Expert Opinion on Optimizing Suboptimal Basal Insulin Titration in India: Addressing Challenges and Leveraging Digital Solutions DOI Creative Commons
Sanjay Kalra, Pramila Kalra, Kalyan Kumar Gangopadhyay

et al.

Diabetes Therapy, Journal Year: 2025, Volume and Issue: unknown

Published: May 20, 2025

Basal insulin titration is crucial for achieving optimal glycemic control in patients with type 2 diabetes mellitus (T2DM), yet many and healthcare providers encounter persistent challenges adjusting doses to meet individualized targets. In October 2024, an expert panel of digital health specialists comprising endocrinologists, diabetologists convened discuss the limitations associated suboptimal basal explore potential solutions address these issues. The discussion focused on how tools like app-based services could facilitate more effective self-management, enhance patient engagement, enable real-time communication T2DM management. panel's deliberations underscored promise technologies as one means overcome current complexities titration. By leveraging data monitoring, remote consultations, tailored treatment approaches, offer a scalable progress improving outcomes overall

Language: Английский

Assessing intention to use mobile phone–based self-management support among adults with type 2 diabetes in Saudi Arabia: A cross-sectional study DOI Creative Commons

Hind Alosaimi,

Mohammed Kanan Alshammari, Mohammed Al-Otaibi

et al.

Digital Health, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 1, 2025

The use of mobile phone technology for chronic illness self-management is growing, and it may help people with type 2 diabetes mellitus (T2DM). Innovative methods are needed to improve patient involvement disease management in the Kingdom Saudi Arabia due high incidence T2DM. purpose this study was explore how T2DM patients KSA utilizes their phones self-management. A cross-sectional conducted between April June 2025 among who were attending endocrinologists Northern Border region (Rafha Arar) Central (Riyadh) using a validated questionnaire. This included total 267 participants Nearly all (99.3%) possess cellphone, 94.8% having daily internet access. majority reported have an intention managing diabetes, 78.3% dietary planning, 79.4% physical activity 78.7% text messages as reminders. Factors such female (p = 0.008), younger age 0.001), duration <0.001) significantly associated apps diabetes. demonstrates higher inclination toward vs. face-to-face consultations. These findings highlight promising role enhancing patients, thus highlighting need targeted interventions.

Language: Английский

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0

Understanding Knowledge, Attitude, and Perception of Indian Clinicians in the Management of Resource-challenged Type 2 Diabetes Mellitus Patients in India - DESERVE India Expert Opinion: Part 1 DOI

Ambika G. Unnikrishnan,

Anupa Patel,

A. Kannan

et al.

Chronicle of Diabetes Research and Practice, Journal Year: 2025, Volume and Issue: 4(1), P. 4 - 13

Published: Jan. 1, 2025

Introduction: Type 2 diabetes mellitus (T2DM), once perceived as a condition prevalent among affluent elderly urban residents, now affects more diverse demographic, including populations from less-privileged and rural communities. While providing optimal care, clinicians face challenges, such the financial constraints of T2DM patients. This underscores urgent need for affordable interventions to enhance patient outcomes necessity comprehensive understanding clinician knowledge, attitudes, perceptions (KAPs). The aim this study was develop consensus Indian emphasize awareness access high-quality, interventional approaches effectively managing resource-challenged patients in India. Methods: A mixed method study, 590 60 subject matter experts, assessed their KAPs regarding >18 years adult (deserving) structured questionnaire gathered data on clinicians’ clinical management practices. Four days in-depth interview with experts also facilitated expert opinion development process, ensuring reliable study. Data were analyzed using SPSS Version 29, statistical significance at P < 0.05. Results: findings based responses clinicians, are significant. About 38.64% encountered 1–5 daily, while 40.33% 6–15 patients, reflecting significant load. Concerning follow-up duration, 59.10% reported 1–3 months, highlighting challenges maintaining regular follow-ups. Over 80% agreed that these struggle afford treatment often miss appointments, seeking alternative therapies due constraints, which can lead suboptimal glycemic control ( 0.001). In addition, 82.00% high cost lack resources primary reason medication non-adherence. majority “Glipizide + Metformin could be optimally used patients” panel identified lifestyle modification difficulties, psychological key issues Conclusion: Clinicians several critical issues, adopting modifications manage There is agreement prescribing low-cost glucose-lowering medications metformin glipizide combinations improve adherence resource-constrained settings.

Language: Английский

Citations

0

Effectiveness of Cognitive Behavioral Techniques for Diabetes Distress in Patients Presenting With Diabetes Related Distress at a Tertiary Care Hospital DOI Creative Commons
Sara Mahmood, Iqra Fatima,

Shahzad Alam Khan

et al.

