FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN ASUPAN SERAT PENDERITA DM DI POLI PENYAKIT DALAM  RSUD Dr. Hi. ABDUL MOELOEK PROVINSI LAMPUNG TAHUN 2014

Indonesia is now facing degenerative diseases such as diabetes. From previous studies found fiber intake patients with DM is still much less than that recommended, while the fiber is very useful to control blood sugar levels in diabetic patient. The purpose of this study was to determine the factors associated with fiber intake in patients with diabetes mellitus disease in internist clinic Dr H. Abdul Moeloek Hospital Lampung 2014? The experiment was used analytic research by cross sectional approach, a sample of 48 respondents. Data were analyzed by univariate and bivariate. The study concluded the most respondents: (1) age 46-65 years 66.7%; (2) 70.8% of the female sex; (3) sufficient knowledge of fiber 56.2% (4) never received nutritional counseling; (7) 85.4% less fiber intake. From the results of the bivariate analysis found no relationship between gender, knowledge, attitudes, education, and nutrition counseling with fiber intake respondents. Relative levels for respondents with knowledge and attitude toward less fiber, and fiber intake respondents are less good then advice the authors need to increase cooperation between the clinic personnel in order to refer all patients with DM to nutrition clinic in order to obtain nutritional counseling. Other suggestions in order to do further research to find out why fiber intake of diabetic patients are still lacking, and the study of other factors such as psychological, social culture, physical state, and the state of nutrition associated with fiber intake in diabetic patient

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Diabetic Eye Disease Related Knowledge, Attitudes and Practices among Physicians in Nepal

Journal of Diabetes and Endocrine Association of Nepal ◽

10.3126/jdean.v2i2.22359 ◽

2018 ◽

Vol 2 (2) ◽

pp. 26-36 ◽

Cited By ~ 3

Author(s):

Eli Pradhan ◽

Anadi Khatri ◽

Jasmeen Tuladhar ◽

Dina Shrestha

Keyword(s):

Diabetic Retinopathy ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Cross Sectional ◽

Attitudes And Practices ◽

Positive Attitudes ◽

Patients With Diabetes ◽

Diabetic Eye Disease ◽

Knowledge And Attitude ◽

Prevention Of Diabetes

Background: Awareness of diabetic retinopathy amongst general physicians is a major factor for the prevention of diabetes-related ocular complications.They are most often the first line of contact of diabetic patients and their knowledge and attitude are the principal indicators of their level of awareness. Methods: This cross-sectional study was conducted in Kathmandu and is based on a structured questionnaire referring to Diabetic retinopathy formulated on Guideline for Conducting a Knowledge, Attitude and Practice Study by information, Education, and Communication expert.The questionnaire comprised of 18 questions and 45 physicians were enrolled. Significant differences and associations were determined by values of P < 0.05. Results: All of the physicians (100%) were aware that diabetes can damage the eye and can cause visual impairment. Most of them agreed that patients with diabetes should be sent for ophthalmic evaluations with majority mandating an immediate evaluation after the diagnosis. The majority (98%) of physicians disagreed that eye examination was required only once the vision was affected. Only 56% of the physicians agreed they routinely perform direct ophthalmoscopy to examine the retina (p 0.551). Among them, nearly half (44%) reported not knowing the importance of dilating the pupil. (p=0.69). Conclusions: The study shows a good level of diabetic retinopathy awareness and knowledge with positive attitudes toward the importance of diabetes care. At the same time, it has found that practice level despite good knowledge and attitude to be below average among the physicians who are managing diabetic patients.

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THE RELATIONSHIP OF NUTRITIONAL STATUS TO URIC ACID LEVEL IN COMMUNITY OF PONDOK PESANTREN AL-HIDAYAH, NGAWI

Medical and Health Science Journal ◽

10.33086/mhsj.v3i1.800 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Marselli Widya Lestari ◽

Tri Wahyuni Bintarti

Keyword(s):

