The Science of Diabetes Self-Management and Care,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 3, 2025
Purpose
The
purpose
of
this
study
was
to
introduce
and
validate
a
minimally
time-consuming
method
for
regular,
ongoing
assessments
practice-
individual-level
outcomes
in
rural
diabetes
self-management
education
support
(DSMES)
program.
Methods
involves
report
developed
within
an
electronic
health
record
system
capture
the
initial
A1C
data
patients
program
their
most
recent
at
time
is
run.
To
method’s
ability
continuously
assess
outcomes,
3
retrospective
pre-post
studies
were
conducted
over
consecutive
months:
October,
November,
December
2023.
subjects
individuals
with
type
2
or
1
who
completed
visits
during
these
months.
changes
patient
cohorts
statistical
significance
analyzed
as
practice-level
monitored
by
plotting
analyzing
data.
Results
accurately
captured
data,
enabling
analyses.
allowed
both
continuous
assessment
effectiveness
based
on
monitoring
individual
progress.
Statistically
significant
reductions
average
observed
seen
October
2023
(but
not
November)
across
combined
from
all
Data
helped
identify
may
benefit
follow-up.
Conclusions
feasible
accurate
outcome
assessments,
providing
timely
feedback
clinicians
promoting
practice
improve
outcomes.
It
also
flexible
adaptable
other
DSMES
programs.
Diabetes Spectrum,
Год журнала:
2025,
Номер
38(1), С. 23 - 31
Опубликована: Фев. 1, 2025
Diabetes
and
depression
have
a
bidirectional
relationship,
with
negative
impacts
on
glycemia,
self-care,
long-term
complications,
quality
of
life,
mortality.
This
review
highlights
key
aspects
the
interconnected
complex
relationship
between
diabetes
depression,
including
how
it
affects
health
outcomes,
duration
recurrence,
age-specific
manifestations,
recommendations
for
screening
nonpharmacological
treatment.
Children,
Год журнала:
2024,
Номер
11(9), С. 1085 - 1085
Опубликована: Сен. 4, 2024
Adolescence,
a
critical
period
of
physical
and
psychological
development,
presents
unique
challenges
in
type
1
diabetes
(T1D)
management
due
to
endocrinological
changes,
reduced
therapeutic
adherence,
elevated
susceptibility
issues
such
as
depression,
anxiety,
eating
disorders.
This
narrative
review
explores
the
impact
behavioral
factors
on
glycemic
control
adolescents
with
T1D.
We
examine
prevalence
influence
mental
health
disorders,
lifestyle
factors,
harmful
behaviors,
social
dynamics
outcomes.
Strategies
for
improving
metabolic
are
also
reviewed,
including
cognitive
therapy,
technological
devices,
educational
interventions.
The
importance
tailored
support,
family
involvement,
targeted
interventions
improve
adherence
treatment
T1D
should
be
emphasized.
Diabetes Care,
Год журнала:
2024,
Номер
47(4), С. 544 - 555
Опубликована: Март 25, 2024
This
statement
provides
guidance
for
diabetes
care
in
detention
facilities.
It
focuses
on
areas
where
the
processes
delivery
of
to
people
with
facilities
may
differ
from
those
community,
and
key
points
are
made
at
end
each
section.
Areas
emphasis,
which
inform
multiple
aspects
discussed
this
statement,
include
1)
timely
identification
or
diagnosis
treatment
needs
continuity
(at
reception/intake,
during
transfers,
upon
discharge),
2)
nutrition
physical
activity,
3)
access
management
tools
(insulin,
blood
glucose
monitoring,
tracking
data,
current
technologies,
etc.),
4)
whole
person
(self-management
education,
mental
health
support,
monitoring
addressing
long-term
complications,
specialty
care,
etc.).
Abstract
Diabesity
is
a
condition
where
an
individual
has
both
diabetes
and
obesity,
which
can
lead
to
severe
complications
including
cardiovascular
disease,
leading
cause
of
mortality.
Recently,
cancer
become
excess
hospitalizations,
obesity
are
associated
with
higher
risk
developing
several
types
cancer.
In
this
review,
we
propose
that
chronic
stress
significantly
increases
association.
Managing
challenging
as
they
significant
distress.
The
relationship
between
interconnected,
anxiety
depression
being
common
in
patients.
Cancer
diagnosis
treatment
lasting
changes
the
body’s
neuroendocrine
system,
causing
excessive
release
catecholamines
prostaglandins
patients
undergoing
surgery,
promotes
spread
other
parts
body.
Furthermore,
could
increase
diabetes,
or
both.
Journal of Medical Internet Research,
Год журнала:
2025,
Номер
27, С. e63975 - e63975
Опубликована: Янв. 29, 2025
Lifestyle
interventions
have
been
acknowledged
as
effective
strategies
for
preventing
type
2
diabetes
mellitus
(T2DM).
However,
the
accessibility
of
conventional
face-to-face
is
often
limited.
Digital
health
intervention
has
suggested
a
potential
solution
to
overcome
limitation.
Despite
this,
there
remains
significant
gap
in
understanding
effectiveness
digital
individuals
with
prediabetes,
particularly
reducing
T2DM
incidence
and
reverting
normoglycemia.
This
study
aimed
assess
different
modes
health,
face-to-face,
blended
interventions,
benefits
intervention,
facilitating
reversion
normoglycemia
adults
prediabetes
compared
usual
care.
We
conducted
comprehensive
search
9
electronic
databases,
namely
MEDLINE,
Embase,
ACP
Journal
Club,
Cochrane
Central
Register
Controlled
Trials,
Database
Systematic
Reviews,
Clinical
Answers,
Methodology
Register,
Health
Technology
Assessment,
NHS
Economic
Evaluation
through
Ovid,
from
inception
October
2024.
review
included
randomized
controlled
trials
(RCTs)
that
studied
lifestyle
prediabetes.
