scholarly journals Limited health literacy is associated with poorer clinical outcomes in elderly with type 2 diabetes mellitus

2019 ◽  
Vol 38 (3) ◽  
pp. 179
Author(s):  
Gulay Yilmazel ◽  
Remziye Cici
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Literacy ◽  
Glycemic Control ◽  
Clinical Outcomes ◽  
Poor Glycemic Control ◽  
Health Concern ◽  
Limited Health Literacy ◽  
Limited Health

Background<br />Diabetes mellitus is a significant global public health concern. Poor knowledge of disease and healthcare utilization is associated with poor health outcomes, leading to increasing burden of diabetes in many developing countries. The present study aimed to assess diabetes health literacy and clinical outcomes in elderly patients registered to the home health agency. <br /><br />Methods<br />A cross-sectional study was conducted in the city of Çorum, Turkey, with 160 type 2 diabetic patients of both sexes and aged between 50-91 years. To identify health literacy, the Rapid Estimate of Adult Literacy in Medicine test was administered to the patients. Clinical parameters were based on routine medical examinations by measuring blood pressure levels, glycosylated hemoglobin, and lipoprotein levels. In order to identify the risk of depression, the Beck Depression Scale was used. <br /><br />Results<br />Of the patients, 85.0% had limited health literacy. The majority of patients (95.0%) had poor glycemic control and limited health literacy was associated with having high level of HbA1c (p&lt;0.05). Adequate health literacy was associated with regular foot care (p&lt;0.05). Also patients with limited health literacy were more likely to have depression (p&lt;0.001). Limited health literacy increased the risk of poor glycemic control (OR=6.82;95% CI=1.34-9.78) and retinopathy (OR=6.91;95% CI=1.23-9.44). <br /><br />Conclusion<br />Limited health literacy is consistently associated with poorer diabetes clinical outcomes in elderly type 2 diabetes melltius Contents of diabetes education should be arranged according to patients’ health literacy level which requires visual and auditory teaching materials for patients with limited health literacy.

scholarly journals Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0216402 ◽  
Author(s):  
Adina Abdullah ◽  
Su May Liew ◽  
Hani Salim ◽  
Chirk Jenn Ng ◽  
Karuthan Chinna
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Literacy ◽  
Limited Health Literacy ◽  
Limited Health

scholarly journals Association of Health Literacy and Nutritional Status Assessment with Glycemic Control in Adults with Type 2 Diabetes Mellitus

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3152
Author(s):  
Saman Agad Hashim ◽  
Mohd Yusof Barakatun-Nisak ◽  
Hazizi Abu Saad ◽  
Suriani Ismail ◽  
Osama Hamdy ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Literacy ◽  
Glycemic Control ◽  
Nutritional Status ◽  
Poor Glycemic Control ◽  
Antidiabetic Therapy ◽  
Oral Agents

While the role of medical and nutrition factors on glycemic control among adults with type 2 diabetes mellitus (T2DM) has been well-established, the association between health literacy (H.L.) and glycemic control is inconsistent. This study aims to determine the association of H.L. and nutritional status assessments with glycemic control in adults with type 2 diabetes mellitus. A total of 280 T2DM respondents (mean (SD) age = 49.7 (10.3) years, Glycated hemoglobin (HbA1c) = 9.9 (2.6) %, and Body Mass Index = 32.7 (15.1) kg/m2) were included in this study. A short-form Test of Functional Health Literacy in Adults (S-TOFHLA) assessed the H.L. levels. Nutritional status assessments included client history, glycemic control, anthropometric, and biochemical data. The mean (S.D.) H.L. score was 45.7 (24.6), with 56% of the respondents had inadequate H.L. Inadequate H.L. was more common among those females; housewives, low education, received oral antidiabetic therapy, and shorter diabetes duration. Respondents with inadequate H.L. were significantly older and had higher HbA1c than those with marginal and adequate H.L. Meanwhile, respondents with inadequate and marginal H.L. levels had significantly higher total cholesterol, LDL-cholesterol, and systolic blood pressure than the respondents with adequate H.L. Low H.L. scores, self-employment status, received dual antidiabetic therapy (insulin with oral agents), received insulin alone, and had higher fasting blood glucose explained about 21% of the total variation in HbA1c (adjusted R2 = 0.21; p < 0.001). Respondents with inadequate H.L. had poor glycemic control. The H.L. scores, together with nutritional status assessments, were the factors that predicted poor glycemic control among adults with T2DM.

scholarly journals Correction: Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261430
Author(s):  
Adina Abdullah ◽  
Su May Liew ◽  
Hani Salim ◽  
Chirk Jenn Ng ◽  
Karuthan Chinna
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Literacy ◽  
Limited Health Literacy ◽  
Limited Health

scholarly journals Poor Glycemic Control: Prevalence and Risk Factors Among Patients with Type 2 Diabetes Mellitus in Northeast State of Peninsular Malaysia

