scholarly journals Educative booklet for elders with type 2 diabetes mellitus

2021 ◽  
Vol 8 (11) ◽  
pp. 5425
Author(s):  
Nenmanikkara Geoviya George ◽  
M. S. Moosabba ◽  
M. R. Sivakumar ◽  
Manjula Suvarna
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Content Validity ◽  
Lifestyle Changes ◽  
Validity Index ◽  
Content Validity Index ◽  
Content Selection ◽  
Item Level

Background: Consistently following and practicing the instructions given in the educational booklets helps in the disease awareness and its management.Methods: The study was developed by formulating the booklet content; content selection and source reference; framing the content; artfully crafting the pictures; booklet layout; approval by the specialist and audience; modifying and proofreading.  For content validation, the item-level content validity index (I-CVI) score and scale level content validity index (S-CVI) score of minimum 0.80 was considered.Results: The booklet was created by focusing on 5 main aspects namely information about the disease and the importance about the lifestyle changes, exercises, advices that needs to be considered while exercising, footcare and fall prevention techniques. The recommendations made by the experts and the participants were accepted and incorporated in the booklet. The mean I-CVI and S-CVI scores are >0.90. The booklet was easy to read, understand and apply by the experts and participants.Conclusions: The results indicated that validated booklet can be considered as a useful educational tool for promoting the wellness among the elders with type 2 diabetes mellitus.

scholarly journals Prevalence of Diabetic Retinopathy in Type 1 and Type 2 Diabetes Mellitus Patients in North-East Poland

Medicina ◽  
2020 ◽  
Vol 56 (4) ◽  
pp. 164
Author(s):  
Wojciech Matuszewski ◽  
Angelika Baranowska-Jurkun ◽  
Magdalena M. Stefanowicz-Rutkowska ◽  
Robert Modzelewski ◽  
Janusz Pieczyński ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Proliferative Diabetic Retinopathy ◽  
Lifestyle Changes ◽  
North East ◽  
Experimental Group

Background and Objectives: The global epidemic of diabetes, especially type 2 (DM2), is related to lifestyle changes, obesity, and the process of population aging. Diabetic retinopathy (DR) is the most serious complication of the eye caused by diabetes. The aim of this research was to assess the prevalence of diabetic retinopathy in type 1 and type 2 diabetes mellitus patients in north-east Poland. Materials and Methods: The eye fundus was assessed on the basis of two-field 50 degrees color fundus photographs that showed the optic nerve and macula in the center after the pupil was dilated with 1% tropicamide. Results: The experimental group included 315 (26%) patients with type 1 diabetes mellitus (DM1) and 894 (74%) patients with DM2. DM1 patients were diagnosed with DR in 32.58% of cases, with non-proliferative diabetic retinopathy (NPDR) in 24.44% of cases, proliferative diabetic retinopathy (PDR) in 1.59% of cases, diabetic macular edema (DME) in 5.40% of cases, and PDR with DME in 0.95% of cases. DR was found in DM2 patients in 23.04% of cases, NPDR in 17.11% of cases, PDR in 1.01% of cases, DME in 4.81% of cases, and PDR with DME in 0.11% of cases. Conclusions: The presented study is the first Polish study on the prevalence of diabetic retinopathy presenting a large group of patients, and its results could be extrapolated to the whole country. Diabetic retinopathy was found in 25.48% of patients in the whole experimental group. The above results place Poland within the European average, indicating the quality of diabetic care offered in Poland, based on the number of observed complications.

scholarly journals THE WAY TO PREDICT THE EFFECTIVENESS OF BARIATRIC SURGERY IN PATIENTS WITH COMORBID OBESITY IN POST-PANDEMIC PERIOD

2020 ◽  
pp. 91-94
Author(s):  
M. I. Marushchak ◽  
I. Ya. Krynytska ◽  
I. Ya. Dzyubanovskyі
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Type 2 Diabetes Mellitus ◽  
Arterial Hypertension ◽  
Lifestyle Changes ◽  
Atherogenic Dyslipidemia ◽  
Short Term ◽  
Treatment Of Obesity