Uric Acid ◽

Nutritional Status ◽

Gouty Arthritis ◽

Extracellular Fluid ◽

Boarding School ◽

Clinical Syndrome ◽

Bivariate Analysis ◽

Cross Sectional ◽

Knowledge And Attitude ◽

Cross Sectional Design

Gout or Gouty Arthritis is a degenerative disease. Gouty arthritis is a clinical syndrome that is caused by deposition of purine crystals in the tissues, due to levels of uric acid (hyperuricemia) in the extracellular fluid that passes through saturation. The etiology of gout arthritis included age, sex, history of medication, obesity, consumption of purine and alcohol. Aging is an important risk factor for men and women. This study uses an analytical-descriptive approach with cross-sectional design. This study was conducted to obtain a relationship between nutritional status and uric acid levels in the community in the area of Al-Hidayah Islamic Boarding School, Ngawi. This research was conducted in Majasem Village, Kendal District, Ngawi Regency, starting from 7 June - 31 August 2018. The results showed that there was a relationship between nutritional status and uric acid levels in the community in the area of Al-Hidayah Islamic Boarding School, Ngawi (p=0,008). Suggestions for further research are bivariate analysis based on gender, knowledge and attitude to response to diet so that other factors that influence can be seen clearly

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Ultrasound Assessment of the Median Nerve Does Not Adequately Discriminate the Carpal Tunnel Syndrome among Patients Diagnosed with Diabetes

Diabetology ◽

10.3390/diabetology2040020 ◽

2021 ◽

Vol 2 (4) ◽

pp. 226-231

Author(s):

Carlos Antonio Guillen-Astete ◽

Monica Luque-Alarcon ◽

Nuria Garcia-Montes

Keyword(s):

Carpal Tunnel Syndrome ◽

Median Nerve ◽

Carpal Tunnel ◽

Cross Sectional Area ◽

Diabetic Patients ◽

Sectional Area ◽

Cross Sectional ◽

Patients With Diabetes ◽

Ultrasound Assessment ◽

Tunnel Syndrome

Background: Carpal tunnel syndrome is the most prevalent peripheral nerve entrapment condition of the upper limb. Among metabolic risk factors, diabetes is considered the most relevant. Although wrist ultrasound assessment of the median nerve has demonstrated a good correlation with the gold standard for the diagnosis of this syndrome, neurophysiological study, its usefulness in patients with diabetes is questionable because the compressive phenomenon is not the predominant one. Method: We conducted a retrospective study to compare the clinical and median nerve ultrasound features of patients with carpal tunnel syndrome previously diagnosed or not diagnosed with diabetes. Additionally, a linear multivariate regression analysis was performed to determine to what extent the cross-sectional area of the median nerve was dependent on the condition of diabetes by fixing other variables such as sex, age, or time of evolution. Results: We included 303 records of patients (mean age 44.3 ± 11.7 years old, 57.89% female, mean of time of evolution 13.6 ± 8.3 months) from 2012 to 2020. The cross-sectional area of the median nerve was 10.46 ± 1.44 mm2 in non-diabetic patients and 8.92 ± 0.9 mm2 in diabetic patients (p < 0.001). Additionally, diabetic patients had a shorter time of evolution (7.91 ± 8.28 months vs. 14.36 ± 0.526 months, p < 0.001). In the multivariate analysis, the resultant model (fixed R-square = 0.659, p = 0.003) included a constant of the following four variables: the evolution time (Beta coeff. = 0.108, p < 0.001 95% CI 0.091 to 0.126, standardized coeff. = 0.611), the condition of diabetes (Beta coeff. = −0.623, p < 0.001 95% CI −0.907 to −0.339, standardized coeff. = −0.152), the severity (Beta coeff. = 0.359, p = 0.001 95% CI 0.147 to 0.571, standardized coeff. = 0.169), and the masculine sex (Beta coeff. = 0.309, p = 0.003, 95% CI 0.109 to 0.509, standardized coeff. = 0.103). Conclusions: Ultrasound assessment of the median nerve in patients with diabetes is not a useful tool to confirm whether carpal tunnel syndrome should be diagnosed or not diagnosed.

