Further Analysis on Solution Treatment for Diabetes of Patients at Hospitals in Vietnam

2021 ◽  
Vol 19 (8) ◽  
pp. 88-93
Author(s):  
Vu Thanh Binh ◽  
Dinh Tran Ngoc Huy
Keyword(s):  
Blood Pressure ◽  
Sugar Content ◽  
Solution Treatment ◽  
Policy Implications ◽  
University Hospital ◽  
Masked Hypertension ◽  
Blood Pressure Monitor ◽  
Number Of Patients ◽  
Study Results

In recent years in Vietnam, preventing and treatment for diabetes of patients in hospitals has been rising as hot issues because the number of patients with diabetes tend to increase much. Our study uses mainly statistics and qualitative analysis synthesis and inductive methods, together with quantitative analysis with data and statistics. Vu Thanh Binh et al (2021) said that Monitoring blood pressure with a continuous blood pressure monitor to carry around to detect masked hypertension (MH) in type 2 diabetes patients who are on outpatient treatment at Thai Binh Medical University Hospital, Thai Binh, Vietnam. Our study results indicated that diabetes including type 1 and type 2 and can be identified at early stages and have prevention treatment solutions such as physical exercises, eating food with lipid, and Reduce the amount of foods with high starch and sugar content. Lat but not least, Strengthening knowledge and skills of nurses and doctors and quality of human resources operating in the field of diabetes. Finally, our paper will propose policy implications and recommendations.

scholarly journals Characteristics of Masked Hypertension in Diabetes Mellitus Patientstype 2

2021 ◽  
pp. 176-184
Author(s):  
Vu Thanh Binh ◽  
Nguyen Le Thuy ◽  
Le Minh Hieu
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Diastolic Blood Pressure ◽  
University Hospital ◽  
Diabetic Patients ◽  
Masked Hypertension ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Hypertensive Patients

Monitoring blood pressure with a continuous blood pressure monitor to carry around to detect masked hypertension (MH) in type 2 diabetes patients who are on outpatient treatment at Thai Binh Medical University Hospital, Thai Binh, Vietnam. Objective: Analysis of MH characteristics in type 2 diabetic patients. Research Methods: Cross-sectional descriptive study, sample size of 186 patients with type 2 diabetes with MH determined by blood pressure monitor 24 hours. Analysis of 24-hour blood pressure results in MH patients. Results: 186 patients with hypertension / type 2 diabetes, including 77 men and 109 more, the average age is 62.2 ± 9.3 years old, there are 98.9% of hypertensive patients with grade I, only 1.1% of hypertensive patients degree II; MH at night accounted for the highest rate of 43.0%, of which the average systolic blood pressure was 123.8 ± 9.8 mmHg, and diastolic blood pressure was 75.2 ± 6.1 mmHg; On average, the highest increase is around 9 am and 19 pm, slightly down around 13pm and down at the deepest around 2-3am. There is a synchronous variation between systolic and diastolic blood pressure. Conclusion: Blood pressure should be monitored continuously for 24 hours in all patients with type 2 diabetes to detect and promptly treat MH.

Pharmacists’ Impact on Improving Outcomes in Patients With Type 2 Diabetes Mellitus

2012 ◽  
Vol 38 (3) ◽  
pp. 409-416 ◽  
Author(s):  
Matthew J. Pepper ◽  
Natohya Mallory ◽  
T. Nicole Coker ◽  
Amber Chaki ◽  
Karen R. Sando
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetes Management ◽  
Management Team ◽  
Outpatient Clinics ◽  
End Points ◽  
Number Of Patients

Purpose The purpose of this study was to evaluate a diabetes education program that includes a pharmacist as a member of the diabetes management team by assessing the change in hemoglobin A1c (A1C), cholesterol, and blood pressure for patients with type 2 diabetes in outpatient clinics. Methods This was a retrospective study in outpatient clinics at Shands Jacksonville Medical Center. The patients were assigned into either the pharmacist group or the nonpharmacist group, according to the presence or the absence of a pharmacist in the clinic. The primary end point was the absolute change in A1C versus baseline. Secondary end points included change in cholesterol and blood pressure and the number of patients to attain American Diabetes Association goals. End points were recorded to correlate within 3 months of the initial visit and final visit with a provider. Results Compared to the nonpharmacist group, patients in the pharmacist group had more advanced and uncontrolled diabetes at baseline. The pharmacist group showed a greater percent change in A1C and improvement between the initial and final clinic visits, after adjusting for baseline confounders. Despite the statistically significant improvement in A1C in the pharmacist group, there was no difference found between the 2 groups for the end points of cholesterol and blood pressure. Conclusion Including a pharmacist as a part of the diabetes management team may result in lower A1C in patients with more advanced and uncontrolled type 2 diabetes mellitus versus a health care team without a pharmacist.

scholarly journals Association of hypertension and diabetic retinopathy in type 2 DM patients.

