scholarly journals Impact of Psychological Burden on Marital Life among Diabetic Patients: A Case Study of District Lodhran

2019 ◽  
Vol 1 (1) ◽  
pp. 55-65
Author(s):  
Abid Hussain ◽  
Zareen Atta Memon ◽  
Rakhshan Ahsan ◽  
Syeda Khushbakht Hussain
Keyword(s):  
Diabetes Mellitus ◽  
Marital Satisfaction ◽  
Coping Styles ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Psychological Disturbance ◽  
Psychological Burden ◽  
Patients With Diabetes ◽  
The Difference ◽  
The Impact

The study was accomplished through correlational research design. The purpose was comprised of investigating the impact of psychological burden on patients’ level of their marital life. The convenient sampling technique was utilized to approach 139 patients with diabetes mellitus as a sample. The data was collected through questionnaires as a source of measurement. The permission was taken to keep information confidential. The collected data was entered into SPPS for analysing. Inferential statistics were used to test hypothesis with the help of the following tests; linear regression and t-test for independent sample designs. The results of the study reflect that the psychological burden of diabetic patients influences their degree of marital satisfaction significantly. In addition, the difference of psychological burden (stress, depression and anxiety) and marital satisfaction was found significant with respect to demographic characteristics of the participants; gender, type of disease, education and working status. Female patients are reported with a greater level of psychological burden but they were observed with a poor degree of marital satisfaction as compared to males. Psychological burden and satisfaction associated with marital life due to diabetes was discussed as significant between working and non-working, type 1 and type 2 diabetes mellitus, and educated and uneducated patients. In the future, there is a need to investigate the coping styles as mediator between psychological disturbance and marital satisfaction.

Adjuvant Supplementation with L-Carnitine in Diabetic Population and its effects on Lipid Parameters

2021 ◽  
Vol 15 (8) ◽  
pp. 2017-2019
Author(s):  
Rao Salman Aziz ◽  
Usman Saeed ◽  
Nasim Aslam Ghumman ◽  
Muhammad Arshad ◽  
Asif Sohail ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Triglyceride Level ◽  
Clinical Care ◽  
Diabetic Patients ◽  
Healthy Population ◽  
Patients With Diabetes ◽  
Diabetic Population ◽  
Large Discount ◽  
The Impact ◽  
Lipid Parameters

Background: Diabetes is a complicated disease requires continuous clinical care, to govern blood sugar. Aim: To decides the impact of management of L carentin to diabetics at the lipid profile. Methods: This study turned into performed on 120 diabetic Patients had been decided on from endocrinology and diabetes, inside decided on standards. The Patients distributed into three Strata (1st Strata of healthy population and two Strata of patients with diabetes who were on metformin and glibenclamide, one Strata took a L carnitine in a dose of 1000 mg TDS and a Strata dealing with a placebo for a period of ninety days). Results: It is observed those who are on Lcarnitine, confirmed a large discount (p <0.05) with inside the triglyceride level, at the same time as no large adjustments had been located withinside the level of cholesterol and HDL and LDL. Conclusion: These study outcomes that management of L carentin improved profile of lipid in type-2diabetic Patients. Keyword: Dyslipidemia, Diabetes mellitus (DM), l-carnitine (LC).

PENGARUH BUERGER ALLEN EXERCISE TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS

2021 ◽  
Vol 4 (1) ◽  
pp. 90-94
Author(s):  
Pratiwi Christa Simarmata ◽  
Sari Desi Esta Ulina Sitepu ◽  
Abdi Lestari Sitepu ◽  
Ruttama Hutauruk ◽  
Rita Ayu Butar-butar
Keyword(s):  
Diabetes Mellitus ◽  
Exercise Intervention ◽  
Ankle Brachial Index ◽  
Endocrine System ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Flexion Extension ◽  
Patients With Diabetes ◽  
Quasi Experimental ◽  
The Difference

Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.