Summary. It is estimated that from 650 million to 2 billion adults worldwide, are overweight or obese, the numbers indicating epidemic levels of disease. In individuals, body mass index (BMI) exceeding 27 kg/m2 is associated with a high risk of mortality and the presence of comorbid pathologies, in particular, atherogenic  dyslipidemia, arterial hypertension (AH), type 2 diabetes mellitus (T2D), thromboembolism, hepatic steatosis, etc. Preliminary data indicate that obesity is among key risk factors in severe and fatal cases of COVID-19, when comorbid with AH and T2D. The aim of this study – to analyze the possibility of developing an optimized model utilizing anamnestic, clinical, biochemical and genetic parameters for predicting the outcomes of bariatric surgery in the patients with obesity, type 2 diabetes mellitus (T2D) and/or arterial hypertension (AH). Results. Lifestyle changes and conservative treatment of obesity usually only result in a short-term effect, since the measures aiming to induce weight loss consign the person to a constant struggle with natural homeostatic processes. Recurrence of obesity in such patients is observed in 95 % of the cases. Therefore, the International Association of Endocrinologists recommends that patients with a BMI greater than 40 kg/m2, as well as with a BMI of 35.0 to 39.9 kg/m2 and metabolic syndrome undergo a surgical treatment of obesity using minimally invasive techniques. At the same time, a number of issues associated with bariatric laparoscopic interventions remain unresolved, since these procedures are invasive and carry all the risks accompanying surgery, general  anesthesia, and the postoperative recovery period. An  innovative surgical approach, the X-ray endovascular bariatric embolization of the gastric arteries (BAE) is proposed as an alternative to laparoscopic intervention. However, the indications for the use of BAE are undefined, especially in the cases of comorbid obesity; there are no clear algorithms and guidelines for its use. Conclusions. There have been no comprehensive studies of short-term, intermediate and long-term outcomes of BEA in Ukraine. This warrants the need to develop an optimal model for predicting the outcomes of both classical bariatric laparoscopic surgery with regulated gastric band and innovative BEA procedure in patients with comorbid obesity in post-pandemic period  using anamnestic, clinical, biochemical and genetic predictors.

scholarly journals Lifestyle changes in patients with morbid obesity and type 2 diabetes mellitus during the COVID-19 pandemic

2020 ◽  
Author(s):  
Michał Wysocki ◽  
Maciej Walędziak ◽  
Monika Proczko-Stepaniak ◽  
Michał Pędziwiatr ◽  
Jacek Szeliga ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Morbid Obesity ◽  
Type 2 Diabetes Mellitus ◽  
Lifestyle Changes

scholarly journals Early detection of macrovascular complications in type 2 diabetes mellitus in Medan, North Sumatera, Indonesia: A cross-sectional study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 808
Author(s):  
Rina Amelia ◽  
Juliandi Harahap ◽  
Yuki Yunanda ◽  
Hendri Wijaya ◽  
Isti Ilmiati Fujiati ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Vitamin D ◽  
Type 2 Diabetes Mellitus ◽  
Early Detection ◽  
Ankle Brachial Index ◽  
Lifestyle Changes ◽  
Macrovascular Complications ◽  
Cross Sectional

Background: Macrovascular complications occur very frequently in patients with type 2 diabetes mellitus (T2DM) with a high mortality rate, due to the development of cardiovascular disease (CVD), such as stroke, atherosclerosis acceleration, and atrial fibrillation. T2DM is a significant risk factor for CVD and has become the leading cause of death. The purpose of this study was to detect the early risk of macrovascular complications by using the ankle brachial index (ABI) as a marker. Methods: This study was an analytic study with a cross-sectional approach. The study population was patients with T2DM from several primary health care centers in Medan. In total, 89 subjects who met the inclusion and exclusion criteria were recruited with consecutive sampling. ABI was determined as the ratio of systolic blood pressure in the brachial artery to the posterior tibial artery after the subjects had been relaxed and felt comfortable in a supine position. Examination of vitamin D and lipid profile was derived from examination of venous blood.  Data were processed using SPSS and analyzed with one-way ANOVA. Results: The study found that there was a relationship between LDL-C, triglyceride, and vitamin D (25OH-D) based on the ABI (p > 0.05). Conclusions: ABI can be used for an early detection of macrovascular complications. Apart from being easy to perform, ABI was non-invasive. Some other risk factors that can also be used to assess complications and have relationships with ABI were LDL-C, triglyceride, and vitamin D (25OH-D). Complications in T2DM patients can be prevented with reasonable blood sugar control and lifestyle changes. Education and motivation need to be given to patients so that they become more independent in controlling their disease and improving their quality of life.

scholarly journals Treating Arterial Stiffness in Metabolic Syndrome and Type 2 Diabetes Mellitus

2013 ◽  
Vol 5 (1) ◽  
pp. 102-106
Author(s):  
Niki Katsiki ◽  
Eugenia Gkaliagkousi ◽  
Asterios Karagiannis ◽  
Dimitri P. Mikhailidis
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Metabolic Syndrome ◽  
Type 2 Diabetes Mellitus ◽  
Arterial Stiffness ◽  
Antiplatelet Agents ◽  
Lifestyle Changes ◽  
The Metabolic Syndrome ◽  
Lifestyle Measures

