Health Intervention Impact Assessment on Glycemic Status of Diabetic patients

SMBG is a crucial factor in diabetes management. It offersa quick check of glycemic status, helps to identify hypoglycemia and hyperglycemia. In addition SMBG assists in clinical decision making and as such it complements HbA1c. But due to many reasons SMBG is not practiced properly and adequately. In recent years several international guidelines higllighted the importance of SMBG for diabetes management. Very few diabetic patients in Bangladesh actually perform SMBG regularly at home. The awareness of the benefits of SMBG is also low. There is no uniformity in SMBG practice among the patients as there is no local guideline to help the physicians in determining the optimum SMBG frequency for their patients. So a working guideline on SMBG is the call of the day. This article is an attempt in that direction. Exploring international guidelines and evaluating their applicability in local context a number of recommendations have been proposed.J Bangladesh Coll Phys Surg 2014; 32: 218-223

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Geological Information System of environmental and human intervention impact assessment on bodies of water of the Irkutsk region

IOP Conference Series Earth and Environmental Science ◽

10.1088/1755-1315/190/1/012027 ◽

2018 ◽

Vol 190 ◽

pp. 012027

Author(s):

I V Bychkov ◽

A S Gachenko ◽

A E Hmelnov ◽

R K Fedorov ◽

E S Fereferov

Keyword(s):

Information System ◽

Impact Assessment ◽

Human Intervention ◽

Irkutsk Region ◽

Geological Information ◽

Intervention Impact ◽

Bodies Of Water

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The Effects of Synbiotic Supplementation on Glycemic Status, Lipid Profile, and Biomarkers of Oxidative Stress in Type 1 Diabetic Patients. A Placebo-Controlled, Double-Blind, Randomized Clinical Trial

Diabetes Metabolic Syndrome and Obesity Targets and Therapy ◽

10.2147/dmso.s238867 ◽

2020 ◽

Vol Volume 13 ◽

pp. 607-617 ◽

Cited By ~ 6

Author(s):

Ahmad Zare Javid ◽

Majid Aminzadeh ◽

Mohammad Hosein Haghighi-zadeh ◽

Mona Jamalvandi

Keyword(s):

Oxidative Stress ◽

Clinical Trial ◽

Lipid Profile ◽

Diabetic Patients ◽

Glycemic Status ◽

Double Blind ◽

Synbiotic Supplementation ◽

Type 1 Diabetic Patients ◽

Biomarkers Of Oxidative Stress

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Comparison of Effectiveness between DPP4 inhibitors combined with Versus Other Oral Hypoglycaemic Agent(s) in Diabetic patients

Bangladesh Journal of Medicine ◽

10.3329/bjmed.v30i2.41532 ◽

2019 ◽

Vol 30 (2) ◽

pp. 63-70

Author(s):

Md Shameem Haidar

Keyword(s):

Type 2 Diabetes ◽

Glycemic Control ◽

Combination Group ◽

Diabetic Patients ◽

Glycemic Status ◽

Good Glycemic Control ◽

Dpp4 Inhibitor ◽

Number Of Patients ◽

Inhibitor Combination

Background: Diabetes is global health burden of disease that requires life-long pharmacological and non-pharmacological management to prevent complications such as cardiovascular disease, retinopathy, nephropathy, and neuropathy. Treatment of type 2 diabetes is based on an interplay of patient characteristics, severity of hyperglycemia and available therapeutic options. Metformin, sulfonylureas (SU) and DPP IV inhibitor are the most studied of the oral medications used worldwide. They play a prominent initial role in the type 2 diabetes treatment algorithm recommended by the several guideline. The growing evidence on new technologies and therapeutic interventions is rapidly expanding our knowledge and ability to manage diabetes and its complications; at the same time, however, it is challenge for physicians to select appropriate medication in appropriate dose for optimal patients care. Objectives: To compare the safety and efficacy of the dipeptidylpeptidase-4 (DPP-4) inhibitors combination with other oral hypoglycaemic agent(s) in patients with type 2 diabetes and inadequate glycemic control. Materials & method: Study was conducted among 600 patients over a period of 24 months. All the patients were adult male and female type 2 diabetic patients who received regular oral anti-diabetic drug(s) and duration of T2DM for one year or more were enrolled for study. Total 150 cases were selected. Patients with Type 1 DM, pregnant women with DM and who was receiving injectable antidiabetic medications were excluded from this study. Detail demographic data were collected from the informant and recorded in structured case report form. Clinical examination and relevant investigations were done. Main outcome variable was Glycemic status (HbA1C, FBG, 2HABF). Effectiveness of drugs was evaluated by glycaemic status of the patients. Result: Maximum number of patients (38.5%) was between 31-40 years age group with mean age 37.8±9.5 years. Present study shows that, for good glycemic control, all three results (FBS, 2H ABF and HbA1c) were within targeted level in majority patients of DPP4 Inhibitor combination group. Although FBS was best result in metformin group. About 51.9% of SUs group achieved the glycemic control targets level. In case of metformin group it was in 59.8% of patients, and in combined therapy 67.1% patients shows good glycemic target. So DPP4 Inhibitor combination is better medication than other to maintain good glycemic status in type 2 DM patient, due to maximum number of patients reached all three components of result within target range. Conclusion: Diabetes is chronic illness. Good glycemic control with choosing appropriate anti-diabetic medication is pivotal for DM management. In this study it is observed that DPP4 Inhibitor combination group of drug is better than other anti-diabetic medication to maintain good glycemic status in type 2 DM patients. Bangladesh J Medicine July 2019; 30(2) : 63-70

