Perception of Therapeutic Education in Diabetic Patients at Tit Melil Health Center

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mory Sanoh
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
Basic Element ◽  
Therapeutic Education ◽  
Diabetic Patients ◽  
Oral Antidiabetics ◽  
Educational Training ◽  
Cross Sectional ◽  
Type 2 Diabetics

Introduction : A chronic condition like diabetes interferes with an individual's well-being, and if some of their needs are not met because of the disease, their quality of life is reduced. In this context, therapeutic education constitutes a basic element in the management of diabetes.Materials and Methods : A cross-sectional study by self-administered questionnaire and interviews which were carried out with all type 1 and type 2 diabetics, consultants at the level of the Tit Mélil Primary Health Care establishment, in 2019 and who benefited from or not therapeutic education, with or without complications.Result : The study included 50 diabetic patients, surveys show us that type 1 diabetic patients were 13 (26%). And type 2.37 (74%). Regarding the organization of care, 74% of patients say they are under treatment with oral antidiabetics, 10% oral antidiabetics and insulins, 6% insulin therapy and others under diet. Speaking of Food, 76.5% of diabetics know the importance and know what foods to avoid.Conclusion : TVE is possible, it will result in a change in the structure of programs and new educational training for caregivers.

scholarly journals Associations Among Taste Perception, Food Neophobia and Preferences in Type 1 Diabetes Children and Adolescents: A Cross-Sectional Study

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 3052
Author(s):  
Chiara Mameli ◽  
Camilla Cattaneo ◽  
Luisa Lonoce ◽  
Giorgio Bedogni ◽  
Francesca Chiara Redaelli ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Children And Adolescents ◽  
Cross Sectional Study ◽  
Taste Perception ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Food Neophobia ◽  
Product Categories

Type 1 diabetes (T1D) is one of the most common systemic diseases in childhood which predisposes the patient to serious short-term and long-term complications, affecting all body systems. Taste and olfactory impairments were first described a long time ago in adult patients affected by diabetes (both type 1 and type 2 diabetes). However, studies evaluating taste perception, behavioral attitudes (e.g., food neophobia), and preferences toward foods in children and adolescents affected by T1D are globally lacking. Therefore, the purpose of this study was to assess taste sensitivity, food neophobia, and preferences among children and adolescents affected by T1D and healthy controls in a cross-sectional study. T1D patients presented a significantly lower ability in general to correctly identify taste qualities, especially bitter and sour tastes. Moreover, they were characterized by fewer fungiform papillae compared to controls, as well as a lower responsiveness to the bitter compound 6-n-propylthiouracil (PROP). There were no significant differences in food neophobia scores between the two groups, but differences were observed in the mean hedonic ratings for some product categories investigated. Diabetic patients showed a greater liking for certain type of foods generally characterized by sourness and bitterness, an observation probably linked to their impaired ability to perceive taste stimuli, e.g., sourness and bitterness. These results may help to enhance the understanding of these relationships in populations with elevated diet-related health risks.

scholarly journals Relationship between sleep disturbances, lipid profile and insulin sensitivity in type 1 diabetic patients: a cross-sectional study

2020 ◽  
Author(s):  
Ana Carolina Musser Tavares de Mattos ◽  
Yuri Sofiati Campos ◽  
Vitória Oliveira Fiorini ◽  
Yasmin Sab ◽  
Bruna Landeiro Tavares ◽  
...  
Keyword(s):  
Insulin Sensitivity ◽  
Lipid Profile ◽  
Sleep Disturbances ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Type 1 Diabetic Patients

Is there an HbA1c Threshold for Symptoms of Chronic Hyperglycemia?

2021 ◽  
Author(s):  
Nicolle Müller ◽  
Thomas Lehmann ◽  
Ulrich Alfons Müller ◽  
Christof Kloos
Keyword(s):  
Diabetes Mellitus ◽  
Safety Margin ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Chronic Hyperglycemia ◽  
Patients With Diabetes ◽  
The Mean