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THE RELATIONSHIP OF NUTRITIONAL STATUS TO URIC ACID LEVEL IN COMMUNITY OF PONDOK PESANTREN AL-HIDAYAH, NGAWI

Medical and Health Science Journal ◽

10.33086/mhsj.v3i1.925 ◽

2019 ◽

Vol 3 (1) ◽

pp. 41-46

Author(s):

Marselli Widya Lestari ◽

Tri Wahyuni Bintarti

Keyword(s):

Uric Acid ◽

Nutritional Status ◽

Gouty Arthritis ◽

Extracellular Fluid ◽

Boarding School ◽

Clinical Syndrome ◽

Bivariate Analysis ◽

Cross Sectional ◽

Knowledge And Attitude ◽

Cross Sectional Design

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Hypoglycemia Prevention Practice and Associated Factors Among Patients with Diabetes Mellitus Following at Public Hospitals of Central Zone, Tigray, Ethiopia, 2018

10.21203/rs.2.11704/v1 ◽

2019 ◽

Author(s):

Gebrewahd Bezabh Gebremichael ◽

Teklewoini Mariye Zemichael

Keyword(s):

Diabetes Mellitus ◽

Associated Factors ◽

Central Zone ◽

Public Hospitals ◽

P Value ◽

Diabetic Patients ◽

Binary Logistic Regression Model ◽

Cross Sectional ◽

Patients With Diabetes ◽

At Home

Abstract Background Hypoglycemia is an acute medical situation that occurs when blood sugar falls below the recommended level. Even though, hypoglycemia prevention practice in the management of diabetes mellitus is one cornerstone in controlling the effect of hypoglycemia, hypoglycemia prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients. Methods Hospital-based, cross-sectional study design was employed from April one to March one 2018 in Central Zone of Tigray Regional state of Ethiopia. A total of 272 diabetes mellitus patients were selected by systematic random sampling method from study area. The collected data was checked for its completeness and then entered into Epi data version 3.1 then cleaned and analyzed using SPSS version 23. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of hypoglycemia prevention practice. Results the mean age of respondents was 52.19 years and about 100 (63.2%) had good hypoglycemia prevention practice. Knowledge regarding hypoglycemia [AOR = 10.34; 95% CI [5.41, 19.89]], having a glucometer at home [AOR=3. 02; 95% CI [1.12, 8.12]], attitude regarding diabetes mellitus [AOR = 2.36 CI [1.26, 4.39]], being governmental employee [AOR=5. 19, 95% CI [1.63, 16.58]] and being divorced [AOR = 0.13, 95% CI [0.32, 0.53]] were found significantly associated with good hypoglycemia prevention practice. Conclusion Around two third of the study participants were found to have good hypoglycemia prevention practice. Good knowledge and favorable attitude toward diabetes mellitus, having glucometer at home, being governmental employee and divorced were found to be the predictors of good hypoglycemia prevention practice.

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Psychiatric Disorders in Diabetic Patients in Rafsanjan

Psychological Disorders and Research ◽

10.31487/j.pdr.2021.01.02 ◽

2021 ◽

pp. 1-4

Author(s):

Reza Bidaki ◽

Parvin Agha Mohamad Hasani ◽

Maryam Alireza Zade ◽

Rezvan Sadr Mohammadi ◽

Reza Bidaki ◽

...

Keyword(s):

Psychiatric Disorders ◽

Common Mental Disorders ◽

Risk Groups ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Demographic Questionnaire ◽

Patients With Diabetes ◽

Diabetes Center

Objective: To determine prevalence rates, associated features, and risk factors for psychiatric disorders subsequent to the diagnosis of IDDM. Methods: In this cross-sectional study were been selected 100 randomly who referred to Rafsanjan Diabetes Center. The data of this study is gathered demographic questionnaire and Minnesota Multi-phasic Personality Inventory (MMPI). Data was analysed with software SPSS-17. Results: 76% of the patients were female and 24% were men 45.4% of the illiterate population. The results showed hypochondriasis (22%) and schizophrenia (19%) and depression (11%) are three psychiatric disorders that patients with diabetes in high-risk groups have reported. Conclusion: The present study demonstrated that about 30-45% of patients with diabetes suffered from common mental disorders. The prevalence of some psychiatric disorders is considerable in diabetic patients in Rafsanjan.

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Dyslipidemia: A Trigger for Coronary Heart Disease in Romanian Patients with Diabetes

Metabolites ◽

10.3390/metabo10050195 ◽

2020 ◽

Vol 10 (5) ◽

pp. 195 ◽

Cited By ~ 8

Author(s):

Mihnea-Alexandru Găman ◽

Matei-Alexandru Cozma ◽

Elena-Codruța Dobrică ◽

Nicolae Bacalbașa ◽

Ovidiu Gabriel Bratu ◽

...

