Comparing a Social and Communication App, Telephone Intervention, and Usual Care for Diabetes Self-Management: 3-Arm Quasiexperimental Evaluation Study

BACKGROUND Many technology-assisted innovations have been used to manage disease. However, most of these innovations are not broadly used by older adults due to their cost. Additionally, disease management through technology-assisted innovations has not been compared with other interventions. OBJECTIVE In this study, we tested the employment of a free and widely used social and communication app to help older adults with diabetes manage their distress and glycemic control. We also compared the effectiveness of the app with 2 other methods, namely telephone and conventional health education, and determined which subgroup experiences the most effects within each intervention. METHODS Adults aged ≥50 years with type 2 diabetes were recruited from Southern Taiwan (N=231) and were allocated to different 3-month interventions. Informed consent was obtained at the Ministry of Science and Technology and approved by the National Cheng Kung University Hospital Institutional Review Board (No. A-ER-102-425). RESULTS Participants in the mobile-based group had significant reductions in hemoglobin A1c compared with the telephone-based and usual care groups (mean changes of –0.4%, 0.1%, and 0.03%, respectively; <i>P</i>=.02). Diabetes-specific distress decreased to a greater extent in the mobile-based group compared to the other 2 groups (mean changes of –5.16, –3.49, and –2.44, respectively, <i>P</i>=.02). Subgroup analyses further revealed that the effects on reducing blood glucose levels in the social and communication app groups were especially evident in patients with lower distress scores, and diabetes-related distress was especially evident in participants who were younger than 60 years or had higher educational levels. CONCLUSIONS The findings of this study inform more flexible use of social and communication apps with in-person diabetes education and counselling.

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Therapeutic and evolutionary characteristics of Diabetic ketosis decompensations after a decade at the University Hospital of Cotonou, Benin

Endocrinology and Disorders ◽

10.31579/2640-1045/067 ◽

2021 ◽

Vol 5 (2) ◽

pp. 01-05

Author(s):

Gninkoun Jules

Keyword(s):

Metabolic Diseases ◽

Positive Impact ◽

University Hospital ◽

Glucose Levels ◽

Diabetic Ketosis ◽

Blood Glucose Levels ◽

Compliance To Treatment ◽

The University ◽

Improving Patient Care ◽

Length Of Hospitalization

Aim: To evaluate the therapeutic and evolutionary aspects of diabetic ketosis decompensation, a decade after its previous report in our center. Materials and Method: This was a 3-year retrospective study, including all patients admitted from June 1, 2016 to May 31, 2019 for DKA at the Endocrinology and Metabolic Diseases Department of the National and University Hospital Hubert Koutoukou Maga (CNHU-HKM). Ketosis was defined by the presence of at least 2 acetone crosses on the urine strip. Results: A total of 196 patients were included. The mean age was 43.73 years ± 16.2 years with a sex ratio of 0.96. The prevalence of DKA was 28.99%. The main precipitating factors of DKA were infections (67.86%) and non-compliance to the treatment (29.59%). The most common infections were urogenital (23.30%), respiratory (18.04%) and malaria (32.33%). The mortality was 2.55%. Male subjects (84.36%) had blood glucose levels above 3g/L with a higher mean dose of insulin used (84.71 IU versus 54.29 IU for women p=0.008). Duration of recovery (p=0.008) and length of hospitalization (p=0.006) were statistically longer for men. Conclusion: The prevalence of ketosis decompensations remains high. The main decompensation factors found were infections and non-compliance to treatment. Improving patient care over the past decade had produced a positive impact on mortality, recovery time and length of hospitalization.

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Using a Nurse-Led Telehealth Intervention to Improve Fasting Glucose Levels in Patients With Uncontrolled Type 2 Diabetes Undergoing a Surgical Intervention

Journal of Doctoral Nursing Practice ◽

10.1891/2380-9418.11.2.126 ◽

2018 ◽

Vol 11 (2) ◽

pp. 126-131

Author(s):

Christine Mott ◽

Kendra Barker ◽

Renee Schwertfeger ◽

Jennifer Mallow

Keyword(s):

Glycemic Control ◽

Clinical Significance ◽

Diabetes Education ◽

Perioperative Period ◽

Adverse Outcomes ◽

Telephone Intervention ◽

Glucose Levels ◽

Uncontrolled Diabetes ◽

Significant Difference ◽

Telehealth Intervention

Background: Uncontrolled diabetes during the perioperative period can result in a variety of adverse postoperative outcomes. Objective: Evaluate a nurse-led telehealth preoperative intervention to improve glycemic control. Methods: Provide telehealth diabetes education prior to surgery and evaluate time spent and pre-/post-glucose levels. Between-group differences were used to assess glycemic control. Results: There was no significant difference in scores for those who received the telephone intervention (M = 167.71, SD = 59.9) and those who did not receive the intervention (M = 171.44, SD = 54.9; t (44) = 0.220, p = .82, two-tailed). The magnitude of the differences in the means was very small (Cohen’s d = 0.03). There was a reduction in pre- and post-glucose levels for both groups. Conclusions: Although the findings were not statistically significant, there may be some clinical significance. Implications for Nursing: The clinical significance has implications for nursing due to participants choosing to delay surgery and potentially preventing adverse outcomes.

