Screening for diabetes and prediabetes: the newest communication opportunities

Type 2 diabetes mellitus (DM-2) and prediabetes are serious diseases that can lead to early disability and death. DM-2 can remain undiagnosed for many years; therefore, screening is one of the main assistants of a doctor in establishing a diagnosis, allowing to start treatment as early as possible.Research objective: early identification of patients with prediabetes and DM-2 using an online questionnaire.Materials and methods. The study was carried out online using the Google Forms platform, where a questionnaire was created based on Appendix 3 “Form of risk assessment of diabetes mellitus-2” of the Unified clinical protocol of primary and secondary (specialized) medical care “Type 2 diabetes mellitus”, approved by order of the Ministry of Health of Ukraine No. 1118 dated 12.21.2012, as well as additional questions on nutrition and physical activity. As of June 2021, the study involved 209 patients (151 women and 58 men) who did not have a documented diagnosis of DM-2 or prediabetes.Results. Most of the respondents (89 people) were overweight. 51 respondents had grade I obesity, 31 respondents had grade II, and 7 patients had a body mass index > 40 kg/m2, which corresponds to grade III obesity. Only 49 respondents had a healthy weight, which corresponds to a body mass index 18.5–24.9 kg/m2. 29 (19.21%) women had a history of childbirth with a child weighing more than 4 kg. The diagnosis of polycystic ovary disease (a risk factor for the DM-2) was in 34 (22.52%) women. Upon receipt of laboratory tests, we established a diagnosis of prediabetes in 28 (13.40%) patients, and a diagnosis of DM-2 in 17 (8.13%) people.Conclusions. It is necessary to search for new opportunities in communicating with patients during the COVID-19 pandemic, one of which is online questionnaires based on regulatory documents.

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DETERMINAN INSIDEN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2: STUDI LITERATUR

Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) ◽

10.33023/jikep.v7i2.833 ◽

2021 ◽

Vol 7 (2) ◽

pp. 289-295

Author(s):

Zaqqi Ubaidillah ◽

Desy Ayu Permata Sari ◽

Erma Wahyu Mashfufa

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Body Mass Index ◽

Type 2 Diabetes Mellitus ◽

Kidney Function ◽

Body Mass ◽

Clinical Symptoms ◽

History Of

Background: Hypoglycemia occurs when the blood sugar level is <70 mg / dl in the presence of clinical symptoms. This is an acute complication of diabetes mellitus. (Riskesdes 2014), obtained the data that diabetes type 2 is 90% of all diabetes. In 2017, diabetes mellitus in Indonesia increased by 1.4%. As many as 10% -30% had hypoglycemia with a mortality rate of 3% -4% (Diabetes mellitus type 1). Meanwhile, 1.2% incidence in type 2 diabetes mellitus. Therefore, the aim is to investigate the factors that influence the incidence of hypoglycemia in type 2 diabetes mellitus patients. In order to further help improve the optimal management of hypoglycemia. Method: Literature study from 16 international journals with the inclusion criteria of ages 45-90 years, full text journals, and ranges for the years 2016-2020, hypoglycemia, type 2 diabetes. Data based on data published article by NCBI and Google Scholar. Data were analyzed with descriptive analysis. Results: Age, Gender, Use of Sulfonylurea, Knowledge, Body Mass Index, Kidney Function, History of Hypoglycemia, Exercise / Physical Activity, Diet and Diabetes Duration were factors that the researchers found. Conclusion: Data obtained on several factors hypoglycemia. These factors include age, gender, use of sulfonylureas, knowledge of hypoglycemia, body mass index, decreased kidney function, history of hypoglycemia, exercise / physical activity, diet (delaying or skipping meals), and duration of diabetes.

