Social Risk and Clinical Outcomes Among Adults With Type 2 Diabetes

JAMA Network Open, Год журнала: 2024, Номер 7(8), С. e2425996 - e2425996

Опубликована: Авг. 29, 2024

No clear process exists for categorizing social risks in a way that informs effective risk screening and intervention development.

Язык: Английский

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Meeting People Where They Are: Improving Diabetes Care and Outcomes Through Education and Collaboration

Diabetes Spectrum, Год журнала: 2025, Номер 38(1), С. 115 - 120

Опубликована: Янв. 6, 2025

Editor’s Note This article is adapted from the address Dr. Neumiller delivered as recipient of American Diabetes Association’s Outstanding Educator in Award for 2024. He June 2024 during 84th Scientific Sessions.

Язык: Английский

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The Power of Movement: Linking Physical Activity with Nutritional Health and Blood Sugar Balance in a Dalmatian Type 2 Diabetic Population

Nutrients, Год журнала: 2025, Номер 17(1), С. 187 - 187

Опубликована: Янв. 4, 2025

Background and Objectives: Regular physical activity (PA) Mediterranean diet (MeDi) adherence independently improve glycemic control clinical outcomes in type 2 diabetes mellitus (T2DM). This study examined the associations between PA, body composition (BC), MeDi adherence, Dalmatian T2DM patients. Materials Methods: A cross-sectional was conducted at University Hospital of Split (November–December 2023) during an open call for Data collected included blood/urine samples, blood pressure, BC, anthropometrics. PA were assessed via Diet Service Score International Questionnaire-Short Form. Results: Among 252 participants (median age: 67 years, IQR: 60–73; 51.6% women; median duration: 10 6–20), levels low (31.4%, N = 79), moderate (45.2%, 114), high (23.4%, 59), with uniformly across groups. Low associated higher mass index (BMI) lower phase angle (PhA). negatively correlated fat (FM; %) visceral adiposity. Positive BMI predictors FM (kg), total water, level, PhA, while fat-free mass, intracellular (%) negative predictors. The estimated glomerular filtration rate only positive predictor metabolic equivalent task score. Conclusions: enhances BC health, but inadequate limits these benefits population. To optimize glucose health outcomes, public initiatives must emphasize a combination aerobic resistance training.

Язык: Английский

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The Potential of Dietary Strategies: The Impact of Low-Carbohydrate Diet on Cardiovascular-Kidney-Metabolic Syndrome

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2025, Номер unknown

Опубликована: Янв. 3, 2025

Abstract This study aims to explore the prevalence of Low-carbohydrate diet (LCD) among individuals with cardiovascular-kidney-metabolic (CKM) syndrome and its relationship prognosis. Methods The included diagnosed CKM from National Health Nutrition Examination Survey (NHANES) database between 2009 2018. Participants were divided into two groups: those on a LCD not LCD. Multivariate logistic regression analysis was conducted assess factors influencing choice individuals. Kaplan-Meier survival curve multivariate Cox performed evaluate association risk all-cause mortality. Stratified consistency results. Results A total 866 non-CKM (stage 0) 26,989 (stages 1, 2, 3, 4) included. proportions for stages 0, 4 2.07%, 0.59%, 1.25%, 2.42%, 1.59%, respectively. indicated that age, gender, race, body mass index, diabetes status might influence revealed compared non-LCD individuals, had 61% reduced mortality (HR=0.39; 95% CI, 0.22-0.71, P=0.002). showed no interaction (P <0.05). Conclusion proportion in is relatively low. Furthermore, can reduce regardless stage.

Язык: Английский

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A data-driven machine learning algorithm to predict the effectiveness of inulin intervention against type II diabetes