2020 ◽  
Vol 4 (3) ◽  
pp. 206
Author(s):  
Hafizuddin Awang ◽  
Siti Mariam Ja’afar ◽  
Nurul Adhiyah Wan Ishak ◽  
Muhamad YusofZainal ◽  
Abdul Mukmin Mohamed Aminuddin ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Multivariable Analysis ◽  
Peninsular Malaysia ◽  
Poor Glycemic Control ◽  
Health Concern ◽  
Good Glycemic Control

Background: Poor glycemic control remains an on-going public health concern worldwide. With the increasing prevalence of diabetes mellitus in Malaysia, good control of blood glucose level is paramount to avert life-long complications of diabetes mellitus. Hence, this study aimed to determine the prevalence of poor glycemic control and its associated factors to assist clinicians in achieving good glycemic control among diabetic patients.Materials and Methods: A comparative cross-sectional study between groups of good glycemic control and poor glycemic control patients was conducted among type 2 diabetes mellitus (T2DM) patients who fulfilled study criteria in Pasir Puteh district, Kelantan, a northeast state of Peninsular Malaysia. Eligible samples registered in the National Diabetes Registry from 1st January 2019 until 31st December 2019 were recruited into the study. Descriptive statistics, simple and multiple logistic regressions were used for data analysis.Results: The prevalence of patients with poor glycemic control in Pasir Puteh district was 79.6%% (95% CI: 0.78, 0.81). Multivariable analysis using multiple logistic regression revealed age, duration of diabetes, cigarette smoking, presence of hypertension and presence of dyslipidaemia were the significant factors associated with poor glycemic control among T2DM patients in Pasir Puteh district with an adjusted odds ratio (AOR) of 0.93 (95%CI:0.91, 0.94); p<0.001), AOR 1.19 (95%CI:1.14, 1.25; p<0.001), AOR 2.75 (95%CI:1.52, 4.97; p=0.001), AOR 2.19 (95%CI:1.32, 3.62; p=0.002) and AOR 2.16 (95%CI:1.45, 3.21; p<0.001) respectively.Conclusion: This study provided important criteria for clinicians to improve management of diabetes mellitus and optimize glycemic control based on the pinpointed significant risk factors.International Journal of Human and Health Sciences Vol. 04 No. 03 July’20 Page : 206-214

scholarly journals Laboratory Parameters of Hemostasis, Adhesion Molecules, and Inflammation in Type 2 Diabetes Mellitus: Correlation with Glycemic Control

2020 ◽  
Vol 17 (1) ◽  
pp. 300 ◽  
Author(s):  
Eleonora Palella ◽  
Rossella Cimino ◽  
Salvatore A. Pullano ◽  
Antonino S. Fiorillo ◽  
Elio Gulletta ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Adhesion Molecules ◽  
Adhesion Molecule ◽  
Vascular Complications ◽  
Poor Glycemic Control ◽  
Pai 1

Background: Type 2 diabetes mellitus (T2DM) is characterized by a prothrombotic state, predisposing to vascular complications. Some related markers, linking thrombophilia to hemostasis and inflammation, however, have been poorly explored in relation to patients’ glycemia. We therefore investigated the association of laboratory hemostatic parameters, circulating adhesion molecules (ADMs), white blood cell (WBC) count, and neutrophil/lymphocyte ratio (NLR) with T2DM and glycemic control. Research design: In this study, 82 subjects, grouped into T2DM patients (n = 41) and healthy individuals (n = 41) were enrolled. To evaluate glycemic control, the T2DM cohort was expanded to 133 patients and sub-classified according to glycated hemoglobin (HbA1c) <7% and ≥ 7% (n = 58 and n = 75, respectively). We assessed glycemia, HbA1c, prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen, plasminogen activator inhibitor-1 (PAI-1), platelet and leukocyte parameters, vascular cell adhesion molecule 1 (VCAM-1), intercellular adhesion molecule 1 (ICAM-1), and selectins (E-, P-, L-). Results: PT % activity, PAI-1, VCAM-1, WBC, and neutrophil counts were significantly higher in T2DM patients than in healthy subjects. Poor glycemic control (HbA1c ≥ 7%) was correlated with increased PT activity (p = 0.015), and higher levels of E-selectin (p = 0.009), P-selectin (p = 0.012), and NLR (p = 0.019). Conclusions: Both T2DM and poor glycemic control affect some parameters of hemostasis, inflammation, and adhesion molecules. Further studies are needed to establish their clinical utility as adjuvant markers for cardio-vascular risk in T2DM patients.

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