scholarly journals Beliefs and practices in diabetes care

Duazary ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 74-86
Author(s):  
Juan Pablo Álvarez-Najar ◽  
Mery Luz Valderrama-Sanabria ◽  
Amalia Priscila Peña-Pita

Diabetes mellitus is considered a chronic non-communicable disease with high morbidity, presents to its high prevalence, social, family, and economic costs. Interventions aimed at life-style changes are fundamental in managing; due to this, patients must receive education. The aim of the study was to identify the beliefs and practices of the persons with diabetes mellitus, to propose nurse care according to these precepts. This was a descriptive study of systematic literature review, searching for articles in databases, Springer Science, Elsevier, ProQuest, Science Direct, Index, Pubmed, SciELO, Medigraphic, and Medline during 2016 to 2018, published between 2001 and 2018, in Spanish, English, and Portuguese. A total of 49 studies were contributing to fulfilling the objective. Within the beliefs for the management of disease, is the use of herbs, some consider as cause "fright"; Others take into account risk factors such as heredity, obesity, poor eating habits. Various beliefs are presented in relation to insulin treatment. Spirituality is emphasized; seeking refuge in God and prayer. Is important to understand the person, from their values, beliefs, customs and feelings. Education is a fundamental tool to control the disease, but health beliefs must be taken into account in order to achieve favorable results.

Author(s):  
Lukman Fauzi ◽  
R.R. Sri Ratna Rahayu ◽  
Lindra Anggorowati ◽  
Hendri Hariyanto ◽  
Trinita Septi Mentari ◽  
...  

Diabetes Mellitus (DM) is a non-communicable disease that contributes to the cause of death. Based on the analysis of the situation in Kawengen Village, Semarang Regency, there were several problems related to the incidence of DM, including the Non-Communicable Disease Integrated Guidance Post Program (Posbindu PTM), which was not running optimally. Based on these problems, it is necessary to form a movement called the Anti-Diabetes Mellitus Community Alert Movement (SIMANIS). Active case finding and detection of pre-DM cases aim to capture people who already have pre-DM symptoms, but they do not know. Furthermore, if caught, they can be followed up so that they are willing to go to the health service unit before complications occur. The implementation of this community service activity is carried out in four stages, namely the formation of SIMANIS cadres, education on prevention and control of DM to SIMANIS cadres and the community, ToT on how to fill in and use the SIDIA Card (pre-diabetes screening) to SIMANIS cadres, and use of the SIDIA Card for early detection active case finding pre-DM. There was an increase in the pre-post education knowledge score from 7.59 + 1.5 to 8.93 + 0.9 and an increase in the pre-post education attitude score from 7.96 + 1.22 to 9.07 + 0.78. SIMANIS through the use of the SIDIA Card can be used to increase public awareness in prevention, early detection, and case finding of DM.


2020 ◽  
Vol 11 ◽  
Author(s):  
H. David McIntyre ◽  
Anil Kapur ◽  
Hema Divakar ◽  
Moshe Hod

Gestational diabetes mellitus (GDM) is the commonest medical complication of pregnancy. The association of GDM with immediate pregnancy complications including excess fetal growth and adiposity with subsequent risk of birth trauma and with hypertensive disorders of pregnancy is well recognized. However, the associations with wide ranges of longer-term health outcomes for mother and baby, including the lifetime risks of obesity, pre-diabetes, and diabetes and cardiovascular disease have received less attention and few health systems address these important issues in a systematic way. This article reviews historical and recent data regarding prediction of GDM using demographic, clinical, and biochemical parameters. We evaluate current and potential future diagnostic approaches designed to most effectively identify GDM and extend this analysis into a critical evaluation of lifestyle and nutritional/pharmacologic interventions designed to prevent the development of GDM. The general approach to management of GDM during pregnancy is then discussed and the major final focus of the article revolves around the importance of a GDM diagnosis as a future marker of the risk of non-communicable disease (NCD), in particular pre-diabetes, diabetes, and cardiovascular disease, both in mother and offspring.


2010 ◽  
Vol 54 (3) ◽  
pp. 253-261 ◽  
Author(s):  
Mariana P. Carpena ◽  
Dimitris V. Rados ◽  
Denise A. Sortica ◽  
Bianca M. de Souza ◽  
André Fernandes Reis ◽  
...  

