scholarly journals Knowledge, Attitude, and Self Care Practices Amongsts Patients WithType 2 Diabetes in Pakistan

2015 ◽  
Vol 8 (7) ◽  
pp. 1 ◽  
Author(s):  
Muhammad Umer Ahmed ◽  
Haseeb Munaf Seriwala ◽  
Syed Hasan Danish ◽  
Ali Mahmood Khan ◽  
Marya Hussain ◽  
...  

<p><strong>BACKGROUND: </strong>In this age, diabetes is one of the most prevalent, incurable diseases present. The aim of this study was to assess knowledge, attitude and self-care practicesrelated to diabetes in an urban population in Pakistan.</p><p><strong>METHODS: </strong>A cross sectional survey to assess the knowledge and practices of people with diabetes was conducted in general urbanpopulace. People with diabetes were interviewed using a structured questionnaire from which data was collected. A total of 139 diabetics were included into the study. Basic knowledge about diabetes and its complications were assessed as well as the frequency of practices such as keeping a blood glucometer at home and checking blood sugar with it.</p><p><strong>RESULTS: </strong>A total of n=139 participants fulfilling the inclusion criteria were recruited in the survey. Only 18.7% had knowledge regarding the complications of diabetes mellitus. Only 8.6% of participants checked their blood glucose levels at homeregularly, and only 4.3% visited their physiciansregularlyfor check-ups. With regard to practices, a minority attested to have changed their lifestyle and commit to basic practices in order to reduce diabetes related complications with women being more prone to changes than men.</p><p><strong>CONCLUSION: </strong>The results show that most participants had a negative attitude and very little knowledge regarding diabetes.There is a need for increased diabetes related education and for developing positive attitudes towards reduction of diabetes related complications. The Pakistani population is seen to be almost completely unprepared to fight against an increase in type 2 diabetes prevalence.</p>

2021 ◽  
Vol 99 (Supplement_1) ◽  
pp. 1-2
Author(s):  
Brian P Yeich ◽  
Rafael Ovidio Bautista Rivas ◽  
Naomi C Willard ◽  
Katherine D Vande Pol ◽  
Jenny R Morris ◽  
...  

Abstract Low blood glucose levels at the start of farrowing have been associated with increased farrowing duration and stillbirth rate. This study evaluated changes in sow blood glucose (BG) on the day of farrowing and investigated relationships between sow and litter parameters and BG. The study was carried out over 12 h from 0600h (time of last feeding) on the day sows were induced to farrow (d 115 of gestation) as a cross-sectional survey using 42 sows/gilts of which 32 farrowed. Blood samples (1.2 μL) were collected from an ear vein of each sow every 2 h from 0600 h; glucose was measured using a glucometer (Accuchek Aviva; Roche Diabetes Care, Inc., Indianapolis, IN). Sow parameters recorded included parity, body condition score (BCS: 1 = extremely thin to 5 = extremely fat), number of piglets born, total litter birth weight, and farrowing duration. Linear relationships between sow parameters and BG were developed using PROC REG of SAS. Sows that farrowed had similar (P &gt; 0.05) BG to those that did not (84.4 vs. 86.8 mg/dL; SEM 1.76). Regression relationships between sow parameters and BG were generally weak (adjusted R2 ≤ 0.20). There was no effect (P &gt; 0.05) of time after feeding, time after start of farrowing, or time interval between piglet births on BG. Average BG levels increased linearly (P &lt; 0.05) with sow BCS (7.6 mg/dL/BCS; SE 2.63) but decreased linearly (P &lt; 0.05) with sow parity (-2.5 mg/dL/litter; SE 0.96), litter size (-0.8 mg/dL/piglet; SE 0.28), litter weight (-0.06 mg/dL/kg; SE 0.26), and farrowing duration (-1.8 mg/dL/h; SE 0.82). In contrast to previous research, changes in BG from last feed to start of farrowing (which ranged from 0 to 9 h) and relationship with other sow and litter parameters were relatively limited.


