scholarly journals The level of knowledge and attitude on insulin therapy in patients with diabetes mellitus in a teaching hospital of Southern India

2019 ◽  
Vol 8 (10) ◽  
pp. 3287
Author(s):  
Vasanthi Natarajan ◽  
Suniram Priscilla ◽  
S Malarvizhi ◽  
AshokK Das
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Teaching Hospital ◽  
Southern India ◽  
Patients With Diabetes ◽  
Level Of Knowledge ◽  
Knowledge And Attitude

scholarly journals Knowledge, Attitude, and Practice of Diabetes Mellitus

Thrita ◽  
2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei
Keyword(s):  
Diabetes Mellitus ◽  
Healthy Lifestyle ◽  
Medical Center ◽  
Diabetic Patients ◽  
Attitude And Practice ◽  
Single Person ◽  
Patients With Diabetes ◽  
Level Of Knowledge ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Background: To begin an educational program for diabetic patients, the assessment of their current level of knowledge (K), attitude (A), and practice (P) was necessary. Objectives: This research aimed to estimate the knowledge, attitude, and practice (KAP) of the general public, because of diabetes mellitus. Methods: A convenient sampling method was used to select 384 of every single person who was admitted to a research, educational and medical center, in the western north of Tehran, in 2018. KAP questionnaire on diabetes was completed, and the level of KAP was evaluated in diabetic and non-diabetic people using SPSS software. Results: The overall mean (± SD) of the knowledge, attitude, and practice was 12.13 ± 3.84, 5.52 ± 5 and 10.68 ± 51.96, respectively. Several linear regressions in the two groups for the total knowledge scores, total attitudes scores, and total practice scores displayed several significant (adjusted) associations. Conclusions: The results of this study showed that we need to increase the knowledge and attitude of patients with diabetes about a healthy lifestyle, including regular exercise, a healthy diet, and weight loss.

scholarly journals FACTORS OF POOR ADHERENCE TO INSULIN THERAPY IN PATIENTS WITH DIABETES MELLITUS AND THEIR FAMILIES

2021 ◽  
Vol 19 (7) ◽  
pp. 568-581
Author(s):  
Babak Pezeshki ◽  
Mostafa Bijani ◽  
Azizollah Dehghan ◽  
Zahra Salehi ◽  
◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Poor Adherence ◽  
Patients With Diabetes

scholarly journals RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE

2021 ◽  
Vol 71 (2) ◽  
pp. 602-05
Author(s):  
Umair Ali ◽  
Muhammad Wajid Munir ◽  
Jahanzeb Maqsood ◽  
Mahwash Jamil ◽  
Syed Saif Ur Rehman ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Resistance ◽  
Insulin Therapy ◽  
Demographic Data ◽  
Tertiary Care ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Patients With Diabetes

Objective: To evaluate factors resulting in reluctance of initiation of insulin therapy in patients with type 2 diabetes mellitus. Study Design: Cross sectional study. Place and Duration of Study: Medical OPD of a private tertiary care multi-specialty hospital in Islamabad, from Apr to Jul 2019. Methodology: Patients with diabetes mellitus between age of 30-70 years, who had poor glycaemic control on two oral antidiabetic drugs having HbA1c>9% and were insulin naïve, were included in this study. A validated questionnaire was developed which had two sections; first including the demographic data of the study populations and second having closedended dichotomous questions which were asked from patients by the treating physicians Results: A total of 180 patients with diabetes mellitus eligible for insulin therapy were included in the study, among them 52 (28.9%) were agreed to initiate the insulin. Negative attitude and beliefs include painful way of administration 85 (66.4%), difficult insulin storage 98 (76.6%), risk of hypoglycemia 82 (64.1%).The mean negative perception Score was 7.35 (SD 0.98). Conclusion: Psychological insulin resistance is present in significant diabetic population, and it is a big obstacle in insulin therapy initiation and compliance.

