scholarly journals COMMUNITY-BASED EDUCATION PROGRAM ON KNOWLEDGE AND SELF-EFFICACY OF TYPE 2 DIABETES MELLITUS’ PATIENTS IN BANDUNG

2018 ◽  
Vol 2 (1) ◽  
pp. 38
Author(s):  
Citra Windani Mambang Sari ◽  
Ahmad Yamin ◽  
Mochmad Budi Santoso
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Education Program ◽  
Self Efficacy ◽  
Control Group ◽  
Community Based ◽  
Community Based Education ◽  
Type 2 Dm

Introduction. Type 2 Diabetes Mellitus was a chronic disease have complicated. Amount of patient Type 2 Diabetes Mellitus (DM) was increased. Knowledge and self-efficacy is mainly important for self-care behavior. The purpose of this study was aimed to examine knowledge, and self-efficacy among patients with Type 2 DM in Bandung, Indonesia. Methods. The research was a quasi-experimental with pre and posttest control group. Sixty two type 2 DM were recruited from 8 working area Primary Health Centers in Bandung who have diagnosed DM, using purposive sampling technique. Knowledge questionnaire from Michigan Diabetes Research and Training Center’s Brief Diabetes Knowledge Test, Self-efficacy were measured by the developed Stanford Patients Education Research Center. Both of questionnaires comprised five dimensions: nutrition, sport and activity, drugs and glucose monitoring. Patients of in intervention group received 2 weeks Diabetes Mellitus education program be given healthcare workers. Techniques used in this program consisted of community-based education, goal setting, follow-up and face-to-face interview. Data were analyzed by independent t-test. Results. There are significantly different of knowledge and self-efficacy after community-based education program in intervention (M = 9.26, SD = 2.8 ; M = 53.26, SD = 10.50) and control group (M = 7.39, SD = 2.4; M = 36.74, SD = 4.49).  This study revealed that community-based education program significantly improved self-efficacy (p=0.000) but not improved for knowledge (p=0.180). Conclusion. These findings indicated that Knowledge and Self-efficacy of type 2 Diabetes Mellitus patients in Bandung required improvement. Therefore, further study regarding the effective in improving knowledge and self-efficacy type 2 Diabetes Mellitus is extremely needed.

scholarly journals EFFECTS OF DIABETIC CAMP ON SELF EFFICACY AMONG MIDDLE-AGED AND ELDERL Y PEOPLE WITH TYPE 2 DIABETES MELLITUS

2021 ◽  
Author(s):  
Junaidy Rustam
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Elderly People ◽  
Self Efficacy ◽  
Control Group ◽  
Middle Aged ◽  
Type 2 Dm ◽  
Experimental Group

Introduction: The benefits of Diabetic Camp as known can be applied to promote knowledge and self management among diabetes people. Nevertheless, empirical data of its effect on diabetes self-efficacy are still limited, especially on middle aged and elderly people with type 2 Diabetes Mellitus. Objectives: The purpose of this intervention study was to investigate the change of self-efficacy among middle-aged and elderly people living with type 2 DM after attending camp. Methods: A quasi-experimental study was used. Eighty-four participants were recruited form two public health center in Bukittnggi City West Sumatra Indonesia were randomly assigned into either the experimental group (n=42) or control group (n=42) by matching technique based on gender , age, and duration of illness. The experimental group participated in diabetic camp for two days continuing with weekly follow up for over 1 month while those in the control group participated in routine activities. Outcome was measured by using Self-efficacy Questionnaire for Diabetes at the first day before receiving the intervention as pretest data, and on the four weeks after the intervention was completed as the posttest data. The reliability of the Self-efficacy Questionnaire for Diabetes with Cronbach's alpha coefficient was 0.81. Descriptive and inferential statistics were performed to analyze the data. Results: Mean of self-efficacy score in the experimental group after receiving the intervention was significantly higher than those in the control group (t =4.27; p<0.05). The mean of self-efficacy score after receiving the intervention in the experimental group was increased significantly from before receiving the intervention (t = 8.15; p<0.05). Conclusions: The results showed that Diabetic camp was effective in promoting self-efficacy of middle-aged and elderly people with type 2 DM. Thus, this diabetes care program can be recommended for practice

scholarly journals Relationship between homocysteine and non-dipper pattern in patients with type 2 diabetes mellitus

