A Minimally Time-Consuming Method for Regular, Ongoing Outcome Assessments in a Rural Diabetes Self-Management Education and Support Program: Validation via Retrospective Pre-Post Studies DOI

Xin Zhang,

Tiaha E. McGettigan

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.

Язык: Английский

The Interconnected Complexity of Diabetes and Depression DOI
Elizabeth A. Beverly, Jeffrey S. Gonzalez

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.

Язык: Английский

Процитировано

2

Psychological and Clinical Challenges in the Management of Type 1 Diabetes during Adolescence: A Narrative Review DOI Creative Commons
Bruno Bombaci,

Arianna Torre,

Alessandro Longo

и другие.

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.

Язык: Английский

Процитировано

12

Diabetes Management in Detention Facilities: A Statement of the American Diabetes Association DOI Open Access

Daniel L. Lorber,

Nuha A. ElSayed, Raveendhara R. Bannuru

и другие.

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.).

Язык: Английский

Процитировано

9

Diabetes and obesity: the role of stress in the development of cancer DOI Creative Commons
Angelo Avogaro

Endocrine, Год журнала: 2024, Номер unknown

Опубликована: Июнь 3, 2024

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.

Язык: Английский

Процитировано

9

Hypoglycemia knowledge assessment tool — Development and validation of the Hypoglycemia Management Knowledge Scale in Taiwan DOI
Mei‐Chuan Huang, Hua‐Tsen Hsiao, Ya‐Ping Yang

и другие.

Applied Nursing Research, Год журнала: 2025, Номер unknown, С. 151916 - 151916

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

1

Effectiveness of Different Intervention Modes in Lifestyle Intervention for the Prevention of Type 2 Diabetes and the Reversion to Normoglycemia in Adults With Prediabetes: Systematic Review and Meta-Analysis of Randomized Controlled Trials DOI Creative Commons
Yachen Wang, Xin Chai, Yueqing Wang

и другие.

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.

Язык: Английский

Процитировано

1

Type 2 Diabetes DOI

Allison L. Crawford,

Neda Laiteerapong

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.

Язык: Английский

Процитировано

8

Association Between Adherence, A1C Improvement, and Type of Continuous Glucose Monitoring System in People with Type 1 Diabetes or Type 2 Diabetes Treated with Intensive Insulin Therapy DOI Creative Commons
Poorva Nemlekar, Katia Hannah, Courtney R. Green

и другие.

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.

Язык: Английский

Процитировано

6

Association between Diet Quality and Eating Behavior in Type 2 Diabetes Adults: A Cross-Sectional Study DOI Open Access

Ana Maria Gal,

Lidia Iuliana Arhire, Andreea Gherasim

и другие.

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

Язык: Английский

Процитировано

4

Promoting Resilience in Stress Management for Adolescents With Type 1 Diabetes DOI Creative Commons
Joyce P. Yi‐Frazier, Marisa E. Hilliard,

Maeve B. O’Donnell

и другие.

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

Язык: Английский

Процитировано

4