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Effect of the Intake of a Snack Containing Dietary Fiber on Postprandial Glucose Levels

Foods ◽

10.3390/foods9101500 ◽

2020 ◽

Vol 9 (10) ◽

pp. 1500

Author(s):

Hyeon-Ki Kim ◽

Takuya Nanba ◽

Mamiho Ozaki ◽

Hanako Chijiki ◽

Masaki Takahashi ◽

...

Keyword(s):

Older Adults ◽

Blood Glucose ◽

Dietary Fiber ◽

Postprandial Glucose ◽

Living Conditions ◽

Fiber Content ◽

Free Living ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Free Living Conditions

To examine the effects of the intake of a snack containing dietary fiber under free-living conditions on postprandial glucose levels in older adults, nine healthy older adults aged 76.9 ± 1.6 years (mean ± standard error) completed two crossover trials: 1) regular snack (BISCUIT) intake and 2) intake of snacks with a high dietary fiber content (DF-BISCUIT). In both trials, each participant consumed either BISCUIT or DF-BISCUIT between lunch and dinner time for 1 week. During the intervention, the blood glucose levels of all the subjects were observed using a continuous glucose monitoring system. Lower 24 h blood glucose levels were yielded in the DF-BISCUIT than the BISCUIT trials. Moreover, compared to the BISCUIT trials, the blood glucose levels after dinner and areas under the curve (AUCs) were significantly decreased in the DF-BISCUIT treatments. The blood glucose levels and AUCs after the intake of the next day’s breakfast were suppressed in the DF-BISCUIT treatments compared to those in the BISCUIT trials. Our data indicate that the intake of snacks with a high dietary fiber content under free-living conditions is an effective way to restrain postprandial glucose levels and that the effect lasts until breakfast the next day.

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Assessment of the salivary glucose as a non-invasive test for diabetic patients

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192286 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2289

Author(s):

Kajol Thapa ◽

Saroj Kunwar ◽

Sonu Thapa ◽

Asmita Phuyal ◽

Sahil Rupakheti

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Glucose Level ◽

Fasting Blood Glucose ◽

Diabetic Patients ◽

Glucose Levels ◽

Non Invasive ◽

Invasive Test ◽

Blood Glucose Levels ◽

Institutional Review

Background: Over the recent year there has been a startling rise in the number of people suffering from diabetes mellitus. Estimation of blood glucose levels has been an essential laboratory investigation for screening and monitoring of diabetes. Saliva is one of the secretions in human body whose collection is easy and non-invasive. Salivary glucose hence could serve as an easy and non-invasive tool.Methods: Institutional review committee of NHRC gave us permission to carry out this study. 105 subjects with Type 2 diabetes mellitus who attended the OPD at Star hospital, Sanepa, Lalitpur, Nepal and 106 healthy individuals were consented to participate in this study. Glucose was measured by the GOD-POD (Glucose oxidase peroxidase) methods using the semi-autoanalyser and salivary glucose was compared with corresponding blood glucose levels.Results: A significant positive correlation of fasting salivary glucose level and fasting blood glucose level was observed in healthy (r=0.241, p=0.001) and in diabetic patients (r=0.202, p=0.001).Conclusions: The study implies a potential for saliva in monitoring and screening of diabetes mellitus.

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Therapeutic and evolutionary characteristics of Diabetic ketosis decompensations after a decade at the University Hospital of Cotonou, Benin

Endocrinology and Disorders ◽

10.31579/2640-1045/105 ◽

2021 ◽

Vol 5 (2) ◽

pp. 01-05

Author(s):

Gninkoun Jules

Keyword(s):

Metabolic Diseases ◽

Positive Impact ◽

University Hospital ◽

Glucose Levels ◽

Diabetic Ketosis ◽

Blood Glucose Levels ◽

Compliance To Treatment ◽

The University ◽

Improving Patient Care ◽

Length Of Hospitalization

Aim: To evaluate the therapeutic and evolutionary aspects of diabetic ketosis decompensation, a decade after its previous report in our center. Materials and Method: This was a 3-year retrospective study, including all patients admitted from June 1, 2016 to May 31, 2019 for DKA at the Endocrinology and Metabolic Diseases Department of the National and University Hospital Hubert Koutoukou Maga (CNHU-HKM). Ketosis was defined by the presence of at least 2 acetone crosses on the urine strip. Results: A total of 196 patients were included. The mean age was 43.73 years ± 16.2 years with a sex ratio of 0.96. The prevalence of DKA was 28.99%. The main precipitating factors of DKA were infections (67.86%) and non-compliance to the treatment (29.59%). The most common infections were urogenital (23.30%), respiratory (18.04%) and malaria (32.33%). The mortality was 2.55%. Male subjects (84.36%) had blood glucose levels above 3g/L with a higher mean dose of insulin used (84.71 IU versus 54.29 IU for women p=0.008). Duration of recovery (p=0.008) and length of hospitalization (p=0.006) were statistically longer for men. Conclusion: The prevalence of ketosis decompensations remains high. The main decompensation factors found were infections and non-compliance to treatment. Improving patient care over the past decade had produced a positive impact on mortality, recovery time and length of hospitalization.

