scholarly journals Effect of a new health education model on continuous nursing in elderly patients with diabetes mellitus

2018 ◽  
Vol 5 (1) ◽  
pp. 69-74
Author(s):  
Jing-Jing Chao ◽  
Ya-Zhuo Xue
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Health Education ◽  
Elderly Patients ◽  
Nursing Care ◽  
Density Lipoprotein ◽  
Control Group ◽  
Patients With Diabetes ◽  
Education Model ◽  
Experimental Group

Abstract Objective We aimed to explore the effect of a new health education model on continuous nursing care in elderly patients with diabetes mellitus who had undergone an operation for fracture. Methods Convenience sampling was used to select 59 elderly patients with diabetes mellitus and fracture. New health education methods were used, and patient parameters were evaluated before and after the intervention. Results Evaluation of medication, reasonable diet, regular exercise, blood glucose monitoring, and regular follow-up compliance were significantly improved in the experimental group compared to the control group (P < 0.05). There were also significant differences between groups in fasting blood glucose, 2-hour postprandial blood glucose, triglyceride, high-density lipoprotein, and low-density lipoprotein levels (P < 0.05); however, the differences between groups in terms of glycosylated hemoglobin and total cholesterol levels were not statistically significant (P > 0.05). Finally, the functional recovery and mental health of the experimental group were significantly better than those of the control group (P < 0.05). Conclusions The implementation of a menu of voluntary services in community-based continuous nursing provided standardized nursing care for elderly patients with fracture and diabetes mellitus and improved their quality of life.

scholarly journals Insulin Glargine and Acarbose in the treatment of elderly patients with diabetes

2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Jing Li ◽  
Jinzhi Ji ◽  
Fuyan Liu ◽  
Lingling Wang
Keyword(s):  
Quality Of Life ◽  
Blood Glucose ◽  
Elderly Patients ◽  
Insulin Glargine ◽  
Adverse Reactions ◽  
Postprandial Blood Glucose ◽  
Control Group ◽  
Observation Group ◽  
Patients With Diabetes

Objective: To investigate the clinical efficacy of insulin glargine combined with acarbose in the treatment of elderly patients with diabetes. Methods: One hundred and forty-four elderly patients with diabetes who received treatment between December 2016 and December 2017 in Binzhou People’s Hospital, China, were selected and divided into a control group and an observation group, 72 each, using random number table. The control group was treated with insulin glargine, while the observation group was treated with insulin glargine combined with acarbose. The therapeutic effect, improvement of quality of life and adverse reactions were compared between the two groups. Results: After treatment, fasting blood glucose (FBG), 2h postprandial blood glucose (PBG) and glycosylated hemoglobin (Hb Alc) of the two groups were lower than those before treatment, and the decrease degree of the observation group was significantly larger than that of the control group (P<0.05). The time needed for blood glucose reaching the standard level and daily insulin dosage of the observation group were significantly lower than that of the control group, and the differences were statistically significant (P<0.05). SF-36 scale score of the observation group was significantly better than the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: The combination of insulin Glargine and Acarbose can significantly control the blood glucose level of elderly patients with diabetes, improve the biochemical indicators, and enhance the quality of life. It is worth promotion in clinical practice. doi: https://doi.org/10.12669/pjms.35.3.86 How to cite this:Li J, Ji J, Liu F, Wang L. Insulin Glargine and Acarbose in the treatment of elderly patients with diabetes. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.86 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Effects of Fasting-Mimicking Diet and Specific Meal Replacement Foods on Blood Glucose Control in Patients with Type 2 Diabetes: A Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Fang Tang ◽  
Xuan Lin
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Venous Blood ◽  
Fasting Blood Glucose ◽  
Blood Glucose Control ◽  
Density Lipoprotein ◽  
Control Group ◽  
Meal Replacement ◽  
Experimental Group

Type 2 diabetes represents a serious societal health problem due to the vulnerability to cardiovascular events. Diet therapy is the most basic treatment for type 2 diabetes. The present study was conducted to study the effect of a fasting-mimicking diet and specific meal replacement foods on blood glucose control in patients with type 2 diabetes. Our study included 100 patients with type 2 diabetes who underwent a physical examination which were enrolled and randomly assigned as 50 patients each to the test group (with low energy-specific meal replacement meals during a fasting-mimicking diet) and the control group (with specific meal replacement foods given normal adult doses). After 4 months, efficacy indicators which were fasting blood glucose, 2-hour postprandial venous blood glucose, and glycosylated haemoglobin of the experimental group were all lower than those of the control group ( P < 0.05 ); observation indicators that include body mass index, waist circumference, blood lipids (triglyceride, cholesterol, and low-density lipoprotein), and blood pressure levels were all lower than the control group, and high-density lipoprotein levels were all higher than the control group (all P < 0.05 ). Both groups of fasting blood glucose, 2-hour postprandial venous blood glucose, and blood pressure had a relatively stable downward trend, but the experimental group had a more significant decline. In conclusion, the study revealed that a fasting-mimicking diet and specific meal replacement foods can safely and effectively reduce weight and improve metabolic syndrome in patients with type 2 diabetes.

