scholarly journals Preventive and Promotional Effort for Type 2 Diabetes Mellitus based on Local Resources

2022 ◽  
Vol 4 (2) ◽  
pp. 1074-1080
Author(s):  
Oliva Suyen Ningsih ◽  
Fransiska Widyawati ◽  
Bonavantura N Nggarang ◽  
Alberika Sindriyani D Jehoman ◽  
Dorotea Nasvia ◽  
...  

The people of Gendang Rejeng are potentially at a higher risk of type 2 diabetes due to their unhealthy lifestyle and eating habits linked to their traditional practices. There are efforts to identify the potential risk of type 2 diabetes and carry out preventive and promotive measures based on local potentials. The efforts include: 1) health check-ups; 2) diabetes screening; 3) health education; and 4) discussion with community leaders on adapting traditional practices to be more health-friendly. Through the study we discovered that out of 29 people of Gendang Rejeng that had been screened for diabetes, 62.1% had a low risk, 13.8% had a higher risk, and the remaining 24.1% had a moderate risk of diabetes. There is a need to study local potentials and traditional elements which can be incorporated into the efforts to reduce the risk of diabetes and prevent other health complication. Ginger is an example of one of the local potentials that can be utilized for consumption to improve the health of the people of Rejeng

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1460
Author(s):  
Kalliopi Karatzi ◽  
Yannis Manios

Type 2 diabetes (T2DM) and hypertension are major health problems, with an undisputed growth burden in the past decades [...]


Author(s):  
Murari M. Mandal ◽  
Shobhit Garg ◽  
R. N. Mishra ◽  
Swanya P. Maharana

Background: Diabetes, is now a leading cause of morbidity and mortality worldwide. Prevalence of type-2 diabetes in children and adolescents is rapidly increasing worldwide. Adolescence and early youth period has pivotal importance for young people with diabetes risk when they usually start learning about how to take responsibility. With this background, present study was done to find out the proportion of various risk factors and future risk of developing diabetes among MBBS undergraduates in Kolkata.Methods: This study was a cross-sectional institution based study done from 1st June to 18th June 2017. Data was collected by interviewing each respondent with the help of structured pre-designed pre-tested schedule, after which clinical examination for height, weight, waist and hip circumference, blood pressure and RBS were done. Out of 150 undergraduates, 130 agreed to participate. Data was analysed with R software.Results: Mean age of the students was 20.45years. 48.5% of them were either overweight or obese. Nearly half of them had waist circumference and waist hip ratio in risk group. Only 65 were normotensive and 7 had high random blood sugar (≥140 mg/dl). 6 students were in high risk group according to both IDRS (≥60) and ADA (≥5) risk score. 66 students were in moderate risk (30-50) group as per IDRS risk score.Conclusions: The simple and cost-effective IDRS could serve as a screening tool health worker to identify at risk individuals at the earliest and enable primary prevention by encouraging these students to modify their life-style.


Genes ◽  
2019 ◽  
Vol 10 (11) ◽  
pp. 942 ◽  
Author(s):  
Nardos Abebe Werissa ◽  
Peter Piko ◽  
Szilvia Fiatal ◽  
Zsigmond Kosa ◽  
Janos Sandor ◽  
...  

Background: In a previous survey, an elevated fasting glucose level (FG) and/or known type 2 diabetes mellitus (T2DM) were significantly more frequent in the Roma population than in the Hungarian general population. We assessed whether the distribution of 16 single nucleotide polymorphisms (SNPs) with unequivocal effects on the development of T2DM contributes to this higher prevalence. Methods: Genetic risk scores, unweighted (GRS) and weighted (wGRS), were computed and compared between the study populations. Associations between GRSs and FG levels and T2DM status were investigated in separate and combined study populations. Results: The Hungarian general population carried a greater genetic risk for the development of T2DM (GRSGeneral = 15.38 ± 2.70 vs. GRSRoma = 14.80 ± 2.68, p < 0.001; wGRSGeneral = 1.41 ± 0.32 vs. wGRSRoma = 1.36 ± 0.31, p < 0.001). In the combined population models, GRSs and wGRSs showed significant associations with elevated FG (p < 0.001) and T2DM (p < 0.001) after adjusting for ethnicity, age, sex, body mass index (BMI), high-density Lipoprotein Cholesterol (HDL-C), and triglyceride (TG). In these models, the effect of ethnicity was relatively strong on both outcomes (FG levels: βethnicity = 0.918, p < 0.001; T2DM status: ORethnicity = 2.484, p < 0.001). Conclusions: The higher prevalence of elevated FG and/or T2DM among Roma does not seem to be directly linked to their increased genetic load but rather to their environmental/cultural attributes. Interventions targeting T2DM prevention among Roma should focus on harmful environmental exposures related to their unhealthy lifestyle.