Arterial stiffening characterizes ageing and several diseases related to increased cardiovascular (CV) risk such as the metabolic syndrome (MetS), type 2 diabetes mellitus (T2DM), hypertension, obesity and smoking. Several studies have shown that arterial stiffness is a strong, independent predictor of CV morbidity and mortality risk in such patient populations. Lifestyle measures and drugs frequently prescribed in MetS and T2DM patients such as hypolipidaemic, antihypertensive, hypoglycaemic and antiplatelet agents, may improve arterial stiffness, thus further reducing vascular risk. The current review considers the effects of these drugs and lifestyle changes on arterial stiffness in MetS and T2DM patients. The potential clinical implications of such effects on treatment decisions in clinical practice remain to be established. Multifactorial interventions may be even more beneficial in terms of CV risk reduction and thus their impact on arterial stiffness should also be evaluated.

scholarly journals Nutrients and Dietary Approaches in Patients with Type 2 Diabetes Mellitus and Cardiovascular Disease: A Narrative Review

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4150
Author(s):  
Carlos Jiménez-Cortegana ◽  
Pedro Iglesias ◽  
Josep Ribalta ◽  
Teresa Vilariño-García ◽  
Laura Montañez ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Type 2 Diabetes Mellitus ◽  
Developed Countries ◽  
Lifestyle Changes ◽  
Dietary Recommendations ◽  
Common Cause

Cardiovascular disease (CVD) is the most common cause of morbidity and mortality in developed countries. The prevalence of CVD is much higher in patients with type 2 diabetes mellitus (T2DM), who may benefit from lifestyle changes, which include adapted diets. In this review, we provide the role of different groups of nutrients in patients with T2DM and CVD, as well as dietary approaches that have been associated with better and worse outcomes in those patients. Many different diets and supplements have proved to be beneficial in T2DM and CVD, but further studies, guidelines, and dietary recommendations are particularly required for patients with both diseases.

scholarly journals Construction and validation of the Self-care Assessment Instrument for patients with type 2 diabetes mellitus

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Simonize Cunha Barreto de Mendonça ◽  
Maria Lúcia Zanetti ◽  
Namie Okino Sawada ◽  
Ikaro Daniel de Carvalho Barreto ◽  
Joseilze Santos de Andrade ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Content Validity ◽  
Self Care ◽  
The Self ◽  
Assessment Instrument ◽  
Care Assessment ◽  
Validity Indices

ABSTRACT Objective: to construct and validate the contents of the Self-care Assessment instrument for patients with type 2 diabetes mellitus. Method: methodological study, based on Orem's General Theory of Nursing. The empirical categories and the items of the instrument were elucidated through a focus group. The content validation process was performed by seven specialists and the semantic analysis by 14 patients. The Content Validity Indices of the items, ≥0.78, and of the scale, ≥0.90, were considered excellent. Results: the instrument contains 131 items in six dimensions corresponding to the health deviation self-care requisites. Regarding the maintenance, a Content Validity Index of 0.98 was obtained for the full set of items, and, regarding the relevance, Content Validity Indices ≥0.80 were obtained for the majority of the assessed psychometric criteria. Conclusion: the instrument showed evidence of content validity.

scholarly journals Validation of a booklet on self-care with the diabetic foot

2019 ◽  
Vol 72 (3) ◽  
pp. 780-787 ◽  
Author(s):  
Yara Lanne Santiago Galdino ◽  
Thereza Maria Magalhães Moreira ◽  
Antonio Dean Barbosa Marques ◽  
Francisca Alexandra Araújo da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Care ◽  
Educational Material ◽  
Concordance Index ◽  
Methodological Study ◽  
Validity Index ◽  
Suitability Assessment

ABSTRACT Objective: to describe the validation of the booklet on self-care with the feet of people with diabetes. Method: methodological study, focusing on the validation of a printed booklet. The content and appearance of the booklet was validated by 23 judges divided into three groups: 11 content and appearance, seven technicians and five of the area of design and marketing. The appearance was validated by 30 people with type 2 Diabetes Mellitus. Results: the judges in the nursing area allowed the validation of material with a Content Validity Index (CVI) of 0.99, judges in the area of design and marketing with Suitability Assessment of Materials (SAM) of 99.2% and the target audience with concordance index of 99.4%. Conclusion: the educational booklet proved to be valid and reliable educational material to be used in order to promote compliance with self-care with the feet of people with Diabetes Mellitus.

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