Portuguese Journal of Nephrology & Hypertension,
Journal Year:
2023,
Volume and Issue:
37
Published: June 28, 2023
Chronic
kidney
disease
(CKD)
affects
more
than
10%
of
the
general
population
worldwide,
amounting
to
800
million
individuals.
Some
important
conditions
associated
with
CKD
are
hypertension,
diabetes,
dyslipidemia,
sedentary
lifestyle,
and
smoking.
According
World
Health
Organization
(WHO),
regular
physical
activity
helps
prevent
manage
non-communicable
diseases
such
as
diabetes
weight
reduction.
It
is
known
that
a
decrease
in
systolic
blood
pressure
significant
reduction
all
causes
mortality
major
cardiovascular
events.
As
far
concerned,
beyond
first-line
medication,
healthy
lifestyle
behaviours
should
be
considered,
which
included.
Training
leads
improved
skeletal
muscle
response
increased
expression
proteins
involved
glucose
metabolism
insulin
sensitivity.
Concerning
one
recommended
interventions
encompasses
noting
patients
low,
moderate,
or
high
risk,
depending
on
LDL
value,
treatment
involves
loss
its
association
pharmacotherapy.
have
some
particularities
condition
exercise
prescription
interpretation
benefits.
This
review
intended
systematize
importance
determinants.
Diabetes Care,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 24, 2024
Given
the
proven
benefits
of
screening
to
reduce
diabetic
ketoacidosis
(DKA)
likelihood
at
time
stage
3
type
1
diabetes
diagnosis,
and
emerging
availability
therapy
delay
disease
progression,
programs
are
being
increasingly
emphasized.
Once
broadly
implemented,
initiatives
will
identify
significant
numbers
islet
autoantibody-positive
(IAb+)
children
adults
who
risk
for
(confirmed
single
IAb+)
or
living
with
(multiple
early-stage
(stage
2)
diabetes.
These
individuals
need
monitoring
progression;
much
this
care
happen
in
nonspecialized
settings.
To
inform
monitoring,
JDRF,
conjunction
international
experts
societies,
developed
consensus
guidance.
Broad
advice
from
guidance
includes
following:
1)
partnerships
should
be
fostered
between
endocrinologists
primary
providers
people
IAb+;
when
IAb+
initially
identified,
there
is
a
confirmation
using
second
sample;
3)
lower
progression
than
multiple
individuals;
4)
have
periodic
medical
including
regular
assessments
glucose
levels,
education
about
symptoms
DKA,
psychosocial
support;
5)
interested
2
offered
trial
participation
approved
therapies;
6)
all
health
professionals
involved
responsibility
provide
education.
The
also
emphasizes
unmet
needs
further
research
on
increase
rigor
future
recommendations
clinical
care.
The
main
purpose
of
this
doctoral
thesis
was
to
determine
whether
the
physical
activity
(PA),
sedentary
behavior
and
fitness
were
associated
with
glycemic
control
cardiovascular
risk
factors
in
children
adolescents
T1D,
if
these
parameters
differed
from
those
apparently
healthy
peers.
In
order
fulfill
objective
answer
a
variety
questions
that
arose
during
execution
project,
series
reviews
existing
data
analyses
our
own
carried
out
reported.
Thus,
Diactive-1
Cohort
Study
gave
rise
four
studies:
First
study:
Youth
type
1
diabetes
mellitus
are
more
inactive
than
peers:
A
systematic
review
meta-analysis.
Aim:
To
conduct
meta-analysis
differences
PA,
behavior,
between
T1D
their
Conclusions:
Keeping
mind
heterogeneity
studies
design,
population
assessment,
findings
show
seem
be
less
active,
sedentary,
have
lower
CRF
levels
Second
Is
fear
hypoglycemia
major
barrier
an
active
lifestyle
diabetes?
Study.
evaluate
relationship
(FoH)
PA
metrics
T1D.
Children
FoH
had
similar
without
fear.
Our
results
therefore
suggest
may
previously
believed.
