scholarly journals CONTROLLING DIET EXPERIENCE OF DIABETIC PATIENTS IN BUKITTINGGI, INDONESIA

2021 ◽  
Author(s):  
Liza Merianti ◽  
Dona Amelia ◽  
Ade Srywahyuni
Keyword(s):  
Blood Sugar ◽  
Diabetes Management ◽  
International Diabetes Federation ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Dietary Control ◽  
Descriptive Phenomenology ◽  
Normal Limits ◽  
Number Of Patients ◽  
And Control

Background: In 2015, the International Diabetes Federation reported that there were 415 million adultsaged 20 to 79 with diabetes. Indonesia is among the 10 countries with the high number of diabetic patientsand is ranked 7th in the world with the number of patients reaching 10.2 million. Diabetes management canbe done through controlling blood sugar through 4 pillars, namely education, diet, exercise, andmedication. However, the current phenomena show that many diabetics have poor dietary control so theyfail maintain their blood sugar within its normal limits and are at greater risk for diabetes complications.However, we can still find diabetic patients who are able to improve their diet and control their blood sugar.Therefore, getting information from them, especially related to their experience in controlling their diet, isexpected to provide hope and motivation for others. Hence, this study aims to find out and expolore theexperience of diabetics with controlled blood sugar and dietMethods: This study uses a qualitative research method with a descriptive phenomenology approach. Theselection of participants was carried out by using a purposive sampling technique. The number ofparticipants in this study were 5 and data were processed through Colaizzi method.Result:.There are four themes obtained in this study namely: Self-commitment to discipline and dietarycompliance, Fruit as an alternative appetite suppresant, Controlling hunger as a habit, and Channellinghunger to activities. Controlling diet for participants has been succesfully done by created a new habitthrough controlling their hunger, so that they could keep their commitment dan disclipline for dietarycompliance, choosing fruits as alternative suppresant and doing activity for channeling the hunger.Therefore it is important for the nurses to educate the diabetic patients about how to deal with diet issuesthrough controlling a hunger as a habit

scholarly journals Controlling diet experience of diabetic patients in Bukittinggi, Indonesia

2021 ◽  
Author(s):  
Ade Srywahyuni ◽  
Dona Amelia
Keyword(s):  
Blood Sugar ◽  
Diabetes Management ◽  
International Diabetes Federation ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Dietary Control ◽  
Descriptive Phenomenology ◽  
Normal Limits ◽  
Number Of Patients ◽  
And Control

Background: In 2015, the International Diabetes Federation reported that there were 415 million adultsaged 20 to 79 with diabetes. Indonesia is among the 10 countries with the high number of diabetic patientsand is ranked 7th in the world with the number of patients reaching 10.2 million. Diabetes management canbe done through controlling blood sugar through 4 pillars, namely education, diet, exercise, andmedication. However, the current phenomena show that many diabetics have poor dietary control so theyfail maintain their blood sugar within its normal limits and are at greater risk for diabetes complications.However, we can still find diabetic patients who are able to improve their diet and control their blood sugar.Therefore, getting information from them, especially related to their experience in controlling their diet, isexpected to provide hope and motivation for others. Hence, this study aims to find out and expolore theexperience of diabetics with controlled blood sugar and dietMethods: This study uses a qualitative research method with a descriptive phenomenology approach. Theselection of participants was carried out by using a purposive sampling technique. The number ofparticipants in this study were 5 and data were processed through Colaizzi method.Result:.There are four themes obtained in this study namely: Self-commitment to discipline and dietarycompliance, Fruit as an alternative appetite suppresant, Controlling hunger as a habit, and Channellinghunger to activities. Controlling diet for participants has been succesfully done by created a new habitthrough controlling their hunger, so that they could keep their commitment dan disclipline for dietarycompliance, choosing fruits as alternative suppresant and doing activity for channeling the hunger.Therefore it is important for the nurses to educate the diabetic patients about how to deal with diet issuesthrough controlling a hunger as a habit

"Taming the Monster aka Uncontrolled Diabetes: A Viewpoint" (Preprint)

