scholarly journals Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

2021 ◽  
Author(s):  
Jennifer Taumoepeau ◽  
Cathy Knight-Agarwal ◽  
'Esiteli Tu'i ◽  
Rati Jani ◽  
Levi Osuagwu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Word Processing ◽  
Communicable Disease ◽  
Traditional Healers ◽  
Men And Women ◽  
Barriers And Enablers ◽  
Related Information

Abstract Background: Despite the increasing prevalence of Type 2 Diabetes Mellitus in the Kingdom of Tonga little is known of the experiences of adults living with this non-communicable disease. This investigation aimed to explore the barriers and enablers to healthy lifestyles in a group of men and women living with type 2 diabetes mellitus residing in this pacific island nation.Methods: This qualitative study consisted of three semi-structured focus groups (n=16) which were conducted at Tonga’s only Public Hospital located in the capital, Nuku’alofa. Discussions were audio recorded, transcribed, cross-checked for consistency, and entered into a word processing document for analysis. Thematic analysis was employed to synthesise results.Results: Four main themes were identified: (1) Knowledge and Support; (2) Fear and Motivation; 3) Physical and Psychological Environment; and (4) Faith and Culture. Conclusion: The qualitative findings from this study may assist the future development and dissemination of culturally appropriate lifestyle-related information for men and women living with Type 2 Diabetes Mellitus in the Kingdom Tonga. The need for collaboration between practitioners at the hospital, the church, family members and local traditional healers is important if the lifestyle-related needs and wants of this group of people are to be met.

scholarly journals Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

2021 ◽  
Author(s):  
Jennifer Taumoepeau ◽  
Cathy Knight-Agarwal ◽  
'Esiteli Tu'i ◽  
Rati Jani ◽  
Levi U Osuagwu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Word Processing ◽  
Phenomenological Study ◽  
Communicable Disease ◽  
Traditional Healers ◽  
Men And Women ◽  
Barriers And Enablers

Abstract Background and Objectives: Despite the increasing prevalence of Type 2 Diabetes Mellitus in the Kingdom of Tonga little is known of the experiences of adults living with this non-communicable disease. This investigation aimed to explore the barriers and enablers to healthy lifestyles in a group of men and women living with type 2 diabetes mellitus residing in this pacific island nation.Methods and Study Design: This qualitative study consisted of three semi-structured focus groups (n = 16) which were conducted at Tonga’s only Public Hospital located in the capital, Nuku’alofa. Discussions were audio recorded, transcribed, cross-checked for consistency and entered into a word processing document for further scrutiny. Data was analysed using Interpretative Phenomenological Analysis. In any phenomenological study the researcher’s objective is to elicit the participant’s views on their lived experiences.Results: Four main themes were identified: (1) Knowledge and Support; (2) Fear and Motivation; 3) Environment; and (4) Faith and Culture.Conclusion: The qualitative findings from this study may assist the future development and dissemination of culturally appropriate lifestyle-related information for men and women living with Type 2 Diabetes Mellitus in the Kingdom Tonga. The need for collaboration between practitioners at the hospital, the church, family members and local traditional healers is important if the lifestyle-related needs and wants of this group of people are to be met.

scholarly journals Living with type 2 diabetes mellitus in the Kingdom of Tonga: a qualitative investigation of the barriers and enablers to lifestyle management

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jennifer Taumoepeau ◽  
Catherine R. Knight-Agarwal ◽  
‘ Esiteli A. P. Tu’i ◽  
Rati Jani ◽  
Uchechukwu Levi Osuagwu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Word Processing ◽  
Information Dissemination ◽  
Communicable Disease ◽  
North Coast ◽  
Men And Women ◽  
Barriers And Enablers

Abstract Background Despite the increasing prevalence of Type 2 Diabetes Mellitus (T2DM) in the Kingdom of Tonga, little is known of non-communicable disease experiences among adults living in this location. This investigation aimed to explore the barriers and enablers to healthy lifestyle in a group of men and women living with T2DM residing in this Pacific Island nation. Methods This qualitative study consisted of three semi-structured focus groups (n = 16), conducted at the only Tongan Public Hospital located at Nuku’alofa, capital of Tonga (north coast of the island of Tongatapu). Discussions were audio-recorded, transcribed, cross-checked for consistency, and entered into a word processing document for analysis. Thematic analysis was employed to synthesise results. Results Four main themes were identified: (1) Knowledge and Support; (2) Fear and Motivation; 3) Physical and Psychological Environment; and (4) Faith and Culture. Conclusions The qualitative findings from this study will assist the future development and information dissemination of culturally appropriate lifestyle-related for men and women living with T2DM in the Kingdom of Tonga. The need for collaboration between practitioners at the hospital, the church, family members, and local traditional healers is important if the lifestyle-related needs and wants of this group of people are to be met.