The increasing prevalence of diabetes mellitus has led to a growing number of chronic complications including diabetic nephropathy (DN). In addition to its high prevalence, DN is associated with high morbidity and mortality especially due to cardiovascular diseases. It is well established that genetic factors play a role in the pathogenesis of DN and genetically susceptible individuals can develop it after being exposed to environmental factors. DN is probably a complex, polygenic disease. Two main strategies have been used to identify genes associated to DN: analysis of candidate genes, and more recently genome-wide scan. Great efforts have been made to identify these main genes, but results are still inconsistent with different genes associated to a small effect in specific populations. The identification of the main genes would allow the detection of those individuals at high risk for DN and better understanding of its pathophysiology as well.


2020 ◽  
Vol 8 ◽  
pp. 205031212097384
Author(s):  
Patricia Rarau ◽  
Shuaijun Guo ◽  
Shaira Nicole Baptista ◽  
Justin Pulford ◽  
Barbara McPake ◽  
...  

Introduction: The mortality associated with non-communicable diseases has increased significantly in most countries in the World Health Organization Western Pacific Region over the last 20 years, as have the underlying risk factors. This study aimed to collate evidence on the prevalence of four major non-communicable diseases and their risk factors in Papua New Guinea in order to inform appropriate policy for their prevention and management. Methods: We performed a systematic review of Papua New Guinea-based population prevalence studies of cardiovascular diseases, type 2 diabetes mellitus, chronic respiratory diseases, and cancers, as well as non-communicable disease risk factors published before 2016. Five online databases were searched and screened against eligibility criteria according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: A total of 57 articles were included in this review, most of which (n = 48) were published prior to 2000. Eleven articles reported on diabetes, six reported on chronic lung disease/asthma, two reported on cardiovascular diseases, and two reported cancer as the primary outcome, while the remaining 36 papers reported non-communicable disease risk factors. Conclusion: This review demonstrated variations in the prevalence of non-communicable diseases (0%–19%) and their risk factors (0%–80.6%) attributed to the lifestyle and genetic diversity of the Papua New Guinea population. There is a strong suggestion that the prevalence of non-communicable diseases (particularly type 2 diabetes mellitus) and key non-communicable disease risk factors (hypertension, overweight, and obesity) has increased, but there is a lack of recent data. As such, there is an urgent need for new and up-to-date data in all areas of Papua New Guinea.


2013 ◽  
Vol 03 (02) ◽  
pp. 038-043
Author(s):  
Jijomon P. P. ◽  
Teena Sharon ◽  
Ruby Xavier ◽  
Malathi G. Nayak

AbstractPrevalence of type 2 diabetes is increasing globally, more so in developing countries like India due to rapid urbanization. Health-related behavior is important in maintaining health and which is determined by individual beliefs and practice about health and illness.The objectives of the study were to assess the health beliefs among diabetic adults on management of diabetes mellitus and to find the association between the health beliefs and study variable.A descriptive cross sectional survey conducted among 125 diabetic adults, data collected by using structured questionnaire.The study finding reveals that out of 125 diabetic adults, the majorities 49.6% were in the age group of 46-55 years, 51.2% were believed that diabetes caused by eating more sugar and 81.6% disagree that it's God's curse, 30% of diabetic adults agree with the statement that diabetes is because of past sin, 28% of subjects believe that it's a communicable disease. There was significant association between health beliefs and selected demographic variables such as age, religion, duration of illness and education.Beliefs about health and illness that may affect self-care practice and health care seeking behavior in persons diagnosed with Diabetes mellitus


2021 ◽  
Vol 3 (1) ◽  
pp. 65-71
Author(s):  
Virna Wulandari ◽  
Siti Annisa Devi Trusda ◽  
Rika Nilapsari