scholarly journals Short-term use of continuous glucose monitoring system adds to glycemic control in young type 1 diabetes mellitus patients in the long run: A clinical trial

2011 ◽  
Vol 68 (8) ◽  
pp. 650-654 ◽  
Author(s):  
Gordana Bukara-Radujkovic ◽  
Dragan Zdravkovic ◽  
Sinisa Lakic
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Glycemic Control ◽  
Type 1 Diabetes Mellitus ◽  
Glucose Monitoring ◽  
Control Group ◽  
Short Term ◽  
Experimental Group

Background/Aim. Balancing strict glycemic control with setting realistic goals for each individual child and family can optimize growth, ensure normal pubertal development and emotional maturation, and control long term complications in children with type 1 diabetes (T1DM). The aim of this study was to evaluate the efficacy of short-term continuous glucose monitoring system (CGMS) application in improvement of glycemic control in pediatric type 1 diabetes mellitus (T1DM) patients. Methods. A total of 80 pediatric T1DM patients were randomly assigned into the experimental and the control group. The experimental group wore CGMS sensor for 72 hours at the beginning of the study. Self-monitored blood glucose (SMBG) levels and hemoglobin A1c (HbA1c) levels were obtained for both groups at baseline, and at 3 and 6 months. Results. There was a significant improvement in HbA1c (p < 0.001), in both the experimental and the control group, without a significant difference between the groups. Nevertheless, after 6 months the improvement of mean glycemia was noticed only in the experimental group. This finding was accompanied with a decrease in the number of hyperglycemic events and no increase in the number of hypoglycemic events in the experimental group. Conclusions. The results suggest that the CGMS can be considered as a valuable tool in treating pediatric T1DM patients, however further research is needed to more accurately estimate to what extent, if any, it outperforms intensive self-monitoring of blood glucose.

scholarly journals Study on the Internal Nursing Care of 74 Patients with Upper Gastrointestinal Bleeding

2015 ◽  
Vol 4 (4) ◽  
pp. 1
Author(s):  
Xiaohong Song
Keyword(s):  
Health Education ◽  
Gastrointestinal Bleeding ◽  
Nursing Care ◽  
Upper Gastrointestinal Bleeding ◽  
Psychological Intervention ◽  
Control Group ◽  
Physical And Mental Health ◽  
Nursing Satisfaction ◽  
Experimental Group ◽  
Upper Gastrointestinal

<strong>Objective: </strong>To study the reasonable nursing methods of upper gastrointestinal bleeding by summarizing internal nursing care experience. <strong>Methods:</strong> Seventy four cases of patients with upper gastrointestinal bleeding from 2010 to 2011 in our hospital were selected. All cases were divided into two groups. The control group: 37 cases were treated with the conventional nursing; the experimental group: 37 cases were treated with conventional nursing and strengthening psychological intervention as well as health education. Differences between the two groups in anxiety, depression index before and after nursing and nursing satisfaction were used to evaluate the nursing effect of the two groups of patients. <strong>Results:</strong> On the basis of the control group, the experimental group had an SAS score (39.67 ± 3.75) and an SDS score (41.35 ± 2.59). The control group had an SAS score (52.34 ± 2.25) and an SDS score (51.14 ± 1.38). Different results between the two groups were significant in Statistics, <em>p </em>&lt; 0.05; moreover, 32 cases were satisfied in the experimental group, the nursing satisfaction was 86.49% and 26 cases were satisfied in the control group, the nursing satisfaction was 70.27%. Different results between the two groups were significant in Statistics, <em>p </em>&lt; 0.05. <strong>Conclusion: </strong>On the basis of conventional nursing, it was helpful to promote the patients’ physical and mental health by strengthening psychological intervention and health education of disease related knowledge; it was worthy of clinical promotion.

scholarly journals The Effect of Audio Visual Aids to the Perception Changes of Risk Factors of Diabetes Mellitus Type 2 in Adolosence

2014 ◽  
Vol 1 (2) ◽  
pp. 123-128
Author(s):  
Maria Diah CT ◽  
Tri Cahyo S ◽  
Wiwin Martiningsih
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Health Education ◽  
Diabetes Type 2 ◽  
Visual Media ◽  
Control Group ◽  
Visual Aids ◽  
Unhealthy Lifestyle ◽  
Experimental Group

