scholarly journals Comparison of the Effectiveness of Compassion-Focused Therapy and Attachment-Based Compassion Therapy on Blood Glucose Level and Medication Adherence in Diabetics

2020 ◽  
Keyword(s):  
Blood Glucose ◽  
Medication Adherence ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Blood Glucose Control ◽  
Analysis Of Covariance ◽  
Diabetic Patients ◽  
Training Course ◽  
Compassion Focused Therapy ◽  
Experimental Group

Background and Objectives: Diabetes is one of the most rampant chronic diseases that is accompanied by numerous psychological problems. The present study aimed to compare the effectiveness of compassion-focused therapy (CFT) and attachment-based compassion therapy (ABCT) on blood glucose level and medication adherence in diabetic patients. Materials and Methods: This quasi-experimental study was conducted based on a pretest and posttest design. At first, using the available voluntary sampling method, a number of 45 individuals were selected from 300 diabetic patients referred to Alborz Diabetes Association, Alborz, Iran. They were randomly divided into two experimental and one control groups. At the outset, in addition to the hemoglobin (Hb) A1c blood test, they completed a medication adherence questionnaire. Afterward, the first experimental group participated in eight two-h sessions of the compassionate therapy training course, and the second experimental group participated in 10 90-min sessions of the ABCT training course. All three groups received standard treatment for diabetic patients. At the end of the treatment, the HbA1c levels of blood in all three groups were re-evaluated, and again all patients completed the medication adherence questionnaire at the post-test stage. It should be mentioned that the collected data were analyzed using the analysis of covariance. Results: Based on the results, CFT and ABCT could reduce blood glucose level (HbA1c) (F=5.13, P<0.008, Eta= 0.20) and increase medication adherence (F=2.82, P<0.035, Eta= 0.12) in both of the experimental groups. Conclusion: The CFT and ABCT can be effective in improving medication adherence and blood glucose control (HbA1c) in diabetic patients. Therefore, it is suggested to provide such training together with other medical interventions as part of comprehensive therapy of diabetes.

scholarly journals Intraoperative Hyperglycemia May be Associated with an Increased Risk of Myocardial Injury After Non-Cardiac Surgery in Diabetic Patients

2021 ◽  
Author(s):  
Sojin Kim ◽  
Jungchan Park ◽  
Kwangmo Yang ◽  
Jin-ho Choi ◽  
Kyunga Kim ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Myocardial Injury ◽  
Blood Glucose Control ◽  
Postoperative Mortality ◽  
Normal Group ◽  
Diabetic Patients ◽  
Increased Risk

Abstract Background: Hyperglycemia in surgical candidates is associated with increased mortality and morbidity. We aimed to evaluate the effect of intraoperative blood glucose level on the incidence of myocardial injury after non-cardiac surgery (MINS) in diabetic patients.Methods: Diabetic patients with available intraoperative blood glucose measurement during non-cardiac surgery were enrolled in this study. Based on the highest intraoperative blood glucose level, patients were stratified into two groups; the normal group (intraoperative peak glucose < 180mg/dL) and the hyperglycemia group (intraoperative peak glucose ≥ 180mg/dL). The primary outcome was the incidence of MINS, and secondary outcomes were in-hospital and 30-day mortalities.Results: Of the 11,302 diabetic patients, 8,337 patients were in the normal group (73.8%), and 2,965 patients were in the hyperglycemia group (26.2%). After inverse probability weighting adjustment, MINS was significantly higher in the hyperglycemia group (24.0% vs 17.2%; odds ratio [OR], 1.26; 95% confidence interval [CI], 1.14 – 1.40; p < 0.001). In addition, in-hospital and 30-day mortalities were also higher in the hyperglycemia group compared to the normal group (4.2% vs 2.3%, hazard ratio [HR], 1.39; 95% CI, 1.07 - 1.81; p=0.01, and 3.1% vs 1.8%; HR, 1.76; 95% CI, 1.31 - 2.36; p < 0.001, respectively). Receiver-operating characteristic plots showed that the threshold of glucose level related to MINS was 149mg/dL.Conclusion: Intraoperative hyperglycemia was associated with an increased MINS incidence and postoperative mortality in diabetic patients. Intraoperative blood glucose control may be helpful in preventing MINS.

scholarly journals Gambaran Karies Gigi pada Penyandang Diabetes Melitus di Rumah Sakit Kalooran Amurang

e-GIGI ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Falen V. Ampow ◽  
Damajanty H. C. Pangemanan ◽  
Pritartha S. Anindita
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Dental Caries ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Glucose Control ◽  
Blood Glucose Control ◽  
Diabetic Patients ◽  
Very High ◽  
Diabetes Melitus