2020 ◽  
Author(s):  
Swati Anand ◽  
Amardeep Kalsi ◽  
Jonathan Figueroa ◽  
Parag Mehta
Keyword(s):  
Blood Glucose ◽  
Diabetes Management ◽  
Positive Impact ◽  
The United States ◽  
Phone Call ◽  
Diabetic Patients ◽  
Dietary Compliance ◽  
Glucose Levels ◽  
Uncontrolled Diabetes ◽  
Number Of Patients

BACKGROUND HbA1c between 6% and 6.9% is associated with the lowest incidence of all‐cause and CVD mortality, with a stepwise increase in all‐cause and cardiovascular mortality in those with an HbA1c >7%. • There are 30 million individuals in the United States (9.4% of the population) currently living with Diabetes Mellitus. OBJECTIVE Improving HbA1C levels in patients with uncontrolled Diabetes with a focused and collaborative effort. METHODS Our baseline data for Diabetic patients attending the outpatient department from July 2018 to July 2019 in a University-affiliated hospital showed a total of 217 patients for one physician. • Of 217 patients, 17 had HbA1C 9 and above. We contacted these patients and discussed the need for tight control of their blood glucose levels. We intended to ensure them that we care and encourage them to participate in our efforts to improve their outcome. • We referred 13 patients that agreed to participate to the Diabetic educator who would schedule an appointment with the patients, discuss their diet, exercise, how to take medications, self-monitoring, and psychosocial factors. • If needed, she would refer them to the Nutritionist based on patients’ dietary compliance. • The patients were followed up in the next two weeks via telemedicine or a phone call by the PCP to confirm and reinforce the education provided by the diabetes educator. RESULTS Number of patients that showed an improvement in HbA1C values: 11 Cumulative decrease in HbA1C values for 13 patients: 25.3 The average reduction in HbA1C: 1.94 CONCLUSIONS Our initiative to exclusively target the blood glucose level with our multidisciplinary approach has made a positive impact, which is reflected in the outcome. • It leads to an improvement in patient compliance and facilitates diabetes management to reduce the risk for complications CLINICALTRIAL NA

scholarly journals Diabetes Management Experience and the State of Hypoglycemia: National Online Survey Study

JMIR Diabetes ◽  
10.2196/17890 ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. e17890
Author(s):  
Karim Zahed ◽  
Farzan Sasangohar ◽  
Ranjana Mehta ◽  
Madhav Erraguntla ◽  
Khalid Qaraqe
Keyword(s):  
Blood Sugar ◽  
Online Survey ◽  
Diabetes Management ◽  
Nonparametric Tests ◽  
Mobile App ◽  
Survey Study ◽  
Management Tool ◽  
False Alarms ◽  
Diabetic Patients ◽  
Cross Sectional

Background Hypoglycemia, or low blood sugar levels, in people with diabetes can be a serious life-threatening condition, and serious outcomes can be avoided if low levels of blood sugar are proactively detected. Although technologies exist to detect the onset of hypoglycemia, they are invasive or costly or exhibit a high incidence of false alarms. Tremors are commonly reported symptoms of hypoglycemia and may be used to detect hypoglycemic events, yet their onset is not well researched or understood. Objective This study aimed to understand diabetic patients’ perceptions of hypoglycemic tremors, as well as their user experiences with technology to manage diabetes, and expectations from a self-management tool to ultimately inform the design of a noninvasive and cost-effective technology that detects tremors associated with hypoglycemia. Methods A cross-sectional internet panel survey was administered to adult patients with type 1 diabetes using the Qualtrics platform in May 2019. The questions focused on 3 main constructs: (1) perceived experiences of hypoglycemia, (2) experiences and expectations about a diabetes management device and mobile app, and (3) beliefs and attitudes regarding intention to use a diabetes management device. The analysis in this paper focuses on the first two constructs. Nonparametric tests were used to analyze the Likert scale data, with a Mann-Whitney U test, Kruskal-Wallis test, and Games-Howell post hoc test as applicable, for subgroup comparisons to highlight differences in perceived frequency, severity, and noticeability of hypoglycemic tremors across age, gender, years living with diabetes, and physical activity. Results Data from 212 respondents (129 [60.8%] females) revealed statistically significant differences in perceived noticeability of tremors by gender, whereby males noticed their tremors more (P<.001), and age, with the older population reporting lower noticeability than the young and middle age groups (P<.001). Individuals living longer with diabetes noticed their tremors significantly less than those with diabetes for ≤1 year but not in terms of frequency or severity. Additionally, the majority of our participants (150/212, 70.7%) reported experience with diabetes-monitoring devices. Conclusions Our findings support the need for cost-efficient and noninvasive continuous monitoring technologies. Although hypoglycemic tremors were perceived to occur frequently, such tremors were not found to be severe compared with other symptoms such as sweating, which was the highest rated symptom in our study. Using a combination of tremor and galvanic skin response sensors may show promise in detecting the onset of hypoglycemic events.