2021 ◽  
Vol 99 (Supplement_1) ◽  
pp. 154-155
Author(s):  
Rafael Ovidio Bautista Rivas ◽  
Naomi C Willard ◽  
Katherine D Vande Pol ◽  
Jenny R Morris ◽  
Alicia Olivo Espinal ◽  
...  

Abstract Blood glucose levels in piglets at birth are potentially associated with survival, however, there has been limited research to quantify these and to establish any associations with piglet characteristics. This study, which evaluated the effects of a number of piglet characteristics on blood glucose levels at birth, was conducted as a cross-sectional survey involving 32 litters. Litter was the experimental unit; piglet was a sub-sample of litter. At birth, piglets were weighed and assigned a vitality score [1 = high vitality; 2 = low vitality (limited mobility and/or respiration)]. Piglets were then dried with a cellulose-based desiccant, and blood samples were collected from half of the piglets in each litter with a vitality score of 1 (n = 226) and all piglets with a vitality score of 2 (n = 7). Samples (1.2 μL) were collected from the vena subcutanea abdominis; blood glucose was measured using a glucometer (Accuchek Aviva; Roche Diabetes Care, Inc., Indianapolis, IN). Effects of piglet characteristics and relationships with blood glucose levels were analyzed using PROC MIXED, PROC GLIMMIX, and PROC REG of SAS, as appropriate. There were no effects (P &gt; 0.05) of piglet birth weight or gender on blood glucose levels. Piglets with a vitality score of 2 had higher (P &lt; 0.05) blood glucose levels than those with a score of 1. Blood glucose levels increased linearly (P &lt; 0.05) with birth order (0.8 mg/dL for each piglet increase). In conclusion, blood glucose levels at birth were higher for piglets with low compared to high vitality and for those born later in the birth order. Further research is needed to establish relationships between blood glucose levels in piglets at birth and subsequent survival.


Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 479
Author(s):  
José Thiago de Sousa ◽  
Suyanne Freire de Macêdo ◽  
Jayne Ramos Araújo Moura ◽  
Ana Roberta Vilarouca da Silva ◽  
Eduardo Emanuel Sátiro Vieira ◽  
...  

To verify characteristics related to self-care and clinical parameters in patients with type 2 diabetes mellitus. Methods: descriptive and exploratory, cross-sectional study, conducted with 173 patients assisted in 12 Family Health Units in the urban area of a city in the Northeast region of Brazil. Results: most participants (61.3%) were female, aged less than 60 years old. There were significant differences in the lower glycemic control (p = 0.014), capillary glycemia (p = 0.018) and alcohol consumption (p = 0.015) for men as well as higher central obesity indexes for women (p = 0.000). It was observed high frequency of overweight, abdominal obesity, high blood pressure, elevated blood glucose levels and insufficient levels of physical activity. Conclusion: there is the need for nursing actions aimed at improving self-care and control of the clinical parameters in these patients.


Author(s):  
Suthashini Subramaniam ◽  
Jaspaljeet Singh Dhillon ◽  
Wan Fatimah Wan Ahmad

Type 2 diabetes (T2D) is a chronic condition that can lead to many life-threatening diseases. Prediabetes is defined as a state in which blood glucose levels are elevated but not high enough to be diagnosed as diabetes. This stage can be reversible with appropriate lifestyle and dietary modifications. Existing solutions are mostly developed to deal with T2D instead of preventing it in the first place. In this study, we propose a framework to aid in the development of self-care systems to prevent T2D, which integrates behavioral change theories and techniques and offers features, such as goal setting, activity planning, and health monitoring. We then assessed the feasibility of a prediabetes self-care system designed based on the proposed framework. Quantitative and qualitative methods were adopted in evaluating i-PreventDiabetes, a prototype. Numerous aspects of the prototype were evaluated, including (1) its effectiveness in assisting individuals with prediabetes in improving their health management behaviors, (2) its effect on users’ attitudes toward diabetes prevention, (3) users’ motivation levels, (4) user acceptability of the system, and (5) user experience. Users viewed i-PreventDiabetes positively and experienced a positive change in their attitude toward their health. Diabetes prevention systems, such as i-PreventDiabetes, have the potential to increase self-care behaviors among individuals with prediabetes, enabling them to manage their lifestyle and nutrition more effectively to avert a variety of potentially fatal conditions.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Monica L. Meloh ◽  
Karel Pandelaki ◽  
Cerelia Sugeng