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Therapeutic and evolutionary characteristics of Diabetic ketosis decompensations after a decade at the University Hospital of Cotonou, Benin

Endocrinology and Disorders ◽

10.31579/2692-9759/067 ◽

2021 ◽

Vol 5 (2) ◽

pp. 01-05

Author(s):

Gninkoun Jules

Keyword(s):

Metabolic Diseases ◽

Positive Impact ◽

University Hospital ◽

Glucose Levels ◽

Diabetic Ketosis ◽

Blood Glucose Levels ◽

Compliance To Treatment ◽

The University ◽

Improving Patient Care ◽

Length Of Hospitalization

Aim: To evaluate the therapeutic and evolutionary aspects of diabetic ketosis decompensation, a decade after its previous report in our center. Materials and Method: This was a 3-year retrospective study, including all patients admitted from June 1, 2016 to May 31, 2019 for DKA at the Endocrinology and Metabolic Diseases Department of the National and University Hospital Hubert Koutoukou Maga (CNHU-HKM). Ketosis was defined by the presence of at least 2 acetone crosses on the urine strip. Results: A total of 196 patients were included. The mean age was 43.73 years ± 16.2 years with a sex ratio of 0.96. The prevalence of DKA was 28.99%. The main precipitating factors of DKA were infections (67.86%) and non-compliance to the treatment (29.59%). The most common infections were urogenital (23.30%), respiratory (18.04%) and malaria (32.33%). The mortality was 2.55%. Male subjects (84.36%) had blood glucose levels above 3g/L with a higher mean dose of insulin used (84.71 IU versus 54.29 IU for women p=0.008). Duration of recovery (p=0.008) and length of hospitalization (p=0.006) were statistically longer for men. Conclusion: The prevalence of ketosis decompensations remains high. The main decompensation factors found were infections and non-compliance to treatment. Improving patient care over the past decade had produced a positive impact on mortality, recovery time and length of hospitalization.

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Blood Glucose Levels May Exacerbate Executive Function Deficits in Older Adults with Cognitive Impairment

Journal of Alzheimer s Disease ◽

10.3233/jad-180693 ◽

2019 ◽

Vol 67 (1) ◽

pp. 81-89 ◽

Cited By ~ 4

Author(s):

Colleen Pappas ◽

Brent J. Small ◽

Ross Andel ◽

Jan Laczó ◽

Martina Parizkova ◽

...

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Executive Function ◽

Blood Glucose ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Executive Function Deficits

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The association of mental conditions with blood glucose levels in older adults with diabetes

Aging & Mental Health ◽

10.1080/13607863.2012.688193 ◽

2012 ◽

Vol 16 (8) ◽

pp. 950-957 ◽

Cited By ~ 8

Author(s):

Ha T. Nguyen ◽

Thomas A. Arcury ◽

Joseph G. Grzywacz ◽

Santiago J. Saldana ◽

Edward H. Ip ◽

...

Keyword(s):

Older Adults ◽

Blood Glucose ◽

Glucose Levels ◽

Blood Glucose Levels

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Study on the Nursing Effect of Diabetes Health Education Nursing Methods Applied to Diabetes Patients in the Endocrinology Department

Journal of Healthcare Engineering ◽

10.1155/2022/3363096 ◽

2022 ◽

Vol 2022 ◽

pp. 1-5

Author(s):

Jianhua Wang ◽

Yanan Zhao ◽

Fei Xie

Keyword(s):

Health Education ◽

Diabetes Education ◽

Routine Care ◽

Control Group ◽

Diabetic Patients ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Regular Care ◽

Patients With Diabetes ◽

Experimental Group

The aim of this study was to explore the nursing effect of diabetes education and nursing methods applied to diabetic patients in the endocrinology department. From October 2019 to October 2020, 90 patients with diabetes who were admitted to the Department of Endocrinology in our hospital were selected as the research objects, and the medical records of all patients were retrospectively analyzed. The patients were randomly divided into two groups, 45 patients who were given regular care as the control group and 45 patients who were given the diabetes health education care model as the experimental group. Routine care was given to patients in the routine group; that is, we paid attention to the patients’ diet, medication, and blood glucose levels. The experimental group patients were given diabetes health education guidance. The nursing effect, blood sugar level, disease awareness level, occurrence of complications, and compliance of the two groups of patients were evaluated. In this study, diabetes health education was given to the experimental group of patients. The conditions of this group of patients were significantly better than those of the basic group using conventional nursing methods. Therefore, the application of diabetes health education is very effective. The recovery from the disease has positive significance.

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