2020 ◽  
Vol 27 (10) ◽  
pp. 2056-2061
Author(s):  
Ali Saqib ◽  
Muhammad Sarfraz ◽  
Touseef Anwar ◽  
Muhammad Absar Alam ◽  
Rizwan Rasul Khan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Diabetic Retinopathy ◽  
Strong Association ◽  
Mean Value ◽  
University Hospital ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Type 2 Dm ◽  
Group B

Objectives: To evaluate the association of hypertension and diabetic retinopathy in type 2 DM patients. Study Design: Case Control study. Setting: Diabetic Clinic Department of Medicine, Independent University Hospital, Faisalabad. Period: From January 2019 to June 2019. Material & Methods: One Hundred Type 2 diabetic patients of either sex were reviewed and these patients were screened for diabetic retinopathy using welchallyn ophthalmoscope. The patients with diabetic retinopathy fulfilling the inclusion criteria were placed in group A (cases) and patients without diabetic retinopathy were placed in group B (control). After resting the patient in supine position for 5 minutes, blood pressure (BP) measurements were taken in all these patients using mercury sphygmomanometer in two successive out-patient department visits, and mean value of B.P. was taken. All patients were asked for duration of diabetes, hypertension and visual problems specifically. These patients were advised following investigations: - FBS. - RBS. - HbAlc. Relevant statistics, mean & standard deviation were computed for variables. T-test was applied on hypertension (independent) and DM retinopathy (dependent) variables. Results: Systolic and diastolic blood pressure were significantly higher in the patients with retinopathy (mean systolic B.P 153.4± 17.13 and mean diastolic B.P. 84.1±9.26) than in those without retinopathy (mean systolic B.P. 130.65±11.94 and mean diastolic B.P 77.3 ±6.64). There was significant correlation of diabetic retinopathy with systolic hypertension (P<0.05) and diastolic hypertension (P<0.001). Conclusion: There is strong association between diabetic retinopathy and hypertension. So early detection and treatment of hypertension can retard the development and progression of diabetic retinopathy.

scholarly journals Pattern of Organisms and Antibiotics Used in Treating Diabetes Foot Infection

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Joehaimey J ◽  
Mohamad Adam B ◽  
M Anwar Hau A ◽  
Kamil MK ◽  
SP Jaya Purany ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
First Line ◽  
Klebsiella Species ◽  
Diabetic Foot Infections ◽  
Number Of Patients ◽  
Study Results ◽  
Government Hospitals ◽  
Record Review ◽  
And Staphylococcus Aureus

Introduction: The aim of this study is to determine the most common organisms isolated in diabetic foot infection and the most utilised antibiotic regimes as the first line of treatment. Methods: This is a retrospective record review of the National Orthopaedic Registry Malaysia among diabetes mellitus type 2 patients who had foot infections. All identified cases admitted to 18 government hospitals in Malaysia from the 1st January 2008 until the 31st December, 2009 were included in the study. Results: A total of 416 patients were included in the study. The most common organisms cultured were Proteus species (17.5%), Klebsiella species (17.1%) and Staphylococcus aureus (17.9%), while the most commonly used antibiotic was ampicillin/sulbactam (67.5%). None of the patients was appropriately treated with metronidazole, cefoperazone or fucidic acid. All patients were given appropriate antibiotics to treat Serratia infection. Conclusion: Significant number of patients with diabetic foot infections were not treated using appropriate antibiotics as the first line treatment.

scholarly journals Are Patients with Type 2 Diabetes Mellitus at a University Hospital in Jeddah Achieving Treatment Goals?