Trabecular Bone Score in Thais with or without Type 2 Diabetes

2020 ◽  
Vol 103 (11) ◽  
pp. 1131-1137
Keyword(s):  
Diabetes Mellitus ◽  
Bone Mineral Density ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Fracture Risk ◽  
Trabecular Bone ◽  
Trabecular Bone Score ◽  
Mineral Density ◽  
Men And Women

Background: When compared to people without type 2 diabetes mellitus (T2DM), people with T2DM have an increase in fracture risk despite having higher bone mineral density (BMD). Many studies in Caucasians demonstrated that trabecular bone score (TBS) is lower in people with T2DM than those without. The utility of TBS as a fracture risk assessment tool in Asians with T2DM is currently unclear. Objective: To compared lumbar spine (LS) BMD and TBS in Thais with or without T2DM and investigate the correlation between TBS and hemoglobin A1c (HbA1c) and diabetes duration in participants with T2DM. Materials and Methods: The present study was a cross-sectional study that included 97 participants with T2DM (37 men and 60 women) and 342 participants without T2DM (174 men and 168 women). LS-BMD and TBS were obtained. Results: Men and women with T2DM were older and had higher body mass index (BMI). Men with T2DM had significant higher LS-BMD (1.051±0.166 versus 0.972±0.125, p=0.009) and non-significant lower TBS (1.333±0.084 versus 1.365±0.096, p=0.055) than those without. Similarly, women with T2DM had significant higher LS-BMD (0.995±0.155 versus 0.949±0.124, p=0.021) and lower TBS (1.292±0.105 versus 1.382±0.096, p<0.001). After adjusting for age and BMI, T2DM predicted higher BMD in men (p<0.001), but not in women (p=0.143). T2DM was not associated with TBS after adjusting for age and BMI in both genders (p=0.403 and p=0.151 in men and women, respectively). TBS did not correlate with HbA1c in both genders. However, TBS was non-significantly associated with diabetes duration in women (p=0.073), but not in men (p=0.639). Conclusion: T2DM significantly predicted higher LS-BMD only in men and was not independently associated with TBS in both genders. These data highlighted that, in T2DM, there was some variation in the clinical usefulness of BMD and TBS in predicting osteoporotic fractures with regard to clinical characteristic of participants. Keywords: Bone mineral density, Type 2 diabetes mellitus, Trabecular bone score

scholarly journals Cigarette Smoking and Risk of Type 2 Diabetes Mellitus among Middle-aged and Elderly Japanese Men and Women

2004 ◽  
Vol 160 (2) ◽  
pp. 158-162 ◽  
Author(s):  
T. Sairenchi ◽  
H. Iso ◽  
A. Nishimura ◽  
T. Hosoda ◽  
F. Irie ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cigarette Smoking ◽  
Middle Aged ◽  
Japanese Men ◽  
Men And Women ◽  
Elderly Japanese

scholarly journals Self-management experiences among men and women with type 2 diabetes mellitus: a qualitative analysis

2021 ◽  
Author(s):  
Rebecca Mathew ◽  
Enza Gucciardi ◽  
Margaret Margaret ◽  
Paula Barata
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Support Groups ◽  
Management Practices ◽  
Integrated Management ◽  
Diabetes Education ◽  
Self Management ◽  
Men And Women

Background: The purpose of this study is to better understand differences in diabetes self-management, specifically needs, barriers and challenges among men and women living with type 2 diabetes mellitus (T2DM).Methods: 35 participants were recruited from a diabetes education center (DEC) in Toronto, Canada. Five focus groups and nine individual interviews were conducted to explore men and women's diabetes self-management experiences.Results: The average age of participants was 57 years and just over half (51.4%) were female. Analyses revealed five themes: disclosure and identity as a person living with diabetes; self-monitoring of blood glucose (SMBG); diet struggles across varying contexts; utilization of diabetes resources; and social support. Women disclosed their diabetes more readily and integrated management into their daily lives, whereas men were more reluctant to tell friends and family about their diabetes and were less observant of self-management practices in social settings. Men focused on practical aspects of SMBG and experimented with various aspects of management to reduce reliance on medications whereas women focused on affective components of SMBG. Women restricted foods from their diets perceived as prohibited whereas many men moderated their intake of perceived unhealthy foods, except in social situations. Women used socially interactive resources, like education classes and support groups whereas men relied more on self-directed learning but also described wanting more guidance to help navigate the healthcare system. Finally, men and women reported wanting physician support for both affective and practical aspects of self-management.Conclusions: Our findings highlight the differences in needs and challenges of diabetes self-management among men and women, which may inform gender-sensitive diabetes, care, counseling and support.Keywords: Diabetes, Self-management, Type 2 Diabetes Mellitus, Sex, Gender

scholarly journals PROGRAM EMAS DALAM KONTROL GULA DARAH PENDERITA DIABETES MELLITUS TIPE 2

J-Dinamika ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Arief Andriyanto ◽  
Etty Rekawati ◽  
Dwi Cahya Rahmadiyah
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Behavior Change ◽  
Blood Sugar ◽  
Communicable Disease ◽  
Control Group ◽  
P Value ◽  
Nurse Specialist

Background: Diabetes mellitus is a non-communicable disease that is included in the category of chronic diseases and expected to experience an increase, so that a way to control is needed by the Ministry of Health in the form of clever management of diabetes mellitus. This study aimed to analyze the effect of EMAS (education, nutrition management, physical activity, stress management) on behavior change and adult blood sugar control with diabetes mellitus type 2. Methods: Quasi Experiment Pre-Post Test Without Control Group Design for 6 months, October 2018 to March 2019. Samples were taken by purposive sampling technique, namely adults with type 2 diabetes mellitus in Cisalak Pasar Sub-District Ciamnggis District, Depok City as many as 86 people. Results: Changes in behavior and control of adult blood sugar with type 2 diabetes mellitus through EMAS intervention (p value 0.001 <0.05). Conclusion: Changes in adult behavior with type 2 diabetes mellitus are needed to stabilize the patient's blood sugar. Therefore, it takes the role of the nurse specialist community to provide interventions according to the needs of people with diabetes mellitus to manage the disease.Keywords: Intervention EMAS; Behavior change; Glucose control; Type 2 diabetes mellitus

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