scholarly journals Achievement of Awareness in a Diabetic Population

1970 ◽  
pp. 7-10
Author(s):  
Mirza Azizul Hoque ◽  
Md Sirajul Islam ◽  
Md Abdul Maleque Khan ◽  
Rehana Aziz ◽  
HAM Nazmul Ahasan
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Educational Status ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Educational Group ◽  
Diabetic Clinic ◽  
Significant Difference

This cross-sectional survey was carried out during the period, October 2005 to December 2005, among 184 randomly chosen diabetic patients in Khulna Diabetic Centre, Khulna, Bangladesh, to evaluate the knowledge of the patients for their control of diabetes mellitus and also to explore the association(s) of their attitude and knowledge regarding diabetic awareness towards educational status and socio-demographic profile. In this study, we found a significant difference, in diabetic awareness to keep correct blood glucose level, in different educational group. But, it did not influence the subjects of different educational group to visit the diabetic clinic. There was no significant difference in the knowledge of correct blood glucose level and in regularity of visit to the diabetic clinic, in rural and urban people. Knowledge of correct blood glucose level varied significantly among male and female patients, although, no significant variation was found among them in visiting to the diabetic clinic. We can conclude that, diabetic education programs can improve self-regulatory behavior and in the long run, can reduce morbidity and mortality.   doi:10.3329/jom.v10i3.2008 J Medicine 2009; 10 (Supplement 1): 7-10  

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.

Diabetic Distress Among Diabetic Patients in the Referral Hospital of Amhara Regional State, Ethiopia

2019 ◽  
Vol 40 (2) ◽  
pp. 105-114
Author(s):  
Abraham K. Wolde ◽  
Mebrat G. Wondim
Keyword(s):  
Occupational Status ◽  
Educational Status ◽  
Psychological Problem ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Regional State ◽  
Significant Difference ◽  
Referral Hospitals ◽  
High Distress

The main purpose of this study was to assess the status of diabetic distress among diabetic patients of referral hospitals in Amhara Regional State. Hospital-based cross-sectional survey was conducted on 346 participants. The participants of the study were selected using both probability and nonprobability sampling techniques. The instrument of the study was adapted and contextualized to the Ethiopian context to avoid cultural conflicts, and then it was rated and piloted. Both descriptive and inferential techniques were used to analyze the data. The cut-off for low, moderate, and high distress level was <2, 2–2.9, and ≥3, respectively. From a total of 346 sample patients, 54 (15.6%) had experienced no or little distress (1.54 ± .28), 162 (46.8%) had moderate distress (2.78 ± .82), and 130 (37.6%) had experienced high distress (3.94 ± .62). Statistically significant difference was observed in the level of diabetic distress with respect to age, F(2, 343) = 4.336, p < .05; marital status, F(2, 343) = 4.590, p < .05; educational status, F(5, 340) = 2.831, p < .05; and having habits of planned physical exercise, F(3, 245) = 2.911, p < .05. Statistically significant difference was not observed for sex, smoking habits, an experience of living with diabetics, and occupational status. The result of regression analysis shows that the independent variable altogether accounted for only 4.2% of the variance of diabetic distress. Diabetic distress was a serious psychological problem among diabetic patients in the referral hospitals of Amhara Region.

scholarly journals Anti-Diabetic Activity of Polypeptide-K Isolated from Momordica Charantia: A Retrospective Study of 142 Cases

2021 ◽  
Vol 14 (4) ◽  
pp. 2007-2015
Author(s):  
Yong Yean Sirn ◽  
Lee Cheng Lok ◽  
Pak Hoe Weng ◽  
Zuraini Ahmad ◽  
Muhammad Nazrul Hakim
Keyword(s):  
Retrospective Study ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Momordica Charantia ◽  
T Test ◽  
Post Treatment ◽  
Diabetic Patients ◽  
Paired Sample ◽  
Significant Difference

