Disturbances of carbohydrate metabolism and postoperative complications after distal pancreatic resection

Objective. To study the state of carbohydrate metabolism in patients after distal pancreatic resection and its effect on the development of postoperative complications. Materials and methods. Over 10 years, 47 patients have been operated on with various tumors of the body/tail of the pancreas and complications of chronic pancreatitis. In 16 of them, concomitant diabetes mellitus was diagnosed before surgery, and in 31 patients, carbohydrate metabolism was normal. Results. After surgery, from a group of patients with unchanged carbohydrate metabolism, 8 (25.8 %) developed diabetes mellitus. The following postoperative complications pancreatic fistula, inflammatory infiltrates and "fluid leakages in the abdominal cavity occurred in 68 % of cases. Out of 24 patients with diabetes mellitus, complications were registered in 21 (87.5 %) and of 23 diabetes-free patients in 11 (47.8 %). Conclusions. The total risk for the development of the postoperative abdominal complications after the distal resection in patients with diabetes mellitus, diagnosed before and after the intervention, is 7.6 times higher than in patients without diabetes.

Download Full-text

Efektivitas Air Rebusan Daun Sirih Merah terhadap Penurunan Kadar Gula Darah pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Saling 2018

JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU ◽

10.36085/jkmu.v7i2.418 ◽

2019 ◽

Vol 7 (2) ◽

pp. 62-70 ◽

Cited By ~ 1

Author(s):

Devi Listiana ◽

Effendi Effendi ◽

Bela Indriati

Keyword(s):

Diabetes Mellitus ◽

Blood Sugar ◽

Community Health Center ◽

Secondary Data ◽

The Body ◽

Rank Test ◽

Betel Leaf ◽

Before And After ◽

Patients With Diabetes ◽

Sugar Levels

Diabetes mellitus is a chronic disease that occurs due to the pancreas not being able to produce enough insulin or when the body cannot effectively use the insulin. The purpose of this study was to study the effectiveness of the provision of red betel leaf boiled water on reducing blood sugar levels of Diabetes Mellitus patients in the Saling Puskesmas District of Four Lawang in 2018. The design of this study was an experimental Quasy using The One Group Pretest - Postest Design, technique data collection using primary and secondary data. The population of this study were all Diabetes Mellitus patients in the Saling Community Health Center in July-August 2018, amounting to 16 people, sampling was done by accidental sampling. The results of the study, from 16 patients with diabetes mellitus there are 9 people (56.2%) with blood sugar levels less than 200 mg / dl. Wilcoxon Sign Rank test results obtained value Z = -3.517 with p = 0.000 0.05 means significant. So the two variables have different medians, there are differences in the GDS levels of Diabetes Mellitus patients before and after administration of red betel leaf decoction water. Conclusion, Red betel leaf decoction water is significantly effective in reducing blood sugar levels in patients with diabetes mellitus. It is expected that Puskesmas staff can increase public knowledge by counseling about red betel leaves as a Non-Pharmacological drug for patients with Diabetes Mellitus who do not experience complications. Keywords: Red Betel Leaf Decoction Water, Diabetes Mellitus, Blood Sugar Levels

Download Full-text

The Effect of Family Empowerment in Nursing Implementation Toward Self-Efficacy among Patients with Diabetes Mellitus

INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) ◽

10.24990/injec.v5i2.303 ◽

2020 ◽

Vol 5 (2) ◽

pp. 141

Author(s):

Fadhil Al Mahdi ◽

Candra Kusuma Negara ◽

Abd Basid

Keyword(s):

Diabetes Mellitus ◽

Self Efficacy ◽

The Body ◽

Control Group ◽

Family Empowerment ◽

Before And After ◽

Patients With Diabetes ◽

Independent Variable ◽

Sugar Levels

Introduction: : Diabetes mellitus is a condition where the body cannot produce the insulin hormone as needed so that there is an excess of normal blood sugar levels. Giving family empowerment in clients with gangrene foot diabetes should be done comprehensively using the nursing process. Interventions that can be done are family empowerment to motivate and improve the self-efficacy of patients with diabetes mellitus. The purpose of this study was to determine the effect self-efficacy before and after the implementation of family empowerment in nursing in patients with diabetes mellitus. Methods: Pre-experiment research with pretest and posttest study design without control group. Forty respondents who met the inclusion criteria were then tested using purposive sampling. The instrument in this study used a self-efficacy questionnaire. The dependent variable of this study is self-efficacy, while the independent variable is family empowerment using the paired sample t-test parametric analysis method. Results: Based on what was answered by the respondents there was a significant influence which showed difference after the posttest. The results obtained values: α = 0.05 which calculated the results of p = 0.00 (p <0.05). This means that, after a posttest, there was a decrease in motivation and self-efficacy. Conclusion: Researchers concluded that there is an effect of family empowerment on patients with diabetes mellitus. The implication of this study is that the role of family is very important in healing patients.