2012 ◽  
Vol 56 (5) ◽  
pp. 285-290 ◽  
Author(s):  
Serdal Korkmaz ◽  
Abdulkerim Yilmaz ◽  
Gürsel Yildiz ◽  
Fatih Kiliçli ◽  
Serhat Içağasioğlu
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Control Group ◽  
Diabetic Patients ◽  
Nocturnal Blood Pressure ◽  
Type 2 Dm ◽  
Significant Difference

OBJECTIVE: The rate of reduction of nocturnal blood pressure (NBP) is lesser than normal in patients with type 2 diabetes mellitus (type 2 DM). Hyperhomocysteinemia (HHC) disrupts vascular structure and function, no matter the underlying causes. The risk of development of vascular disease is greater in diabetic patients with hyperhomocysteinemia than in patients with normal homocystein levels. The aim of the study was to investigate whether there are differences of homocystein levels in dipper and non-dippers patients with type 2 DM. SUBJECTS AND METHODS: We compared 50 patients (33 females, 17 males) with type 2 DM and 35 healthy individuals (18 females, 17 males ) in a control group. Ambulatory blood pressure monitoring (ABPM) was performed and homocysteine levels were measured in all patients. RESULTS: We found that the percentage of non-dipper pattern was 72% in patients with type 2 DM and 57% in control group. In diabetic and control individuals, homocystein levels were higher in non-dipper (respectively 13.4 ± 8.1 µmol/L and 11.8 ± 5 µmol/L) than in dipper subjects (respectively, 11.8 ± 5.8 µmol/L and 10.1 ± 4.2 µmol/L), but there was no significant difference between the two groups (respectively, p = 0.545, p = 0.294). CONCLUSION: In both groups, homocystein levels were higher in non-dipper than in dipper participants, but there was no significant difference between the groups. High homocystein levels and the non-dipper pattern increases cardiovascular risk. Therefore, the relationship between nocturnal blood pressure changes and homocystein levels should be investigated in a larger study.

Effect of Precede–Proceed Model on Preventive Behaviors for Type 2 Diabetes Mellitus in High-Risk Individuals

2016 ◽  
Vol 26 (2) ◽  
pp. 241-253 ◽  
Author(s):  
Mahdi Moshki ◽  
Atefeh Dehnoalian ◽  
Ali Alami
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
High Risk ◽  
Intervention Group ◽  
Control Group ◽  
Preventive Behaviors ◽  
Type 2 Dm ◽  
Face To Face Instruction

This study sought to assess the effect of precede–proceed model on preventive behaviors for type 2 diabetes mellitus (DM) in high-risk individuals. In this semi-experimental study, 164 high-risk individuals for type 2 DM were selected and were randomly divided into two groups of intervention and control ( n = 85). Educational intervention was performed as a single session face-to-face instruction for 1.5 hr for the intervention group participants. Data were collected before (baseline) and immediately and 1 month after the intervention in the two groups. The mean score of predisposing (knowledge) factors ( p = .001), reinforcing factors ( p = .001), and enabling factors ( p = .02) were significantly different at baseline and 1 month after the intervention in the intervention group compared with the control group ( p < .05). A significant improvement occurred in the nutritional habits of high-risk participants in the intervention group at 1 month after the intervention compared with controls ( p = .001). The precede–proceed model can be effective for promoting the preventive behaviors for type 2 DM in high-risk individuals.

scholarly journals INCREASING SELF-EFFICACY TO REGULATE EXERCISE IN ADULT PATIENTS WITH TYPE 2 DIABETES MELLITUS

2018 ◽  
Vol 4 (6) ◽  
pp. 596-601
Author(s):  
Rinco Siregar ◽  
Sunantha Stongpat ◽  
Boontuan Wattanakul
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Physical Exercise ◽  
Self Efficacy ◽  
Routine Care ◽  
Adult Patients ◽  
Control Group ◽  
Experimental Group

Background: Self-efficacy has been described as dominan factor associated with physical exercise in adult patients with type 2 diabetes mellitus, but to improve self-efficacy to regulate exercise of adult patients with type 2 diabetes mellitus is a challenge for health workers.Objective: This study was to determine the effect of exercise consultation program on self - efficacy to regulate exercise adults’ patients of type 2 diabetes mellitus.Methods: A quasi-experimental study with two comparison groups was purposively designed for pre-test and post-test procedures. Sixty-one patients of type 2 diabetes mellitus were allocated into the experimental group (31 patients) and the control group (29 patients). While the experimental group received the exercise consultation for 12 weeks and routine care, the control group received routine care only. Comparative assessments on differences in self-efficacy to regulate exercise were examined both within and between groups using paired or unpaired t-test.Results: After receiving exercise consultation program, self-efficacy to regulate exercise significantly increased within the experimental group (p < .05), but there was no significant change with in the control group.  Between groups, there was a significant difference self-efficacy to regulate exercise in adult patients with type 2 diabetes mellitus (p < .05).Conclusion: The exercise consultation program could increase self-efficacy to promote the physical exercise among adults patients of type 2 diabetes mellitus.