Abstract: Diabetes Mellitus (DM) type 2 is one of the chronic disease which related to the increased risk of cognitive decline. Uncontrolled blood glucose levels and duration of DM affect the pathophysiology of the occurrence of cognitive function disruption to DM type 2 subject. Uncontrolled blood glucose levels is HbA1c levels > 7% and cognitive function measured by using Mini Mental State Examination (MMSE). The objective of this research is to find out the relation between an uncontrolled blood glucose levels and duration of DM to cognitive function from DM type 2 subject. Methods: This research is descriptive analytic with cross sectional approach. The sampling technique used was consecutive sampling. Result: The discoveries from all the 36 samples are a mean age of 55.2; length of sustaining DM 9.0; HbA1c 9.9; and MMSE score 24.7. Pearson correlation test results obtained the relation of HbA1c with MMSE score (p=0,215 ; r=-0,212) and the relation of the duration of sustaining DM with MMSE score (p=0,237 ; r=-0,202). Conclusion: There is a negative connection between uncontrolled blood sugar level and the duration of sustaining DM with cognitive function but statistically both of them are not significant to the DM type 2 subject.Keywords: diabetes mellitus, HbA1c, length of sustaining DM, cognitive function.Abstrak: Diabetes Melitus (DM) tipe 2 adalah salah satu penyakit kronis yang berhubungan dengan peningkatan risiko penurunan kognitif. Kadar gula darah yang tidak terkontrol dan lama menderita DM, mempengaruhi patofisiologi terjadinya gangguan fungsi kognitif pada subyek DM tipe 2. Kadar gula darah yang tidak terkontrol adalah kadar HbA1c >7% dan fungsi kognitif diukur berdasarkan Mini Mental State Examination (MMSE). Tujuan penelitian ini untuk mengetahui hubungan kadar gula darah yang tidak terkontrol dan lama menderita DM dengan fungsi kognitif subyek DM tipe 2. Metode: Penelitian ini bersifat deskriptif analitik dengan pendekatan cross sectional. Teknik pengambilan sampel yang digunakan yaitu consecutive sampling. Hasil: Dari 36 sampel didapatkan rerata usia 55,2; lama menderita DM 9,0; HbA1c 9,9; dan skor MMSE 24,7. Hasil uji korelasi pearson didapatkan hubungan HbA1c dengan skor MMSE (p=0,215; r=-0,212) dan hubungan lama menderita DM dengan skor MMSE (p=0,237;r=-0,202). Simpulan: Terdapat hubungan negatif antara kadar gula darah tidak terkontrol dengan fungsi kognitif dan terdapat hubungan negatif antara lama menderita DM dengan fungsi kognitif namun secara statistik keduanya tidak bermakna pada subyek DM tipe 2.Kata kunci: diabetes melitus, HbA1c, lama menderita DM, fungsi kognitif.


2013 ◽  
Vol 15 (2) ◽  
pp. 213-219 ◽  
Author(s):  
Shu-Fang Vivienne Wu ◽  
Yi-Ching Huang ◽  
Mei-Chen Lee ◽  
Tsae-Jyy Wang ◽  
Heng-Hsin Tung ◽  
...  