scholarly journals Diabetes Management Experience and the State of Hypoglycemia: National Online Survey Study (Preprint)

2020 ◽  
Author(s):  
Karim Zahed ◽  
Farzan Sasangohar ◽  
Ranjana Mehta ◽  
Madhav Erraguntla ◽  
Khalid Qaraqe
Keyword(s):  
Blood Sugar ◽  
Online Survey ◽  
Diabetes Management ◽  
Nonparametric Tests ◽  
Mobile App ◽  
Survey Study ◽  
Management Tool ◽  
False Alarms ◽  
Diabetic Patients ◽  
Cross Sectional

BACKGROUND Hypoglycemia, or low blood sugar levels, in people with diabetes can be a serious life-threatening condition, and serious outcomes can be avoided if low levels of blood sugar are proactively detected. Although technologies exist to detect the onset of hypoglycemia, they are invasive or costly or exhibit a high incidence of false alarms. Tremors are commonly reported symptoms of hypoglycemia and may be used to detect hypoglycemic events, yet their onset is not well researched or understood. OBJECTIVE This study aimed to understand diabetic patients’ perceptions of hypoglycemic tremors, as well as their user experiences with technology to manage diabetes, and expectations from a self-management tool to ultimately inform the design of a noninvasive and cost-effective technology that detects tremors associated with hypoglycemia. METHODS A cross-sectional internet panel survey was administered to adult patients with type 1 diabetes using the Qualtrics platform in May 2019. The questions focused on 3 main constructs: (1) perceived experiences of hypoglycemia, (2) experiences and expectations about a diabetes management device and mobile app, and (3) beliefs and attitudes regarding intention to use a diabetes management device. The analysis in this paper focuses on the first two constructs. Nonparametric tests were used to analyze the Likert scale data, with a Mann-Whitney <i>U</i> test, Kruskal-Wallis test, and Games-Howell post hoc test as applicable, for subgroup comparisons to highlight differences in perceived frequency, severity, and noticeability of hypoglycemic tremors across age, gender, years living with diabetes, and physical activity. RESULTS Data from 212 respondents (129 [60.8%] females) revealed statistically significant differences in perceived noticeability of tremors by gender, whereby males noticed their tremors more (<i>P</i>&lt;.001), and age, with the older population reporting lower noticeability than the young and middle age groups (<i>P</i>&lt;.001). Individuals living longer with diabetes noticed their tremors significantly less than those with diabetes for ≤1 year but not in terms of frequency or severity. Additionally, the majority of our participants (150/212, 70.7%) reported experience with diabetes-monitoring devices. CONCLUSIONS Our findings support the need for cost-efficient and noninvasive continuous monitoring technologies. Although hypoglycemic tremors were perceived to occur frequently, such tremors were not found to be severe compared with other symptoms such as sweating, which was the highest rated symptom in our study. Using a combination of tremor and galvanic skin response sensors may show promise in detecting the onset of hypoglycemic events.

scholarly journals Self-Care Practices among Diabetic Patients in Selected Sub-Metropolitan Cities of Nepal

2021 ◽  
pp. 1-9
Author(s):  
Supendra Karki ◽  
Srijana Pandey ◽  
Purusotam Raj Shedain
Keyword(s):  
Physical Activity ◽  
Blood Sugar ◽  
Self Care ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Metropolitan Cities ◽  
Care Practices ◽  
Specific Diet