scholarly journals Low dose allopurinol is associated with modest but significant improvements in glycemic control (GC) and glycemic variability (GV) in patients with type 2 diabetes mellitus: A cross-sectional study

2021 ◽  
Author(s):  
Manal M. Alem
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Low Dose ◽  
Control Group ◽  
Glycaemic Variability ◽  
Cross Sectional ◽  
Type 2 Dm

Abstract BackgroundType 2 diabetes mellitus (DM), gout, and asymptomatic hyperuricemia are inter-connected pathologies. Glycemic control (GC), involving a range of treatments is central to the management of DM, whereas allopurinol continues to be the most widely recommended urate lowering agent. Allopurinol has been shown to possess anti-oxidant properties: this study explores the favorable potential effect of allopurinol on glucose homeostasis.MethodsThis is an observational study with a cross-sectional design performed on patients with type 2 diabetes mellitus (DM), recruited from centers in Saudi Arabia. Patients were divided into two groups; allopurinol users; (for gout or asymptomatic hyperuricemia) and matching control patients. Patient demographics, co-morbid conditions, biochemical tests, and pharmacological treatments were extracted from electronic records to investigate the effect of allopurinol therapy on Glycemic control (GC), as assessed by glycated haemoglobin (HbA1c as primary endpoint), and on parameters of glycaemic variability (GV) (secondary endpoints).ResultsA total of 194 patients with type 2 DM were recruited (97 in both groups). The two groups were matched for age and sex: mean age: 59.4 years, 73% males in the allopurinol group vs 59.6 years, 73% males in the control group. Allopurinol, daily dose 100 mg, was prescribed for 77% of the patients, with median duration of 39.5 months treatment. HbA1c values were; 6.90% (6.20, 7.80) in the allopurinol group vs 7.30% (6.60, 8.40) in the control group (P=0.010). Parameters of GV were calculated from 3 consecutive fasting blood sugar (FBS) readings: variability independent of the mean (VIM) was 0.140 in the allopurinol group vs 0.987 in the control group (P<0.001).ConclusionConcomitant low-dose allopurinol therapy in patients with type 2 DM was associated with modest but significant improvements in GC and GV.

scholarly journals Lipid profile in type 2 diabetes mellitus: a case-controlled study

2019 ◽  
Vol 6 (2) ◽  
pp. 258 ◽  
Author(s):  
Babu Rajendran ◽  
Seetha Rami Reddy Mallampati ◽  
Sheju Jonathan Jha J. ◽  
Shameer Hakkim
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Lipid Profile ◽  
Controlled Study ◽  
Control Group ◽  
Fasting State ◽  
Type 2 Dm ◽  
The Mean

Background: Atherosclerosis is caused by the combination of type 2 diabetes mellitus and dyslipidemia. Combination of DM and dyslipidemia is associated with increased mortality and morbidity. Hence, it is of utmost importance to know the nature of dyslipidemia in DM for its effective management. The major lipid abnormalities seen in DM are elevated triglyceride levels and lowered HDL-C levels.Methods: A case-controlled study was initiated in Vinayaka Missions Medical college and hospital for a period of 2 year. Pre-prandial and post-prandial lipid profile was assessed in 50 cases of type 2 DM and was compared with age and sex matched healthy controls satisfying the inclusion and exclusion criteria.Results: At the end of the study, the mean age±SD was 48.5±5.68 years. The mean HbA1c±SD of the study population was found to be 7.48±1.517. Looking at the lipid profile all cases in fasting state had elevated VLDL-C levels (mean 50.39±60.27), elevated TC (mean 169.70±39.917), elevated TGL (mean 146.04±60.140) and low LDL-C (mean 92.3±27.699) when compared to control group. In the postprandial state, there was a significant raise in TGL level (mean 188±68.59), raised TC (mean 180.74±38.46), decreased HDL-C (mean 38.761±9.028) compared to the fasting state.Conclusions: Lipid profile of type 2 DM in pre-prandial 12 hour fasting state showed elevated TC, VLDL-C levels and low LDL-C and HDL-C levels. Where as in post prandial state TGL levels were markedly elevated with elevated TC and low HDL-C levels.