Download Full-text

A preliminary study on diabetes self-management education and glycemic control among patients with diabetes mellitus

Journal of Nursing Education and Practice ◽

10.5430/jnep.v9n9p98 ◽

2019 ◽

Vol 9 (9) ◽

pp. 98 ◽

Cited By ~ 1

Author(s):

Kisokanth G. ◽

Indrakumar J. ◽

Prathapan S. ◽

Joseph J. ◽

Ilankoon I.M.P.S.

Keyword(s):

Diabetes Mellitus ◽

Glycemic Control ◽

Management Education ◽

Self Management ◽

Rank Test ◽

Diabetic Patients ◽

Effective Measure ◽

Before And After ◽

Patients With Diabetes ◽

Preliminary Study

This study was aimed to assess the effectiveness of diabetes self-management education (DSME) in the improvement of glycemic control among patients with type 2 Diabetes Mellitus (T2DM) in Batticaloa District, Sri Lanka. The study was a prospective interventional study and conducted as a preliminary study at medical clinic, Base hospital, Kaluwanchikudy, Batticaloa. Thirty patients with T2DM were included based on inclusion and exclusion criteria. A structured individual diabetes self-management education for 10 hours (one hour per week) was delivered to diabetic patients by the trained Nurse Health Educator. Glycosylate hemoglobin (HbA1c) was assessed as a main outcome measure and Fasting Blood Sugar (FBS), Body Mass Index (BMI) of each patient were also measured and recorded before and after the intervention. The respondent rate was 96.7% (n = 29). Majority of them were females (n = 25, 86.2%). A Wilcoxon signed rank test showed that DSME had a statistically significant reduction in HbA1c [8.60 (IQR 2.60) vs. 7.40 (IQR 2.10), p = .000] and FBS level [159.00 (IQR 77.50) vs. 134.00 (IQR 40.50), p = .002] at 3 months of intervention. The mean BMI at baseline was higher compared to 3 months of intervention [24.88 (SD ± 3.06) vs. 24.19 (SD ± 2.79)] which was statistically significant (p = .000). Majority of participants (n = 22, 75.9%) had improved their HbA1c level by ≥ 0.5% in 3 months. The diabetes self-management education is an effective measure in improving glycemic control and other clinical parameters among patients with T2DM. Thus, DSME needs to be implemented among clinic patients with T2DM for the better outcome and the preventions of complications.

Download Full-text

PERBEDAAN PENGETAHUAN DAN SIKAP PASIEN DIABETES MELLITUS RAWAT INAP RUMAH SAKIT ISLAM SAMARINDA SEBELUM DAN SESUDAH KONSELING GIZI DENGAN MENGGUNAKAN MEDIA AUDIOVISUAL

Jurnal Ilmiah Manuntung ◽

10.51352/jim.v2i1.39 ◽

2017 ◽

Vol 2 (1) ◽

pp. 8

Author(s):

Siswanto Siswanto ◽

Ismail Kamba ◽

Siti Aminah

Keyword(s):

Diabetes Mellitus ◽

Public Health Problem ◽

Visual Media ◽

P Value ◽

Diabetic Patients ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Disease Mortality ◽

Before And After ◽

Patients With Diabetes

Diabetes mellitus is one of the communicable diseases that have become a public health problem, not only in Indonesia but also the world. Currently morbidity of diabetes mellitus is increasing every year, where in 2006 there were 14 million people in 2011 and ranks fourth with 773 cases. DM is also a cause of disease mortality by 5.8%. And Samarinda own particular Islamic Hospital years 2009, there were 449 patients with DM, and 2011 an increase in the 1931 patients with diabetes mellitus. To increase patients’ knowledge about diabetes and diabetic patients be directing attitudes that support or positive attitude towards keeping blood glucose levels to remain normal. Methode to use pra eksperiment with one group pretest posttest. individual conseling withAudiovisual media. There is increased knowledge about diabetes diabetic patients before and after intervention with increasing value of 3.77 (p value = 0.000) and increase in attitudes regarding diabetes mellitus diabetic patients with an increase in the value of 5,35 (p value = 0.003). There was an increase in knowledge and attitudes of patients hospitalized with diabetes mellitus hospital after islam samarinda given nutritional counseling using audio-visual media

