scholarly journals Lysulin and Testing HbA1c in the Pharmacy or at Home-How the Pharmacist can help their Customers with Diabetes to Better Health

2019 ◽  
pp. 30-32
Author(s):  
John F Burd
Keyword(s):  
Type 2 Diabetes ◽  
Diabetes Management ◽  
Nutritional Supplement ◽  
Management Program ◽  
Lifestyle Changes ◽  
Healthcare Team ◽  
Double Blind ◽  
Diabetes Management Program ◽  
At Home

Pharmacists can be part of the healthcare team to help people with diabetes and prediabetes to better health. Obesity and type 2 diabetes are a worldwide epidemic and a problem that can be helped dramatically with lifestyle changes (diet and exercise) combined with treatment with drugs and supplements. Lysulin is a patent-pending nutritional supplement that contains lysine, zinc and vitamin C and has been shown in double blind placebo controlled studies to help people with prediabetes and type 2 diabetes to better glycemic control and lower their HbA1c. The pharmacist needs to be aware of this breakthrough and inform his customers of the availability of this new product for improving their health. In addition, HbA1c testing at the pharmacy or at home can be very useful in helping people with diabetes know how well their diabetes management program is working.

scholarly journals Exploration of Fatalism and Religiosity by Gender and Varying Levels of Engagement Among Mexican-American Adults of a Type 2 Diabetes Management Program

2021 ◽  
Vol 9 ◽  
Author(s):  
Cindy Lynn Salazar-Collier ◽  
Belinda M. Reininger ◽  
Anna V. Wilkinson ◽  
Steven H. Kelder
Keyword(s):  
Type 2 Diabetes ◽  
Mexican American ◽  
Diabetes Management ◽  
Healthcare Setting ◽  
Structured Interview ◽  
Management Program ◽  
Care Management Program ◽  
Diabetes Management Program

Objectives: Purpose of study is to explore the roles religiosity and fatalistic beliefs play in diabetes management among newly, currently, and long-term enrolled Mexican-American participants in a Type 2 diabetes mellitus (T2DM) chronic care management program.Methods: In 2017, study participants (n = 15) completed a semi-structured interview in their preferred language (English or Spanish). Sample was stratified by amount of time individual had been enrolled as a participant of the Salud y Vida program: newly, currently, or long-term. Interviews assessed religious beliefs, beliefs concerning the cause(s) of diabetes, perceived relationship between religiosity and fatalistic beliefs with T2DM management, and the appropriateness of discussing such topics with a health professional. Interview responses were analyzed using ATLAS.ti 8.Results: Themes identified included: perceived autonomy over diabetes prognosis, motivators for self-care, discussions of personal beliefs in the healthcare setting, and the church's role in diabetes management.Conclusions: Among this sample, religiosity and religious fatalism played a complex role in coping with and managing diabetes. Long-term enrolled and male participants expressed beliefs of divine control over health, and a connection between religiosity and health behavior. Long-term enrolled participants felt religious and fatalistic beliefs may be suitable and beneficial to discuss in the healthcare setting.

Improved Glycemic Control With a Digital Health Intervention in Adults With Type 2 Diabetes: Retrospective Study (Preprint)

2021 ◽  
Author(s):  
Gretchen Zimmermann ◽  
Aarathi Venkatesan ◽  
Kelly Rawlings ◽  
Michael Scahill
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Diabetes Management ◽  
Digital Health ◽  
Management Program ◽  
Health Intervention ◽  
Diabetes Management Program ◽  
Program Engagement

BACKGROUND Traditional lifestyle interventions have shown limited success in improving diabetes related outcomes. Digital interventions with continuously available support and personalized educational content may offer unique advantages for self-management and glycemic control. OBJECTIVE In the present study, we evaluate changes in glycemic control among participants with type 2 diabetes who enrolled in a digital diabetes management program. METHODS The study employed a single-arm, retrospective design. A total of 950 participants with a HbA1c baseline value of at least 7.0% enrolled in the Vida Health Diabetes Management Program. The intervention included one-to-one remote sessions with a Vida provider and structured lessons and tools related to diabetes management. Hemoglobin A1c (HbA1c) was the primary outcome measure. A total of 258 (27.2%) participants had a follow-up HbA1c completed at least 90 days from program start. Paired t-tests were utilized to evaluate changes in HbA1c between baseline and follow-up. Additionally, a cluster-robust multiple regression analysis was employed to evaluate the relationship between high and low program engagement and HbA1c change. A repeated measures ANOVA was used to evaluate difference in HbA1c as a function of measurement period (ie, pre-Vida enrollment, baseline, and post-enrollment follow-up). RESULTS We observed a significant reduction in HbA1c of -0.81 points between baseline (M = 8.68, SD = 1.7) and follow-up (M = 7.88, SD = 1.46), t(257) = 7.71, P = .00). Among participants considered high-risk (baseline HbA1c >= 8), there was an average reduction of -1.44 points between baseline (M = 9.73, SD = 1.68) and follow-up (M = 8.29, SD = 1.64), t(139) = 9.14, P = .00). Additionally, average follow-up HbA1c (M = 7.82, SD = 1.41) was significantly lower than pre-enrollment HbA1c (M = 8.12, SD = 1.46), F(2, 210) = 22.90, P = .00. There was also significant effect of engagement on HbA1c change, β = -.60, P = .00, such that high engagement was associated with a greater decrease in HbA1c (M = -1.02, SD = 1.60) compared to low-engagement, (M = -.61, SD = 1.72). CONCLUSIONS The present study revealed clinically meaningful improvements in glycemic control among participants enrolled in a digital diabetes management intervention. Higher program engagement was associated with greater improvements in HbA1c. The findings of the present study suggest that digital health intervention may represent an accessible, scalable, and effective solution to diabetes management and improved HbA1c. The study was limited by a non-randomized, observational design and limited post-enrollment follow-up data.