Third
Association
Between
Physical
Activity,
Sedentary
Behavior
Fitness
Glycated
Hemoglobin
Type
Diabetes:
Systematic
Review
Meta-analysis.
meta-analyze
association
A1c
Low
extensive
explain
part
variance
for
poor
youth
Fourth
Handgrip
strength,
cardiometabolic
risk,
body
composition
diabetes.
explore
handgrip
Healthy
strength
provides
significant
benefits
This
tool
could
considered
potential
clinical
value
incorporating
assessments
like
tests
monitor
intervene
regarding
health.
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(3), P. 678 - 678
Published: Jan. 21, 2025
The
global
prevalence
of
obesity
and
type
2
diabetes
mellitus
(T2D)
has
risen
in
parallel
over
recent
decades.
Most
individuals
diagnosed
with
T2D
exhibit
adiposopathy-related
(ARD),
a
condition
characterized
by
hyperglycemia
accompanied
three
core
features:
increased
ectopic
visceral
fat
deposition,
dysregulated
adipokine
secretion
favoring
pro-inflammatory
state,
insulin
resistance.
Despite
advancements
precision
medicine,
international
guidelines
for
continue
to
prioritize
individualized
therapeutic
approaches
focused
on
glycemic
control
complications,
many
healthcare
providers
predominantly
maintain
glucocentric
strategy.
This
review
advocates
an
adipocentric
treatment
paradigm
most
T2D,
emphasizing
the
importance
prioritizing
weight
loss
reduction
as
key
drivers
intensification.
By
combining
lifestyle
modifications
pharmacological
agents
that
promote
loss—including
SGLT-2
inhibitors,
GLP-1
receptor
agonists,
or
dual
GLP-1/GIP
agonists—and,
when
appropriate,
metabolic
surgery,
this
approach
offers
potential
disease
remission
patients
shorter
duration.
For
others,
it
enables
superior
compared
traditional
glucose-centered
strategies
while
simultaneously
delivering
cardiovascular
renal
benefits.
In
conclusion,
framework
ARD,
which
represents
majority
cases,
effectively
integrates
cardio-nephrocentric
goals.
constitutes
optimal
strategy
ARD
due
its
efficacy
achieving
remission,
improving
control,
addressing
obesity-related
comorbidities,
reducing
morbidity
mortality.
Diabetic Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 28, 2025
Abstract
Aims
This
study
assessed
real‐world
glycaemic
outcomes
associated
with
the
use
of
Dexcom
ONE
in
adults
suboptimally
controlled
diabetes.
Methods
In
this
single‐site
prospective
study,
type
1
(T1D)
or
2
diabetes
(T2D)
taking
two
more
insulin
injections
per
day
initiated
CGM
and
attended
follow‐up
data
collection
visits
after
3
6
months.
During
participants
received
usual
care.
Primary
outcome
was
a
change
HbA1c
at
Additional
included
participant‐reported
CGM‐derived
time
glucose
range
3.9–10
mmol/L
(TIR),
above
>10
(TAR),
below
<3.9
(TBR).
Results
There
were
110
enrolled
[T1D
(
n
=
34):
mean
age
36.6
years,
55.9%
female;
T2D
76):
54.9
38.2%
female].
Mean
significantly
decreased
from
90
mmol/mol
(10.3%)
to
79
(9.4%)
months
(∆‐12
mmol/mol,
p
<
0.001)
T1D
users
86
(10.1%)
67
(8.3%)
(∆‐18
0.001).
Perception
health
distress
improved
for
both
groups.
had
modest
improvement
TBR.
exhibited
clinically
meaningful
increase
TIR
(∆
+
9.0%).
Conclusion
Real‐world
significant
reductions
months,
along
improvements
outcomes.
also
improved,
possibility
there
being
greater
than
could
be
captured
study.
These
findings
support
expanding
access
real‐time
system.
ABSTRACT
Aims
Self‐management
education
is
recognised
as
an
essential
element
of
comprehensive
diabetes
care.
