scholarly journals Diabetes Care in an Urban Indigenous American Community: Challenges and Suggestions for the Future

2020 ◽  
Vol 23 ◽  
pp. 69-79
Author(s):  
Margaret Pollak

Indigenous Americans living with type 2 diabetes in urban areas like Chicago face significant challenges to meeting the care recommendations of their medical providers. Based upon mixed-methods research, including both qualitative and quantitative measures, in Chicago’s Indigenous community, I have found that diabetes-care and -prevention challenges faced by individuals in this community include (1) the high financial and time costs of care, (2) lack of recognition of or response to acute symptoms of high glucose levels, (3) prioritization of other life responsibilities, (4) distrust of western medicine, and (5) fatalistic views about diabetes development and prognosis. If we are to reduce rates of type 2 diabetes and its related complications in Indigenous American populations, we need to reframe our view of who Indigenous peoples are and what the type 2 diabetes epidemic means in these communities, and consider how to best develop solutions for care that are feasible in urban settings. This aim can be achieved through a greater awareness of the challenges faced by urban Natives caring for type 2 diabetes and by engaging with these communities to develop collaborative programs to improve care in these settings.

2020 ◽  
Vol 16 (26) ◽  
pp. 50-55
Author(s):  
Е.V. Ivannikova ◽  
◽  
O.M. Smirnova

Prediabetes is defined as a state of abnormal glucose homeostasis where blood glucose levels are elevated above those considered normal, but not as high as those required for a diagnosis of diabetes. Prediabetes is associated with high risks of developing serious diseases and poor quality of life of the patient. Globally, there are about 352.1 million people with prediabetes. By 2045, the number of able-bodied patients with a similar diagnosis is expected to double to 587 million. In this connection, timely diagnosis and identification of risk groups for the correction of carbohydrate metabolism is of great importance. The article provides data from numerous studies, a description of tactics and methods of treatment for patients with prediabetes.


2020 ◽  
Vol 2 (2) ◽  
pp. 361-368
Author(s):  
Heironimus Billy Febriyan

Diabetes Mellitus Type 2 is a disease characterized by high glucose levels in the blood exceed the standard value. The condition causes the disruption of the function of organs, causing all sorts of problems, among others such as eye disorders, heart, healing wounds, and stroke. Diabetes mellitus type 2 has some risk factors such as gender, age, family history, diabetes, obesity, hypertension, dyslipidemia, less activity, fat and carbohydrate intake high. The residence also can be a risk factor for type 2 diabetes mellitus where urban areas are associated with a change in lifestyle and dietary habits compared with the countryside. It became one of the causes of the increase in type 2 diabetes mellitus in urban areas. Conclusion It was found that type 2 diabetes mellitus is very influential, especially in decreased quality of life, especially in urban areas.


2013 ◽  
Author(s):  
Alina Aloma ◽  
Josh Hunt ◽  
Josh Hunt ◽  
Teresa M. Depratt ◽  
Michael B. Quant ◽  
...  

2018 ◽  
Author(s):  
Rio-Moreno Mercedes del ◽  
Emilia Alors-Perez ◽  
Antonio Camargo ◽  
Javier Delgado-Lista ◽  
Juan L. Lopez-Canovas ◽  
...  

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 772-P
Author(s):  
MARIKO HIGA ◽  
AYANA HASHIMOTO ◽  
MOE HAYASAKA ◽  
MAI HIJIKATA ◽  
AYAMI UEDA ◽  
...  

