Additional professional support for paediatric patients with diabetes mellitus: are we targeting the right patients?

2014 ◽  
Author(s):  
Christina Wei ◽  
Tim Marr ◽  
Aileen Alston ◽  
Tasneem Riasz-Teeluck ◽  
Murray Bain
Keyword(s):  
Diabetes Mellitus ◽  
Professional Support ◽  
Paediatric Patients ◽  
Patients With Diabetes ◽  
The Right

scholarly journals Dulaglutide-induced cerebral venous thrombosis in a patient with type 2 diabetes mellitus

2018 ◽  
pp. bcr-2018-226346 ◽  
Author(s):  
Rajesh Rajput ◽  
Vaibhav Pathak ◽  
Pawan Kumar Yadav ◽  
Sanat Mishra
Keyword(s):  
Diabetes Mellitus ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Sinus Thrombosis ◽  
Transverse Sinus ◽  
Nausea And Vomiting ◽  
Acute Infarct ◽  
Patients With Diabetes ◽  
The Right

Though patients with diabetes mellitus are at a high risk of atherothrombotic events, every such event should not be attributed to the disease itself. We present a case of a patient with diabetes with headache and blurring of vision for 3 days. Brain imaging revealed right transverse sinus thrombosis and acute infarct of the right posterior parieto-occipital region, predominantly in the posterior cortical watershed zone. The patient was on subcutaneous dulaglutide for 3 weeks and was having nausea and vomiting. Various causes of cerebral venous thrombosis were ruled out with appropriate laboratory investigations. Finally, cerebral venous thrombosis was attributed to dulaglutide-induced nausea and vomiting which led to severe dehydration.

scholarly journals PENGARUH SENAM KAKI DIABETES TERHADAP LEG SENSITIVITY MONOFILAMENT TEST PADA PENDERITA DIABETES MELITUS DI WILAYAH POSYANDU LANSIA ENDROSONO SURABAYA

2019 ◽  
Vol 4 (2) ◽  
pp. 29
Author(s):  
Susanti Susanti
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Random Sampling ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
P Value ◽  
Patients With Diabetes ◽  
The Right ◽  
Monofilament Test ◽  
Diabetes Melitus

ABSTRAK Penderita Diabetes Mellitus (DM) berisiko mengalami penurunan sensitivitas pada kaki. Kebiasaan maupun perilaku penderita seperti kurang menjaga kebersihan kaki dan tidak menggunakan alas kaki saat beraktivitas akan beresiko terjadi perlukaan pada daerah kaki. Keadaan kaki diabetik lanjut yang tidak ditangani secara tepat dapat memicu dilakukannya tindakan amputasi kaki.  Tujuan penelitian untuk menganalisis Pengaruh Senam Kaki Diabetes terhadap Leg Sensitivity Monofilament Test pada penderita Diabetes Melitus di Wilayah Posyandu Lansia Endrosono Surabaya. Penelitian ini menggunakan metode pre-experiment designs dengan rancangan yang digunakan yaitu one group pretest-postest dengan sample 54 responden lansia di Posyandu Lansia Endrosono Kelurahan Wonokusumo Kecamatan Semampir Kota Surabaya diambil menggunakan tehnik sampling Simple Random Sampling. Pengukuran Leg Sensitivity dipeoleh dari observasi menggunakan Monofilament Test. Data dianalisis menggunakan Uji Mc. Nemar didapatkan p value = 0,008 pada kaki kanan dan p value = 0,003 pada kaki kiri dengan α=0,05 (p< α). Hal ini berarti tidak terdapat pengaruh antara senam kaki diabetes dengan leg sensitivity monofilament test (H0 diterima, H1 ditolak). Implikasi hasil penelitian bahwa senam kaki diabetes tidak dapat mempengaruhi leg sensitivity monofilament test. sehingga perlu lebih ditingkatkan aktivitasnya sehari-harinya dan melakukan senam kaki diabetes 5-7x perhari. Kata Kunci : Senam Kaki Diabetes, Leg Sensitivity, Monofilament Test   ABSTRACT Patients with Diabetes Mellitus (DM) are risked with Leg Sensitivity decreasing. Patient’s habits or behavior such as less maintaining of their cleanliness and not wearing footwear or slippers will make the risk of them infect their feet increase. If the conditions of further diabetics are not handled properly, it can increase the act of foot amputations.  This research objective is to analyze the effect of Diabetics Foot Exercise against Leg Sensitivity Monofilament Test to patients with Diabetes Mellitus in Posyandu Lansia Endorsono Surabaya. This research is using pre-experiment designs methods and the design used is one group pretest-posttest with 54 elderly respondents from Posyandu Lansia Endorsono Wonokusumo Village, Semampir sub-district, Surabaya as sample and using Simple Random Sampling as the sampling technique. Leg sensitivity measuring is collected from Monofilament Test observation. The Data are analyzed by SPSS 16.0 program and using Mc. Nemar obtained p value = 0,008 for the right foot and p value = 0,003 for the left foot α=0,05 (p< α). It means that there is no effect between Diabetic Foot Exercise with the Leg Sensitivity Monofilament test (H0 is approved, H1 is disapproved). The implication of the research is that Diabetic Foot Exercise cannot be affecting Leg Sensitivity Monofilament Sensitivity Test. As the result patients with diabetes mellitus need to increase their daily activity and do the Diabetic Foot Exercise 5-7 times per-day. Key words: Diabetic Foot Exercise, Leg Sensitivity, Monofilament Test