Aims: Diabetes self-care requires a multipronged approach, wherein the diabetic patient has a significant role to play. This study was undertaken to explore self-care practices of diabetic patients residing in two sub-metropolitan cities of Nepal. Study Design: A cross-sectional comparative study. Place and Duration of Study: The study was carried out from March 2019 to June 2020. Methodology: An analytical cross-sectional study was done among 415 diabetic patients aged above 25 years. A simple random sampling technique was used to select the study participants. A structured questionnaire was adopted and making necessary contextual to collect the data. Descriptive statistics along with association between means, t-tests and ANOVA were calculated and a p < 0.05 was considered significant for data analysis. Results: Regarding the diabetes self-care activities in different domains with respect to sociodemographic independent variables, blood sugar testing and foot care was a statistically significant associated with education i.e.  (p= 0.018) and (p=0.003) simultaneously. The study also reveals that specific diet, physical activity/exercise and blood sugar testing are significantly associated with HbA1c of diabetic patients. i.e. (p=0.003), (p=0.004) and (p=0.037) respectively. Conclusion: The general awareness regarding both general and specific diet, physical activity/exercise, blood sugar testing, foot care and medications were poor in our study. More strategies need to be explored to make sure patients adhere to self-care activities.

scholarly journals EFEKTIVITAS AKTIVITAS FISIK DAN POLA MAKAN TERHADAP KECEPATAN PENGENDALIAN KADAR GULA DARAH PADA PENDERITA DM

2019 ◽  
Vol 2 (1) ◽  
pp. 47-51
Author(s):  
Augustianny Situmeang ◽  
Manotar Sinaga ◽  
Hardinayanti Simamora
Keyword(s):  
Physical Activity ◽  
Blood Sugar ◽  
International Diabetes Federation ◽  
Sampling Technique ◽  
Observational Research ◽  
Measuring Instruments ◽  
Chi Square ◽  
Work Area ◽  
Chi Square Test ◽  
Sugar Levels

The International Diabetes Federation (IDF) predicts an increase in the number of DM-based in Indonesia from 9.1 million in 2014 to 14.1 million in 2035. The Indonesian Society of Endocrinology (PERKENI) states that there are at least 4 successful pillars of diabetes mellitus, education, diet, activity and treatment. This research aims to determine the effectiveness of physical activity and diet to the speed of control of blood sugar levels in patients with DM in the work area of Sarudik Puskesmas in Central Tapanuli District 2018. The design of research used is observational research. The research population is all patients who have DM in the work area of Sarudik Puskesmas Central Tapanuli District as much as 70 respondents. Sampling technique is Purposive Sampling. The measuring instruments used are dummy tables and glucometers. Data analysis using Chi Square Test. The results showed that the majority of respondents had less physical activity of 25 people (78.1%), having a less than good diet of 27 people (84.4%) and has a poor blood sugar control rate of 28 people (87.5%). The conclusion of research is the effectiveness of physical activity and diet to the speed of blood sugar control in patients with DM in the work area of Sarudik Puskesmas in Central Tapanuli District 2018. It is suggested that respondents can follow regular physical activity and make meal arrangement in order to lower blood sugar levels.

scholarly journals Prima Krim sebagai Solusi Penyembuh Luka pada Penderita Diabetes Meli

2019 ◽  
Vol 37 (1) ◽  
pp. 80
Author(s):  
Rahmad Dwi Ardhiansyah ◽  
Riefky Pradipta Baihaqie ◽  
Muhammad Nuriy Nuha Naufal ◽  
Muhamad Atabika Farma Nanda ◽  
Kurnia Rahmawati ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Chronic Wounds ◽  
Platelet Rich Plasma ◽  
International Diabetes Federation ◽  
Diabetic Rat ◽  
Diabetic Patients ◽  
Histopathologic Examination ◽  
Animal Blood ◽  
Number Of Patients

Number of patients with diabetes mellitus are very large, according to International Diabetes Federation (IDF) in 2013 reaches 382 billion people between the ages of 40-59 years. Diabetic has been characterized as a chronic wounds. The animal blood waste from a slaugther house is still untapped, containing PRP (Platelet Rich Plasma) that can accelerates heal of bone and soft tissue. PRP (Platelet Rich Plasma) was made from the cattle blood waste using centrifugation. The purpose of the study is to prove that the Prima cream can heal the wounds in diabetic patients. Animals used in this study is 20 Wistar rats. Induction of diabetes was using streptozootocin 65 mg/kg and nicotinamide 235 mg/kg. The animal were divided into 4 groups: non-diabetes given placebo (ND-), diabetes given placebo (DM-), diabetic rat given commercial drug were containing chloramphenicol base 20 mg + prednisolone 2.5 mg (DM+), and diabetes given cream PRP at 20% concentration (DM PRP). Parameters used to measure the rate of wound healing is wound size and histopathologic examination. The data were analyzed using Anova One Way at 95% significant rate. PRP DM group had a wound healing faster than ND- group, DM- and DM+. Based on histopathologic examination, such as epitelialization, basal membrane, fibroblasts, collagen tissue, and presence of inflammatory cells, the best curing reaction was showed in DM PRP. PRP 20% cream produces from cow blood waste can accelerate wound healing in diabetes mellitus.