Abstract: Dental caries is caused by certain bacteria that have acid-forming properties. Due to these bacteria, a low pH in the oral cavity is achieved which may cause slow enamel demineralization and form a ferocious focus. Diabetes mellitus (DM), a metabolic disorder characterized by hyperglycemia, is one of the predisposing factors of dental caries. This study was aimed to obtain the profile of dental caries in people with diabetes mellitus. This was a descriptive study with a cross sectional design. Subjects were diabetic patients at the Internal Medicine Department of Kalooran Hospital Amurang. There were 50 patients in this study obtained by using total sampling technique. Diabetic status was determined by using random blood glucose level (Perkeni 2011) meanwhile caries status was assessed by using DMF-T score. Data were processed by using SPSS and then were presented in tabular form. The results showed that very high caries index was found in 16.0% of subjects with good blood glucose control, 30.0% with moderate blood glucose control, and 36.0% with poor blood glucose control; the total number was 82.0% of subjects. Most subjects had diabetes for 5-10 years (44.0%) with very high caries index (40.0%). Conclusion: Most diabetic patients had very high caries index with the highest percentage in patients with DM for 5-10 years and in patients with poor blood glucose control.Keywords: diabetes mellitus, blood glucose level, dental caries Abstrak: Karies gigi terjadi oleh karena bakteri-bakteri tertentu yang mempunyai sifat membentuk asam sehingga terjadi pH rendah yang dapat menyebabkan pelarutan mineral enamel secara perlahan dan membentuk fokus perlubangan. Diabetes melitus (DM) yang ditandai dengan keadaan hiperglikemia merupakan salah satu faktor predisposisi terjadinya karies. Penelitian ini bertujuan untuk mengetahui gambaran karies gigi pada penyandang DM. Jenis penelitian ialah deskriptif dengan desain potong lintang. Subjek penelitian ialah penyandang DM di Poliklinik Penyakit Dalam RS Kalooran Amurang yang berjumlah 50 orang, diambil dengan teknik total sampling. Status DM dinilai melalui kadar glukosa darah sewaktu (Perkeni 2011), sedangkan status karies dinilai menggunakan skor DMF-T. Data diolah menggunakan SPSS kemudian disajikan dalam bentuk tabel. Hasil penelitian menda-patkan kategori indeks karies sangat tinggi ditemukan pada 16,0% subyek dengan kontrol gula darah baik, 30,0% dengan kontrol gula darah sedang, dan 36,0% dengan kontrol gula darah buruk; jumlah total 82,0% subyek. Subjek terbanyak ialah penyandang DM 5-10 tahun (44,0%) dengan kategori indeks karies sangat tinggi (40,0%). Simpulan: Sebagian besar penyandang DM memiliki kategori indeks karies sangat tinggi dengan persentase tertinggi pada penyandang DM 5-10 tahun dan penyandang DM dengan kontrol gula darah yang buruk.Kata kunci: diabetes melitus, kadar gula darah, karies gigi

scholarly journals Diabetes in COVID-19 patients: challenges and possible management strategies

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Riyan Al Islam Reshad ◽  
Sumaiya Hafiz Riana ◽  
Mohammad Al-baruni Chowdhury ◽  
Abu Tayab Moin ◽  
Faruque Miah ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Healthy Lifestyle ◽  
Management Strategies ◽  
Diabetic Patients ◽  
Main Body ◽  
High Blood Glucose ◽  
High Blood Glucose Level ◽  
Global Population

Abstract Background The recent pandemic of coronavirus disease 19 (COVID-19) has been causing intense stress among the global population. In the case of hospitalized and ICU-admitted COVID-19 patients with comorbidities, it has been observed that a major portion of them are diabetic. Therefore, researchers had indicated a link between diabetes mellitus (DM) and COVID-19. Furthermore, DM is a potential risk factor for the severity of COVID-19 cases. Thus, in this study, the correlation existing between diabetic patients and COVID-19 was summarized. Main body of the abstract Diabetic patients have a weaker immune system, less viral clearance rate, malfunctions of metabolic activity due to their high blood glucose level, and other associated problems. This does not increase the susceptibility for the patients to be infected with COVID-19. However, the severity of COVID-19 can worsen due to the comorbidity of DM. Short conclusion Proper management, appropriate use of drugs that do not increase the ACE2 expression, lowering blood glucose level, decreasing the susceptibility of SARS-CoV-2, and maintaining a healthy lifestyle could be effective.