A Descriptive Study to Assess the Knowledge and Attitude regarding Self Administration of Insulin Injection among Diabetes Mellitus patient in selected Hospital of Visnagar City, in view of Information Booklet

2021 ◽  
pp. 499-502
Author(s):  
Himani Patel ◽  
Daxaben P. Patel
Keyword(s):  
Diabetes Mellitus ◽  
Standard Deviation ◽  
Family History ◽  
Insulin Injection ◽  
Attitude Scale ◽  
Diabetic Patients ◽  
Structure Questionnaire ◽  
Self Administration ◽  
Level Of Knowledge ◽  
Knowledge And Attitude

Introduction: Diabetes Mellitus is an endocrine disorder, characterized by hyperglycemia that is, high blood sugar levels. This is caused due to a relative or absolute insulin deficiency, a hormone produced by the pancreas. Lack of insulin, either relative or absolute affects metabolism or breaking down of carbohydrates, proteins, fat, water and electrolytes leading to an accumulation of glucose in the blood. Till the earlier part of this century, it was believed that there was no effective treatment for this condition, until the discovery of insulin, in 1922, by Fredrick Banting and his student, John McCleod1 Design: A descriptive survey approach was used for assessing the knowledge and attitude of Diabetes Mellitus patients regarding Self-Administration of insulin injection. Participants: The target population consisted of 60 Diabetic patients who were on Insulin Therapy within the age group of 40-70 years. Half of the patients were admitted and a few were attending the OPD services in Nootan General Hospital at visnagar. Interventions: Booklet information was given to the patients. Tool: Structure questionnaire was used to assess the level of Knowledge regarding Self-Administration of insulin injection and used Likert’s attitude scale to assess attitude regarding Self-Administration of insulin injection among diabetes mellitus patients. Results: In this study. The total 60 sample under the study were 38.3% sample 61-70 years, 20% sample 51-60 years, 20% sample 41-50 years 8.3% sample below 40 years of age. Distributed sample according to gender were 73.3% are male and 26.7% are female. Distribution of sample based on education is 1.7% graduated 3.3% had higher secondary, 21.7% completed secondary and 73.3% sample had completed primary education as regards 53.3% samples were unemployed 23% self-employed. According to family history 36.7% had family history of DM 63.3% had no family history. The level of knowledge regarding self-administration of the insulin injection were 81.7% had average knowledge, 13.3% had poor knowledge and only 5% had good knowledge regarding self-administration of insulin injection. The overall mean value of the diabetic patients knowledge regarding self-administration of insulin injection was 14.45 with a standard deviation of 3.326. This finding showed that the most of the diabetic patients were not much aware of self-administration of insulin injection. The level of attitude regarding self-administration of insulin injection was assessed were, only 18.3% had most favorable and 81.7% had a favorable attitude towards self- administration of insulin injection. It revealed the mean percentage of the positive attitude, which was 69.05 with a standard deviation of 5.585. These results showed that most of the diabetic patients were not having a most favourable attitude towards self-administration of insulin injection. Conclusion: The finding indicates that the Booklet information was a suitable and effective method of instruction for updating and enhancing the knowledge and attitude among patients.

scholarly journals Insulin Therapy and Colorectal Adenomas in Patients with Diabetes Mellitus

2012 ◽  
Vol 21 (10) ◽  
pp. 1833-1840 ◽  
Author(s):  
Patricia Wong ◽  
Mark G. Weiner ◽  
Wei-Ting Hwang ◽  
Yu-Xiao Yang
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Colorectal Adenomas ◽  
Patients With Diabetes

scholarly journals Therapy of acromegalic patients exacerbated by concomitant type 2 diabetes requires higher pegvisomant doses to normalise IGF1 levels

2014 ◽  
Vol 171 (1) ◽  
pp. 59-68 ◽  
Author(s):  
Michael Droste ◽  
Julia Domberg ◽  
Michael Buchfelder ◽  
Klaus Mann ◽  
Anja Schwanke ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Glucose Metabolism ◽  
Insulin Therapy ◽  
Oral Treatment ◽  
Receptor Expression ◽  
Diabetic Patients ◽  
Glucose Metabolism Disorders ◽  
Patients With Diabetes ◽  
Worse Prognosis