Keyword(s):

Gender Differences ◽

Coronary Heart Disease ◽

Heart Disease ◽

Diabetic Patients ◽

Cross Sectional ◽

Patients With Diabetes ◽

Statin Prescription ◽

And Gender ◽

Internal Medicine Clinic

Previous studies have reported age and gender disparities in the occurrence and therapeutic approach of dyslipidemia and (or) coronary heart disease (CHD) in patients with type 2 diabetes mellitus (T2DM). We aimed to investigate these differences in Romanian patients with T2DM. A cross-sectional, observational, retrospective study was conducted using the medical records of T2DM patients who attended the outpatient facility of the Internal Medicine Clinic of the Clinical Emergency Hospital of Bucharest, Romania for routine check-ups in a six-month period. We analyzed the records of 217 diabetic patients (mean age 69 ± 11 years; 51.15% women). We found no significant gender differences in the occurrence of dyslipidemia, CHD or CHD + dyslipidemia or in terms of statin prescription. However; patients aged 65 years or older were significantly more affected by dyslipidemia, CHD or CHD + dyslipidemia, versus subjects aged <65 years. Further, they were more likely to be prescribed statin therapy (p < 0.0001 for all). Statins were prescribed to 67.24% of the patients with dyslipidemia; 61.01% of the subjects with CHD; and to 91.48% of the patients who had both conditions. e recorded no gender differences in the occurrence of CHD and (or) dyslipidemia in Romanian T2DM patients. Patients aged 65 years or older had a higher prevalence of CHD and/or dyslipidemia, and were more likely to be prescribed statins, versus younger counterparts. However, many T2DM patients with CHD and (or) dyslipidemia were undertreated: Nearly 33% of the subjects with dyslipidemia, and nearly 40% of the ones with CHD were not prescribed statins.

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Prevalence of Depression and Associated Factors among Diabetic Patients in an Outpatient Diabetes Clinic

Psychiatry Journal ◽

10.1155/2019/2083196 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 8

Author(s):

Zahra D. Khan ◽

Janet Lutale ◽

Sibtain M. Moledina

Keyword(s):

Associated Factors ◽

Diabetic Patients ◽

Mild Depression ◽

Diabetes Clinic ◽

Cross Sectional ◽

Adequate Treatment ◽

Moderate Depression ◽

Prevalence Of Depression ◽

Patients With Diabetes ◽

Diabetes Patients

Despite adequate treatment for diabetes, it is estimated that 15%- 20% of people with diabetes are struggling with a moderate to severe form of depression daily. Little is known about depression in diabetes in East Africa, particularly in Tanzania. The study is aimed at determining the prevalence of depression and associated factors among patients with diabetes. A descriptive cross-sectional study was carried out at the diabetes clinic of Muhimbili National Hospital. The 9-item Patient Health Questionnaire (PHQ 9) scale was used to assess presence of depressive symptoms among diabetes patients at the clinic. In addition, patient’s sociodemographic and clinical characteristics were obtained and analysed for their association with depression. A total of 353 participants were recruited, of whom 229 (64.9%) patients were female and 156 (44.2%) were aged between 41 and 60 years. The overall prevalence of depression among diabetes patients at the diabetes clinic was 87%. Most (56.7%) had minimal depression, 22.1% had mild depression, and 8.2% had moderate depression. None had severe depression. Factors independently associated with a diagnosis of mild to moderate depression were being on insulin therapy and being a current smoker. There was a high prevalence of depression in this diabetic population. Majority of patients had minimal depression but about 30% had either mild or moderate depression. A holistic approach that focuses on the identification and management of depression among patients with diabetes is recommended.