scholarly journals Path Analysis on the Determinants of Tertiary Preventive Behavior among Patients with Type 2 Diabetes Mellitus: Application of Theory of Planned Behavior And Social Cognitive Theory

2020 ◽  
Author(s):  
Yudi Andriyaningtiyas ◽  
◽  
Didik Gunawan Tamtomo ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Efficacy ◽  
Self Regulation ◽  
Subjective Norm ◽  
Outcome Expectation ◽  
Preventive Behavior ◽  
Type 2 Dm

Background: Global diabetes prevalence increases by 48%. Primary prevention is particularly important in type 2 diabetes, because the time of diagnosis and the severity of the disease course can be influenced beneficially by changing daily lifestyle and dietary practices. The purpose of this study was to examine the determinants of tertiary preventive behavior among patients with type 2 diabetes mellitus using theory of planned behavior, social cognitive theory, and path model. Subjects and Method: A cross sectional study was conducted at 25 community health centers in Bantul, Yogyakarta, Indonesia. A sample of 200 patients with type 2 DM was selected by exhaustive sampling. The dependent variable was tertiary preventive behavior toward type 2 DM. The independent variables were intention, attitude, self-efficacy, experience, modeling, self-regulation, outcome expectation, and subjective norm. The data were collected by questionnaire and analyzed by path analysis run on Stata 13. Results: Tertiary preventive behavior toward type 2 DM was directly increased by strong intention (b= 1.29; 95% CI= 0.48 to 2.10; p= 0.002), positive attitude (b= 2.06; 95% CI= 1.26 to 2.85; p<0.001), strong self-efficacy (b= 1.38; 95% CI= 0.59 to 2.18; p= 0.001), and strong modeling (b= 1.52; 95% CI= 0.66 to 2.37; p= 0.001). It was indirectly affected by good experience, self-regulation, positive outcome expectation, and supportive subjective norm. Conclusion: Tertiary preventive behavior toward type 2 DM was directly increased by strong intention, positive attitude, strong self-efficacy, and strong modeling. It was indirectly affected by good experience, self-regulation, positive outcome expectation, and supportive subjective norm. Keywords: tertiary preventive behavior, type 2 diabetes mellitus Correspondence: YudiAndriyaningtiyas. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6281392704899. DOI: https://doi.org/10.26911/the6thicph.02.55

scholarly journals Correlation of Fasting Blood Glucose With IL-6 Levels in Type-2 Diabetes Mellitus Ethnic Minangkabau

BioScience ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Elsa Yuniarti ◽  
Syam Syamsurizal ◽  
Yuni Ahda ◽  
Puja Delfi Sonata
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Sugar ◽  
Fasting Blood Sugar ◽  
Control Group ◽  
Type 2 Dm ◽  
Sugar Levels ◽  
Dm Type 2

Diabetes Mellitus (DM) Type 2 is a metabolic disorder disease characterized by an increase in blood sugar (hyperglycemia) due to decreased insulin secretion by pancreatic beta cells or intrusion of insulin function. Hyperglycemia tends to cause oxidative stress where free radical formation exceeds the body's antioxidant defense system resulting in microvascular and macrovascular disorders. Some ethnic groups have a tendency to develop type 2 diabetes mellitus because of differences in diet, lifestyle and physical activity. In addition, ethnicity is also suspected to affect the levels of IL-6. This study aims to determine the correlation of fasting blood sugar levels with IL-6 levels in type 2 diabetes mellitus ethnic Minangkabau. This research is cross sectional comparative research design. The subjects of two groups: DM type 2 and control group (non-DM) who went to the Polyclinic of State University of Padang, Minangkabau ethnic and each consisted of 35 people. Blood glucometer examination with blood sample and IL-6 measurement using ELISA technique with serum sample. Fasting blood sugar levels in patients with Type 2 DM Minangkabau ethnic average 286.2 ± 80.46 mg / dl while non DM 101.26 ± 9.70 mg / dl. Mean IL-6 levels in type 2 DM patients were 16.23 ± 30.12 pg / ml while non-DM of 3.41 ± 1.91 pg / ml was an increase of about 4.7 in patients with type 2 DM Compared to non-ethnic minority of Minangkabau with p value <0,05. The result of research that have been done there is a positive correlation between fasting blood sugar level with IL -6 in patients with Type 2 DM Minangkabau ethnic with r value = 0,44 at p <0.05 which means interpretation of medium correlation strength. Keywords: Type 2 DM, IL-6, ethnic Minangkabau

scholarly journals CHANGES IN PENTRAXIN-3 LEVEL AND ITS INTERACTION WITH METABOLIC INDICES IN PATIENTS WITH CORONARY ARTERY DISEASE AND TYPE 2 DIABETES MELLITUS