Toxic inoculation associated with a presumptive stingray injury

2019 ◽  
pp. 719-722
Author(s):  
Ruth Do ◽  
◽  
Lientra Q. Lu ◽  
Michael B. Strauss ◽  
◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Sensory Neuropathy ◽  
Urgent Care ◽  
Lateral Side ◽  
Marine Animal ◽  
Presumptive Diagnosis ◽  
Puncture Wound ◽  
Patients With Diabetes ◽  
The Individual ◽  
The Right

Introduction: Stingray spine injuries are among the most common marine animal injuries in humans. While most resolve with immersion in warm water, a few become infected and require antibiotics. We present a case report of a presumptive stingray injury that evolved to a major slough and which required prolonged healing in a patient with diabetes mellitus. Our literature review was unable to find a similarly reported case. Materials: A co-author was asked to evaluate and manage an ominous-appearing wound on the right foot of a diabetic. The problem developed after the individual had been wading in shallow ocean beach water. The patient’s diabetic sensory neuropathy obscured the immediate association of the problem with a stingray injury, but this became the presumptive diagnosis when pain developed and necessitated that he seek medical care. Findings/Clinical Course: After an initial urgent care visit, increasing pain and worsening appearance of the patient’s foot necessitated a visit to our emergency department. The patient was admitted the next day due to symptoms of systemic sepsis. On the fourth hospital day, a large bulla on the lateral side of the right foot was excised. This unroofed a full-thickness slough to the periosteum level of the underlying bones. Not until the 16th hospital day had enough improvement occurred to discharge the patient. Over the next 16 weeks, the wound improved, developed a vascular base and epithelialized. Conclusions: With a dearth of literature about stingray injuries in patients with diabetes mellitus reported, our case is unique: The patient’s wound course more closely resembled a toxic inoculation than the typical puncture wound-cellulitis presentations associated with stingray injuries.

scholarly journals EVALUATION OF THE ACCURACY OF ANTIDIDIABETIC AGENTS IN PATIENTS WITH DIABETES MELLITUS TYPE II IN THE INPATIENT INSTALLATION OF ONE OF THE PRIVATE AREA HOSPITALS EAST BEKASI 2020

2021 ◽  
Vol 4 (IAHSC) ◽  
pp. 83-90
Author(s):  
Febriana Lulu Safitri ◽  
Wahyu Nuraini Hasmar
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Diabetes Mellitus Type ◽  
Antidiabetic Agents ◽  
Diabetes Mellitus Type Ii ◽  
Mortality And Morbidity ◽  
Patients With Diabetes ◽  
Sugar Levels ◽  
The Right