1970 ◽  
Vol 5 (1) ◽  
pp. 61-74 ◽  
Author(s):  
Alexandre de Souza E Silva ◽  
Maria Paula Gonçalves Mota

O trabalho tem como objetivo analisar os estudos que avaliaram os efeitos dos programas de treinamento aeróbio, força e combinado nos níveis de glicose sanguínea em indivíduos com diabetes do tipo 2. Foi utilizado o método de revisão sistemática, sendo utilizada a base de dados PubMed. As palavras chaves utilizadas para pesquisa foram training and diabetes. Foram identificados 484 artigos originais. Apenas 17 estudos respeitaram os critérios de inclusão. Os resultados evidenciam que os programas de treinamento aeróbio diminuíram os níveis de glicose. O programa de treinamento de força também foi favorável à diminuição dos níveis de glicose sanguínea. Já o programa de treinamento combinado não demonstrou efeitos favoráveis no controle da glicose sanguínea. Conclui-se que o programa de treinamento aeróbio e de força ajudam a controlar os níveis de glicose sanguínea em indivíduos com diabetes do tipo 2. Palavras-chave: diabetes mellitus, treinamento, glicose.ABSTRACTThe study aims to analyze the studies that evaluated the effects of aerobic, strength and combined programs training in blood glucose levels in people with type 2 diabetes. We used a systematic review method and is used to PubMed database. The key words used for searching were training and diabetes. We identified 484 original articles. Only 17 studies complied with the inclusion criteria. The results show that aerobic training programs decreased glucose levels. The strength training program was also favorable to decrease in blood glucose levels. But the combined training program has not shown favorable effects on blood glucose control. We conclude that the aerobic training and strength helps control blood glucose levels in individuals with type 2 diabetes. Keywords: diabetes mellitus, training, glucose.


2020 ◽  
Vol 18 ◽  
pp. 205873922098280
Author(s):  
Shuai Guo ◽  
Xujie Yu ◽  
Limei Wang ◽  
Jing Jing ◽  
Yuanyuan Sun ◽  
...  

Type 2 diabetes mellitus (T2DM) is a chronic, low-grade inflammation disease. T follicular helper (Tfh) cells and T cell immunoglobulin and mucin domain 3 (Tim-3) are implicated in many immune diseases. This study aims to explore whether Tim-3 expression on Tfh cells is associated with T2DM progression. White blood cells (WBCs) were harvested from 30 patients with T2DM and 20 healthy donors. The abundance of circulating Tfh cells (cTfh) and the frequency of Tim-3 were analyzed by flow cytometry. Levels of fasting plasma glucose (FPG), insulin, hemoglobin A1C (HbA1C), and fasting plasma C-peptide were measured. Body mass index (BMI) and diabetes duration were also recorded. Patients with T2DM had higher numbers of cTfh cells. In addition, cTfh cells showed a negative correlation with HbA1C and diabetes duration, a positive correlation with fasting plasma C-peptide. The frequency of Tim-3 on cTfh cells was higher among T2DM patients compared with healthy donors. The in vitro experiment showed that high glucose levels increased the abundance cTfh cells but had no effect on Tim-3 expression. Our results suggest that cTfh cells and associated Tim-3 frequency may contribute to the progression of T2DM, and high glucose levels may influence cTfh cells directly.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Musri Musman ◽  
Mauli Zakia ◽  
Ratu Fazlia Inda Rahmayani ◽  
Erlidawati Erlidawati ◽  
Safrida Safrida

Abstract Background Ethnobotany knowledge in a community has shaped local wisdom in utilizing plants to treat diseases, such as the use of Malaka (Phyllanthus emblica) flesh to treat type 2 diabetes. This study presented evidence that the phenolic extract of the Malaka flesh could reduce blood sugar levels in the diabetic induced rats. Methods The phenolic extract of the P. emblica was administrated to the glucose-induced rats of the Wistar strain Rattus norvegicus for 14 days of treatment where the Metformin was used as a positive control. The data generated were analyzed by the two-way ANOVA Software related to the blood glucose level and by SAS Software related to the histopathological studies at a significant 95% confidence. Results The phenolic extract with concentrations of 100 and 200 mg/kg body weight could reduce blood glucose levels in diabetic rats. The post hoc Dunnet test showed that the administration of the extract to the rats with a concentration of 100 mg/kg body weight demonstrated a very significant decrease in blood glucose levels and repaired damaged cells better than administering the extract at a concentration of 200 mg/kg weight body. Conclusion The evidence indicated that the phenolic extract of the Malaka flesh can be utilized as anti type 2 Diabetes mellitus without damaging other organs.


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