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The Youth Aware of Mental Health Intervention: Impact on Help Seeking, Mental Health Knowledge, and Stigma in U.S. Adolescents

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2020.01.006 ◽

2020 ◽

Vol 67 (1) ◽

pp. 101-107 ◽

Cited By ~ 1

Author(s):

Janet C. Lindow ◽

Jennifer L. Hughes ◽

Charles South ◽

Abu Minhajuddin ◽

Luis Gutierrez ◽

...

Keyword(s):

Mental Health ◽

Help Seeking ◽

Health Knowledge ◽

Health Intervention ◽

Mental Health Intervention ◽

Intervention Impact ◽

Mental Health Knowledge

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Does health intervention research have real world policy and practice impacts: testing a new impact assessment tool

Health Research Policy and Systems ◽

10.1186/1478-4505-13-3 ◽

2015 ◽

Vol 13 (1) ◽

Cited By ~ 39

Author(s):

Gillian Cohen ◽

Jacqueline Schroeder ◽

Robyn Newson ◽

Lesley King ◽

Lucie Rychetnik ◽

...

Keyword(s):

Impact Assessment ◽

Real World ◽

Assessment Tool ◽

Intervention Research ◽

Health Intervention ◽

Policy And Practice

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Sex-specific Prevalence of coronary heart disease among Tehranian adult population across different glycemic status: Tehran Lipid and Glucose Study, 2008-2011

10.21203/rs.2.20006/v2 ◽

2020 ◽

Author(s):

Seyyed Saeed Moazzeni ◽

Hamidreza Ghafelehbashi ◽

Mitra Hasheminia ◽

Donna Parizadeh ◽

Arash Ghanbarian ◽

...

Keyword(s):

Diabetes Mellitus ◽

Coronary Heart Disease ◽

Heart Disease ◽

Glucose Tolerance ◽

Impaired Glucose Tolerance ◽

Impaired Fasting Glucose ◽

Fasting Glucose ◽

Diabetic Patients ◽

Glycemic Status ◽

Adjusted Model

Abstract Background: Coronary heart disease (CHD) is one of the main causes of deaths. Alarmingly Iranian populations had a high rank of CHD worldwide. The current study aimed to assess the prevalence of CHD across different glycemic categories. Methods: This study was conducted on 7,718 Tehranian participants (Men=3427) aged ≥ 30 years from 2008 to 2011. They were categorized based on glycemic status. The prevalence of CHD was calculated in each group, separately. CHD was defined as hospital records adjudicated by an outcome committee. The association of different glycemic categories with CHD was calculated using multivariate logistic regression, compared with normal fasting glucose /normal glucose tolerance (NFG/NGT) group as reference. Results: The age-standardized prevalence of isolated impaired fasting glucose (iIFG), isolated impaired glucose tolerance (iIGT), both impaired fasting glucose and impaired glucose tolerance (IFG/IGT), newly diagnosed diabetes mellitus (NDM), and known diabetes mellitus (KDM) were 14.30% [95% confidence interval (CI): 13.50-15.09], 4.81% [4.32-5.29], 5.19% [4.71-5.67], 5.79% [5.29-6.28] and 7.72% [7.17-8.27], respectively. Among a total of 750 individuals diagnosed as cases of CHD (398 in men), 117 (15.6%), 453 (60.4%), and 317 (42.3%) had history of myocardial infarction (MI), cardiac procedure, and unstable angina, respectively. The age-standardized prevalence of CHD for Tehranian population was 7.71% [7.18-8.24] in total population, 8.62 [7.81-9.44] in men and 7.19 [6.46-7.93] in women. Moreover, among diabetic participants, the age-standardized prevalence of CHD were 13.10 [9.83-16.38] in men 10.67 [8.90-12.44] in women, respectively, which were significantly higher than corresponding values for NFG/NGT and prediabetic groups. Across 6 levels of glycemic status, CHD was associated with IFG/IGT [ odds ratio (OR) and 95% CI: 1.38 (1.01-1.89)], NDM [1.83 (1.40-2.41)], and KDM [2.83 (2.26-3.55)] groups, in the age and sex adjusted model. Furthermore, in the full-adjusted model, only NDM and KDM status remained to be associated with the presence of CHD by ORs of 1.40 (1.06-1.85) for NDM and 1.90 (1.50-2.41) for KDM. Conclusion: The high prevalence of CHD, especially among diabetic populations, necessitates urgent implementation of behavioral interventions among Tehranian population, according to evidence-based guidelines for the clinical management of diabetic patients.

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