2016 ◽  
Vol 6 (2) ◽  
pp. 35-41
Author(s):  
Suhaib A. Radi ◽  
Nada K. Bashnini ◽  
Hebah Y. Alahwal ◽  
Deemah A. Tashkandi ◽  
Maram J. Sibyani ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Retrospective Chart Review ◽  
University Hospital ◽  
Outpatient Clinics ◽  
Treatment Goals ◽  
Hba1c Levels

Background: Diabetes mellitus is one of the most prevalent chronic diseases worldwide and is very debilitating. Studies have shown that adherence to treatment recommendations are rewarded with a decrease in diabetes mellitus - related morbidity and mortality. The aim of this study is to assess adherence to the American Diabetes Association treatment goals in patients with type 2 diabetes mellitus. Methods: This was a retrospective chart review study, between February and April, 2013, of patients with type 2 diabetes mellitus who attended outpatient clinics at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. We included patients provided they were adults (≥ 18 years) with type 2 diabetes mellitus who were regularly followed up at the outpatient clinics, and they have had the disease for more than one year. Results: We included 201 patients between 27 – 96 years old. Most patients had their blood pressure and creatinine levels measured during each visit, and close to half had their HbA1c levels measured twice in the last year of follow up. Approximately 55.10% of the patients achieved an LDL level < 2.6 mmol/L. A relatively small proportion of the patients had blood pressure measurements and HbA1c levels within the recommended guidelines (29.03% and 24.53%, respectively). Conclusion: Diabetes mellitus is not very well controlled. This could be attributed to physicians’ factors and patients’ factors. Further studies to assess this issue are recommended.  

scholarly journals Managing diabetes mellitus in underserved subjects of Western China using a telemedicine system— A clinical trial

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Ya Li ◽  
Weiguo Ma ◽  
Jiao Bai ◽  
Chuanqing Xie ◽  
Yuanyuan Huo
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Western China ◽  
Control Group ◽  
Group Comparison ◽  
Telemedicine System ◽  
Study Results

Objective: To evaluate the effectiveness of Internet and telephone-based telemedicine system managing on patients’ glycemic index, blood pressure, and lipid level control in underserved subjects with type 2 diabetes in Western China. Research designs and methods: In a 3 years, randomized, controlled, single-blind, parallel-group treat-to-target study, 412 subjects with type 2 diabetes were randomized to telemedicine (Tel; n =208) group and usual care (control; n =204) group. We evaluated the effects of the intervention on blood sugar, blood pressure, and lipid levels at 1, 2, 3 years point, and investigated the cause of the loss during follow-up by phone call.Results: Intra-group comparison: in the Tel group, the FBS, 2HPG, HbA1c, and SBP at 1, 2, 3 years and DBP, TC, TG, BMI at 2, 3 years were significantly decreased compared with baseline level  (P<0.05). Moreover, the Tel group had an obvious better control of their HbA1c  at 2 and 3 years and 2HPG  at 3 years of follow-up respectively compared with the outcomes at 1 year (P<0.05).Inter-group comparison: the FBS, 2HPG, and HbA1c of Tel group decreased significantly from the baseline to the 1 year more than those of control group (P<0.05 or P<0.01 ). In this analysis, all clinical measures of Tel group had a significant downward compared with the outcomes of Control group  at 2 years, the FBS, HbA1c and BMI (P<0.001), the 2HPG and SBP (P<0.01) and DBP, TC, and TG (P<0.05) were statistically significant respectively. Logistic regression analysis showed that the subject loss during follow-up was associated with worse diabetes management (OR=3.842), low income (OR=3.201), low education level (OR=0.923), and greater distance to the hospital (OR=0.921).Conclusions: The study results indicated that the telemedicine may be a useful tool for managing diabetes mellitus.

Comparison of Blood Pressure Control in Hypertensive Patients from Primary Care Units of University Hospital and Community in Southern Thailand

2020 ◽  
Vol 103 (5) ◽  
pp. 512-518
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Quality Of Care ◽  
Pressure Control ◽  
University Hospital ◽  
Odds Ratios ◽  
Primary Care Unit ◽  
Number Of Patients ◽  
Southern Thailand

Background: Hypertension (HT) is the most common condition seen in primary care. The proportion of patients with wellcontrolled HT reflects the quality of care in a given setting. Objective: To compare the proportion of participants with controlled blood pressure (BP) in four primary care units (PCUs) in Hat Yai, Songkhla, Thailand. Materials and Methods: Data concerning demography and antihypertensive drug usage were collected from the medical records of 1,690 patients in four PCUs (Songklanagarind Hospital, Municipal School 4, Banpru Municipality, and Kho Hong Municipality) between January 2019 and May 2019. The factors associated with uncontrolled HT were assessed using multiple logistic modeling and reported in terms of odds ratios and corresponding 95% confidence intervals (CI). Results: The proportion of patients with controlled HT in the four PCUs and their corresponding 95% CI were 92.1% (90.8 to 93.6), 96.2% (90.3 to 98.7), 88.2% (84.3 to 90.1), and 74.5% (66.8 to 81.2). Of the total number of patients with controlled HT, 64.4% were female. The odds ratios and the 95% CI of the significantly associated factors with uncontrolled HT were PCU of site 3 and 4 (1.7, 1.1 to 2.6 and 3.0, 1.8 to 5.1), age of 65 years or older (0.7, 0.5 to 0.9), and dyslipidemia (0.7, 0.5 to 1.0). Conclusion: There were differences in quality of care among the PCUs, and they are associated with patient age and comorbidities like dyslipidemia. Keywords: Hypertension, Essential hypertension, Hypertensive treatment, Blood pressure, Primary care unit