scholarly journals Relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three selected Chinese hospitals

2021 ◽  
Vol 20 (1) ◽  
pp. 183-190
Author(s):  
Haidong Luo ◽  
Yin Lin ◽  
Jia Li ◽  
Weiguo Xu
Keyword(s):  
Diabetes Mellitus ◽  
Sampling Technique ◽  
Mood Disturbance ◽  
Diabetic Patients ◽  
Inclusion Criteria ◽  
Duration Of Illness ◽  
Long Duration ◽  
Patients With Diabetes ◽  
High Level ◽  
The Relationship

Purpose: To determine the relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three hospitals in Chinese.Methods: This research utilized a quantitative and descriptive design, and included 200 diabetic patients who fulfilled the inclusion criteria for recruitment through a convenient sampling technique. The study applied Beck’s depression inventory II scale for assessment of depression, and a questionnaire for adherence to anti-diabetic medication.Results: A total of 64 (32 %) participants had diabetes for 6 to 10 years. There was a high level of adherence to anti-diabetic medication in 96 patients (48 %); 74 participants (37 %) had moderate adherence to anti-diabetic medication, while 30 patients (15 %) had low adherence. A majority of the patients (181, 90.5 %) had no depression. Six (6) patients (3 %) had mild mood disturbance, 2 patients (1 %) had borderline clinical depression, while 11patients (5.5 %) experienced moderate depression.Adherence to anti-diabetic medication was not associated with depression (p = 0.068). However, depression was associated with age ˃ 50 years (p = 0.041), female sex (p = 0.043), long duration of illness (> 5-years) (p = 0.048), and presence of one or more comorbidities (p = 0.049).Conclusion: There was no association between adherence to anti-diabetic medication and depression among diabetic patients. Keywords: Adherence to anti-diabetic medication, Beck’s depression inventory II, Depression, Diabetes mellitus

scholarly journals Macrovascular Complications in Patients with Diabetes Mellitus: Incidence and Impact on Survival in Kazakhstan

2021 ◽  
Author(s):  
Antonio Sarría-Santamera ◽  
Binur Orazumbekova ◽  
Tilektes Maulenkul ◽  
Alessandro Salustri ◽  
Natalya Glushkova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Hospital Admission ◽  
Cumulative Incidence ◽  
Hospital Admissions ◽  
Macrovascular Complications ◽  
Diabetic Patients ◽  
Lower Survival ◽  
Patients With Diabetes ◽  
The Impact

Abstract Background and aim: Diabetic patients are at an increased risk for the development of macrovascular complications such as acute myocardial infarction (AMI), stroke and lower-limb amputations (LLA). This study aimed to explore a. the incidence of hospital admission for macrovascular complications (AMI, stroke, and LLA); b. to assess the impact of hospital admission on survival in a large population with diabetes mellitus living in Kazakhstan. Materials and methods: Retrospective observational study using a nationwide anonymized electronic database of 98.469 hospitalized diabetic patients from Kazakhstan between November 2013 and December 2019. The incidence of hospital admissions for AMI, stroke and LLA were obtained to calculate their all-time cumulative incidence, and survival rate at follow-up. Results: The all-time cumulative incidence of hospital admissions was 1.30% for AMI, 1.94% for stroke and 2.94% for LLA. The incidence of macrovascular complications was statistically significantly higher in males compared to females (p-value<0.05). 29.03% of diabetic patients with AMI, 25.16% with stroke and 29.80% with LLA died during the follow-up period. Individuals with AMI had 3.58 (95% CI 3.20; 4.01) times, with stroke 3.86 (95% CI 3.52; 4.24) times and with LLA 3.63 (95% CI 3.38; 3.88) times higher hazard of 6-year death compared to diabetic patients free of these complications. The stratified survival analysis by sex indicated the lower survival in women than in men, and the lower survival in older age groups. Conclusion: The results from this study shows that cumulative incidence of AMI and stroke among diabetic patients admitted in the hospitals in Kazakhstan between 2013-2019 years was similar to the estimates from other countries, but the incidence of LLA was significantly higher in Kazakhstan. Patients with diabetes mellitus (DM) in Kazakhstan are at high risk of excess mortality if they suffer from macro-vascular complications. More research is required to explore the reasons for the high incidence of those complications, in order to propose systematic solutions for lowering the incidence and improve survival.

