scholarly journals Black female patients with type 2 diabetes mellitus: knowledge, attitudes and physical activity

2001 ◽  
Vol 57 (3) ◽  
pp. 20-27
Author(s):  
A. J. Van Rooijen ◽  
P. Rheeder ◽  
C. J. Eales ◽  
P. Becker

The aim of this study was to obtain baseline data from female Type 2 Diabetes Mellitus (Type 2 DM) patients on their general health status, demographics, their knowledge of and attitudes towards diabetes and exercise, as well as their present physical activity levels.The sample of convenience consisted of 93 patients between the ages of 36 and 70 years, who were attending the Mamelodi Hospital Diabetic Outpatient Clinic.Demographic, clinical, diabetes knowledge, diabetes attitude and physical activity data were captured. Data were summarized with descriptive statistics. Pearson product-moment correlation was employed to assess relationships and Cronbach’s alpha measured reliability.It was found that the sample had a low educational level. (84% schooling up to St 7) Several risk factors for the control of diabetes were identified in the sample. (Class I obesity, HbAI c-levels acceptable to compromised, 75% on treatment for hypertension) They had low scores on knowledge of diabetes ( mean,SD =4.72,2.05 out of 15) and low levels of physical activity. (mean, SD—2.85,2.09) Patients agreed with the attitude in the scale that the health care professionals require skills to educate and counsel diabetic patients, as well as bring about behavioral changes in the patients.( r=0.62) They also agreed that diabetes has a substantial psychosocial impact on their lives. (r=0.41) The highest correlation between to sub-scales was between the need for special training of health care professionals who care for diabetic patients and the psychosocial impact of the disease. (r=0.41) Patients should be educated about the basic physiology of diabetes, insulin action and causes of hypoglycaemia. They should also be motivated to increase physical activity on a continuous basis.Culturally sensitive research is needed to identify health beliefs, motivation for the control of diabetes and environmental and personal barriers to exercise and physical activity in this population.

2020 ◽  
Vol 8 (E) ◽  
pp. 133-137
Author(s):  
Rusdiana Rusdiana ◽  
Maya Savira ◽  
Sry Suryani Widjaja ◽  
Dedi Ardinata

AIM: The aim of this study was to evaluate the effect of short-term education on glycemic control (glycated hemoglobin [HbA1c] and fasting blood sugar [FBS]) among type 2 diabetes mellitus patients attending to primary health care (PHC) in Medan Johor of North Sumatera, Indonesia. METHODS: The study was performed on type 2 diabetes mellitus patients in Johor PHC, Medan of North Sumatera, on 40 patients with type 2 diabetes mellitus. We took the samples of all the patients of type 2 diabetes mellitus who attend PHC in Medan Johor. The patients received for 3 months intervention by education. An educational course of diabetes together with exercise training and nutritional education was designed for the study population in order to increase the patients’ knowledge and attitude toward diabetes and to increase their participation in the self-monitoring of glycemic control. Samples of FBS and HbA1c were recorded for each patient at the time of the baseline survey, then health education was conducted to the diabetic patients of both sexes attending PHC. The patients received standard advice on diet management and variation about activity. We put HbA1c <6.5% as cut limit for the control of diabetes mellitus. RESULTS: All 40 type 2 diabetes patients completed the educational course. The mean of age of the samples is 62.53 years old, the mean of body mass index was 24.81 kg/m, and the mean of waist size was 92.15 cm. Before the education, the mean of FBS level was 238.83 mg/dl and the mean of Hba1c value is 8.90%. After education, the FBS was 216.88 mg/dl, the mean of HbA1c value was 8.74%. CONCLUSION: The effect of health education in Johor Public Health Care Medan city reduced glycemic control (FBS) in type 2 diabetes mellitus patients, North Sumatera, Indonesia.


2018 ◽  
Vol 7 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Chirag Bansal ◽  
Reshma Kaushik ◽  
Rajeev Mohan Kaushik

Introduction: Diabetic nephropathy is an important complication of diabetes mellitus leading to significant morbidity and mortality. Objectives: To study the awareness of diabetic nephropathy in patients with type 2 diabetes mellitus (T2DM) and the factors influencing patient awareness of diabetic nephropathy. Patients and Methods: Four hundred subjects, aged above 18 years with T2DM as per American Diabetes Association (ADA) criteria, were selected. Patient awareness regarding diabetic nephropathy was assessed as per a prefixed questionnaire. Results: Awareness of basic information concerning diabetes was present in more than 60% of patients. No significant differences were seen between awareness scores of male and female (P = 0.385), rural and urban (P = 0.120) and literate and illiterate (P = 0.567) diabetic patients. Awareness scores were higher in diabetic patients exceeding 50 years of age (P = 0.004) and patients having diabetes for more than10 years (P < 0.0001), controlled diabetes (P = 0.026) and diabetic nephropathy (P < 0.0001). Awareness of diabetic nephropathy was independently associated with duration of diabetes (P = 0.010) and diabetic nephropathy (P = 0.011) but not with age (P = 0.754) and control of diabetes (P = 0.229). Conclusion: A substantial proportion of diabetic patients are still unaware of the basic facts about diabetes and diabetic nephropathy. Awareness of diabetic nephropathy depended upon duration of diabetes and presence of diabetic nephropathy and requires promotion during early stages of diabetes to improve control of diabetes and prevent diabetic nephropathy.