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Extremely high-dose insulin requirement in a diabetic patient with COVID-19: a case report

BMC Endocrine Disorders ◽

10.1186/s12902-020-00632-2 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

François R. Jornayvaz ◽

Benjamin Assouline ◽

Jérôme Pugin ◽

Karim Gariani

Keyword(s):

Type 2 Diabetes ◽

Diabetic Patient ◽

Insulin Requirement ◽

Diabetic Patients ◽

High Dose ◽

Intravenous Insulin ◽

Patients With Diabetes ◽

Mechanical Ventilation Support ◽

High Insulin

Abstract Background Detailed description of hyperglycemia management in diabetic patients infected with SARS-CoV-2 remain limited, although patients with diabetes show higher complication and mortality rate than patients without diabetes. Transient non-severe increased insulin requirement in patients hospitalized for medical conditions such as sepsis or myocardial infarction is a well-known phenomenon. However, extremely high-dose insulin requirement remains a very rarely reported entity. Here, we report the case of an extreme and transitory insulin requirement episode in a type 2 diabetic patient presenting an acute respiratory distress syndrome caused by SARS-CoV-2. Case presentation A 57-year-old man resident in Geneva, Switzerland, previously known for type 2 diabetes for 3 years was admitted for an aggravation of his dyspnea. His type 2 diabetes was treated only with metformin and his latest Hb1Ac was 6.1%. Chest CT SCAN showed a bilateral multilobar ground-glass opacification. Twenty-four hours after his admission he presented a worsening of dyspnea and severe hypoxemia requiring a transfer to the intensive care unit rapidly followed by oro-tracheal intubation for mechanical ventilation support. A bronchoalveolar lavage was performed and test of SARS-CoV-2 by RT-qPCR assay was positive. At day 3, he presented a rapidly progressive insulin requirement at a rate of up to 50 units/hour intravenous insulin aspart. Despite the high insulin doses, he maintained an elevated plasma glucose level at 270 mg/dL on average. His extremely high-dose insulin requirement “resolved” at day 9, and the insulin infusion rate was rapidly reduced. Conclusions This case may reflect a specific and profound impact of SARS-CoV-2 on metabolic homeostasis, in particular in diabetic patients that appear more prone to complications of COVID-19 infection. Yet, the mechanisms behind this remain to be elucidated. The optimal management of hyperglycemia of diabetic patients infected with SARS-CoV-2 has yet not be defined, however insulin remain the mainstay of treatment approach. Report of extreme dysregulation of chronic conditions such as diabetes in patients with COVID-19 may help clinicians to better take care of patients during the pandemic of SARS-CoV-2. To the best of our knowledge this is the first description of extremely high-dose insulin requirement in patient with COVID-19.

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Adherence of Patients with Diabetes to a Lifestyle Advice and Management Plan in Basra, Southern Iraq

International Journal of Diabetes and Metabolism ◽

10.1159/000500915 ◽

2019 ◽

Vol 25 (3-4) ◽

pp. 100-105 ◽

Cited By ~ 3

Author(s):

Rawnaq Adil Aladhab ◽

Majid Hameed Alabbood

Keyword(s):

Management Plan ◽

Cross Sectional Study ◽

Complex Problem ◽

Common Reason ◽

Diabetic Patients ◽

Lifestyle Advice ◽

Cross Sectional ◽

Adherence To Medication ◽

Patients With Diabetes ◽

Southern Iraq

Background: Poor adherence to treatment regimens is a complex problem, especially for those with chronic illnesses. Noncompliance is believed to be the most common reason for treatment failure in diabetic patients, leading to the absence of metabolic control and accelerating disease-related complications. Data on the adherence of people with diabetes in Iraq are lacking. Objectives: The purpose of this study was to measure the rate of adherence among Iraqi patients with diabetes. Methods: This was a cross-sectional study conducted in the Specialized Endocrine and Diabetes Center in Basra, southern Iraq, during the period from June to August 2018. Data were collected by completing an interviewing questionnaire consisting of 13 questions. Results: A total of 231 patients were included in the study (54.5% were female). Mean age was 51.85 ± 13.55 years. 65.4% of the participants were taking their medications at the right times. The most common reason for not taking their medication (48.8%) was difficulty in remembering the dosage times. 40.7% of the participants were sedentary. Only one-third of the patients followed their doctors’ instructions regarding diet. Conclusions: The rate of adherence to medication regimens and lifestyle advice was unsatisfactory in this study group. The awareness of diabetic patients and their caring physicians about the importance of adherence to therapy, exercise, and diet should be emphasized.

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