Abstract Aims of the study The minimum therapeutic goal regarding metabolic control for people with diabetes mellitus is the “absence of symptoms of hyperglycemia.” However, it is uncertain whether a level of HbA1c can be defined that guarantees the absence of these symptoms. The aim was to define an HbA1c threshold above which most patients show hyperglycemic symptoms. Methods In a multicenter cross-sectional study, 137 patients with type 1 and 285 with type 2 diabetes were asked about their symptoms during periods of hyperglycemia with a standardized questionnaire. Seventeen symptoms of hyperglycemia were summarized to the total hyperglycemia symptom score (THSS; min. 0; max. 68). The answers could be given according to the frequency and intensity in the last 4 – 6 weeks. Results The HbA1c threshold above which most patients showed hyperglycemic symptoms was 10.05% for patients with diabetes type 1 and 8.9%. for patients with type 2. Most confidence was reached on the symptoms of frequent urination” and “tiredness.” The mean THSS was 19.4 (±9.0) and showed a positive correlation with age (r=0.167; p<0.001) and HbA1c (r=0.254; p<0.001). Conclusions We identified an HbA1c threshold above which most patients show symptoms of hyperglycemia. In the treatment of people with diabetes mellitus, a safety margin to this threshold should be maintained to preserve well-being and avoid distress. However, since hyperglycemia symptoms are subject to many influencing factors, an adjustment of the therapy—both intensification and de-intensification—should always be carried out in combination with the requested hyperglycemia symptoms and HbA1c value.

scholarly journals Measuring the Quality of Life Among Children with Type 1 Diabetes in NGHA Riyadh

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1286-1286
Author(s):  
Nouf Altheyabi
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Well Being ◽  
Cross Sectional Study ◽  
Average Score ◽  
Pediatric Endocrinology ◽  
Cross Sectional ◽  
Scale Scores

Abstract Objectives Aim of the Study: (Instructions: state the goal you need to achieve) Evaluate the quality of life in children with type 1 diabetes. Specific Objectives: (Instructions: state the details of each objective that will finally lead to achievement of the goal) 1. To assess the quality of life in children and adolescents with type 1 diabetes using the HR-QOL questionnaire. 2. To determine the characteristics associated with quality of life in children with type 1 diabetes. Methods A descriptive cross-sectional study done in Pediatric Endocrinology clinic at the King Abdullah Specialist Children Hospital (KASCH). Quality of life was evaluated during a personal interview with each patient using the diabetes- specific quality of life (QOL) tool KINDL-R Diabetes Module (DM). The questionnaire consists of 41 items related to quality of life and diabetes. Demographics, anthropometric measurements, and HbA1c were reviewed from patient records. Results Overall quality of life was good with average score of (67.9%). There was no statistical difference between males and females in sub scale scores such as physical and emotional well-being. Also, there was no significant correlation between HbA1c, BMI and sub scale scores. Conclusions Poor glycemic control, BMI, and sex were not associated with worse QoL. Further studies to determine the optimal cut points for QoL scales are needed to identify T1D patients with poor QoL. Funding Sources in NGHA Riyadh.

scholarly journals Assessing albuminuria in spot morning samples from diabetic patients

2008 ◽  
Vol 52 (9) ◽  
pp. 1482-1488 ◽  
Author(s):  
Emerson Sampaio ◽  
Vinicius Daher Alvares Delfino
Keyword(s):  
Roc Curves ◽  
Cross Sectional Study ◽  
Urinary Albumin ◽  
Diabetic Patients ◽  
Albumin Concentration ◽  
Cross Sectional ◽  
Incipient Nephropathy ◽  
Similar Accuracy

Microalbuminuria assessment is essential for diagnosing incipient nephropathy in diabetic patients. The present study aim to evaluate whether urinary albumin concentration (UAC) and urinary albumin-to-creatinine ratio (UACR) agree with 24 h urine collection in screening for albuminuria > 30 mg/24 h in type 1 and 2 diabetics. In this cross-sectional study were evaluated 293 diabetic patients (117 type 1 and 176 type 2). Albuminuria was determinated by turbidimetric immunoassay. The best discriminator value was 22 mg/l (sensitivity 82.5%, specificity 74.0%) for UAC and 27.3 mg/g creatinine (sensitivity 83.3%, specificity 80.9%) for UACR. Areas under ROC curves were 0.868 and 0.878, respectively (p = 0.53). Lower discriminators as 10 mg/l (sensitivity 94.2%, specificity 48.6%) and 10 mg/g creatinine (sensitivity 96.7%, specificity 49.1%) attained high sensitivities. UAC and UACR from spot morning urine had similar accuracy in screening microalbuminuria. The simplicity and lower cost of UAC justifies its preferential clinical use.

