiatric complications affecting patients with diabetes mellitus. However, data on the prevalence of depression, anxiety, and associated factors among Malaysian diabetic patients is scarce. The Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study aimed to determine the prevalence of depression and anxiety, and their associated factors in the Malaysian diabetic population. Methods: This cross-sectional study recruited 300 diabetic patients via convenience sampling from the Endocrine outpatient clinic of Universiti Kebangsaan Malaysia Medical Centre, a tertiary referral healthcare facility in Kuala Lumpur. Socio-demographic characteristics and clinical history were obtained from each participant. The Generalised Anxiety Disorder-7 (GAD-7) was administered to assess anxiety symptoms, the Beck Depression Inventory (BDI) to assess depressive symptoms, the Big Five Inventory (BFI) to evaluate personality traits, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) to measure quality of life (QOL). Stepwise multiple logistic regression analyses were performed to determine the association between various factors, and depression and anxiety. Results: The prevalence of depression was 20% (n = 60) while anxiety was 9% (n = 27). Co-morbid depression (adjusted odds ratio [OR] = 9.89, 95% confidence interval [CI] = 2.63- 37.14, p = 0.001) and neuroticism (adjusted OR = 11.66, 95% CI= 2.69-50.47, p = 0.001) increased the odds of developing anxiety, while conscientiousness (adjusted OR = 0.45, 95% CI= 0.23-0.80, p = 0.004) and greater psychological-related QOL (adjusted OR = 0.47, 95% CI= 0.29-0.75, p = 0.002) were protective. Co-morbid anxiety (adjusted OR = 19.83, 95% CI = 5.63- 69.92, p < 0.001) increased the odds of depression, while older age (adjusted OR = 0.96, 95% CI = 0.93–0.98, p = 0.002), social relationship-related QOL (adjusted OR= 0.84, 95% CI = 0.71- .0.99, p= 0.047), and physical health-related QOL (adjusted OR = 0.69, 95% CI = 0.58-0.83, p < 0.001) were protective. Conclusions: The study findings signify the need to screen for co-morbid depression and anxiety, as well as personality traits and QOL, and to include psychosocial interventions when planning a multidisciplinary approach to managing diabetes.

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