Diabetes melitus (DM) merupakan penyakit tidak menular dengan insidensi terus meningkat setiap tahunnya. Salah satu komplikasi DM tersering adalah nefropati diabetik yang ditandai dengan albuminuria. Sodium glucose co-transporter (SGLT-2) inhibitor merupakan golongan obat antidiabetik yang bersifat insulin independen dan diharapkan menurunkan kejadian kerusakan fungsi ginjal. Kurangnya penelitian dan informasi obat golongan ini di Indonesia menyebabkan peneliti melakukan penelitian dengan tujuan mengetahui efektivitas pemberian obat golongan SGLT-2 inhibitor pada pasien DM tipe 2 terhadap penurunan kejadian albuminuria. Metode yang digunakan dalam penelitian ini adalah scoping review, dengan bahan penelitian artikel dari jurnal internasional yang memenuhi kriteria inklusi dan eksklusi. Artikel ini kemudian diseleksi menggunakan diagram PRISMA dengan mempertimbangkan Population (DM tipe 2), Intervention (pemberian SGLT-2 inhibitor), Comparison (plasebo atau anti diabetik lain), Outcome (penurunan albuminuria), Study (RCT dan Cohort retrospective). Didapatkan dari 13 artikel bahwa obat SGLT-2 inhibitor yang digunakan bervariasi yaitu canagliflozon (6), empagliflozin (3), dapagliflozin (2), ertugliflozin (2), dan yang tersering digunakan adalah canagliflozin ditemukan pada 6 artikel (50%). Golongan obat SGLT-2 inhibitor memiliki kecenderungan yang sama, dapat ditoleransi dengan baik dan efektif dalam menurunkan kejadian albuminuria melalui mekanisme perubahan hemodinamik ginjal, dengan urin albumin-kreatinin rasio (UACR) sebagai parameter. Scoping ReviewSGLT-2 Inhibitors Effective to Reduce Albuminuria in Type 2 Diabetes Mellitus Diabetes mellitus (DM) is a non-communicable disease with an increasing incidence every year. One of the most common complications of DM is diabetic nephropathy which is characterized by albuminuria. Sodium-glucose co-transporter (SGLT-2) Inhibitors is a class of anti-diabetic drugs that are insulin-independent and expected to reduce the incidence of impaired kidney function. The aim of this study was to ensure the effectiveness of SGLT-2 inhibitor drug administration in type 2 DM patients to reduce the incidence of albuminuria. The method used is scoping review, with research articles from international journals sorted by the inclusion and exclusion criteria. These articles was selected using the PRISMA diagram by considering Population (DM type 2), Intervention (administration of SGLT-2 inhibitors), Comparison (placebo or other anti-diabetic), Outcome (decreased albuminuria), Study (RCT and retrospective cohort). It was obtained from 13 articles that the SGLT-2 inhibitor drugs used varied, canagliflozon (6), empagliflozin (3), dapagliflozin (2), ertugliflozin (2), and the most commonly used was Canagliflozin found in 6 articles (50%). The SGLT-2 inhibitor class of drugs has the same tendency, well-tolerated, and effective in reducing the incidence of albuminuria through the mechanism of renal hemodynamic changes, with urine albumin-to-creatinine ratio (UACR) as a parameter.


Author(s):  
Kaushal Kumar Sinha ◽  
Abhishek Bhadani ◽  
Anand Dev ◽  
Abhay Kumar ◽  
Nistha Kishore

Background: Diabetes is one of the commonest chronic non communicable disease affecting the society at large both in developing and developed countries. In our country, as diabetes is diagnosed late, many patients comes with complication of diabetes.  Present study aimed to study the prevalence of neuropathy complications in newly diagnosed type 2 diabetes mellitus. Subjects and Methods: In this study, 100 newly diagnosed cases of type 2 diabetes mellitus patients were evaluated. A cross section of both male and female diabetes patients diagnosed within the last 3 months (new onset) was taken into study. A detailed history, clinical examination and relevant investigations were performed. Collected data were analysed by using appropriate software. Results: In our study 60% were male and 40% were female. Highest neuropathy complication was seen in 56-65 age group. It was present in 35% of female and 16.66% of male in our study. Conclusion: Endeavour should be made to control hyperglycemia and dyslipidemia tightly by appropriate therapeutic measures so that the occurrence and worsening of complications could be mitigated. Aims and Objectives: To study the Prevalence of neuropathy complication in newly diagnosed type 2 diabetes mellitus


2020 ◽  
Vol 4 (1) ◽  
pp. 201-211
Author(s):  
Arief Andriyanto ◽  
Etty Rekawati ◽  
Dwi Cahya Rahmadiyah

Diabetes mellitus is classified as a non-communicable disease which has been estimated to have increased, so a risk factor control program recommended by the Ministry of Health is required according to the DM management pillar. Health cadre empowerment is also needed to actively support non-communicable diseases programs. The purpose of this community empowerment was to change the behaviour of people with type 2 diabetes in glucose control and improve the health cadres' skills in Posbindu PTM activities. The program was carried out in October 2018 until March 2019. The targets were: 86 type 2 diabetes patients, 24 cadres in Cisalak Pasar Kelurahan, 120 cadres in Cimanggis District, and 293 cadres in Depok City. The results showed that patients could control their glucose and health cadres experienced improved skills. The role of community nurses is continuously needed to provide appropriate interventions to the patients.


Sign in / Sign up

Export Citation Format

Share Document