2005 ◽  
Vol 31 (4) ◽  
pp. 543-554 ◽  
Author(s):  
Alexandra A. García

Purpose The purpose of this study was to examine the prevalence of diabetes-related symptoms among Mexican Americans with type 2 diabetes, their perceptions of symptom seriousness, treatments used to self-manage the symptoms, and ratings of treatment effectiveness. Methods As part of a larger descriptive correlational study conducted with 87 Mexican American adults in a southwest metropolitan area, data were collected during one-on-one interviews during outpatient visits using the Diabetes Symptom Self-care Inventory and analyzed with descriptive methods, t tests, and χ2s. Results Participants experienced 4.9 diabetes-related symptoms in a 30-day period and used a variety of treatments to self-manage the symptoms. Many of the self-management strategies were not appropriate for the most common causes of the symptoms. Few people tested their blood glucose levels in response to symptoms even though most owned glucometers. Conclusions Most people who experience diabetes symptoms used self-care to treat the symptoms, did not verify the cause of the symptom, and perceived their treatments as effective. The appropriateness of the treatments used cannot be evaluated without knowing the etiology of the symptom for a particular person and time. Clinicians must assess symptoms and their treatments to best develop effective individualized treatments.


Author(s):  
Muaath Salem Alzahrani ◽  
Navin Anand Ingle ◽  
Mansour K. Assery

Background: Student’s involvements in research activities are becoming more and more common in the current academic scenario. Both undergraduate and postgraduate are given responsibility to involve in the research activities from beginning of their student academic year. Though many universities are involving students in these activities as part of their curricular activities, training of the students to be done appropriately in such a way that every part of the research activities including research or scientific misconduct to be well informed and discussed.Methods: A cross-sectional survey was conducted among a sample of 200 dental interns and postgraduate dental students in Riyadh Elm University. Validated questionnaire was utilised which had four sections as follows: (a) demographics (b) nine questions related to knowledge of plagiarism (c) twelve questions related to positive attitude toward plagiarism and; seven questions related to negative attitude toward plagiarism; and (d) eight questions related to practice of committing plagiarism. Data was analysed using the SPSS IBM software version 23.Results: Although majority (82.6%) have heard about plagiarism, only 50.6% were familiar with instances and 45.3% were familiar with penalty of plagiarism. There is a statistically significant association between all positive attitude items and education level (p<0.05) except one. Interns showed more positive attitude and less negative attitude as compared to postgraduates.Conclusions: Though the study shows some relevant and basic knowledge among the subjects of the study, in-depth of the topic is required for the subjects so that they publish with the great pride.


e-GIGI ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Olyvia Octaviany Monoarfa ◽  
Karel Pandelaki ◽  
Christy N. Mintjelungan