Download Full-text

THE USE OF A VITAMIN-MINERAL COMPLEX IN THE COMBINED THERAPY OF PATIENTS WITH OBESITY AND TYPE 2 DIABETES MELLITUS: A CLINICAL TRIAL

Trace Elements in Medicine (Moscow) ◽

10.19112/2413-6174-2021-22-1-60-71 ◽

2021 ◽

Vol 22 (1) ◽

pp. 60-71

Author(s):

I.A. Lapik ◽

◽

K.M. Gapparova ◽

A.V. Galchenko ◽

◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Combined Therapy ◽

Clinical Manifestations ◽

Micronutrient Deficiency ◽

The Body ◽

Control Group ◽

Mineral Complex ◽

Patients With Diabetes

Low caloric diet is used in the complex treatment of patients with diabetes mellitus and obesity. However, the reduced caloric food can inadvertently lead to decreased intake of micronutrients. The main goal of the research was to assess the necessity and effectiveness of the vitamin-mineral complex in the treatment of type 2 diabetes with obesity. Methods: 80 females suffering from type 2 diabetes and obesity, ranging from 40 to 65 years old participated in the study. The total patients were divided into two groups, each containing 40 patients. All patients were given a personalized diet and 1000mg of metformin every day. The experimental group, besides that, received vitamin-mineral complex. The biochemical analysis of the blood, composition of the body, and the complaint on micronutrient deficiency were taken before the experiment and after 14 days of the therapy. Results: Supplementation of the vitamin-mineral complex was associated with higher blood serum levels of vitamins B6, B12, B9, C, D, potassium, calcium, magnesium and zinc, and lower levels of glucose. Clinical manifestations, associated with micronutrient deficiency, were significantly decreased in patients who were given vitamin-mineral complex. All these changes were valid both in relation to the initial level in the study group and to the indicators after treatment in the control group. Conclusion: Micronutrient supplements may be a very important part of the combined therapy of patients with diabetes mellitus and obesity.

Download Full-text

Quality of care for patients with diabetes mellitus type 2 in ‘model practices’ in Slovenia – first results

Slovenian Journal of Public Health ◽

10.1515/sjph-2016-0023 ◽

2016 ◽

Vol 55 (3) ◽

pp. 179-184 ◽

Cited By ~ 2

Author(s):

Davorina Petek ◽

Mitja Mlakar

Keyword(s):

Diabetes Mellitus ◽

Quality Of Care ◽

Quality Indicators ◽

Diabetes Mellitus Type 2 ◽

Process Quality ◽

Diabetes Mellitus Type ◽

Before And After ◽

Patients With Diabetes

Abstract Background A new organisation at the primary level, called model practices, introduces a 0.5 full-time equivalent nurse practitioner as a regular member of the team. Nurse practitioners are in charge of registers of chronic patients, and implement an active approach into medical care. Selected quality indicators define the quality of management. The majority of studies confirm the effectiveness of the extended team in the quality of care, which is similar or improved when compared to care performed by the physician alone. The aim of the study is to compare the quality of management of patients with diabetes mellitus type 2 before and after the introduction of model practices. Methods A cohort retrospective study was based on medical records from three practices. Process quality indicators, such as regularity of HbA1c measurement, blood pressure measurement, foot exam, referral to eye exam, performance of yearly laboratory tests and HbA1c level before and after the introduction of model practices were compared. Results The final sample consisted of 132 patients, whose diabetes care was exclusively performed at the primary care level. The process of care has significantly improved after the delivery of model practices. The most outstanding is the increase of foot exam and HbA1c testing. We could not prove better glycaemic control (p>0.1). Nevertheless, the proposed benchmark for the suggested quality process and outcome indicators were mostly exceeded in this cohort. Conclusion The introduction of a nurse into the team improves the process quality of care. Benchmarks for quality indicators are obtainable. Better outcomes of care need further confirmation.