Wrong Perception is one of the risk factors of Diabetes Mellitus (DM) type 2 will make adolescent to do unhealthy lifestyle that leads to DM disease. Increasing knowledge through health education is expected to increase the perception. The purpose of research was to analyze adolescent’s perceptions changing after was given health education using audio visual media about risk factors of type 2 Diabetes Mellitus. The method in this research was experimental research with Quasi-Experimental design pretest-posttest. The sample consisted of 128 respondents, 64 respondents in control group and 64 respondents in the experimental group. Sampling was done by purposive sampling. The results showed an increasing perceptions average 2.31 in control group. In experimental group increased a perceptions average 3.44. Further analysis showed that health education using audio-visual media is more effective in improving perceptions. The conclusion of this research showed that using audio-visual media is more effective to increase the perception. Audio-visual media provide a more attractive appearance, so that there is a dynamic movement to attract the attention. The research recommended an increasing in preventive and promotive diabetes type 2 through health education and activities around school (SMU).

scholarly journals The role of Enterobacteria, TNF-α, IL-6, and IL-10 in the development of myocardial ischemia with type 2 diabetes mellitus

2018 ◽  
Vol 16 ◽  
pp. 205873921879232
Author(s):  
Yan Xiong ◽  
Jianhong Tao ◽  
Li Cai ◽  
Yijia Tang ◽  
Qiyong Li
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Glucose ◽  
Myocardial Ischemia ◽  
Elderly Patients ◽  
Diabetic Group ◽  
Control Group ◽  
Tnf Α

This study is to observe the distribution of intestinal flora and the changes of inflammatory factors in elderly patients with myocardial ischemia complicated with type 2 diabetes mellitus. A total of 106 elderly patients with myocardial ischemia complicated with type 2 diabetes mellitus (complicated group), 106 elderly patients with simple type 2 diabetes mellitus (diabetic group), and 106 healthy elderly people (control group) were selected. The fasting blood glucose (FBG), 1-h postprandial blood glucose (1hPG), 2-h postprandial blood glucose (2hPG), 3-h postprandial blood glucose (3hPG), and hemoglobin A1c (HbA1c) in complicated group and the diabetic group were higher than those in the control group ( P < 0.05 or P < 0.01). The duration of diabetes, FBG, 3hPG, and HbA1c in the complicated group were higher than those in the diabetic group, while the 2hPG was lower than that in the diabetic group ( P < 0.05). Compared with control group, the number of Enterobacteria in the diabetic group and complicated group was increased, while the numbers of Bacteroides, Bifidobacteria, and Lactobacillus were decreased ( P < 0.05 or P < 0.01). Compared with the diabetic group, the number of Enterobacteria in complicated group was increased, while the numbers of Bacteroides, Bifidobacteria, and Lactobacillus were decreased ( P < 0.05 or P < 0.01). Compared with control group, the levels of tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6), interleukin 1 beta (IL-1β), and C-reactive protein (CRP) decreased in the diabetic group and complicated group, and the lowest in the complicated group. Conversely, the levels of interleukin 10 (IL-10) and interleukin 12 (IL-2) increased in the diabetic group and complicated group, and the highest in the complicated group ( P < 0.05 or P < 0.01). Multiple logistic regression analysis showed that the duration of diabetes, HbA1c, Enterobacteria, TNF-α, IL-6, and IL-10 were the influencing factors of myocardial ischemia complicated with type 2 diabetes mellitus ( P < 0.05 or P < 0.01). In conclusion, in the elderly patients with myocardial ischemia complicated with type 2 diabetes mellitus, the number of intestinal probiotics and the level of anti-inflammatory factors decreased, and the number of pathogenic bacteria and the level of inflammatory factors increased. Enterobacteria, TNF-α, IL-6, and IL-10 may play an important role in the development of myocardial ischemia in type 2 diabetes mellitus.

scholarly journals Application Analysis of Diabetes Health Education in Endocrinology Nursing

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Yu Tao
Keyword(s):  
Health Education ◽  
Compliance Rate ◽  
Routine Care ◽  
Control Group ◽  
Clinical Value ◽  
Before And After ◽  
Patients With Diabetes ◽  
The Difference ◽  
Improve Patient ◽  
Experimental Group

Objectives: To explore the clinical value of applying diabetes health education to endocrinology care. Methods: A total of 122 patients with diabetes admitted to our department from October 2016 to October 2017 were selected. After consulting patients, they were randomly divided into two groups, with 61 cases in each group. The control group performs routine care, and the experimental group provides patients with diabetes-specific health education. After three months, the compliance of the two groups of patients was compared. The ADL scores of the two groups of patients before and after treatment were compared. Results: Experimental group had significantly higher compliance rate than control group in all aspects. The difference was statistically significant (P<0.05). The ADL scores of both groups were significantly improved. The effects before and after the care were compared. The difference was statistically significant (P<0.05). The score of experimental group increased more significantly than that of the control group. The difference was statistically significant (P<0.05). Conclusions: In the endocrinology care, the implementation of diabetes special health education for patients can improve patient compliance and improve patients' daily living ability, which is an ideal nursing measure. It is worth promoting.

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