scholarly journals Important aspects of effective treatment of nicotine dependence in patients with diabetes mellitus

Author(s):  
L. I. Mostovaya ◽  
E. P. Krivoschekov ◽  
E. B. Elshin ◽  
V. E. Romanov ◽  
M. Y. Khoroshilov

Purpose. Increasing the importance and effectiveness of nicotine addiction treatment in patients with diabetes mellitus.Materials and methods. A study of nicotine addiction in patients with type II diabetes mellitus was carried out on the basis of the Department of Endocrinology of the Samara State Medical University Clinics in 2019. The psychological study included 60 men aged 45-60 who are undergoing planned treatment in the endocrinology department for type II diabetes mellitus. Psychological research included: conversation, study of the type of attitude towards illness (TOBOL), study of adherence to treatment (Moriska – Green Compliance Scale). Work with tobacco dependence was carried out according to the WHO recommendations according to the “5 A” principle [14]. Work with patients was carried out in the key of rational, behavioral and gestalt therapy.Results and discussion. In total, 24 group meetings were held – 12 group meetings in each polyclinic group of 26 people. The results obtained showed a decrease in the number of patients with a low level of physical wellbeing, psychological well-being, optimism, self-confidence, and readiness to quit smoking. Along with this, there was an increase in the number of patients with a high level of physical well-being, psychological well-being, optimism), readiness to quit smoking. As for compliance, the overall picture has also improved: there were 39 highly adherent patients among the studied (an increase from 10 % to 75 %), moderately adherent – 13 (a decrease from 73.3 % to 25 %), weakly adherent no (there were 16.7 %).Conclusions. Psychological support of nicotine-dependent patients with diabetes mellitus must necessarily include educational work with patients, work with increasing the level of self-control of the disease and adherence to treatment, with a psychoemotional state. It is optimal to include patients with diabetes mellitus in the group psychotherapeutic process in order to provide mutual assistance and receive effective support in the treatment of tobacco smoking and raise the consciousness of patients in relation to the prevention of complications of diabetes mellitus, and to the disease itself in general.

2021 ◽  
Vol 1 (2) ◽  
pp. 112-117
Author(s):  
Fahruddin Kurdi ◽  
Zainal Abidin ◽  
Ratna Puji Priyanti ◽  
Anja Hesnia Kholis

Elderly are high risk for the development of type 2 diabetes due to the combined effects of increasing insulin resistance and impaired pancreatic function with aging. Diabetes mellitus is a chronic disease that causes insulin in the pancreas is not effective one of the treatments that can be done by diabetics to reduce blood sugar levels One of them with physical activity, the activity is taichi exercises.The purpose of this study was to investigate the effect of taichi exercises on reducing blood sugar levels in patients with type II diabetes mellitus.The design of this study was pre-experiment one group pre-test and post-test design with a population of 88 patients and a sample of 44 respondents. Research sampling technique used purposive sampling. Data collection with observation sheets. The intervention was carried out four times during 4 weeks. Before the intervention, sugar levels of type II diabetics were classified as moderate as 24 people (54.5%) and high as many as 20 people (45.5%). After the management of taichi exercises sugar levels experienced changes in the categories of good as many as 16 people (36.4%), moderate as many as 20 people (45.5%) and high as many as 8 people (18.2%). Data analized with Wilcoxon Signed Rank test with a significant level α = 0.05, the result ρ-value = 0.001 means ρ-value <α so that there is a significant effect of taichi exercises on decreasing blood sugar levels in patients with type II diabetes mellitus. Blood sugar levels in patients with diabetes mellitus before doing taichi exercises with the number of respondents 44 people mostly experienced changes, evidenced by the level of blood sugar levels from moderate levels to good. Keywords: Elderly, Taichi, Diabetes Mellitus, Blood sugar level


2013 ◽  
Vol 5 (2) ◽  
pp. 230-234 ◽  
Author(s):  
Kiran Shakya ◽  
S Pokharel ◽  
KJD Karki ◽  
C Pradhananga ◽  
RP Pokharel ◽  
...  