Comprehensive Diabetes Management Program for Poorly Controlled Hispanic Type 2 Patients at a Community Health Center

2011 ◽  
Vol 37 (5) ◽  
pp. 680-688 ◽  
Author(s):  
Garry Welch ◽  
Nancy A. Allen ◽  
Sofija E. Zagarins ◽  
Kelly D. Stamp ◽  
Sven-Erik Bursell ◽  
...  
Keyword(s):  
Community Health ◽  
Health Center ◽  
Diabetes Management ◽  
Community Health Center ◽  
Management Program ◽  
Diabetes Management Program

The Scientific Case against Prescribing Insulin for Treatment of Type 2 Diabetes

2021 ◽  
pp. 1-3
Author(s):  
John F Burd
Keyword(s):  
Insulin Resistance ◽  
Type 2 Diabetes ◽  
Clinical Studies ◽  
Nutritional Supplement ◽  
The United States ◽  
Intermittent Fasting ◽  
Moderate Exercise ◽  
Double Blind ◽  
Double Blind Placebo

Obesity and type 2 diabetes are related worldwide epidemics which could be erased with the help of governments and medical communities using tools that are readily available today. Prevailing diet recommendations, which are clearly wrong, are a significant cause of both obesity and type 2 diabetes and have led to the current dire situation. According to the CDC, in the United States alone there are currently 34.2 million people with diabetes of which 30 million have type 2 diabetes. In addition, 88 million Americans have prediabetes (defined as an A1c above 5.7%) which will almost certainly progress to type 2 diabetes if not treated and reversed. The cause of insulin resistance, prediabetes and type 2 diabetes is “glucose toxicity” as explained below, and understanding this medical term is paramount to the case against using insulin for type 2 diabetes. Glucose reacts with all the proteins in the body leading to insulin resistance and type 2 diabetes. Unfortunately, nearly 20% of adults with type 2 diabetes are prescribed insulin injections often in conjunction with oral pharmaceutical medications. Because people with with type 2 diabetes have insulin resistance, prescribing insulin is a very bad idea, since they will need an ever-increasing dosage of insulin as time passes, leading to a lifetime of insulin injections. There is only one product, Lysulin (www.lysulin.com), that targets the cause of insulin resistance and has been proven in double blind, placebo controlled clinical studies to improve insulin resistance and better cell function. The recommend initial treatment for type 2 diabetes should be moderate exercise, intermittent fasting, a low calorie, low carbohydrate ketrogenic diet combined with Lysulin before instituting insulin therapy for type 2 diabetes. By adhering to a ketogenic diet that includes moderate exercise, intermittent fasting and nutritional supplementation with Lysulin, diabetes can be halted and quite possibly reversed. Lysulin is a patented nutritional supplement that contains lysine, zinc, and vitamin C [1]. Double-blind placebo-controlled clinical studies have shown the effectiveness of this nutritional supplement [2, 3].

The Juntos Pilot Study: A Diabetes Management Intervention for Latino Caregiving Dyads

2019 ◽  
Vol 45 (5) ◽  
pp. 507-519 ◽  
Author(s):  
Carolyn A. Mendez-Luck ◽  
Jeanne Miranda ◽  
Carol M. Mangione ◽  
Jangho Yoon ◽  
Aurora VanGarde
Keyword(s):  
Type 2 Diabetes ◽  
Diabetes Management ◽  
Lifestyle Changes ◽  
Community Dwelling ◽  
Mexican Origin ◽  
Management Intervention ◽  
Glucose Levels ◽  
Dyadic Communication ◽  
Latino Adults