Relationship Between Left Atrial Strain and Malnutrition Scores in Diabetic Patients

2021 ◽  
Author(s):  
Flora Özkalaycı ◽  
Ali Karagoz ◽  
Işıl Kutlutürk Karagöz ◽  
Süleyman Çağan Efe ◽  
Erdem Türkyılmaz ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Left Atrial ◽  
Public Health Problem ◽  
Adverse Outcomes ◽  
Diabetic Patients ◽  
Left Atrial Strain ◽  
Patients With Diabetes ◽  
Atrial Strain ◽  
The Impact ◽  
Conut Score

Objectives: Malnutrition is a serious public health problem that is associated with adverse outcomes in a broad range of disease including cardiovascular disease and diabetes mellitus. Malnutrition is demonstrated to be accompanying to several disease, yet there is a lack of evidence on the impact of malnutrition on cardiac functions in patients with diabetic patients with diabetic retinopathy. Herewith our primary goal was to evaluate the relation between any degree malnutrition with left atrial strain in relevant patient group. Patients and Methods: Patients with diabetes mellitus with retinopathy, who were referred to the outpatient cardiology clinic were assessed. Those who had sinus rhythm, had no findings of significant valvular heart disease and coronary artery disease underwent to 2-dimensional speckle tracking echocardiography and assessed for malnutrition in their prior examinations were included to the study. Hundred and seventy patients met the inclusion criteria. Malnutrition scores such as CONUT score, NRI, and PNI were used to evaluate nutrition condition of the patients. Results: Thirty percent of all diabetic patients were demonstrated to have malnutrition according to the CONUT score. Left atrial conduit strain was demonstrated to decrease [ß: -7.5 (CI 95%, -10.7, -4.3 p<0.001)], Left atrial reservoir strain was demonstrated to increase [ß: 2.48(CI 95%,0.83- 4.13 p<0.03)] and Left atrial contractile strain was demonstrated to decrease [ß: -4.21(CI 95%, -2.21, -6.01 p<0.001)] in the presence of any degree malnutrition. Conclusion: In this study we have demonstrated that malnutrition is an important entity in patients with diabetes mellitus and also has a significant impact on Left atrial strain.

scholarly journals Nonadherence and Contributing Factors among Ambulatory Patients with Antidiabetic Medications in Adama Referral Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Belayneh Kefale Gelaw ◽  
Abdela Mohammed ◽  
Gobezie Temesgen Tegegne ◽  
Amsalu Degu Defersha ◽  
Muluneh Fromsa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Drug Regimen ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Diabetic Patients ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
The Difference

The objective of this study was to determine the magnitude of nonadherence and its contributing factors among diabetic patients attending the diabetic clinic in Adama Hospital.Methods.This descriptive cross-sectional study was carried out among patients with diabetes mellitus attending the diabetes mellitus clinic of Adama Referral Hospital. Every other patient was selected and data regarding their medication adherence was collected using a structured interview. Data analysis was carried out using SPSS-16.Result.The response rate from this study was 98.3%. A total of 270 patients were interviewed; 51.5% were males. A total of 68.1% of the patients included in the study were married. 14% were younger than 40 years, and 50% were between 40 and 60 years. 21.8% of the participants ascribed their nonadherence to forgetting to take their medications. Patients with duration of diabetes≤5 years (82.07%) were more compliant to their medication than those with>5 years (60.8%), which was found to be statistically significant(P=0.003). Insulin, 47%, and glibenclamide plus metformin, 43.7%, were the most commonly prescribed mono- and combination therapies, respectively. Common comorbid conditions include hypertension, 148 (54.82%), and visual impairment, 89 (32.96%). The proportion of male patients adherent to their antidiabetic medications was found to be lower than 69.78% compared to the female patients (74.81%), but the difference was not statistically significant(P>0.05).Conclusion.Most diabetic patients are currently being managed with the most effective available drugs. However the result from this study indicates that the desired blood sugar level could not be controlled and maintained adequately. This was because of poor adherence to the prescribed drug regimen and poor knowledge and practice of successful self-management.