2019 ◽  
Vol 72 (2) ◽  
pp. 181-185 ◽  
Author(s):  
Pavlo G. Kravchun ◽  
Olga I. Kadykova ◽  
Dmitry G. Molotyagin
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Coronary Artery Disease ◽  
Type 2 Diabetes Mellitus ◽  
Coronary Artery ◽  
Control Group ◽  
Pentraxin 3 ◽  
Type 2 Dm ◽  
Artery Disease

Introduction: Recently great attention is paid to studying of coronary artery disease (CAD) pathogenesis against the background of the diabetes mellitus (DM). First of all, the question of an inflammatory component role in development of atherosclerosis in patients with DM 2 types is studied. One of new perspective markers of immune inflammation is pentraxin-3 (PTX-3). The aim of the study was to evaluate the nature of changes in the level of pentraxin-3 in patients with coronary artery disease, depending on the presence of type 2 diabetes mellitus and to investigate the nature of the relationship with metabolic parameters. Materials and methods: Comprehensive examination of 110 patients with CAD was conducted. Patients were divided into groups depending on presence of type 2 DM: to the first group (n = 75) entered patients with CAD and type 2 DM , the group of comparison was made by 35 patients with CAD without type 2 DM. 25 almost healthy persons entered into control group. Results: As a result of a research it is established the reliable increase in PTX-3 level in all patients with CAD in comparison with group of control for 65.40% . And in the conditions of the combined current of CAD and type 2 DM, PTX-3 level is for 80.14% higher, than in persons of control group. Also interrelation between PTX-3 and indicators of dcarbohydrate and lipidic exchanges were defines. According to the carried-out correlation analysis there was revealed existence of direct integral probable connections between PTX-3 level and levels of glucose (r = 0.41; p <0,05), insulin (r = 0.36; p <0,05), index of HOMA (r = 0.89; p <0,05), TG level (r = 0.74; p <0,05) and the return with the HDL (r = - 0.54; p <0,05). Conclusions: In patients with CAD with the accompanying type 2 DM it is established higher PTX-3 level, than in patients without type 2 DM and control group that demonstrates autoimune link activation. In the examined patients PTX-3 level increase was associated with violation of lipid and carbohydrate exchanges.

Effectiveness of nurse-led intervention on self-management, self-efficacy and blood glucose level among patients with Type 2 diabetes mellitus

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Sumathi Chinnasamy Subramanian ◽  
Arjunan Porkodi ◽  
Pandurangan Akila
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Self Efficacy ◽  
Self Management ◽  
Type 2 Dm ◽  
Experimental Group

AbstractBackgroundThis study assesses the effectiveness of nurse-led intervention on self-management, self-efficacy, and blood glucose level among patients with Type 2 diabetes mellitus (DM) attending diabetic Out patient department (OPD) in Sri Ramachandra Hospital, Chennai.MethodsIn this study, the experimental group received nurse-led intervention on video-assisted teaching regarding nature of the disease condition including, diet, medication, hand and leg exercises, home care management, for 30 mins. Then a demonstration of hand and leg exercise was done followed by return demonstration done by the participants. The participants in the control group did not receive nurse-led intervention; they received only routine care. On the 15th day, when the patients came for the first follow-up, posttest was conducted for both the experimental and control groups.ResultsThere was a statistically considerable difference noted in self-management (t=29.639; p<0.001), self-efficacy (t=28.293; p<0.001), FBS (t=2.415; p<0.05), and PPBS (t=2.102; p<0.05) in the posttest among patients with Type 2 DM in the experimental group.ConclusionsThe study concluded that the nurse-led intervention through video-assisted teaching is an effective method to recover self-management and self-efficacy as well as reduce the fasting blood sugar and postprandial blood sugar among patients with Type 2 DM.

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