scholarly journals Treatment of Diabetic Condition in Streptozotocin Induced Diabetic Wister Rats Using Food Blends Such as Unripe Plantain, Soybean and Ginger

2019 ◽  
pp. 1-12
Author(s):  
I. Iwanegbe ◽  
M. Suleiman ◽  
A. Jimah
Keyword(s):  
Body Weight ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Lipid Profile ◽  
Cell Volume ◽  
Glucose Level ◽  
Normal Control ◽  
Packed Cell Volume ◽  
Diabetic Rats ◽  
Diabetic Patients

Aims: To investigate the effect of food blends (plantain, soybean and ginger) on the blood glucose, lipid profile and haematological indices on streptozotocin induced diabetic rats. Methodology: A total of 35 rats of mean body weight 219.07 g separated into7 groups (5 per group) where induced by a single intraperitoneal (I.P) injection of streptozotocin (0.1 g dissolved in 5 ml of freshly prepared sodium citrate buffer 0.1 M, pH 4.5) at a dose of 40 mg/kg body weight after fasting for 12 hours and fed with flours/blends. The flours were produced from plant materials for different treatments/blends (blend A=100% unripe plantain, B=80% unripe plantain, 14% soybean, 6% ginger, C=70% unripe plantain, 26% soybean, 4% ginger, D= 60% unripe plantain, 38% soybean, 2% ginger, E= 50% unripe plantain, 50% soybean) and the phytochemicals and minerals content were determined. Blood glucose was determined at 5 days interval for 25 days. Diabetes was confirmed in rats with blood glucose concentrations >200 mg/dl. After 25 days rats were anaesthetized with chloroform vapour and blood samples collected by cardiac puncture for haematology and lipid profile determination. Results: The results showed that unripe plantain, soya beans and ginger in adequate proportion(C=70% unripe plantain, 26% soybean, 4% ginger or D= 60% unripe plantain, 38% soybean, 2% ginger) could help to reduce blood glucose, improve haematological parameters and lipid profile. Significant reduction was observed in the blood glucose level of rats fed blends C and D from 286 to 85 mg/dl and 307 to 90 mg/dl respectively at the end of experiment. These results also demonstrated that the inclusion of ginger at 6% causes rise in blood glucose level. Total cholesterol (TC) increased in all the blends. However, the lowest concentration of TC was observed in blends C and D. The highest packed cell volume (60%) and Haemoglobin (20 g/dl) level observed in rats fed blend C was significantly higher than the normal control fed conventional feeds. The increase in packed cell volume (PCV) (50%) and Hb (17 g/dl) in diabetic rats demonstrated that the formulated blend C was able to raise PCV and Hb above 50% and 17 g/dl (Normal control NC) respectively. Significant increase (P<0.05) in low density lipoprotein cholesterol (LDLc) was also observed in all the blends with blend C having the least (4.0 mg/dl) close to NC (2.0 mg/dl). Conclusion: From the results it is evident that blend C will manage and improve the health status of diabetic patients.

scholarly journals EFFECTIVENESS OF AMLA JUICE IN REDUCING BLOOD GLUCOSE LEVEL AMONG PATIENTS WITH TYPE II DIABETES IN A SELECTED AREA OF KANYAKUMARI DISTRICT

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mrs. Vanitha. S s ◽  
Dr. Pramjit kaur
Keyword(s):  
Blood Glucose ◽  
Standard Deviation ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Type Ii Diabetes ◽  
Control Group ◽  
Type Ii ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Experimental Group

Challenges in lifestyle, such as increasesin energy intake and decreasesin physical activity are causing overweight and obesity leading to epidemic increases in type II Diabetes Mellitus. The research approach used for this study was evaluative approach and the research design was true experimental design. 60 patients with type II diabetes, 30 in experimental group and 30 in control group were selected for this study by using purposive sampling technique. Data was collected with the help of self-structured interview schedule. Descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (chi-square, paired ‘t’ test) were used to analyse the data and to test the hypotheses. In the experimental group,the pre-test mean score was 2.966, mean percentage was 59% and standard deviation was 1.129 and in post-testmean score was 2.533, mean percentage was 50.66% and standard deviation was 1.074 with effectiveness of 8.34% and paired‘t’ test value of t=3.971,which was statistically significant (p<0.05) which is an evidence ofthe effectiveness of Amla juice in reducing blood glucose level. Comparison of blood glucose levels in experimental and control groups, shows that the value is statistically highly significant, as was observed from the unpaired ‘t’ test value of 13.39 with P value of <0.05, which is an evidence indicatingthe effect of Amla juice in reducing postprandial blood glucose levels. The resultsfound that the administration of Amla juice did have aneffect in reducing blood glucose level in the experimental group. By comparing the findings of pre-test and post test between the experimental group and the control group,the effect was identified (assessed). The study concluded that the Amlajuice is effective in reducing blood glucose level.