Download Full-text

Frequency of Thyroid Dysfunction in Patients With Diabetes Mellitus Before and After Liver Transplantation

Transplantation Proceedings ◽

10.1016/j.transproceed.2018.02.043 ◽

2018 ◽

Vol 50 (3) ◽

pp. 788-791

Author(s):

A. Moura Neto ◽

T.G. Bovi ◽

C.M. Righetto ◽

A.R. Fiore ◽

L.T. Lot ◽

...

Keyword(s):

Diabetes Mellitus ◽

Liver Transplantation ◽

Thyroid Dysfunction ◽

Before And After ◽

Patients With Diabetes

Download Full-text

Assessment of Absorption of Glycated Nail Proteins in Patients with Diabetes Mellitus and Diabetic Retinopathy

Medicina ◽

10.3390/medicina56120658 ◽

2020 ◽

Vol 56 (12) ◽

pp. 658

Author(s):

Ieva Jurgeleviciene ◽

Daiva Stanislovaitiene ◽

Vacis Tatarunas ◽

Marius Jurgelevicius ◽

Dalia Zaliuniene

Keyword(s):

Diabetes Mellitus ◽

Diabetic Retinopathy ◽

Ftir Spectroscopy ◽

Region Of Interest ◽

Control Group ◽

Before And After ◽

Patients With Diabetes ◽

Long Term Observation

Background and objectives: Glycation occurs in a variety of human tissues and organs. Knowledge about the relationship between predictive biochemical factors such as absorption of glycated nail proteins and severity of type 2 diabetes mellitus (DM) and diabetic retinopathy (DR) remains limited. Materials and Methods: The study group consisted of patients with type 2 DM and DR (n = 32) and a control group (n = 28). Each patient underwent a comprehensive ophthalmic examination. The glycation process in nail clippings was evaluated in stages of in vitro glycation and deglycation stages. ATR–FTIR spectroscopy was used to calculate the infrared absorption in the region of interest. The absorption of solutions with nail clippings was evaluated by NanoDrop spectrophotometry. Absorption spectra differences before and after the exposure to fructosamine 3-kinase were compared between DM patients with DR and the control group. Results: The absorption of glycated nail protein greater than 83.00% increased the chance of developing DM and DR (OR = 15.909, 95% CI 3.914–64.660, p < 0.001). Absorption of glycated nail protein by ATR–FTIR spectroscopy in patients with DM and DR in vitro glycation was statistically significantly higher than in the control group; also absorption of solution with nails by NanoDrop spectroscopy was statistically significantly higher than in controls in vitro glycation and in vitro deglycation. After exposure to fructosamine 3-kinase, absorption of nail protein in DM + severe/proliferative DR group was statistically significantly lower in comparison with DM + mild/moderate group DR. Conclusions: Evaluation of glycated nail protein could be applied to evaluate the risk of having DM and for long-term observation of DM control.

Download Full-text

Dynamics of metabolic characteristics, markers of oxidative stress and vascular wall damage during treatment of obese prediabetic patients

Clinical Medicine (Russian Journal) ◽

10.18821/0023-2149-2016-94-3-221-224 ◽

2016 ◽

Vol 94 (3) ◽

pp. 221-224

Author(s):

Irina A. Romanenko ◽

T. S. Polyatykina ◽

N. V. Mavrycheva ◽

N. V. Budnikova ◽

V. B. Grinshtein

Keyword(s):

Oxidative Stress ◽

Diabetes Mellitus ◽

Carbohydrate Metabolism ◽

Malonic Dialdehyde ◽

Vascular Wall ◽

Metabolic Parameters ◽

Diabetic Patients ◽

Metabolic Characteristics ◽

Before And After ◽

Markers Of Oxidative Stress

We studied lipid and carbohydrate metabolism, markers of oxidative stress (plasma malonic dialdehyde and dienoic conjugates) and vascular wall damage (CRP, microalbuminuria, blood desquamated endotheliocytes) before and after 12 week treatment of obese pre-diabetic patients. The study showed positive dynamics of the above metabolic parameters with normalization of carbohydrate metabolism in 60% of the patients and angioprotective effect ofprescribed therapy. The proposed treatment can be used to prevent diabetes mellitus.

Download Full-text