Diabetes Mellitus occurs when the pancreas fails to produce sufficient insulin, or the body is unable to use the insulin produced effectively. In order to regulate the blood glucose of diabetic patients, Diabegard®, a herbal antidiabetic medicine and daily supplement, contains polypeptide-k which exists in the seed of Momordica Charantia (bitter gourd) was prescribed. Purpose: A retrospective study is therefore done with the aim to examine the effectiveness of Diabegard®, polypeptide-k in regulating the blood glucose and cholesterol level of diabetic patients who took Diabegard® for four weeks with a dose of 60 mg per day. Methods: A database record of 105 male and 37 female (ages 25-81) treated with Diabegard®, polypeptide-k was assessed. The effectiveness of Diabegard®, polypeptide-k in blood glucose regulation was determined based on four aspects: gender, three different age categories, four different categories of duration of the disease and five different categories of severity of the disease. The Pearson's correlation was used to find the correlation among variables. Paired sample t-test was used to compare the means of pre- and post-treatment of blood glucose level. One-way ANOVA was used to compare the means of different groups for each aspect. Results: Result showed that age and duration of disease (r2=0.469), pre-treatment of blood glucose and post-treatment of blood glucose (r2=0.606) showed positive relationship. Both paired sample T-test of pre-and post-treatment of blood glucose showed significant difference (p<0.05). Categories with very mild (7 mmol/L), severe (13.9-19.4mmol/L) and very severe (>19.4mmol/L) diabetes showed significant difference (p<0.05). Other tests showed no significant difference. Conclusion: In conclusion, this present retrospective study showed that Diabegard®, polypeptide-k was effective in controlling blood glucose level of all diabetic patients especially in patients with mild (26.87% reduction), severe (40.43% reduction) and very severe diabetes (49.27% reduction).

scholarly journals Health Literacy Status and Understanding of the Prescription Instructions in Diabetic Patients

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Shivangini Singh ◽  
Sahana Devadasa Acharya ◽  
Ashwin Kamath ◽  
Sheetal D. Ullal ◽  
Rathnakar P. Urval
Keyword(s):  
Health Literacy ◽  
Adult Literacy ◽  
Educational Status ◽  
Reading Level ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Comprehensive Strategy ◽  
Significant Difference ◽  
Health Related

This study aimed to assess the health literacy (HL) of patients having diabetes mellitus, their understanding of prescription instructions (PI), and the correlation between HL and understanding of PI. A cross-sectional survey was conducted in 263 adult diabetic patients who were assessed for their understanding of route of intake of the prescribed medication(s), frequency of intake, number of medication(s) to be consumed each time, indication for the medication(s), and the relation of drug intake with food. The HL of the patients was assessed by using Rapid Estimate of Adult Literacy in Medicine, a screening test comprising of 66 health-related words. The number of correctly pronounced words was used to assign a grade-equivalent reading level. There was a significant difference in the understanding of PI in patients with low and high HL levels. A significant difference was observed between the mean total score for interpreting PI in patients with 7 or fewer years of education compared with the other groups with a higher educational status (P<0.001). To conclude, diabetic patients with low HL level will have difficulty in understanding PI. Hence, an alternative comprehensive strategy needs to be adopted in clinical practice in these patients to provide them the instructions to take medications properly.

scholarly journals A Comparison Between the Effect of Three Types of Low-Calorie Diets on Controlling Blood Glucose and Lipids in People with Type 2 Diabetes

2018 ◽  
Vol 8 (1) ◽  
pp. 18
Author(s):  
Zoleika Moazezi ◽  
Seyed Reza Hosseini ◽  
Parvin Sajadi Kaboudi ◽  
Bahareh Esbakian ◽  
Sahar Rahmani ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Serum Lipids ◽  
Fasting Blood Glucose ◽  
Diabetic Patients ◽  
Low Calorie ◽  
Significant Difference

The blood glucose level of people with diabetes can be normalized through an appropriate diet, physical activity, the use of chemical drugs and medicinal plants. This study aims to investigate the effects of low-calorie diets (1200, 1500, and 1800 kcal) on glucose and serum lipids in poorly controlled type 2 diabetic patients. This clinical trial was conducted among 60 patients with type 2 diabetes mellitus. The criteria for entering the study were fasting blood glucose higher than 130 mg/dl, hemoglobin A1C higher than 7% and BMI higher than 25. Blood glucose, fasting blood glucose and lipid levels were measured before and after intervention two hours after each meal. Patients were trained by an expert. Then, the questionnaires were completed and analyzed. In this study, the mean fasting blood glucose level in patients who used 1500 and 1200 kcal diet decreased significantly after intervention (p&lt;0.05). Glucose decreased significantly after two hours using a 1500  kcal diet (p&lt;0.009). In addition, triglyceride and cholesterol levels were significantly reduced in patients who used the 1500 kcal diet (p&lt;0.05). Although, there was no significant difference in blood glucose levels between 1200, 1500 and 1800 kcal diets based on gender, residencency and BMI. Regarding the fact that there was no significant difference in reducing blood glucose and serum lipids between 1200 and 1500 kcal diets. It is recommended to use a 1500 kcal diet instead of 1200 kcal diet, which imposes fewer limitations and is easier to tolerate.