scholarly journals Thoracic surgery in the COVID-19 era: an Italian university hospital experience

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Riccardo Taje ◽  
Stefano Elia ◽  
Benedetto Cristino ◽  
Federico Tacconi ◽  
Gianluca Natali ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Surgical Care ◽  
Primary Outcome Measure ◽  
University Hospital ◽  
Mortality And Morbidity ◽  
Number Of Patients ◽  
Study Results ◽  
Group A ◽  
Advanced Stages ◽  
Free Rate

Abstract Background Aims of this study were to assess the results of anti-COVID19 measures applied to maintain thoracic surgery activity at an Italian University institution through a 12-month period and to assess the results as compared with an equivalent non-pandemic time span. Methods Data and results of 646 patients operated on at the department of Thoracic Surgery of the Tor Vergata University Policlinic in Rome between February 2019 and March 2021 were retrospectively analyzed. Patients were divided in 2 groups: one operated on during the COVID-19 pandemic (pandemic group) and another during the previous non-pandemic 12 months (non-pandemic group). Primary outcome measure was COVID-19 infection-free rate. Results Three patients developed mild COVID-19 infection early after surgery resulting in an estimated COVID-19 infection-free rate of 98%. At intergroup comparisons (non-pandemic vs. pandemic group), a greater number of patients was operated before the pandemic (352 vs. 294, p = 0.0013). In addition, a significant greater thoracoscopy/thoracotomy procedures rate was found in the pandemic group (97/151 vs. 82/81, p = 0.02) and the total number of chest drainages (104 vs. 131, p = 0.0001) was higher in the same group. At surgery, tumor size was larger (19.5 ± 13 vs. 28.2 ± 21; p < 0.001) and T3-T4/T1-T2 ratio was higher (16/97 vs. 30/56; p < 0.001) during the pandemic with no difference in mortality and morbidity. In addition, the number of patients lost before treatment was higher in the pandemic group (8 vs. 15; p = 0.01). Finally, in 7 patients admitted for COVID-19 pneumonia, incidental lung (N = 5) or mediastinal (N = 2) tumors were discovered at the chest computed tomography. Conclusions Estimated COVID-19 infection free rate was 98% in the COVID-19 pandemic group; there were less surgical procedures, and operated lung tumors had larger size and more advanced stages than in the non-pandemic group. Nonetheless, hospital stay was reduced with comparable mortality and morbidity. Our study results may help implement efficacy of the everyday surgical care.

scholarly journals DIABETIC NEPHROPATHY

2016 ◽  
Vol 23 (02) ◽  
pp. 121-128
Author(s):  
Jahangir Liaquat ◽  
Muhammad Adnan Bawany ◽  
Noman Shaikh ◽  
Adnan Ali Khahro ◽  
Falak Naz
Keyword(s):  
Type 1 Diabetes ◽  
Diabetic Nephropathy ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Study Results ◽  
Study Setting ◽  
Symptoms And Signs

Objectives: To find out the frequency of hypoglycemia in patients with diabeticnephropathy. Study Design: Cross sectional study. Setting: Emergency department anddepartment of medicine Liaquat university Hospital Hyd/ Jamshoro. Study Period: One yearfrom 01-03-2009 to 28-02-2010. Methodology: Two hundred cases of diabetic nephropathy onthe basis of symptoms and signs of hypoglycemia were selected in this study. Results: Out of200 patients, 102(51%) were males and 98(49%) were females, 10.5% had type-1 diabetes and89.5% had type-2 diabetes. Most of the patients belonged to 60 to 75 years of age. The averageduration of diabetes was 12.20 ± 6.14 years. Out of 23 hypoglycemic patients, 5 (21.7%)had type-1 diabetes in which 4 were male and one was female while 18 (78.3%) had type-2diabetes in which 10 were male and 8 were female patients. Conclusion: It was observed thathypoglycemia

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