scholarly journals Diabetic foot self-care: awareness and practice among type 2 diabetic patients in primary healthcare centers, Dubai Health Authority

2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Maira K. Mehmood ◽  
Almas Z. Parkar ◽  
Nayab T. Mustafa ◽  
Sarah S. Mustafa ◽  
Momina A. Makin ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Healthcare ◽  
Health Authority ◽  
Diabetic Foot ◽  
Self Care ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cumulative Score ◽  
Primary Healthcare Centers

Background: Diabetic foot disease is the most common complication of diabetes mellitus. With appropriate management, approximately 49-85% of diabetic foot complications can be prevented. This study was carried out due to lack of population-based studies on foot self-care in the U.A.E. The aim of this study is to assess the awareness and practice of foot self-care in patients with type 2 diabetes and study the factors affecting foot self-care.Methods: A cross-sectional study was conducted amongst patients of type-2 diabetes attending the diabetic clinics in primary healthcare centers under Dubai Health Authority. 488 participants were interviewed on a pre-tested structured questionnaire. The cumulative score of awareness and practice was classified into poor (<50 percentile), average (50-75 percentile) and good (>75 percentile).Results: 47% participants had an overall poor awareness and 46% had an overall poor practice of foot self-care. Compliance of medications to avoid complications had the highest awareness (83%) and practice (91%). Avoiding moisturizing between toes had the least awareness (40%) and practice (38%). Awareness was better in 59% of UAE nationals and 74% of postgraduates. Practice was better in 60% of males and 73% of participants with uncontrolled HbA1c. Participants who received prior information had better awareness (55%). Participants receiving information from Dubai Diabetes Centre (DDC) had better awareness (66%) and practice of foot self-care (66%).Conclusions: Almost half of the diabetic patients attending primary healthcare centers in Dubai have limited awareness and practice regarding diabetic foot self-care.

scholarly journals Prevalence of Overweight and Obesity in Type 2 Diabetic Patients Visiting PHC in the Dubai Health Authority

2021 ◽  
pp. 1-5
Author(s):  
Noorah Bawady ◽  
Ola Aldafrawy ◽  
Elham Mohamed ElZobair ◽  
Wafaa Suliman ◽  
Amal Alzaabi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Primary Healthcare ◽  
Diabetic Patients ◽  
Obesity Management ◽  
Obesity And Overweight ◽  
Prevalence Of Obesity ◽  
Primary Healthcare Centers

<b><i>Background:</i></b> Diabetes is a highly prevalent global and local major health problem according to the International Diabetes Federation (IDF) and will double by 2045. A strong relationship between obesity and type 2 diabetes has been found. Both are leading causes of cardiovascular disease and death; thus, understanding the prevalence of obesity in type 2 diabetes is crucial for planning obesity management and preventing complications. <b><i>Objectives:</i></b> This study aimed to determine the prevalence of obesity and overweight among people with type 2 diabetes attending primary healthcare centers (PHC) in the Dubai Health Authority (DHA). <b><i>Methods:</i></b> The study sample consisted of type 2 diabetes mellitus patients who attended family medicine clinics in primary healthcare centers in DHA. All cases with type 2 diabetes attending family clinics for their periodic health checkup screening were included in the study. Patients &#x3c;18 years old, pregnant, and/or those with cancer and/or chronic kidney disease were excluded. <b><i>Results:</i></b> Our study sample had 9,198 type 2 diabetes mellitus cases with 51.6% males, 69.7% United Arab Emirates nationals, 7.9% who exercised regularly, and 1.8% who followed a healthy diet. Obesity and overweight cases were 49.5% and 35.5%, respectively. <b><i>Conclusion:</i></b> Without an aggressive obesity management approach, control of diabetes is difficult. The prevalence of obesity and overweight among people with type 2 diabetes is high. Obesity and overweight cases were 49.5% and 35.5%, respectively, among diabetic patients attending PHC. Over 50% (55%) of UAE nationals were obese, while 31.8% were overweight, suggesting that active interventions to control weight gain would be appropriate.