scholarly journals Effect of Local Anesthesia with 1:100,000 Epinephrine on Glycemic Level of Type II Diabetic Patients Undergoing Oral Surgery

1969 ◽  
Vol 11 (4) ◽  
pp. 181-184
Author(s):  
Muhammad Tariq Khan ◽  
Muhammad Ilyas ◽  
Salman Khan ◽  
Jawad Ahmad Kundi ◽  
Fariha Kifayat
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Local Anesthesia ◽  
Glucose Level ◽  
Oral Surgery ◽  
Diabetic Patients ◽  
Type Ii ◽  
Glycemic Level ◽  
Significant Difference

Background: The rate of type II diabetic patients is increasing and results in oral manifestations. The oral surgery needsextraordinary measures in these patients.Objective: To assess the effect of anesthetic agent with 1:100,000 epinephrine and without epinephrine in the blood glucose levelof diabetic patients.Material and Methods: This was a randomized study of 60 patients having type 2 diabetes mellitus who were undergoing toothextraction. The study was double blind. 30-70years aged patients were selected. Blood glucose level was monitored 15 minutesbefore giving local anesthesia and after 20 minutes of the injection. ANOVA was used for comparison between groups.Results: No significant difference was seen in glycemic level using local anesthesia with 1:100,000 epinephrine (p=0.345). Therewas slight decrease noted in the blood glucose level of both groups.Conclusion: The use of 2% local anesthesia with 1:100,000epinephrine didn't cause hyperglycemia in diabetic patients.Keywords: Diabetes Mellitus, Local Anesthesia, Epinephrine, Tooth Extraction, Lidocaine.

scholarly journals Assessing diagnostic variations and correlates of fasting blood glucose

2020 ◽  
Vol 8 (2) ◽  
pp. 73-79
Author(s):  
E.G. Moke ◽  
K.E. Edje ◽  
M.O. Ojezele ◽  
M. Emosivbe
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Fasting Blood Glucose ◽  
Medical Science ◽  
State University ◽  
Cross Sectional Survey ◽  
Significant Difference ◽  
Delta State University ◽  
Basic Medical

Objective: To assess the diagnostic variables of blood glucose level among students of basic medical Sciences of Delta State University, Abraka Nigeria.Methods: A descriptive cross sectional survey on a total of one hundred and ten (110) students of the Faculty of Basic Medical Science, Delta State University, Abraka was conducted. Descriptive statistics was used to analyze the differences in the data collected.Results: The fasting blood glucose levels of 87.5% and 85% of the students had a normoglycemic level as indicated by the left and right thumb respectively. Also, a greater percentage (69.1%) of the students were between the age range 21 – 25. Furthermore, 72.7%, 76.4% and 64.5% of the students had normal weight, normal WHR and normal BP respectively.Conclusion: There is no significant difference in the diagnostic assessment of blood glucose level using either right or left thumb. Keywords: Fasting blood glucose, diabetes, diagnostic, Delta State, hypertension.

Glucose Intolerance in Intensive Care Patients: Incidence and Outcome

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed A El Shebiny ◽  
Gamal M Elewa ◽  
Ez alregal G Gouda ◽  
Reham M Hashim
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Blood Glucose ◽  
Critical Illness ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Glucose Intolerance ◽  
Diabetic Patients ◽  
Intensive Care Patients ◽  
Significant Difference