2015 ◽  
Vol 85 (3-4) ◽  
pp. 145-155 ◽  
Author(s):  
Marjan Ghane Basiri ◽  
Gity Sotoudeh ◽  
Mahmood Djalali ◽  
Mohammad Reza Eshraghian ◽  
Neda Noorshahi ◽  
...  

Abstract. Background: The aim of this study was to identify dietary patterns associated with general and abdominal obesity in type 2 diabetic patients. Methods: We included 728 patients (35 - 65 years) with type 2 diabetes mellitus in this cross-sectional study. The usual dietary intake of individuals over 1 year was collected using a validated semi-quantitative food frequency questionnaire. Weight, height, and waist circumference were measured according to standard protocol. Results: The two major dietary patterns identified by factor analysis were healthy and unhealthy dietary patterns. After adjustment for potential confounders, subjects in the highest quintile of the healthy dietary pattern scores had a lower odds ratio for the general obesity when compared to the lowest quintile (OR = 0.45, 95 % CI = 0.26 - 0.79, P for trend = 0.02), while patients in the highest quintile of the unhealthy dietary pattern scores had greater odds for the general obesity (OR = 3.2, 95 % CI = 1.8 - 5.9, P for trend < 0.001). There were no significant associations between major dietary patterns and abdominal obesity, even after adjusting for confounding factors. Conclusion: This study shows that in patients with type 2 diabetes mellitus, a healthy dietary pattern is inversely associated and an unhealthy dietary pattern is directly associated with general obesity.


Author(s):  
Shah Namrata Vinubhai ◽  
Pardeep Agarwal ◽  
Bushra Fiza ◽  
Ramkishan Jat

Background: Serum ferritin is known as an index for body iron stores also as an inflammatory marker and it is influenced by several disease. We were looking for a correlation between HbA1c and S. Ferritin in type 2 DM. Methodology: The present study a total of 150 participants were enrolled of which 100 were confirmed cases of Type 2 Diabetes Mellitus and rest 50 age and sex matched healthy subjects constituted the control group. All were screened for HbA1c, Fasting blood sugar, Post prandial blood sugar and S.Ferritin. Results: A highly significant variation and positive correlation was observed with respect to S.Ferritin and HbA1c levels. Mean S.Ferritin was high in the subgroup with poor glycemic control. Conclusion: The fasting, post prandial sugar levels, HbA1c and S.Ferritin were significantly higher in the diabetic subjects. This study shows a positive correlation between HbA1c and S. Ferritin levels. So we can conclude that in diabetic patients S. Ferritin may serve as an independent marker of poor glycemic and metabolic control. Keywords: Serum ferritin, Type 2 Diabetes Mellitus, HbA1c.


Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 183
Author(s):  
Anna Izzo ◽  
Elena Massimino ◽  
Gabriele Riccardi ◽  
Giuseppe Della Pepa

Type 2 diabetes mellitus (T2DM) represents a major health burden for the elderly population, affecting approximately 25% of people over the age of 65 years. This percentage is expected to increase dramatically in the next decades in relation to the increased longevity of the population observed in recent years. Beyond microvascular and macrovascular complications, sarcopenia has been described as a new diabetes complication in the elderly population. Increasing attention has been paid by researchers and clinicians to this age-related condition—characterized by loss of skeletal muscle mass together with the loss of muscle power and function—in individuals with T2DM; this is due to the heavy impact that sarcopenia may have on physical and psychosocial health of diabetic patients, thus affecting their quality of life. The aim of this narrative review is to provide an update on: (1) the risk of sarcopenia in individuals with T2DM, and (2) its association with relevant features of patients with T2DM such as age, gender, body mass index, disease duration, glycemic control, presence of microvascular or macrovascular complications, nutritional status, and glucose-lowering drugs. From a clinical point of view, it is necessary to improve the ability of physicians and dietitians to recognize early sarcopenia and its risk factors in patients with T2DM in order to make appropriate therapeutic approaches able to prevent and treat this condition.


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