ObjectiveAcromegaly is associated with an increased prevalence of glucose metabolism disorders. Clinically confirmed diabetes mellitus is observed in approximately one quarter of all patients with acromegaly and is known to have a worse prognosis in these patients.DesignOf 514 acromegalic patients treated with pegvisomant and recorded in the German Cohort of ACROSTUDY, 147 had concomitant diabetes mellitus. We analysed these patients in an observational study and compared patients with and without concomitant diabetes.ResultsUnder treatment with pegvisomant, patients with diabetes mellitus rarely achieved normalisation (64% in the diabetic cohort vs 75% in the non-diabetic cohort,P=0.04) for IGF1. Diabetic patients normalised for IGF1 required higher pegvisomant doses (18.9 vs 15.5 mg pegvisomant/day,P<0.01). Furthermore, those diabetic patients requiring insulin therapy showed a tendency towards requiring even higher pegvisomant doses to normalise IGF1 values than diabetic patients receiving only oral treatment (22.8 vs 17.2 mg pegvisomant/day,P=0.11).ConclusionsHence, notable interdependences between the acromegaly, the glucose metabolism of predisposed patients and their treatment with pegvisomant were observed. Our data support recent findings suggesting that intra-portal insulin levels determine the GH receptor expression in the liver underlined by the fact that patients with concomitant diabetes mellitus, in particular those receiving insulin therapy, require higher pegvisomant doses to normalise IGF1. It is therefore important to analyse various therapy modalities to find out whether they influence the associated diabetes mellitus and/or whether the presence of diabetes mellitus influences the treatment results of an acromegaly therapy.

Outpatient initiation of insulin therapy in patients with diabetes mellitus

1987 ◽  
Vol 146 (1) ◽  
pp. 19-22 ◽  
Author(s):  
David G. Bruce ◽  
Elaine M. Clark ◽  
Genni A. Danesi ◽  
Lesley V. Campbell ◽  
Donald J. Chisholm
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Patients With Diabetes

scholarly journals Dermatological Manifestations in Diabetes Mellitus at NGMCTH Kohalpur

2017 ◽  
Vol 13 (2) ◽  
pp. 31-34
Author(s):  
Sumit Pandey ◽  
Pradip Mishra ◽  
Nirmala Sharma ◽  
Shyam B.K.
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Disease ◽  
Teaching Hospital ◽  
College Teaching ◽  
The Body ◽  
Diabetic Patients ◽  
Cutaneous Infections ◽  
Medical College ◽  
Patients With Diabetes ◽  
Sugar Levels

Background: Skin is the largest and most visible organ in the body. It undoubtedly determines to a great extent our appearance and plays  a  major  role  in  socio-sexual  communication.  More  than  one  third  of  diabetic  patients  have  some  type  of  dermatologic 1 manifestations during the course of their chronic disease . The association of certain skin diseases with diabetes mellitus has been 2 3 fairly well recognized with an incidence rate ranging from 11.4% to 66%.  At least 30% of patients with diabetes mellitus have some 4 5 type of cutaneous involvement during the course of their chronic disease.  Skin sugar levels run parallel to the blood sugar levels. Skin changes generally appear subsequent to the development of DM but may be the first presenting sign or even precede the 6 diagnosis by many years. Among the many skin manifestations in DM, none is pathognomonic of this disease. Cutaneous findings in DM can be classified into four categories: (1) skin disease with strong association and others with less distinct association with DM, (2) cutaneous infections, (3) dermatological disorders related to diabetic complications, and (4) skin conditions related to diabetes 7 treatments.Objectives: This study was undertaken to find out the pattern of Dermatological manifestations in Diabetes patients attending Nepalgunj Medical College Teaching Hospital, Kohalpur. Method and material: This is a hospital- based descriptive study conducted  in  the  Department  of  Dermatology,  Venereology  and  Leprology  of  Nepalgunj  Medical  College  Teaching  Hospital, Kohalpur  between   September 2013 to August 2014.  A total of 100 patients were included in the study. History and clinical examinations were performed and the data were recorded and analyzed. Results: The age of the patients ranged from 20 years to 85 years with the mean age of 51.7+12.13 years. The most common age groups were 46-55 years (36%) followed by 56-65 years (24.7%) and 36-45 years (17.3%), 66-75 years (9.3%), 76-85 years (12.7%). Among the 100 patients of diabetes ellitus, there were 44(44%) males and 56 (56%) females.  Among  the  cutaneous  disorders  commonly  associated  with  diabetes,  infections  were  the  most prevalent. 59(59%) out of 100 patients had skin infections.Conclusions: Patients with Diabetes can present with array of cutaneous disorders. Cutaneous infections formed the largest group of dermatoses in this study. Increased incidence of cutaneous infections mainly fungal and bacterial was noticed in majority diabetics emphasizing the need for more aggressive management of diabetes mellitus. Among infective dermatoses, fungal infections were the most common, with Candidal infections being more common than dermatophytosis.JNGMC Vol. 13 No. 2 December 2015, Page: 31-34

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