Effects of social and economic factors on the attitudes of diabetic patients towards self-care behaviors in Iran

2021 ◽  
Vol 13 (2) ◽  
pp. 20206
Author(s):  
Raana Gholamzadeh Nikjoo ◽  
Haniye Nikbakht ◽  
Yegane Partovi ◽  
Tohid Jafari Koshki
Keyword(s):  
Type 2 Diabetes ◽  
Self Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Economic Factors ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Virtual Groups ◽  
Patients With Diabetes

Background: One of the most common chronic diseases is diabetes, which self-care has a very significant role in reducing its complications. The aim of this study was to investigate the effect of social and economic factors on the attitude of diabetic patients towards self-care behaviors. Methods: The current study is a cross-sectional study conducted in 2019. The sample included 170 patients with diabetes referring to the clinics affiliated to the Tabriz University of Medical Sciences. Data were collected using a previously developed questionnaire through interview. Results: Out of participants in the study, had a positive attitude towards self-care behaviors of type 2 diabetes. We observed significant association between attitude towards self-care behaviors in type 2 diabetes and membership in real and virtual groups (P < 0.001), education (P < 0.001) support of family members (P < 0.001), household income (P = 0.01). Conclusion: Regarding the correlation between certain social and economic variables, and patient attitude towards self-care in diabetes, as well as the effects of attitude in performing self-care behaviors, and the beneficial results of these behaviors in disease control, correct methods must be adapted to control these variables both materially and spiritually. Some of the methods suggested by the researchers are holding frequent educational classes for these people, providing suitable pamphlets, allocating suitable environments and green spaces for diabetic patients, creating suitable and fun virtual groups, identifying type 2 diabetic patients who are not supported by families or do not have enough income and creating suitable group spaces for these people.

scholarly journals Assessment of Self-care Knowledge on Diabetes and Long-term Complications among Type 2 Diabetes Patients in Guyana

2021 ◽  
pp. 15-25
Author(s):  
Cecil Boston ◽  
Rajini Kurup ◽  
Sibte Hadi ◽  
Emanuel Cummings ◽  
Adrian O'hara
Keyword(s):  
Type 2 Diabetes ◽  
Patient Care ◽  
Employment Status ◽  
Self Care ◽  
Diabetic Patients ◽  
Insurance Plan ◽  
Type 2 Diabetic Patients ◽  
Level Of Education

Aims: The aim of this study was to assess the relationship between the level of knowledge regarding self-care and awareness as well as long-term complications among type 2 diabetic patients in Guyana. Methods: A cross-sectional study was conducted at the Georgetown Public Hospital Corporation and West Demerara Regional Hospital Guyana during the period September 2020 and December 2020. Results: A total of 200 patients with type 2 diabetes mellitus who met the inclusion criteria were recruited via advertisement and telephone interviews. The data revealed about 66.5% of participants were deemed to have good knowledge with men accounting for the majority. Diabetic foot and hypertension were commonly seen among participants with complications. Significant association was noted with barrier level of patients with the level of education (p=0.001), ethnicity (0.006) and insurance plan (0.03). Adherence to self-care showed statistically significant association with patient’s level of education (p<0.0001), marital status (0.02), employment status (p<0.0001), insurance plan (0.01) and persons living with multiple persons in the household (p<0.0001). Statistically, significant association was also noted among patient’s self-health feeling with level of education (0.004), employment status (p<0.0001), insurance plan (0.01) and persons living with multiple persons in the household (p<0.0001). There was no statistical difference between the hospital clinics neither between the groups of participants. Conclusion: In conclusion, the study highlighted gaps in the knowledge of the disease and patient care. Therefore, efforts should be made to enhance patient care by scheduling regular educational sessions and having services such as counselling available to patients.

scholarly journals Distress and its association with self-care in people with type 2 diabetes

Salud Mental ◽  
2017 ◽  
Vol 40 (2) ◽  
pp. 47-56 ◽  
Author(s):  
Ingrid Patricia Martinez-Vega ◽  
◽  
Svetlana V Doubova ◽  
Ricardo Pérez-Cuevas ◽  
Keyword(s):  
Type 2 Diabetes ◽  
Physical Exercise ◽  
Self Care ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Adherence To Medication ◽  
Patients With Diabetes ◽  
Type 2 Diabetic ◽  
Regular Physical Exercise

Introduction. Low adherence to diabetes self-care affects glycemic control and increases the risk of diabetes complications and premature deaths. Studies from the United States have found a relationship between distress and adherence to self-care in patients with diabetes; however, there is a lack of research on distress and its association with self-care in Mexican patients with diabetes. Objective. To evaluate the prevalence and association of distress with low self-care in patients with type 2 diabetes. Method. A cross-sectional study was carried out in two family medicine clinics of the Mexican Institute of Social Security in Mexico City. Four hundred eighty-nine type 2 diabetic patients ≥ 19 years of age participated. The statistical analysis incorporated a multiple Poisson regression. Results. Of the patients 18.8% had distress, 44.8% had low adherence to medication, 43.8% had low adherence to regular physical exercise, 82.4% did not consume the recommended amount of vegetables and 51.1% consumed foods with high sugar content. The distress was associated with poor adherence to medication and lack of regular physical exercise. Discussion and conclusion. The high prevalence of distress in type 2 diabetic patients in comparison with the general population reveals the importance of distress screening and health care at family practice clinics

