scholarly journals Glycemic Control in Diabetic Patients in Saudi Arabia: The Role of Knowledge and Self-Management - A Cross-Sectional Study

2017 ◽  
Vol 9 (12) ◽  
pp. 25
Author(s):  
Saad M. AlShareef ◽  
Abdullah A. AlWabel ◽  
Mujahed A. AlKhathlan ◽  
Ahmed A. AlKhazi ◽  
Abdulaziz K. AlMaarik ◽  
...  

INTRODUCTION: Diabetes mellitus (DM) is serious healthcare concern in Saudi Arabia, with the disease’s prevalence in the country being one of the highest worldwide. This study examines various factors which affect outcomes of patients with DM; namely, medication adherence, diabetes knowledge, self-management behaviours, and glycemic control.METHODS: This is a cross-sectional survey-based study. Participants were patients with a DM diagnosis at King Saud Medical City in Riyadh, Saudi Arabia.RESULTS: Positive associations were found between medication adherence and diabetes knowledge; self-management behaviours (glucose management and healthcare use) and diabetes knowledge; self-management behaviours (dietary control) and fasting blood glucose levels; and age and blood glucose levels (both fasting and HgA1c). No associations were found between diabetes knowledge and glycemic control; or between self-management behaviours and HgA1c levels.CONCLUSION: Having good knowledge of diabetes is associated with medication adherence and healthcare self-management. Healthcare practitioners should consider educating DM patients an integral part of the treatment process.

Author(s):  
Hamed Aminiahidashti ◽  
Touraj Assadi ◽  
Seyed Hossein Montazer ◽  
Adeleh Bahar ◽  
Mahdis Nozari ◽  
...  

Background and Purpose: Given the increasing prevalence of diabetes and its associated healthcare costs, this study aimed to identify the factors contributing to the increase in blood glucose followed by inadequate control in diabetic patients registered in the Imam Hospital in Sari. Materials and Methods: This cross-sectional descriptive study was performed on diabetic patients admitted to the emergency department suffering from increase in blood glucose (more than 200 mg/dL). Demographic, clinical, and social information were entered into the checklist, and the factors associated with the rise in blood glucose was investigated. Results: In this study, 301 diabetic patients with increase in blood glucose levels were included. Mean age was 65±10.6 years, 50.8% (153) were between 70-61 years, and lethargy with 37.9% (114 patients) had the highest cause of complaints in patients, meanwhile, 38.9% (117) of the patients had 4 visits a year by specialist. In addition, 53.8% (162) had "while at work" physical activity status and only 6.6% (20) of the patients had sportive-recreational activity. 42.2% (127) of the studied cases were also not in any type of abuse situation (clean), and 32.9% (99) of them experienced drug abuse. Among the referring patients, 51.5% were suffering hyperglycemia with infection, and 22.6% were documented to be with reduced or discontinued medication. Discussion: Based on the results, a general description of associated factors with hyperglycemia patients can be used for the prevention and treatment of these patients and the prevention of future complications.


2020 ◽  
pp. 112067212091037
Author(s):  
Nir Gomel ◽  
Irina S Barequet ◽  
Lior Lipsky ◽  
Nirit Bourla ◽  
Adi Einan-Lifshitz

Purpose: Aqueous humor glucose levels play a role in the anterior segment disorders’ pathophysiology, mainly in diabetics. Our purpose was to evaluate the ratio of aqueous humor glucose levels to blood glucose levels in diabetics and to evaluate the correlation between this ratio and blood glycated hemoglobin (HbA1c) levels. Methods: This prospective study was performed in Sheba Medical Center during 2016–2018. The study included type 2 diabetic patients admitted for elective cataract surgery. Blood glucose levels were measured immediately before surgery. HbA1c was obtained within 3 months preoperatively. At the beginning of surgery, 0.05–0.1 mL aqueous humor was drawn. Main outcome measures were aqueous humor glucose/blood glucose ratio and the correlation between HbA1c and aqueous humor glucose/blood glucose ratio. Results: Thirty-seven patients (mean age 75.2 ± 11.2 years) were recruited. The average aqueous humor glucose/blood glucose ratio was 0.69 ± 0.20. A significant positive correlation was found between aqueous humor and blood glucose levels, Pearson coefficient constant R = 0.63 (p < 0.01), and specifically stronger among older patients R = 0.89 (p < 0.01), females R = 0.74 (p < 0.01), patients with short-term disease (<10 years) R = 0.80 (p < 0.01), and patients treated with oral anti-diabetic treatment R = 0.74 (p < 0.01). A significant strong positive correlation was found between HbA1c levels and aqueous humor glucose/blood glucose ratio R = 0.62 (p < 0.01), and specifically stronger among older patients R = 0.82 (p < 0.01), males R = 0.70 (p < 0.01), patients with prolonged disease (⩾10 years) R = 0.540 (p < 0.05), and patients treated with oral anti-diabetic treatment R = 0.62 (p < 0.01). Conclusion: A significant strong correlation was found between aqueous humor glucose levels and blood glucose levels. Poor glycemic control was strongly correlated with an increased ratio, reflecting an increased anterior chamber’s glucose permeability. Older age group was found to have stronger correlation of poor glycemic control with this ratio.


2020 ◽  
Vol 16 (4) ◽  
pp. 301-312 ◽  
Author(s):  
Jyoti Singh ◽  
Prasad Rasane ◽  
Sawinder Kaur ◽  
Vikas Kumar ◽  
Kajal Dhawan ◽  
...  

Diabetes is a globally prevalent chronic metabolic disease characterized by blood glucose levels higher than the normal levels. Sugar, a common constituent of diet, is also a major factor often responsible for elevating the glucose level in diabetic patients. However, diabetic patients are more prone to eat sweets amongst the human population. Therefore, we find a popular consumption of zero or low-calorie sweeteners, both natural and artificial. But, the uses of these sweeteners have proved to be controversial. Thus, the purpose of this review was to critically analyze and highlight the considerations needed for the development of sugar-free or low-calorie products for diabetic patients. For this purpose, various measures are taken such as avoiding sugary foods, using natural nectar, artificial sweeteners, etc. It cannot be ignored that many health hazards are associated with the overconsumption of artificial sweeteners only. These sweeteners are high-risk compounds and a properly balanced consideration needs to be given while making a diet plan for diabetic patients.


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.


Author(s):  
Sylvain Mathieu ◽  
Marion Couderc ◽  
Sandrine Malochet-Guinamand ◽  
Jean-Jacques Dubost ◽  
Anne Tournadre ◽  
...  

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