Introduction: Corneal edema delays early visual recovery after phacoemulsification surgery in diabetes mellitus. Objective: To compare corneal edema of eyes in patients with type II diabetes mellitus and in non-diabetics after phacoemusification surgery. Materials and methods: A hospital-based, retrospective study involving 96 eyes that underwent phacoemulsification surgery for immature cataract at the Department of Ophthalmology, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal was carried out. Evaluation was performed of 33 eyes in patients with diabetes mellitus (diabetic group) and of 63 eyes in patients without diabetes mellitus (non-diabetic group). All diabetic patients had controlled blood glucose for at least one week prior to the surgery. The operated eye was examined before surgery and on one day, one week, and one month after surgery. Intraocular pressure was measured on each visit. Main outcome measures: The findings of post-operative corneal edema and visual acuity between the diabetic and non-diabetic groups were studied and compared. Results: There was no difference clinically in any pre-operative corneal examination between the diabetic and non-diabetic groups. The corneal edema after surgery was significantly higher in the diabetic group than in the non-diabetic group (p < 0.001). The number of patients with corneal edema one day and one week after surgery was significantly higher in the diabetic group than in the non-diabetic group (after 1 day, OR = 62.5; 95 % CI = 15.31 - 255.11, p < 0.000) and after 1 week, OR = 6.77; 95 % CI = 1.28 - 35.76, p < 0.006). Conclusion: Corneal edema following phacoemusification surgery in diabetic eyes is likely to be more frequent than in non-diabetic eyes. Nepal J Ophthalmol 2013; 5(10): 230-234 DOI: http://dx.doi.org/10.3126/nepjoph.v5i2.8734


2021 ◽  
Vol 9 (09) ◽  
pp. 568-572
Author(s):  
Tushar S. Khachane ◽  
◽  
Sangram Karandikar ◽  

Background: Diabetic peripheral sensorimotor neuropathy is one of the most prevalent neuropathic syndromes affecting around 50 % people with diabetes. Its development is gradual with subtle changes hence ignored. Early diagnosis using simple bedside tools is essential. Methods: The prospective study of evaluation of peripheral neuropathy in diabetes involved examination of 500 diabetic patients for neuropathy. Pinprick, vibration sensation, perception of 5.07 Semmes Weinstein monofilament and Achilles tendon reflex were examined and impairment noted. Results: 39 % patients had impairment of perception of Semmes Weinstein monofilament. Loss of pinprick sensation was found in 65.6 % in patients with diabetes for 5-10 years duration. Abnormal tendon reflex was seen in 64.2 % in patients with diabetes move than 10 years. Loss of Vibration (40.2 %), Wasting (16.6 %), loss of pinprick sensation (44.5%) and loss of abnormal tendon reflex (32.1 %) was found to be more common in type II diabetes. Conclusion: Sensorimotor peripheral neuropathy was more common in long standing diabetes mellitus especially with impaired glycaemic control and type II diabetes mellitus.


2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Ghilda Pricillia Hukom ◽  
Desi Desi ◽  
Venti Agustina

Abstract Chronic diseases such as Diabetes Mellitus (DM) type II can cause profound psychological changes for patients, families and social groups. The positive view of DM sufferers about themselves is an indication of subjective well-being, on the other hand, DM sufferers themselves are an indication of low subjective well-being. Semarang Regency. This research was conducted at Srikandi Wound Care, Semarang Regency from March to April 2021. The method used in this study was qualitative, with data collection techniques using the Subjective Well Being interview guide instrument developed by Diener (2006). There were 5 participants who were determined using purposive sampling technique. The results of the study obtained 6 (six) themes that describe Subjective Well Being in type II DM patients, namely, respondents' experiences related to life satisfaction, happiness, respondents' feelings of sadness, family support, community views and respondents' knowledge regarding type II diabetes mellitus. In conclusion, subjective well-being in participants with Type II Diabetes Mellitus at Srikandi Wound Care refers to aspects of experience related to life satisfaction, participants' happiness, participants' sadness, family support, community views and knowledge related to type II diabetes mellitus.


Sign in / Sign up

Export Citation Format

Share Document