Self-care improvement after a pharmaceutical intervention in elderly type 2 diabetic patients

2015 ◽  
Vol 12 (2) ◽  
pp. 120-128 ◽  
Author(s):  
Tania Nascimentoa ◽  
Nídia Braz ◽  
Eurico Gomes ◽  
Angeles Fernandez-Arche ◽  
Rocio De La Puerta
Keyword(s):  
Self Care ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Pharmaceutical Intervention ◽  
Care Improvement ◽  
Type 2 Diabetic

Metabolic and endothelial effects of trimetazidine on forearm skeletal muscle in patients with type 2 diabetes and ischemic cardiomyopathy

2006 ◽  
Vol 290 (1) ◽  
pp. E54-E59 ◽  
Author(s):  
Lucilla D. Monti ◽  
Emanuela Setola ◽  
Gabriele Fragasso ◽  
Riccardo P. Camisasca ◽  
Pietro Lucotti ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Lipid Oxidation ◽  
Ischemic Cardiomyopathy ◽  
Glucose Oxidation ◽  
Diabetic Patients ◽  
Vascular Effects ◽  
Type 2 Diabetic Patients ◽  
Double Blind ◽  
Endothelin 1

The aim of the present study was to evaluate the effect of prolonged inhibition of β-oxidation on glucose and lipid muscle forearm metabolism and cGMP and endothelin-1 forearm release in patients with type 2 diabetes mellitus and ischemic cardiomyopathy. Fifteen patients were randomly allocated in a double-blind cross-over parallel study with trimetazidine (20 mg tid) or placebo lasting 15 days. At the end of each period, all patients underwent euglycemic hyperinsulinemic clamps with forearm indirect calorimetry and endothelial balance of vasodilator and vasoconstricor factors. Compared with placebo, trimetazidine induced 1) an increase in insulin-induced forearm glucose uptake and glucose oxidation accompained by a reduction in forearm lipid oxidation and citrate release and 2) a decrease of endothelin-1 release paralleled by a significant increase in forearm cGMP release. Forearm glucose oxidation significantly correlated with cGMP release ( r = 0.37, P < 0.04), whereas forearm lipid oxidation positively correlated with endothelin-1 release ( r = 0.40, P < 0.03). In conclusion, for the first time, we demonstrated that insulin-induced forearm glucose oxidation and forearm cGMP release were increased whereas forearm endothelin-1 release was decreased during trimetazidine treatment. Muscle's metabolic and vascular effects of trimetazidine add new interest in the use of trimetazidine in type 2 diabetic patients with cardiovascular disease.

scholarly journals Association of Plasma Myeloperoxidase Level with Risk of Coronary Artery Disease in Patients with Type 2 Diabetes

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ping Song ◽  
Jin Xu ◽  
Yongfeng Song ◽  
Shiliang Jiang ◽  
Haitao Yuan ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Logistic Analysis ◽  
Artery Disease

Aims. This study aimed to investigate whether the change of plasma myeloperoxidase (MPO) level would be associated with the incidence of coronary artery disease (CAD) among diabetic patients.Methods. 339 patients with type 2 diabetes mellitus (DM) underwent coronary angiography. Of them, 204 cases had CAD and were assigned to CAD group and 135 cases without CAD were assigned to non-CAD group.Results. Compared to non-CAD group, CAD group had higher level of plasma MPO (p<0.01). Multiple linear regression analysis showed that plasma MPO level was correlated with Gensini score. Multiple logistic analysis showed that the odds ratios for CAD across increasing tertiles of MPO level were 1.191 (0.971–1.547) and 1.488 (1.115–2.228) (p=0.048,p=0.009versus 1st tertile of MPO level, resp.) by adjusting for age, sex, and other conventional risk factors for CAD. The subjects were stratified into nine groups according to tertiles of MPO and HbA1c. The odds ratio for CAD was significantly higher in group with highest levels of MPO and HbA1c (OR = 4.08,p<0.01).Conclusion. Plasma MPO level was positively correlated with the degree of coronary artery stenosis in type 2 diabetic patients, and increasing blood glucose might amplify the association between MPO and CAD.

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