Abstract Introduction Critical illness is associated with modification in metabolic status. Insulin resistance and elevated blood glucose levels occur during stressful conditions. Objective to evaluate the incidence and outcome of glucose intolerance in intensive care. Patients and method This prospective clinical study included 290 patients, admitted to intensive care unit (ICU), from December 2018 to January 2020. They were divided into three groups according to maximum blood glucose level during the initial 48 hours of admission: Normoglycemic, hyperglycemic and hypoglycemic. Each group was subdivided into: known diabetic and not known diabetic. Patients’ age, sex, APACHI II, admission diagnosis were recorded. Blood glucose level was followed every six hours; high blood glucose during first 48 hours of admission was defined as acute hyperglycemia. Use of vasopressor and corticosteroid therapy, type of feeding, days on mechanical ventilation, total days of stay in ICU, and fate of patients were recorded. Results Hyperglycemia was common with critical illness. Its incidence was 45.5 % and 67.2% on ICU admission and during 48 hours. after admission respectively;. Of them, 51% were diabetics, while 16.2% were non diabetics. Hyperglycemia was associated with increased morbidity in the form of difficult weaning from mechanical ventilation and long ICU stay. Of hyperglycemic patients, 66.4 % were orally fed.Mortality among normoglycemic patients was 37.5 %; slightly lower than mortality among hyperglycemic patients (39.2%), but without statistical significant difference. Glucose intolerance in critically ill patients was not related to severity of the disease or cause of admission and vasopressors and steroids were not risk factors for glucose intolerance during the initial 48 hrs. of admission Conclusion Glucose intolerance is high in intensive care patients and is associated with high morbidity and mortality.

scholarly journals Comparison of blood pressure and blood glucose level among elderly with non-communicable disease

2019 ◽  
Vol 8 (2) ◽  
pp. 246
Author(s):  
Ni Putu Wulan Purnama Sari ◽  
Jintana Artsanthia
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Communicable Disease ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
One Way Anova ◽  
Non Communicable Disease

<p>Due to increasing age, elderly are prone to non-communicable diseases (NCD), such as hypertension (HT) and diabetes mellitus (DM). Easy physical condition monitoring of people with HT and/or DM is by measuring their blood pressure (BP) and/or blood glucose level (BGL) periodically. This study aimed to compare and analyze the differences of BP and BGL among elderly with HT and/or DM in Bangkok and Surabaya. This cross-sectional study involved 100 and 96 elderly with HT and/or DM in communities of Bangkok and Surabaya respectively (n=196). There were three groups of samples which consisted of 60 DM, 68 HT, and 68 DM&amp;HT cases. Instruments used were demography questionnaire, sphygmomanometer, and glucometer. Test of one-way ANOVA, Least Significant Difference (LSD), Kruskal-Wallis, and Mann-Whitney U were used for data analysis (α&lt;.05). There was a significant difference of systolic and diastolic BP found between groups (p=.000 and p=.011 respectively), but no difference found between the groups of HT and DM&amp;HT (p=.657 and p=.330 respectively). There was a significant difference of BGL found between groups (p=.002), but no difference found between the groups of HT and DM (p=.075) and between the groups of DM and DM&amp;HT (p=.066). BP is significantly different between the group of HT and DM in term of systole and diastole, especially in elderly, but BGL is similar. The risk of being HT for elderly with DM is very high. Elderly with DM&amp;HT have high BP and BGL similarly to those with single disease of HT or DM. </p>

scholarly journals Accuracy of Clinical Diagnosis of Burst Appendix, a Study of 200 Cases in DMCH.

2021 ◽  
Vol 33 (1) ◽  
pp. 75-79
Author(s):  
Md Rezwan Shah ◽  
Tasnia Jukhrif Worthy ◽  
Mohammed Asraful Alam ◽  
Gursharan Kaur
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Biochemical Study ◽  
Fasting Blood Glucose ◽  
The Body ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional

Introduction: Biochemical analysis or laboratory tests assist to determine what happening to the body internally. The aim of the present study was to access the biochemical features of type 2 diabetic patients in Kushtia district, Bangladesh. Materials and Methods: The cross-sectional study was conducted in type 2 diabetes mellitus patients who presented to the OPD in three referral diabetic centers in Kushtia district, Bangladesh from August 2016 to July 2017. A total of 282 patients were included in the study. The collected data were checked, entered and analyzed using the computer program Statistical Package for Social Sciences (SPSS) version 22. Results: Biochemical study showed that mean blood hemoglobin level was 12.49±1.47g/dl, mean fasting blood glucose level of the patients was 8.86±1.67mmol/L and blood glucose level two hours after breakfast was 13.94±2.88mmol/L. The study showed that the patient having abnormal level of triglyceride (66%) were higher than normal level (34%). Conclusion: The subjects had higher triglyceride and LDL values (65.6% and 28.7% respectively). These higher percentages with abnormal lipid profile are likely to be more prone to cardiovascular diseases. Medicine Today 2021 Vol.33(1): 75-79

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