This
study
aims
to
assess
the
impact
DESMOND
(Diabetes
Education
and
Self‐Management
for
Ongoing
Newly
Diagnosed)
structured
self‐management
programme
administered
by
a
registered
dietitian
in
primary‐care
setting
on
key
clinical
indicators
(HbA1c,
weight
BMI)
participants
who
returned
locally
developed
6‐month
follow‐up
session.
Methods
A
retrospective
analysis
was
conducted
attended
6‐h
during
2018
Midwest
Ireland.
Paired
sample
t‐tests
McNemar
chi‐square
tests
were
used
any
differences
between
baseline
6
months
post‐intervention.
Results
There
66
participants,
mean
age
63
years.
At
follow‐up,
HbA1c
reduced
6.45
mmol/mol
(standard
deviation
(SD):
15.02
mmol/mol,
p
=
0.006).
The
number
below
53
cut‐off
increased
from
52%
at
71%
(
<
0.001).
reduction
1.4
kg
(SD:
4.4
kg,
0.21)
found
follow‐up.
Those
overweight
BMI
category
decreased
30.2%
26.4%,
clinically
significant
result.
Conclusion
Better
glycaemic
control
improvements
seen
among
program
supports
emerging
evidence
effectiveness
Further
research
required
determine
optimal
contact
time
frequency
sessions
order
sustain
observed
improvement
outcomes.
The Journal of Clinical Endocrinology & Metabolism,
Journal Year:
2025,
Volume and Issue:
110(Supplement_2), P. S137 - S146
Published: Feb. 25, 2025
Abstract
Context
Current
diabetes
care
and
education
programs
expert
clinical
management
guidelines
focus
on
self-care
behaviors
have
yet
to
incorporate
complementary
therapies.
Complementary
therapies,
such
as
music
therapy,
yoga,
mindfulness,
art
been
used
globally
for
centuries
positive
metabolic
glycemic
outcomes.
In
this
mini-review,
we
describe
therapies
successfully
in
diabetes,
identify
current
evidence-based
practice
gaps,
provide
recommendations
incorporating
into
care.
Evidence
Acquisition
We
thoroughly
searched
relevant
PubMed
Google
Scholar
studies
from
2004
2024.
Our
inclusion
criteria
were
trial
using
the
search
terms
“diabetes
self-management”
OR
“metabolic
outcomes”
“diabetes”
“type
of
therapy
(music
yoga
or
therapy)
population
(type
1
type
2
prediabetes,
diabetes).”
Synthesis
synthesized
evidence
determine
that
benefit
individuals
with
diabetes.
Findings
showed
support
diabetes-related
psychological
cardiometabolic
outcomes
enhance
Association
Diabetes
Care
Education
Specialists
7
Self-Care
Behaviors
self-management,
specifically
healthy
coping,
monitoring,
reducing
risks,
problem-solving.
Critical
gaps
included
lack
large-scale
randomized
controlled
trials
North
American
self-management
programs.
Conclusion
physiological
health
benefits
people
living
more
are
needed
assess
their
effectiveness
a
large
scale.
interim,
can
be
integrated
education,
adjunctive
hands-on
meet
goals.
Journal of Transcultural Nursing,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 18, 2025
Introduction:
Understanding
mental
health
in
the
context
of
type
2
diabetes
self-care
behaviors
may
lead
to
improvements
disease
prognosis,
overall
well-being,
and
delivery
services.
The
purpose
this
study
was
understand
differences
adherence
treatment
among
individuals
who
report
anxiety,
anger,
depression.
Methods:
Questionnaires
were
administered
111
with
Oxcutzcab,
Yucatan,
Mexico.
Participants
completed
State-Trait
Anxiety
Inventory,
Anger
Expression
Inventory-2,
Beck
Depression
Scale
Adherence
Diabetes
Mellitus
Type
Treatment.
Results:
Independent-samples
t
-test
used
determine
mean
variables
for
variables.
Overall,
reported
levels
depression
differed
certain
adherence-related
experiences.
Discussion:
Our
results
indicate
importance
assessment
support
as
part
management
process
Yucatan.