Pakistan Journal of Health Sciences, Journal Year: 2025, Volume and Issue: unknown, P. 168 - 173

Published: Jan. 31, 2025

Diabetes-related distress is a common psychological issue among diabetic patients, often affecting their ability to manage the condition effectively. Objective: To determine effectiveness of cognitive behavioral techniques for diabetes in patients presenting with related at tertiary care hospital. Methods: This study was conducted General Medicine Department Nishtar Medical University and Hospital, Multan, hospital, over period 12 months. It Quasi Experimental Study. Sample size 64 distress, (32 each group) calculated by using sample formula comparing two proportions. Sampling technique non probability consecutive sampling. Results: The mean age experiencing diabetes-related 51.45 ± 8.34 years, an range 37 65 years. Among participants, only 20 (31.3%) had controlled diabetes, while 41 (64.1%) uncontrolled diabetes. Efficacy observed 23 (35.9%) cases. Specifically, 17 (53.1%) participants group exhibited efficacy, compared 6 (18.8%) B (P=0.004). Conclusions: findings supported management as these were found effective reliable distress. Effectiveness therapy significantly higher experimental control group.

Language: Английский

Citations

0

Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. DOI Creative Commons

Rekha Thapar,

Murali Mohan Rama Krishna Reddy,

Nithin Kumar

et al.

F1000Research, Journal Year: 2025, Volume and Issue: 12, P. 839 - 839

Published: March 18, 2025

Background The management of diabetes mellitus (DM) extends beyond clinical care, with self-care being equally important to achieve optimal treatment outcomes and prevent complications. Self-care in includes appropriate diet, regular exercise, blood glucose monitoring, medication adherence foot care. purpose the study was assess obstacles faced by patients for practices determine factors associated these obstacles. Methods A facility-based cross-sectional conducted among 107 type 2 DM aged >18 years using Diabetes Obstacles Questionnaire-30. Patients scoring a mean score >3 were considered have an obstacle. We included age, gender, socioeconomic status (SES), duration levels as regression analysis p-value <0.05 be statistically significant. Results large majority (64.5%, n = 69) our participants above 55 belonged lower (65.4%, 70). Family history present 41% (n=44) participants. median 10 (4 – 7) years. In study, two items domains: Support from friends & family (mean score: 3.73) knowledge disease 3.58). multinominal revealed SES predictive factor who could not understand information literature 0.002 (OR: 3.65, CI: 1.60-8.338). Conclusion major self-management domains support family, disease. Socioeconomic identified literature.

Language: Английский

Citations

0

Fatores Que Influenciam na Autogestão do Diabetes Mellitus e da Insulinoterapia: Revisão Integrativa da Literatura DOI Open Access
Lourena Ferreira dos Reis Campos, José Cláudio Garcia Lira Neto, Edildete Sene Pacheco

et al.

Saúde Coletiva (Barueri), Journal Year: 2025, Volume and Issue: 15(95), P. 15518 - 15551

Published: May 20, 2025

OBJETIVO: Compreender os fatores que influenciam na autogestão do diabetes Mellitus e insulinoterapia. MÉTODO: Trata-se de uma revisão integrativa da literatura, utilizando a estratégia PICo. A pesquisa embasou-se questão: “Quais são eficaz insulinoterapia em pessoas com diabetes?”. Os descritores palavras-chave foram extraídos dos Descritores Ciências Saúde. O levantamento foi realizado através Portal Periódicos Coordenação Aperfeiçoamento Pessoal Nível Superior (CAPES). RESULTADOS: mais influenciaram socioeconômicos, clínicos interpessoais. Quanto insulinoterapia, também carga cognitiva gerenciar condição, o pouco conhecimento sobre manuseio técnica aplicação insulina, dificuldade modificar comportamentos. CONCLUSÃO: Evidencia-se necessidade subsidiar recursos contribuam autogestão.

Citations

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Expert Opinion on Optimizing Suboptimal Basal Insulin Titration in India: Addressing Challenges and Leveraging Digital Solutions DOI Creative Commons
Sanjay Kalra, Pramila Kalra, Kalyan Kumar Gangopadhyay

et al.

Diabetes Therapy, Journal Year: 2025, Volume and Issue: unknown

Published: May 20, 2025

Basal insulin titration is crucial for achieving optimal glycemic control in patients with type 2 diabetes mellitus (T2DM), yet many and healthcare providers encounter persistent challenges adjusting doses to meet individualized targets. In October 2024, an expert panel of digital health specialists comprising endocrinologists, diabetologists convened discuss the limitations associated suboptimal basal explore potential solutions address these issues. The discussion focused on how tools like app-based services could facilitate more effective self-management, enhance patient engagement, enable real-time communication T2DM management. panel's deliberations underscored promise technologies as one means overcome current complexities titration. By leveraging data monitoring, remote consultations, tailored treatment approaches, offer a scalable progress improving outcomes overall

Language: Английский

Citations

0