The Prevalence and Impact of Diabetes Mellitus among Undocumented Immigrants in an Indigent Care Program in Riverside, California

The aim of this paper was to evaluate the effect of telemedical care of gestational diabetes mellitus (GDM) patients with the digital treatment pathway model DiabCare Tirol. Methods: 27 courses of patients with GDM, who were telemonitored through the integrated care program DiabCare Tirol in a diabetes outpatient clinic in Tyrol, Austria during the COVID-19 pandemic in 2020, were analyzed. In addition, randomized controlled trials (RCTs) on telemedicine interventions for GDM were researched, and their results were used for comparison with this disease management method. The patient outcome analysis was used to examine the effects of the integrated care program involving telemonitoring support and compared them to the results of RCTs in which participants were randomly assigned to one of two groups, either mobile monitored or standard treatment group. Results: The feasibility of the digital treatment pathway model was confirmed in practice, as the trend analysis of the 27 GDM patients involved showed significantly improved glycaemic control. Results of RCT studies tend to support the findings of DiabCare Tirol. Conclusion: Benefits of telemonitoring with integrated care to support conventional therapy cannot be dismissed, especially in times of the pandemic. Continuous outcome research with larger patient numbers will be necessary to confirm the effectiveness of telemonitoring in a regular care setting.

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Impact of an Indigent Care Program on Use of Resources: Experiences at One Hospital

Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy ◽

10.1592/phco.20.3.217.34781 ◽

2000 ◽

Vol 20 (2) ◽

pp. 217-220 ◽

Cited By ~ 7

Author(s):

Diane Nykamp ◽

Dale Ruggles

Keyword(s):

Care Program ◽

Use Of Resources ◽

Indigent Care

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Implementation of a pharmacist-led transitions of care program in an indigent care clinic: A randomized controlled trial

Journal of the American Pharmacists Association ◽

10.1016/j.japh.2021.01.009 ◽

2021 ◽

Author(s):

Jeanna Sewell ◽

Cassidi C. McDaniel ◽

Shelby M. Harris ◽

Chiahung Chou

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Care Program ◽

Transitions Of Care ◽

Care Clinic ◽

Randomized Controlled ◽

Indigent Care

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Pharmacy coordination of an indigent care program in a psychiatric facility

American Journal of Health-System Pharmacy ◽

10.1093/ajhp/55.12.1293 ◽

1998 ◽

Vol 55 (12) ◽

pp. 1293-1296 ◽

Cited By ~ 10

Author(s):

Brian D. Hotchkiss ◽

Clarissa Pearson ◽

Richard Lisitano

Keyword(s):

Care Program ◽

Psychiatric Facility ◽

Indigent Care

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USE OF THE PHARMACEUTICAL CARE PROGRAM IN THE MANAGEMENT OF PATIENTS WITH TYPE 2 DIABETES MELLITUS IN DHULE CIVIL HOSPITAL

Journal of Drug Delivery and Therapeutics ◽

10.22270/jddt.v8i5-s.1960 ◽

2018 ◽

Vol 8 (5-s) ◽

pp. 223-227

Author(s):

Tabrej Mujawar ◽

Prakash Hiraman Patil

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Drug Therapy ◽

Pharmaceutical Care ◽

Intervention Group ◽

Care Program ◽

Control Group ◽

Drug Therapy Problems

Aim & Objective: The study was planned to evaluate the effectiveness of pharmaceutical care on the control of medical parameters, such as Fasting plasma glucose, Glycosylated hemoglobin (HbA1c) and BMI also to evaluate drug therapy problems in patients with type 2 diabetes mellitus. Setting: the study was conducted at SBHGM College, Civil Hospital in Dhule MS. Research design and Methods: A prospective, Open label and randomized control study was conducted with 200 type 2 diabetes patients with glycosylated haemoglobin of higher than 7.5%, they were divided into two groups: (I) control group without pharmaceutical care program (n=100), and (II) pharmaceutical care program (intervention) group (n=100).They were monitored for 3 consecutive visits. Patients in the control group received usual medical care, but patients in the intervention group received both standard medical care and pharmaceutical care. Results: At the end of the study, a statistically significant fall was observed in the glycemic levels, BMI of patients in the intervention group as a small reduction, which is statistically not significant, was observed in the control group. Additionally, the follow-up of the intervention group by a pharmacist contributed to the resolution of 118 drug therapy problems identified. Conclusion: pharmaceutical care program provide by pharmacist to patients with type 2 diabetes mellitus can give up measurable improvements in the glycemic control, BMI & resolute of drug therapy problems and improvements in the adherence to antidiabetic medication. Keywords: Type 2 Diabetes mellitus, Pharmaceutical care program, and Fasting plasma glucose, Glycosylated hemoglobin (HbA1c) and Body mass index (BMI).