2007 ◽  
Vol 1 (4) ◽  
pp. 229-230
Author(s):  
S.L. Halme ◽  
K. Elisa ◽  
A. Maija

2018 ◽  
Vol 28 (1) ◽  
pp. 25 ◽  
Author(s):  
Olayinka O. Shiyanbola ◽  
Earlise Ward ◽  
Carolyn Brown

<p class="Pa7"><strong>Objective: </strong>Illness representations, known as patients’ beliefs and expectations about an illness, may be influenced by cultural beliefs and personal experiences. This study explored African Americans’ perceptions of the sociocultural factors that influence their representations of diabetes.</p><p class="Pa7"><strong>Design: </strong>Six semi-structured focus groups.</p><p class="Pa7"><strong>Setting: </strong>Private space at a convenient site.</p><p class="Pa7"><strong>Participants: </strong>Forty African Americans, aged 45-60 years with type 2 diabetes for at least one year prior.</p><p class="Pa7"><strong>Results: </strong>Participants perceived that there was a race-mediated effect of how they developed diabetes because of poverty due to past slavery, racial discrimination by health care providers, and the stigma associated with diabetes within the African American community. Participants perceived that pov­erty influenced African Americans’ unhealthy eating habits, which led to diabetes diagnosis among their ancestors and their develop­ment of the disease since it was hereditary. Participants also perceived that there was provider ill intention, ie, providers were pur­posefully making people sick, and their lack of education on diabetes from providers was done on purpose, as information on diabetes was withheld and not shared due to racial discrimination. Perceived stigma by the com­munity led to African Americans’ avoidance and denial of the disease, and subsequently the development of diabetes.</p><p class="Pa7"><strong>Conclusions: </strong>To enhance disease manage­ment for African Americans with diabetes, it is important to focus on the sociocultural context of how African Americans view their world that may be influenced by their knowl­edge of negative historical circumstances and their current provider relationship, which, in turn, may be reflected in their perceptions of diabetes.</p><p class="Pa7"><em>Ethn Dis. </em>2018;28(1):25-32; doi:10.18865/ed.28.1.25.</p>


Author(s):  
Christina Jarnert ◽  
Linda Mellbin ◽  
Lars Rydén ◽  
Jaakko Tuomilehto

Diabetes dramatically increases the risk of cardiovascular diseases (CVD). Diabetes is defined by elevated glucose in blood circulation. The level of glycaemia has a graded relation with CVD risk and diabetes is very frequent in people with CVD. In the general population half of the people with type 2 diabetes are undiagnosed, yet efficient methods for population screening exist. Despite considerable improvements in the management of CVD, patients with disturbed glucose metabolism have not benefited to the same extent as those without diabetes. Primary and secondary prevention of CVD in people with diabetes and other disturbances in glucose metabolism must be multifactorial and treatment targets stricter than for patients without glucose aberrations. Increased collaboration between different therapeutic disciplines including diabetologists, cardiologists, general practitioners, and dieticians is key to improved management for this large and high-risk population. Some important aspects of these issues are presented in this chapter.


BMJ ◽  
2018 ◽  
pp. k4641 ◽  
Author(s):  
Zhilei Shan ◽  
Yanping Li ◽  
Geng Zong ◽  
Yanjun Guo ◽  
Jun Li ◽  
...  

