scholarly journals Lifestyle Impact on Glycemic Control in Patients Diagnosed with Type 2 Diabetes

Author(s):  
Irma Aide Barranco-Cuevas ◽  
Beatriz Hitayatzy Zavaleta-García ◽  
María Del Consuelo Rodríguez-Chávez ◽  
Arturo García-Galicia ◽  
Itzel Gutierrez-Gabriel ◽  
...  

Objective: To determine the association lifestyle and glycemic control of patients with type 2 diabetes. Study Design: This is a descriptive, cross sectional study. Place and Duration of Study: This study was conducted in the Family Medicine Unit Number 55 of the Mexican Institute of Social Security in Puebla, Mexico during January to June in 2016. Methodology: A total of 275 patients in whom the lifestyle and glycemic control were correlated. A questionnaire in which the variables included gender, age, level of education, occupation, marital status, lifestyle, glycemic control and number of years since they were diagnosed with diabetes mellitus type 2 was used. Descriptive statistics and X2 was used. Results: 275 patients were included who met the inclusion criteria. Their average age was 59.7 years, the female gender prevailed with 64%. A result of X2=3.611 and P=0.05 was obtained; therefore the study was considered statistically significant, since value of P= .05 was considered statistically significant. Conclusion: There is an association between the patient’s lifestyle and glycemic control.

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251506
Author(s):  
Shambel Nigussie ◽  
Nigussie Birhan ◽  
Firehiwot Amare ◽  
Getnet Mengistu ◽  
Fuad Adem ◽  
...  

Objective To assess the rate of glycemic control and associated factors among type 2 diabetes mellitus patients at Dilchora Referral Hospital, Dire Dawa, Eastern Ethiopia. Methods A cross-sectional study was conducted from 13 May to 16 August 2019. Type 2 diabetic patients on follow up at Dilchora Referral Hospital who fulfilled the inclusion criteria of the study were included. Systematic random sampling was used to select study participants. Data was collected by a face-to-face interview and review of medical records. The primary outcome was the level of blood glucose during three consecutive visits. Poor glycemic control was defined as a blood sugar level of more than 154 mg/dL based on the average of measurements from three consecutive visits. Multivariate logistic regression analysis was used to identify determinants of glycemic control. Result A total of 394 participants responded to the interview and were included in the final analysis. The overall prevalence of poor glycemic control was 45.2% (95%CI: 40.6%-50.0%). Patients who were on oral anti-diabetic drug plus insulin had more than two times greater chance of poor glycemic control than patients on oral anti-diabetic drug alone: 2.177(95%CI:1.10–4.29). The odds of poor glycemic control in patients who did not understand the pharmacist’s instructions was two times higher than patients with good understanding of instructions 1.86(95%CI: 1.10–3.13). Patients who had poor level of practice were found to have poor glycemic control: 1.69(95% CI: 1.13–2.55). Conclusion The overall prevalence of poor glycemic control was high among type 2 diabetes patients. Oral anti-diabetic drugs in combination with insulin, lack of understanding of pharmacist’s advice, and poor practice of diabetic patients were significant factors of poor glycemic control. Pharmacists should reassure the understanding of patients before discharge during counseling. Optimization of the dose of antidiabetic medications and combination of oral hypoglycemic agents should be considered.


2020 ◽  
Author(s):  
Marjan Mohammadi ◽  
Seyyed Abolghasem Djazayeri ◽  
Asal Ataie Jafari

Abstract Background Food insecurity can increase risks of health and nutritional problems, leading to difficulties in self-care and poor glycemic control in diabetic patients. This study assessed food insecurity and its association with diabetes control and self-care in type 2 diabetes patients. Methods In this cross sectional study, 148 adults with type 2 diabetes participated. Food insecurity and self-care were determined using the 18-item USDA household food security status questionnaire and self-care (SDSCA) questionnaire. Data were analyzed using logistic and linear regression tests (SPSS 20 software). Results Thirty-seven percent of the participants were food-insecure and significantly more likely than food-secure participants to have poor glycemic control (OR = 3.02; CI: 1.45–2.65). No significant association was found between food-insecurity and overall self-care score. Conclusion Food-insecurity was directly associated with poor glycemic control in type 2 diabetes patients. Since economic status was significantly better in the food-secure group, it can be postulated that financial problems will eventually lead to poor glycemic control. Policy strategies to increase access to diabetes-appropriate foods may reduce socioeconomic inequalities in glycemic control.


SLEEP ◽  
2019 ◽  
Vol 42 (4) ◽  
Author(s):  
Chenzhao Ding ◽  
Jihui Zhang ◽  
Eric Siu Him Lau ◽  
Andrea On Yan Luk ◽  
Wing Yee So ◽  
...  

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