scholarly journals Assessment of Factors affecting Glycaemic Control among Adult Diabetics: Optimizing Care for Diabetic Patients

2021 ◽  
Vol 4 (1) ◽  
pp. 33-45
Author(s):  
AN Akwaras ◽  
JO Abah ◽  
OE Omokhua ◽  
MN Ocheifa ◽  
A Atabo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Glycaemic Control ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Good Glycaemic Control ◽  
Type 2 Diabetics ◽  
Average Monthly Income

Diabetes mellitus is a global health challenge. The aim of management of these patients is to achieve good glycaemic control thereby preventing complications and improving their quality of life. Elucidation of factors that will improve glycaemic control is therefore important. This study aimed to assess the factors that affect glycaemic control among type 2 diabetics (T2DM) attending the General Out-Patient Clinic (GOPC) of the Federal Medical Centre, Makurdi. This was a cross-sectional study of 359 diabetic patients aged 18 years and above who had been on treatment for at least three months. Informed consent was obtained. Data was collected by an interviewer-administered questionnaire. Data was analyzed with the Statistical Package for Social Sciences (SPSS) version 18. There were 180 males (50.1 %) and 179 females (49.9 %). The mean age of the patients was 56.05 ± 10.32 years. The proportion of those with good glycaemic control was 58%. The respondents' age, level of education, occupation, ethnicity, religion and average monthly income had statistically significant association with glycaemic control. Adequate physical activity was an independent predictor of good glycaemic control. More effort should be made on counselling type 2 diabetics on the importance of adequate physical activity.

scholarly journals Clinical Spectrum and Management of Diabetic Ketoacidosis: Experience in A Tertiary Care Hospital

2012 ◽  
Vol 1 (1) ◽  
pp. 15-20
Author(s):  
MA Rahim ◽  
KN Uddin ◽  
S Zaman ◽  
AKM Musa ◽  
MR Rahman ◽  
...  
Keyword(s):  
Diabetic Ketoacidosis ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Electrolyte Imbalance ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Metabolic Complication

Background: Diabetic ketoacidosis (DKA) is an acute metabolic complication of diabetes mellitus (DM). It may be the presenting feature in type 1 DM, but more commonly it complicates previously diagnosed diabetic patients, both type 1 and type 2. If not recognized early and treated in a judicious way the outcome is often fatal. Objectives: The objectives of this study was to see the common presenting features of DKA, their precipitating causes, patterns of electrolyte imbalance, treatment requirement in early hours and to see the outcome. Materials and methods: This cross sectional study was done in BIRDEM General Hospital on fifty adult patients who presented with DKA over a period of nine months (January 2007 to September 2007). Results: Total number of patients were 50, male were 24 and female were 26 (M:F =12:13). Mean age was 27.6 ± 3.7 years. The incidence of DKA was more in known diabetic patients (32, 64%), in comparison with new cases (18, 36%). Frequency was more in poor village people (31, 62%). Vomiting (24, 48%) was the most frequent complaint, followed by fever (19, 38%), nausea (16, 32%), abdominal pain (14, 28%), weakness (13, 26%), polyuria (12, 24%) and polydypsia ( 8, 16%). Infection (18, 36%) was the most common precipitating cause, closely followed by inadherence to insulin therapy (17, 34%). In 12 (24%) cases no cause could be identified. Glycaemic control was poor, HbA1c was >7% in 98% cases. Severe acidosis (pH < 7) was less common (4, 8%) and gross electrolyte imbalance was uncommon but all patients required potassium supplementation in course of treatment. Neutrophilic leukocytosis was present in 44 (88%) cases, irrespective of presence of infection. Mortality was low (3, 6%). Conclusion: Diagnosis and treatment of DKA is not difficult if recognized early. So, high index of suspicion is necessary, particularly in previously undiagnosed cases. DOI: http://dx.doi.org/10.3329/birdem.v1i1.12380 Birdem Med J 2011; 1(1): 15-20

scholarly journals Sleep quality in type 2 diabetics

2008 ◽  
Vol 16 (5) ◽  
pp. 850-855 ◽  
Author(s):  
Maria Carolina Belo da Cunha ◽  
Maria Lúcia Zanetti ◽  
Vanderlei José Hass
Keyword(s):  
Sleep Quality ◽  
Insulin Resistance Syndrome ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Poor Sleep ◽  
Normal Body Mass Index ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Type 2 Diabetics

Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c > 7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients.

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