Introduction: The selection of appropriate drugs in patients with diabetes mellitus can control the blood sugar levels of a patient. When blood sugar levels can be controlled, then the incidence of complications can be avoided and the numbers of mortality and morbidity in diabetes mellitus will be decreased. The goal of this study is to determine the profile of the use of oral antidiabetic, insulin, or a combination, as well as to assess rationality the use of antidiabetic agents in patients with diabetes mellitus type 2 (DMT2) in the inpatient installation of one of the private hospitals in Bekasi 2020. Method: The research design used was an observational, descriptive, retrospective approach. Data derived from the medical records of DMT2 patients treated as inpatients at a private hospital in Bekasi Timur 2020. Results: Results for profile use of the drug antidiabetic agents most widely used in sequence, i.e., drug combinations of insulin with insulin, oral with oral, and insulin with oral. The evaluation of the accuracy of the use of the drug is set based on four parameters, namely the proper indication of 100%, the right drug of 58,33%, the right of the patient to 100%, and the right dose of 97,62%. Conclusion: It can be concluded that the evaluation of the use of the drug in patients with DMT2 still needs to be done so that the numbers of mortality and morbidity in patients with diabetes mellitus decrease.

Sodium-glucose cotransporter 2 inhibitors and heart failure: the best timing for the right patient

2021 ◽  
Author(s):  
Paolo Severino ◽  
Andrea D’Amato ◽  
Silvia Prosperi ◽  
Bettina Costi ◽  
Danilo Angotti ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Heart Failure ◽  
Wide Spectrum ◽  
Systemic Disease ◽  
Beneficial Effects ◽  
Sodium Glucose Cotransporter ◽  
Patients With Diabetes ◽  
Life Improvement ◽  
The Right ◽  
Administration Timing

AbstractSodium-glucose cotransporter 2 inhibitors (SGLT2i), initially born as anti-diabetic drugs, have shown many beneficial effects on the cardiovascular system, in particular against heart failure (HF). HF is a complex and multifaceted disease that requires a comprehensive approach. It should not be considered as a simplistic cardiac disease, but a systemic disease that leads to multisystemic organ failure and death. Exploiting their pleiotropic effects, SGLT2i are a very valid tool for HF treatment. Beyond the indication to reduce HF hospitalization and death risk, in patients with diabetes mellitus at high cardiovascular risk or with established cardiovascular event, SGLT2i administration reported beneficial effects regarding the wide spectrum of HF manifestations and stages, independently by diabetes mellitus presence. Recent evidence focuses on HF rehospitalization, cardiac and all-cause death reduction, as well as symptoms and quality of life improvement, in patients with chronic HF or with a recent HF decompensation episode. Given the recent finding about the SGLT2i usefulness in HF patients, further studies are needed to define the best administration timing to maximize the SGLT2i-derived beneficial effects.

Two cases of sporotrichosis of the right upper extremity in right-handed patients with diabetes mellitus

2016 ◽  
Vol 33 (1) ◽  
pp. 38-42 ◽  
Author(s):  
Yu Zhang ◽  
Ferry Hagen ◽  
Zhe Wan ◽  
Yufu Liu ◽  
Yahong Liu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Upper Extremity ◽  
Patients With Diabetes ◽  
The Right

scholarly journals Pendekatan Komunikasi Terapeutik Dokter Spesialis Penyakit Dalam pada Pasien Diabetes Mellitus di Kota Kediri

2019 ◽  
Author(s):  
ROISYA NUR FARHANIA
Keyword(s):  
Internal Medicine ◽  
Diabetes Mellitus ◽  
Diagnostic Process ◽  
Therapeutic Communication ◽  
Communication Techniques ◽  
Patients With Diabetes ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
The Right ◽  
Research Author

Communication is one of the most important aspects in diagnostic process, therapy, and educating patients. The purpose of this research is to describe how therapeutic communication between internal medicine specialist and patient with diabetes mellitus in Kediri. In this research, author uses qualitative method with a qualitative descriptive approach. The way to communicate carried out by internal medicine specialists to patients with diabetes mellitus depends on the condition and personality of the patient. Besides using verbal therapeutic communication techniques, doctors also communicate nonverbally. The right communication between doctors and patients will make patients feel comfortable and can increase patient's trust. Hopefully this research can be a reference for further research.

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