scholarly journals Interrelationship Between 2019-nCov Receptor DPP4 and Diabetes Mellitus Targets Based on Protein Interaction Network

2021 ◽  
Author(s):  
Qian Gao ◽  
Wenjun Zhang ◽  
Tingting Li ◽  
Guojun Yang ◽  
Wei Zhu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Protein Interaction ◽  
Protein Interaction Network ◽  
Interaction Network ◽  
Final Analysis ◽  
Diabetic Patients ◽  
Patients With Diabetes ◽  
New Perspective ◽  
Novel Coronavirus ◽  
The Impact

Abstract Objective: Exploring the relationship between diabetes mellitus targets and DPP4 of the receptor of novel coronavirus (2019-nCoV) through a protein interaction network to provide new perspective for clinical medication. Methods: Diabetes mellitus targets were obtained from GeneCards database. Targets with a relevance score exceeding 20 were included, and DPP4 protein was added manually. The initial protein interaction network was obtained through String. The targets directly related to DPP4 were selected as the final analysis targets. Importing them into String again to obtain the protein interaction network. Module identification, GO analysis and KEGG pathway analysis were carried out respectively. The impact of DPP4 on the whole network was analyzed by scoring the module where it located. Results: 43 DPP4-related proteins were finally selected from the diabetes mellitus targets and three functional modules were found by the cluster analysis. Module 1 was involved in insulin secretion and glucagon signaling pathway, module 2 and module 3 were involved in signaling receptor binding. The scoring results showed that LEP and apoB in module 1 were the highest, and the scores of INS, IL6 and ALB of cross module associated proteins of module 1 were the highest.Conclusions: DPP4 is widely associated with key proteins in diabetes mellitus. COVID-19 may affect DPP4 in patients with diabetes mellitus, leading to high mortality of diabetes mellitus combined with COVID-19. DPP4 inhibitors and IL-6 antagonists can be considered to reduce the effect of COVID-19 infection on diabetic patients.

scholarly journals Teleconsultation for pediatric patients with type 1 diabetes mellitus during the COVID-19 pandemic: experience of a university hospital in Brazil

2021 ◽  
Author(s):  
Yasmin Eugênia Santana ◽  
Thais Milioni Luciano ◽  
Ana Carolina Maia Teodózio ◽  
Amanda Maria Barradas Monteiro Santana ◽  
Letícia Rodrigues Ramos ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Admission Rate ◽  
University Hospital ◽  
Diabetic Patients ◽  
Hospital Admission Rate ◽  
Patients With Diabetes ◽  
Reference Hospital ◽  
Control And Prevention ◽  
The Impact

Abstract Introduction: The SARS-CoV-2 pandemic expanded rapidly around the world in 2020 and health services needed to be reconfigured to meet the new demand and ensure the care of patients with chronic diseases. For patients with diabetes mellitus, the teleconsultation stood out as a tool for clinical management in this period. Objective: Evaluate the impact of teleconsultation on glycemic control and prevention of acute complications related to diabetes mellitus in children and adolescents treated in a reference hospital during the COVID-19 pandemic in 2020. Method: Descriptive study of data from pediatric diabetic patients who received teleconsultation between April and September 2020. Results: During this period, 143 diabetic patients were evaluated, with a median of 3.4 teleconsultations per patient in the studied period; requiring adjustment of insulin doses in 84.6% of cases. The hospital admission rate was 8,4% due to diabetic decompensation. The metabolic control (HbA1c) became worsen in 46% of the sample and improved in 37%. Conclusion: The teleconsultation promoted health care for patients with diabetes mellitus during the COVID-19 pandemic, but was not able to guarantee adequate glycemic control.