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Diabetes Self-Management Education (DSME) Intervention to Improve Self-Care Management of Diabetes Mellitus Patients

Jurnal Ilmu Keperawatan (Journal of Nursing Science) ◽

10.21776/ub.jik.2021.009.02.2 ◽

2013 ◽

Vol 9 (2) ◽

pp. 151-157

Author(s):

Annisa Wuri Kartika ◽

◽

Widyatuti W ◽

Etty Rekawati

Keyword(s):

Diabetes Mellitus ◽

Blood Sugar ◽

Care Management ◽

Management Education ◽

Self Care ◽

Care Program ◽

Public Health Care ◽

Self Management ◽

Diabetes Group ◽

Before And After

Self-care management is an important component in the management of Diabetes Mellitus Type 2 (DMT2). Knowledge, self-efficacy, and compliance in self-care are the main factors to improving quality of life and preventing complications. Diabetes Self-Management Education (DSME) in support groups was used in community nursing interventions to improve diabetes self-care management. This study used a one-group pre-post design with t-test analysis to determine the ability of self-management levels and blood sugar values of the group with diabetes before and after the intervention. The instrument used was the Diabetes Self Care Management Questionnaire (DSMQ). Diabetes Mellitus patients received DSME intervention for two months. The number of samplings in this study was 49 people with diabetes. The findings show that in intervention groups, self-care improves, and blood sugar levels fall. There were significant changes in the diabetics' group (n = 48) before and after the intervention on self-care and blood glucose levels (p = 0.000 and p = 0.011). We suggest that the DSME might be given to the diabetes group by nurses as one of the strategies for implementing health education in the public health care program (PERKESMAS).

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Association of comorbidity between Opisthorchis viverrini infection and diabetes mellitus in the development of cholangiocarcinoma among a high-risk population, northeastern Thailand

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0009741 ◽

2021 ◽

Vol 15 (9) ◽

pp. e0009741

Author(s):

Kavin Thinkhamrop ◽

Narong Khuntikeo ◽

Wongsa Laohasiriwong ◽

Pornpimon Chupanit ◽

Matthew Kelly ◽

...

Keyword(s):

Diabetes Mellitus ◽

High Risk ◽

Care Program ◽

Opisthorchis Viverrini ◽

P Value ◽

High Risk Population ◽

Risk Population ◽

Strong Focus ◽

History Of ◽

Northeastern Thailand

Background Cholangiocarcinoma (CCA) is a category of lethal hepatobiliary malignancies. Previous studies have found that Opisthorchis viverrini infection and diabetes mellitus (DM) are closely correlated with CCA. However, few studies have discussed the association of CCA with a combination of both O. viverrini infection and DM. This study aimed to assess the correlation of CCA with various combinations of O. viverrini infection and DM among a high-risk population in northeastern Thailand. Methodology This study included participants from 20 provinces in northeastern Thailand who had been screened for CCA in the Cholangiocarcinoma Screening and Care Program (CASCAP) between 2013 and 2019. Histories of O. viverrini infection and DM diagnosis were obtained using a health questionnaire. CCA screening used ultrasonography with a definitive diagnosis based on histopathology. Multilevel mixed-effects logistic regression was performed to quantify the association, which is presented as adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Principal findings Overall, 263,776 participants were included, of whom 32.4% were infected with O. viverrini, 8.2% were diagnosed with DM, and 2.9% had a history of both O. viverrini infection and DM. The overall rate of CCA was 0.36%. Of those infected with O. viverrini, 0.47% had CCA; among those with DM, 0.59% had CCA and among those infected with O. viverrini and had DM, 0.73% had CCA. Compared with participants who were not infected with O. viverrini and were non-DM, the aOR for those infected with O. viverrini and with DM was 2.36 (95% CI: 1.74–3.21; p-value <0.001). Conclusions The combination of O. viverrini infection and DM was highly associated with CCA, and these two conditions had a combined effect on this association that was greater than that of either alone. These findings suggest that CCA screening should have a strong focus on people with a combination of O. viverrini infection and DM.

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Diabetic Patients’ Family’s Health Beliefs Toward Diabetes Prevention and The Contributing Factors

Media Keperawatan Indonesia ◽

10.26714/mki.3.3.2020.175-179 ◽

2020 ◽

Vol 3 (3) ◽

pp. 175

Author(s):

Titis Kurniawan ◽

Irfani Nurfuadah ◽

Dian Adiningsih

Keyword(s):

Diabetes Mellitus ◽

Patient Care ◽

Health Beliefs ◽

Self Efficacy ◽

Family Members ◽

Care Program ◽

Diabetic Patients ◽

Contributing Factors ◽

The Family ◽

Cues To Action

Health beliefs among family members of diabetic patients are important factor of the diabetic preventing behaviours. This study aimed to describe family’s beliefs toward diabetes mellitus prevention based on the Health Belief Model and its’ contributing factors. This corelational study involved 72 peoples that purposively sampled from 34 diabetic patients who live in Jatinangor Public Health Center Working area. A questionnaire developed by the research team consisted of 37 items and 6 domains: perceived susceptibility, severity, benefits, barriers, cues to action, and self efficacy was used to collect the data. The collected data were analyzed descriptively and inferentially. The results showed that most of respondents (77.78%) positively believed on diabetes mellitus (DM) susceptibility, severity (59.72%), benefits of DM prevention (84.77%), and cues to action (76.4%). It was also found that most of respondents negatively believed on the prevention barriers (84%) and self-efficacy (77.78%). Female and actively involved in patient care were found as the contributing factors of the respondents’ beliefs related to DM prevention (p<0.05). To conclude, the DM patients’ family members believed that they are vulnerable to have DM and DM preventions are beneficial. Female and being actively involved in patient care potentially increase the family members’ beliefs toward DM prevention. So, it is important for the healthcare professionals to maximize the family members’ involvement in DM patient care program.

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