scholarly journals Approaches and Awareness of Family Physicians on Diabetes Management during Ramadan

2021 ◽  
Author(s):  
TARIK YILMAZ ◽  
EKREM BASARA ◽  
TUĞBA YILMAZ ◽  
İSMAİL KASIM ◽  
ADEM ÖZKARA
Keyword(s):  
Diabetes Management ◽  
Treatment Guidelines ◽  
International Diabetes Federation ◽  
Family Physicians ◽  
Observational Research ◽  
Diabetic Patients ◽  
Knowledge Level ◽  
International Guidelines ◽  
Significant Difference ◽  
Lack Of Knowledge

Aim: This study aimed to determine the approaches of family physicians in Turkey on the fasting of diabetic patients and whether they use international treatment guidelines when making recommendations. In addition, this study aimed to increase the awareness of family physicians on this issue before Ramadan, which is the fasting month. Material and Method: The study herein comprised cross-sectional observational research. Before Ramadan 2018, a structured questionnaire form, which was unique to this study, was prepared by considering the guidelines of the International Diabetes Federation (IDF) and the American Diabetes Association (ADA), through platforms where family physicians gathered via social media and mail groups, and sent to the family physicians in Turkey via a link created using an electronic questionnaire preparation and application program. Moreover, the total knowledge level, attitude, and approach score were calculated through the questions prepared from the relevant guidelines. Results: Participating in the survey were 262 family physicians. Only 22% of family physicians said that they were aware that there were international guidelines for Ramadan and diabetes management, and only 10% said that they had read the relevant guidelines. The mean knowledge level, attitude, and approach scores were found to be lower than expected, and a significant difference was found between their scores and their academic titles. Conclusion: The lack of knowledge of international guidelines on the subject and lack of knowledge and experience about diabetes mellitus patient management in the fasting month stood out as the biggest problems. This study revealed that the awareness and competence of family physicians in disease management should be increased in addition to fasting before, during, and after Ramadan in diabetic patients.

scholarly journals GAMBARAN SELF EFFICACY PADA PASIEN DIABETES TIPE 2 DI POLIKLINIK PENYAKIT DALAM RSUPN DR. CIPTO MANGUNKUSUMO JAKARTA

2020 ◽  
Vol 3 (2) ◽  
pp. 42
Author(s):  
Shanty Chloranyta
Keyword(s):  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Average Length ◽  
Sampling Technique ◽  
Measuring Instruments ◽  
Diabetic Patients ◽  
The Mean ◽  
Diabetes Patients

Self-efficacy is an individual's assessment of the ability to complete a given task. Diabetes self-efficacy is required to improve the outcome of diabetes management. This study aims to assess the ability of self-efficacy in diabetic patients using Diabetes Management Self Efficacy (DMSE). The research design used is descriptive method. The study was conducted at the Internal Medicine Polyclinic of Cipto Mangunkusumo Hospital Jakarta with 60 samples of type 2 diabetes patients using consecutive sampling technique. The measuring instruments used were demographic characteristics and Diabetes Management Self Efficacy (DSME). The results showed the characteristics of the respondents in the study were 57% women, the highest education was high school respondents (33%), the most complications were diabetic retinopathy (38%). Based on the mean age of type 2 diabetes respondents, namely 57.60 years, the average length of diabetes was 11.40 years, and the mean self-efficacy score was 59.0. Assessment of self-efficacy using DMSE can be used to assess self-efficacy in type 2 diabetes, so that it can make it easier for nurses to educate and counsel patients with type 2 diabetes related to self-efficacy so that it can improve selfmanagement in type 2 diabetes patients.

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