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Is Bariatric Surgery Effective for Chinese Patients with Type 2 Diabetes Mellitus and Body Mass Index < 35 kg/m2? A Systematic Review and Meta-analysis

Obesity Surgery ◽

10.1007/s11695-021-05520-9 ◽

2021 ◽

Author(s):

Yichen Li ◽

Yijie Gu ◽

Yujia Jin ◽

Zhongqi Mao

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Type 2 Diabetes ◽

Bariatric Surgery ◽

Body Mass Index ◽

Type 2 Diabetes Mellitus ◽

Body Mass ◽

Meta Analysis ◽

Chinese Patients

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Endocrinological and metabolic characteristics in patients who are non-obese and have polycystic ovary syndrome and different types of a family history of type 2 diabetes mellitus

Journal of International Medical Research ◽

10.1177/03000605211016672 ◽

2021 ◽

Vol 49 (5) ◽

pp. 030006052110166

Author(s):

Yuan Wang ◽

Hua Gao ◽

Wen Di ◽

Zhuowei Gu

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Family History ◽

Polycystic Ovary Syndrome ◽

Polycystic Ovary ◽

Ovary Syndrome ◽

History Of ◽

Second Degree

Objective We aimed to investigate whether patients with polycystic ovary syndrome (PCOS) and a family history (FH) of type 2 diabetes mellitus (T2DM) are at increased risk of endocrinological and metabolic abnormalities, and whether this risk differs between first-degree and second-degree relatives, and between maternal and paternal transmission. Methods A total of 680 patients with PCOS were enrolled in this retrospective, single-center study. Endocrine and glycolipid metabolism parameters were compared. Results The free androgen index (FAI), and levels of fasting blood glucose (FBG), fasting insulin (FINS), homeostatic model assessment-insulin resistance (HOMA-IR), total cholesterol (TC), and low-density lipoprotein cholesterol were significantly higher, whereas sex hormone binding globulin (SHBG) levels were significantly lower in patients with PCOS and a FH of T2DM. In patients with PCOS with a FH of T2DM in first-degree relatives, age and levels of FBG, FINS, and HOMA-IR were significantly higher than those who had a FH of T2DM in second-degree relatives. A maternal history of T2DM was associated with a higher body mass index, FAI, and TG levels, and lower SHBG levels. Conclusions Patients with PCOS and a FH of T2DM have more severe hyperandrogenism and metabolic disorders, especially in those with maternal transmission.

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Incongruence in body image and body mass index: A surrogate risk marker in Black women for type 2 diabetes mellitus

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v5i1.496 ◽

2013 ◽

Vol 5 (1) ◽

Author(s):

Rynal Devanathan ◽

Viveka Devanathan ◽

Tonya M. Esterhuizen

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Body Mass Index ◽

Body Image ◽

Type 2 Diabetes Mellitus ◽

Black Women ◽

Body Mass ◽

Risk Marker ◽

Diabetes Group

Background: Excess weight contributes to the development and progression of Type 2 diabetes mellitus (T2DM). Distorted body image amongst urban Black women and the perception that thinness is linked with HIV, may however be compounding the problem, particularly in areas with a high HIV burden.Objectives: This study aimed to compare the perception of body image in urban Black women with and without T2DM.Methods: A cross-sectional comparative study was conducted on 328 Black women systematically sampled into two groups (with and without T2DM). Body mass index (BMI) (weight [kg]/height[m2]) was determined and the adapted Stunkard Body Image Silhouettes for Black women was used to determine perceived body image (PBI).Results: Seventy-two per cent had T2DM and in this group 89% were obese, with a mean BMI of 39.5 kg/m2 (s.d. ± 8.5). In the non-diabetes group (NDG) 44% were obese, with a mean BMIof 31.3 kg/m2 (s.d. ± 9.0) Black women underestimated their body image across all weight categories (p < 0.05). Both groups (99% of the study group) also perceived thinness as being associated with HIV.Conclusions: This study identified an incongruence between PBI and actual BMI amongst urban Black women. This, combined with their belief that thinness is associated with HIV, places those with T2DM at risk of secondary complications arising from diabetes mellitus, and those without diabetes mellitus at a higher risk of developing T2DM. A discrepancy between PBI and BMI may therefore serve as a risk marker to alert clinicians to use a more ethno-cultural specific approach in engaging with urban Black women regarding weight loss strategies in the future.

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