scholarly journals The impact of diabetes mellitus on postoperative morbidity in laryngeal surgery

2006 ◽  
Vol 53 (1) ◽  
pp. 51-55 ◽  
Author(s):  
M. Jovanovic ◽  
J. Perovic ◽  
A. Grubor
Keyword(s):  
Diabetes Mellitus ◽  
Total Laryngectomy ◽  
Postoperative Morbidity ◽  
Diabetic Patients ◽  
Blood Transfusions ◽  
Wound Infections ◽  
Clinical Factor ◽  
Laryngeal Surgery ◽  
Patients With Diabetes ◽  
The Impact

The main aim of this study was to analyze risk factors of postoperative morbidity after extended laryngeal surgery comparing patients with diabetes mellitus and non-diabetic patients. In retrospective study 69 patients (63 male and 6 female), who underwent partial laryngo-pharyngectomy and total laryngectomy between 2003 and 2004, were evaluated. 13 % of the total group of examined patients had concurrent diabetes, while 87% were nondiabetic patients. We performed partial laryngopharyngectomy in 39 out of 69 patients (56.5%) and total laryngectomy in 30 patients (43.5%). Secondary wound infections (88.9%) and pharyngocutaneus fistula (44.5%) had a significantly higher rate in diabetic patients (p<0.001). Among diabetics the cases with intraoperative or postoperative blood transfusions were more frequent - 44.4%(p<0.001). Diabetic patients with laryngectomy procedures had more frequently prolonged postoperative anemia (55.5%, p<0.001) and electrolitic disbalance (66.6%, p<0.001). Our results have confirmed that diabetes mellitus is an important independent general clinical factor, which increases postoperative morbidity and hospitalization time in laryngeal surgery. Our data indicate the need to make a very serious plan and clinical assessment for laryngeal surgical therapy in diabetic patients.

scholarly journals Study of anaemia in type 2 diabetes mellitus

2018 ◽  
Vol 6 (5) ◽  
pp. 1529 ◽  
Author(s):  
Deepali Kaushik ◽  
Raman Parashar ◽  
Praveen K. Malik
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Pearson Correlation ◽  
Diabetic Patients ◽  
Variable Contribution ◽  
Patients With Diabetes ◽  
Unpaired Student ◽  
The Difference

Background: Anaemia is increasingly recognized entity in the patients with diabetes mellitus and constitutes an additional burden in patients. The prevalence of anaemia in the patients with diabetes is two or three times higher than in patients with comparable renal impairment and iron stores in the general population. As India is foreseen a diabetic capital of the world, it becomes imperative to recognize co-morbidities such as anaemia at the earliest. Hence this study is being conducted with the aim to determine the prevalence and various causes of anaemia in diabetics.Methods: After obtaining informed written consent, all diabetics patients were subjected to detailed history, through clinical examination and investigation with CBC, Renal function test including creatinine clearance. The difference of mean between anaemic and non anaemic diabetic patients was evaluated by unpaired student t test. Finally, correlation between the level of haemoglobin and index of renal damage (albumin-creatinine ratio) was accessed by Pearson correlation. Statistical software of SPSS 10 ver. and EXCEL (office 9) was used to analyse the data.Results: In the present study, nearly two third patients of type 2 diabetes mellitus were anaemic. The maximum number of anaemic patients with type 2 diabetes mellitus had microcytic hypochromic type of anaemia.Conclusions: It is therefore concluded that anaemia is a prevalent finding in patients with type 2 diabetes mellitus and represents significant unrecognised burden. The anaemia may be attributed to variable contribution of iron deficiency state and chronic inflammation as result of the disease itself.

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