Evaluation of Blood Glucose Level Using Gingival Crevicular Blood in Diabetic and Non-diabetic Patients

2022 ◽  
pp. 96-101
Author(s):  
RT Reethika Rathan ◽  
Saramma Mathew Fenn ◽  
R Karthik ◽  
PT Ravikumar ◽  
Sabitha Gokulraj ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Diabetic Patients

Higher Order Sliding Mode Control for Blood Glucose Regulation of Type 1 Diabetic Patients

2018 ◽  
Vol 7 (1) ◽  
pp. 65-84 ◽  
Author(s):  
Mounir Djouima ◽  
Ahmad Taher Azar ◽  
Saïd Drid ◽  
Driss Mehdi
Keyword(s):  
Blood Glucose ◽  
Sliding Mode Control ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Sliding Mode ◽  
Higher Order ◽  
Control Technique ◽  
Diabetic Patients ◽  
Mode Control

Type 1 diabetes mellitus (T1DM) treatment depends on the delivery of exogenous insulin to obtain near normal glucose levels. This article proposes a method for blood glucose level regulation in type 1 diabetics. The control strategy is based on comparing the first order sliding mode control (FOSMC) with a higher order SMC based on the super twisting control algorithm. The higher order sliding mode is used to overcome chattering, which can induce some undesirable and harmful phenomena for human health. In order to test the controller in silico experiments, Bergman's minimal model is used for studying the dynamic behavior of the glucose and insulin inside human body. Simulation results are presented to validate the effectiveness and the good performance of this control technique. The obtained results clearly reveal improved performance of the proposed higher order SMC in regulating the blood glucose level within the normal glycemic range in terms of accuracy and robustness.

scholarly journals Gingival Crevicular Blood as a Potential Screening Tool: A Cross Sectional Comparative Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7356
Author(s):  
Biagio Rapone ◽  
Elisabetta Ferrara ◽  
Luigi Santacroce ◽  
Skender Topi ◽  
Ilaria Converti ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Screening Tool ◽  
Capillary Blood ◽  
Blood Levels ◽  
Diabetic Patients ◽  
Capillary Blood Glucose ◽  
Cross Sectional ◽  
Finger Stick

Background: Diabetes is known to be one of the major global epidemic diseases, significantly associated with mortality and morbidity worldwide, conferring a substantial burden to the health care system. The epidemiological transition of this chronic disease tends to worsen unless preventive health strategies are implemented. Appropriate screening devices and standardized methods are crucial to prevent this potentially inauspicious life condition. Currently, the glucometer is the conventional device employed for blood glucose level determination that outputs the blood glucose reading. Glucometer performed in the dental office may be an important device in screening diabetes, so it can be addressed during a periodontal examination. Because gingival blood is a useful source to detect the glucose level, the focus is placed on the opportunity that might provide valuable diagnostic information. This study aimed to compare gingival crevicular blood with finger-stick blood glucose measurements using a self-monitoring glucometer, to evaluate whether gingival crevicular blood could be an alternative to allow accurate chairside glucose testing. Methods: A cross-sectional comparative study was performed among a 31–67-year-old population. Seventy participants with diagnosed type 2 diabetes and seventy healthy subjects, all with positive bleeding on probing, were enrolled. The gingival crevicular blood was collected using a glucometer to estimate the blood glucose level and compared with finger-stick blood glucose level. Results: The mean capillary blood glucose and gingival crevicular blood levels from all samples were, respectively, 160.42 ± 31.31 mg/dL and 161.64 ± 31.56 mg/dL for diabetic participants and 93.51 ± 10.35 mg/dL and 94.47 ± 9.91 mg/dL for healthy patients. In both groups, the difference between gingival crevicular blood and capillary blood glucose levels was non-significant (P < 0.05). The highly significant correlation between capillary blood glucose and gingival crevicular blood (r = 0.9834 for diabetic patients and r = 0.8153 for healthy participants) in both the groups was found. Conclusions: Gingival crevicular blood test was demonstrated as a feasible and useful primary screening tool test for detecting diabetes and for glucose estimation in non-diabetic patients. Use of gingival crevicular blood for screening is an attractive way of identifying a reasonable option of finger-stick blood glucose measurement under the appropriate circumstances. Rapid assessment may precede diagnostic evaluation in diabetic as well as healthy patients with acute severe bleeding. In addition, gingival crevicular blood levels may be needed to monitor the diabetic output.

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