The
overall
effect
was
synthesized
using
random-effects
model.
I²
statistic
used
heterogeneity
across
RCTs.
performed
subgroup
analysis
explore
control
group,
which
received
From
an
initial
7868
records
retrieved
we
identified
54
articles
31
Our
showed
demonstrated
46%
risk
reduction
(risk
ratio
[RR]
0.54,
95%
CI
0.47-0.63;
I²=43%;
P<.001),
increase
(RR
1.46,
1.11-1.91;
I²=82%;
P=.006),
when
group.
On
other
hand,
were
associated
12%
0.88,
0.77-1.01;
I²=0.6%;
P=.06).
Moreover,
combining
37%
0.63,
0.49-0.81;I²<0.01%;
P<.001)
87%
1.87,
1.30-2.69;
I²=23%;
P=.001).
no
on
reversal
observed
interventions.
Face-to-face
consistently
promising
both
reductions
these
areas
not
sufficiently
proven.
Given
results,
further
research
required
provide
more
definitive
evidence
prevention
future.
PROSPERO
CRD42023414313;
https://tinyurl.com/55ac4j4n.
Annals of Internal Medicine,
Год журнала:
2024,
Номер
177(6), С. ITC81 - ITC96
Опубликована: Июнь 1, 2024
Type
2
diabetes
(T2D)
is
a
prevalent
disease
that
increases
risk
for
vascular,
renal,
and
neurologic
complications.
Prevention
treatment
of
T2D
its
complications
are
paramount.
Many
advancements
in
care
have
emerged
over
the
past
5
years,
including
increased
understanding
importance
early
intensive
glycemic
control,
mental
health,
social
determinants
healthy
eating
patterns,
continuous
glucose
monitoring,
benefits
some
drugs
preventing
cardiorenal
disease.
This
review
summarizes
evidence
supporting
prevention
treatment,
focusing
on
aspects
commonly
purview
primary
physicians.
Diabetes Therapy,
Год журнала:
2024,
Номер
15(3), С. 639 - 648
Опубликована: Янв. 30, 2024
Use
of
continuous
glucose
monitoring
(CGM)
systems
by
people
with
diabetes
is
associated
improved
glycemic
outcomes,
including
lower
glycated
hemoglobin
(A1C).
Less
known
about
adherence
to
CGM
systems,
whether
outcomes
are
impacted
levels
adherence,
or
rates
differ
between
types
systems—intermittently
scanned
(isCGM)
real-time
(rtCGM).
A
retrospective
analysis
de-identified
US
administrative
health
claims
and
linked
laboratory
data
was
conducted
using
the
Merative™
MarketScan®
Research
Database.
The
cohort
included
CGM-naïve
type
1
(T1D)
2
treated
intensive
insulin
therapy
(T2D-IIT)
who
initiated
rtCGM
isCGM
August
1,
2019
March
31,
2021
(defined
as
index
date).
Adherence
calculated
over
a
12-month
period
proportion
days
covered
(PDC)
PDC
≥
0.8
defined
adherent.
A1C
values
were
obtained
within
6
months
date.
total
7669
individuals
identified.
Subgroups
T1D
(n
=
1578),
1244),
T2D-IIT
3567),
1280).
After
12
months,
0.71
(0.30)–0.72
(0.31)
(mean(SD))
for
users
0.55
(0.34)–0.56
(0.34)
users.
adherent
(PDC
0.8)
56.8–59.7%
36.3–37.6%
Overall,
regardless
type,
odds
two
times
higher
compared
For
those
available
information
(T1D
n
213;
346),
independent
greater
reduction
in
more
reaching
targets
<
7.0%
8.0%.
T2D-IIT,
reductions
A1C,
observed
than
systems.
Nutrients,
Год журнала:
2024,
Номер
16(13), С. 2047 - 2047
Опубликована: Июнь 27, 2024
Type
2
diabetes
mellitus
(T2DM)
has
become
a
global
epidemic.
To
effectively
control
T2DM,
individuals
must
adhere
to
high-quality
diet
that
encompasses
not
only
healthy
dietary
patterns
but
also
promotes
positive
eating
behaviors.
We
conducted
cross-sectional
study
on
314
patients
with
and
we
evaluated
the
quality
examined
associations
between
behavior,
quality,
anthropometric
clinical
factors
in
T2DM
patients.
used
Diet
Quality
Index-International
Dutch
Eating
Behavior
Questionnaire
assess
characteristics.
found
women
had
significantly
higher
than
men
(61.40
vs.
58.68,
p
=
0.002)
were
more
prone
emotional
(2.00
1.53,
<
0.001)
restrained
(2.39
2.05,
0.002).
Restrained
correlated
duration
of
(r
−0.169,
0.003),
body
mass
index
0.182,
0.001),
external
glycated
hemoglobin
0.114,
0.044).
Patients
vitamin
C
adequacy
score
(β
0.117,
0.045).
External
was
positively
associated
grain
0.208,
negatively
empty-calorie
food
moderation
−0.125,
0.032).
For
eating,
−0.138,
0.017)
fruit
0.125,
0.033).
In
conclusion,
results
this
provide
valuable
insight
into
behavior
emphasize
importance
promoting
habits
for
JAMA Network Open,
Год журнала:
2024,
Номер
7(8), С. e2428287 - e2428287
Опубликована: Авг. 19, 2024
Type
1
diabetes
(T1D)
requires
demanding
self-management
health
behaviors,
and
adolescents
with
T1D
are
at
risk
for
poor
psychosocial
medical
outcomes.
Developing
resilience
skills
may
help
elevated
distress
navigate
common
stressors
achieve
positive