Abstract: Diabetes Mellitus (DM) is a metabolic disease group with the characteristic blood glucose levels than normal (hyperglycemia) that occurs because abnormalities in insulin secretion, insulin recognized when payable disorders, or combination of both. Regular blood glucose levels cause patients uncontrolled type 2 diabetes are at greater risk for experiencing problems of oral health, including gingivitis. Purpose of this research was to know the description of gingival status in patients of type 2 diabetes at RSU GMIM Pancaran Kasih Manado. This research is an observational descriptive with cross sectional study approach. The research population is all patients of type 2 diabetes outpatient clinic Interna RSU GMIM Pancaran Kasih Manado in September 2014. The research method is by using a Consecutive sampling with a sample of 100 people. The result of this research showed that the gingival status in patients of type 2 diabetes calculated based gingival index that most occur severe gingivitis was 45 respondents (45%). The gingival status that showed the severe gingivitis in patients of type 2 diabetes based on age 17 respondents (48,6%) in the age range of 51-60 years old, based on gender that most occur in women 27 respondents (49,1%), based on duration of suffering 25 respondents (55,6%) in the age range >10 years, and based on blood glucose control (HbA1c) that most numerous in patients with poor blood glucose 30 respondents (60%). Conclusion: The gingival status in patients of type 2 diabetes most occur severe gingivitis, and recommended in patients of type 2 diabetes to improve their healthy lifestyle in order to normalize blood glucose levels so as to reduce the occurrence of diabetes, more attention and maintain oral hygiene, especially the gingival health.Keywords: gingival status, patients of type 2 diabetes.Abstrak: Diabetes Melitus (DM) adalah suatu kelompok penyakit metabolik dengan karakteristik kadar glukosa darah yang melebihi normal (hiperglikemia) yang terjadi karena kelainan sekresi insulin, gangguan kerja insulin, ataupun kombinasi dari keduanya. Kadar gula darah yang tidak terkontrol menyebabkan penderita DM tipe 2 beresiko lebih tinggi mengalami masalah kesehatan mulut, termasuk gingivitis. Penelitian ini bertujuan untuk mengetahui gambaran status gingiva pada penderita Diabetes Melitus tipe 2 di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional study. Populasi penelitian yaitu seluruh pasien DM tipe 2 rawat jalan di Poliklinik Interna Rumah Sakit Umum GMIM Pancaran Kasih Manado pada bulan September 2014. Metode penelitian yaitu Consecutive sampling dengan sampel penelitian berjumlah 100 orang. Hasil penelitian menunjukkan bahwa status gingiva yang dihitung berdasarkan indeks gingiva paling banyak menunjukkan gingivitis berat 45 subjek penelitian (45%). Status Gingiva berdasarkan umur paling banyak 17 subjek penelitian (48,6%) pada rentang umur 51–60 tahun, berdasarkan jenis kelamin paling banyak pada perempuan 27 subjek penelitian (49,1%), berdasarkan lamanya menderita paling banyak selama >10 tahun 25 subjek penelitian (55,6%), dan berdasarkan kontrol gula darah (HbA1c) paling banyak pada pasien dengan kontrol gula darah buruk (>9%) 30 subjek penelitian (60%). Simpulan: Penderita DM tipe 2 di Rumah Sakit Umum GMIM Pancaran Kasih Manado paling banyak mengalami gingivitis berat, serta disarankan bagi penderita agar lebih meningkatkan pola hidup sehat guna menormalkan kadar glukosa darah sehingga dapat mengurangi terjadinya diabetes, lebih memperhatikan dan menjaga kebersihan gigi dan mulut, terutama kesehatan gingivanya.Kata kunci: status gingiva, penderita diabetes melitus tipe 2


2021 ◽  
Vol 2 (1) ◽  
pp. 37-41
Author(s):  
Baiq Sofianti Annisa ◽  
Candra Eka Puspitasari ◽  
Siti Rahmatul Aini

Diabetes mellitus (DM) is a disorder of insulin secretion, insulin action or both, which are characterized by blood glucose levels 200 mg/dl and / or fasting blood glucose levels 126 mg/dl. In 2017 Indonesia was recorded as the sixth largest country with DM in the world. The most common classification of diabetes is type 2 DM with an incidence 90-95%. The study aimed to determine the profile of antidiabetic use in type 2 DM patients at the outpatient installation of RSUD Provinsi NTB in 2018. This study used cross sectional design retrospectively with purposive sampling method for the period January-December 2018. The results showed that in 112 patients, 195 antidiabetic agents were prescribed. The antidiabetic prescribed were metformin (33.85%), glimepirid (25.13%), aspart insulin (13.33%), insulin detemir (8.21%), pioglitazone (6.67%), insulin glargine (6.67%), glyclazide (1.54%), gliquidone (1.54%), acarbose (1.54), regular insulin (1.03%), and insulin lispro (0.51%). Overall, antidiabetic use was in accordance with the guideline recommendations. Further research is needed regarding the review of prescriptions and detailed indications in order to increase rationality of drug use, reduce morbidity and mortality and reduce medical costs.


Sign in / Sign up

Export Citation Format

Share Document