Purpose The purpose of this study was to design a culturally sensitive dyad-level diabetes intervention to improve glycemic control for older Latino adults with type 2 diabetes. Methods This study used a pretest-posttest noncontrol group design. The intervention was developed from formative research with Mexican-origin caregiving dyads. The curriculum was adapted from 2 randomized trials of community interventions specifically designed for Latino older adults with type 2 diabetes. The curriculum consisted of communication skill-building exercises and dyad decision making on lifestyle changes to improve the older adult’s blood glucose levels. Thirty-two community-dwelling dyads completed a 6-week program of one-on-one sessions with a trained program facilitator. Main outcomes were feasibility and acceptability of the Juntos program. The authors assessed feasibility by examining participant burden and retention and acceptability by participant exit interviews. Although underpowered for outcomes, A1C, health status, and dyadic communication were also assessed to evaluate whether trends suggested the effectiveness of the intervention. Results Most participants viewed Juntos as an acceptable program and wanted the program expanded in terms of length and scope. All outcomes showed improvement from baseline through 6 months postintervention. Conclusions Results show that Juntos is acceptable to Mexican-origin caregiving dyads and is a promising approach for effectively controlling type 2 diabetes among older Latino adults who have a family caregiver.

The Role of Physiatrist in the Diabetes Healthcare Team

2015 ◽  
Vol 26 (3) ◽  
pp. 70-75
Author(s):  
Ramamoorthy Veyilmuthu
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Diabetes Management ◽  
Blood Glucose Control ◽  
Well Being ◽  
Moderate Intensity ◽  
Healthcare Team ◽  
Regular Exercise ◽  
Primary Role

Abstract The physiatrist is an important member of the diabetes healthcare team. His/her primary role is to provide physical activity counselling for the diabetics after thorough evaluation. Exercise is a primary component of diabetes management together with diet plan and antidiabetic drugs. The physiatrist, with his/her background knowledge in exercise physiology, is the most appropriate person for this job. Regular exercise has been shown to improve blood glucose control, reduce cardiovascular risk factors, contribute to weight loss and improve well being. Furthermore, regular exercise may prevent type 2 diabetes in high risk individuals. Thus physical activity plays a pivotal role in health promotion and diabetes control. People with diabetes should be advised to perform at least 150 minutes per week of moderate intensity aerobic physical activity using ‘FITT Principle’. In the absence of contra-indications, people with type 2 diabetes should be encouraged to perform resistance training three times per week. DeLorme resistance exercise improves power, strength, endurance and burns more calories. Cross training is the term used to describe the use of a variety of activities during exercise. Interval training is the variation of intensity during one or more aerobic activities. Circuit training is the combination of aerobic exercise and weight training (anaerobic exercise). Before recommending a programme of physical activity, the physiatrist should assess diabetics for coronary artery disease and other complications of diabetes.

scholarly journals Abbreviated Dietary Self-Monitoring for Type 2 Diabetes Management: A Mixed-Methods Feasibility Study (Preprint)

2021 ◽  
Author(s):  
Kelli Marie Richardson ◽  
Gloria Cota Aguirre ◽  
Rick Weiss ◽  
Ali Cinar ◽  
Yue Liao ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Diabetes Management ◽  
Lifestyle Changes ◽  
Diabetes Knowledge ◽  
Specific Knowledge ◽  
Self Monitoring ◽  
Glucose Levels ◽  
The Mean

BACKGROUND Type 2 diabetes mellitus (T2D) can be managed through diet and lifestyle changes. The American Dietetics Association acknowledges that knowing what and when to eat is the most challenging aspect of diabetes management. While current recommendations for self-monitoring of diet and glucose levels aim to improve glycemic control among people with T2D, tracking all intake is burdensome and unsustainable. Equally effective, but lower burden, dietary self-monitoring approaches should be explored. OBJECTIVE To examine the feasibility of abbreviated dietary self-monitoring in T2D where only carbohydrate-containing foods are recorded into a diet tracker. METHODS We used a mixed methods approach to quantitatively and qualitatively assess general and diet-related diabetes knowledge and the acceptability of reporting only carbohydrate-containing foods in N=30 men and women with T2D. RESULTS The mean Diabetes Knowledge Test score was 83.9±14.2%. Only 6 of 30 (20%) participants correctly categorized 5 commonly-consumed carbohydrate-containing and 5 non-carbohydrate containing foods. The mean perceived difficulty of reporting only carbohydrate-containing foods was 5.3 on a 10-point scale. Approximately half of the participants (53.3%, n=16) preferred to record all foods. A lack of knowledge about carbohydrate-containing foods was the primary cited barrier to acceptability (40%, n=12). CONCLUSIONS Abbreviated dietary self-monitoring, where only carbohydrate-containing foods are reported, is likely not feasible due to limited carbohydrate-specific knowledge and a preference of the majority to report all foods. Other approaches to reduce the burden of dietary self-monitoring for people with T2D that do not rely on food specific knowledge could be more feasible.

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