AbstractObjectivesTo prospectively evaluate the joint association of duration of rotating night shift work and lifestyle factors with risk of type 2 diabetes risk, and to quantitatively decompose this joint association to rotating night shift work only, to lifestyle only, and to their interaction.DesignProspective cohort study.SettingNurses’ Health Study (1988-2012) and Nurses’ Health Study II (1991-2013).Participants143 410 women without type 2 diabetes, cardiovascular disease, or cancer at baseline.ExposuresRotating night shift work was defined as at least three night shifts per month in addition to day and evening shifts in that month. Unhealthy lifestyles included current smoking, physical activity levels below 30 minutes per day at moderate to vigorous intensity, diet in the bottom three fifths of the Alternate Healthy Eating Index score, and body mass index of 25 or above.Main outcome measuresIncident cases of type 2 diabetes were identified through self report and validated by a supplementary questionnaire.ResultsDuring 22-24 years of follow-up, 10 915 cases of incident type 2 diabetes occurred. The multivariable adjusted hazard ratios for type 2 diabetes were 1.31 (95% confidence interval 1.19 to 1.44) per five year increment of duration of rotating night shift work and 2.30 (1.88 to 2.83) per unhealthy lifestyle factor (ever smoking, low diet quality, low physical activity, and overweight or obesity). For the joint association of per five year increment rotating night shift work and per unhealthy lifestyle factor with type 2 diabetes, the hazard ratio was 2.83 (2.15 to 3.73) with a significant additive interaction (P for interaction <0.001). The proportions of the joint association were 17.1% (14.0% to 20.8%) for rotating night shift work alone, 71.2% (66.9% to 75.8%) for unhealthy lifestyle alone, and 11.3% (7.3% to 17.3%) for their additive interaction.ConclusionsAmong female nurses, both rotating night shift work and unhealthy lifestyle were associated with a higher risk of type 2 diabetes. The excess risk of rotating night shift work combined with unhealthy lifestyle was higher than the addition of risk associated with each individual factor. These findings suggest that most cases of type 2 diabetes could be prevented by adhering to a healthy lifestyle, and the benefits could be greater in rotating night shift workers.


Author(s):  
Igor Lukić ◽  
Nevena Ranković ◽  
Dragica Ranković

This paper will present the results of a study on dietary habits in adolescents. The high school or adolescent era is a time of great physical and psychological changes, which cause instability and oscillations in the mood and behavior of high school students. Results obtained by interviewing secondary school students about eating habits and results obtained using a standardized questionnaire for the risk of type 2 diabetes were analyzed using a reliable statistical tool IBM SPSS Statistical, which offers a range of reliable analyzes and statistical tests. Previous research has shown that for each person with type 2 diabetes, one person finds out who does not know it. Discovery of pre-diabetes, in new potential patients, is necessary at the earliest age, when a number of factors affect lifestyles, such as irregular nutrition and obesity, physical inactivity, stress, and others become important for the development of this disease. Detection of risk levels in potential patients is important for both the individual and public health, and everyday clinical practice. After determining the degree of risk for a particular sample, a set of measures for a particular adolescent population will be recommended, so that the disease does not occur, or its onset will move for a later period of life.


2021 ◽  
Vol 4 (1) ◽  
pp. 56
Author(s):  
Zuhria Ismawanti ◽  
Nastitie Cinintya Nurzihan ◽  
Nining Prastiwi

Diabetes mellitus (DM) is a disease that can be caused by an unhealthy lifestyle. DM treatment has four pillars in its management, namely education, DM diet management, physical activity and drug management. The recommended DM dietary arrangement is almost the same as the recommended diet in general, namely balanced nutrition in accordance with calorie needs, however DM sufferers will emphasize eating regularity in terms of eating schedules, types of food and amount of food. Based on these problems, it is necessary to demonstrate the introduction of variations in the diabetes mellitus diet menu for type 2 diabetes mellitus sufferers.This activity is carried out to increase knowledge about the variety of diabetes mellitus diet menus in type 2 diabetes mellitus sufferers.Pre-test and post-test are carried out to determine the level of understanding of the demonstration which are given. The method used was to provide a demonstration of introduction to the variation of the diabetes mellitus diet menu for people with type 2 diabetes. As many as 25 people participated in this activity from beginning to end. Based on the results of the evaluation using the post test value, it shows that there is an increase in knowledge and skills regarding the variation of the type 2 DM diet, so as to prevent complications of type 2 DM.


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