Frontiers in Nutrition, Год журнала: 2025, Номер 11

Опубликована: Янв. 7, 2025

The incidence of type 2 diabetes mellitus (T2DM) has increased in recent years. Alongside traditional pharmacological treatments, nutritional therapy emerged as a crucial aspect T2DM management. Inulin, fructan-type soluble fiber that promotes the growth probiotic species like Bifidobacterium and Lactobacillus, is commonly used interventions for T2DM. However, it remains unclear which patients are suitable inulin intervention. aim this study was to predict effectiveness treatment using machine learning model. Original data were obtained from previous study. After screening patients, feature election conducted LASSO regression, model developed XGBoost. model's performance evaluated based on accuracy, specificity, positive predictive value, negative value further analyzed receiver operating curves, calibration decision curves. Out 758 included, 477 had their glycated hemoglobin (HbA1c) levels reduced less than 6.5% after intervention, resulting an rate 62.93%. regression identified six key factors prior treatment. SHAP values interpretation ranked characteristic variables descending order importance: HbA1c, difference between fasting h-postprandial glucose levels, blood glucose, high-density lipoprotein, age, body mass index. XGBoost prediction demonstrated training set accuracy 0.819, specificity 0.913, 0.818, 0.820. testing showed 0.709, 0.909, 0.705, 0.710. XGBoost-SHAP framework predicting impact intervention proves be effective. It allows comparison effect different features individual, assessment abilities individuals given features, establishes connection This offers valuable insights researchers field.

Язык: Английский

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Preparing Australian diabetes educators for practice: workforce perceptions of the credentialling pathway

BMC Medical Education, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 8, 2025

Язык: Английский

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Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(2), С. 383 - 383

Опубликована: Янв. 9, 2025

Type 1 Diabetes (T1D) is a progressive autoimmune disease often identified in childhood or adolescence, with early stages detectable through pre-diabetic markers such as autoantibodies and subclinical beta-cell dysfunction. The identification of the pre-T1D stage critical for preventing complications, diabetic ketoacidosis, enabling timely interventions that may alter progression. This review examines multifaceted approach to managing T1D risk adolescents teens, emphasizing detection, nutritional interventions, preservation strategies, psychosocial support. Screening T1D-associated offers predictive insight into risk, particularly when combined education family resources promote lifestyle adjustments. Although alone are not capable T1D, certain weight management specific choices, have shown potential preserve insulin sensitivity, reduce inflammation, mitigate metabolic strain. Pharmacological including immune-modulating drugs like teplizumab, alongside emerging regenerative cell-based therapies, offer delay onset by protecting function. social psychological impacts diagnosis also significant, affecting adolescents' quality life, dynamics, mental health. Supportive counseling, cognitive-behavioral therapy (CBT), group support, recommended emotional burden pre-diabetes. Future directions call integrating universal targeted screening programs within schools primary care, advancing research nutrition promoting policies enhance access preventive resources. Advocacy insurance coverage screening, health services crucial support families risk. By addressing these areas, healthcare systems can intervention, improve preservation, overall well-being at T1D.

Язык: Английский

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Addressing Diabetes Distress in Primary Care: Where Are We Now, and Where Do We Need to Go?

Current Diabetes Reports, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 18, 2025

Язык: Английский

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Self-Management Practices Among Adults With Diabetes in the United States: An Analysis of the 2017-2020 National Health and Nutrition Examination Survey (NHANES)

The Science of Diabetes Self-Management and Care, Год журнала: 2025, Номер unknown

Опубликована: Янв. 18, 2025

The purpose of the study was to examine extent which adults with diabetes engage in self-management practices lower their blood glucose levels and determine factors associated these engagements. analyzed data from 2017-2020 National Health Nutrition Examination Survey (NHANES). sample included 1171 ages 20 older a laboratory A1C level 6.5% or greater. statistical analyses used descriptive, chi-square, logistic regression. revealed that 36% participants insulin, 28% visited specialist yearly. Additionally, 68% took medication glucose, 65% monitored daily. Although 86% checked annually, only 14% adhered diet plan. A small percentage respondents (11%) reported engaging recreational activities at least 5 days week. engagement American is associated, varying extents, type diagnosis, status, social determinants health diabetes. recommended among United States are not fully embraced several factors. Study findings also indicated numbers undiagnosed dated-diagnosed as prediabetes continue be problem.

Язык: Английский

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Tailoring Exercise Prescription for Effective Diabetes Glucose Management

The Journal of Clinical Endocrinology & Metabolism, Год журнала: 2025, Номер unknown

Опубликована: Янв. 21, 2025

Abstract Context Physical activity, exercise, or both are a staple of lifestyle management approaches for type 1 diabetes mellitus (T1DM) and 2 (T2DM). While the current literature supports physical activity exercise improving glycemic control, reducing cardiovascular risk, maintaining proper weight, enhancing overall well-being, optimal prescription regimen remains debated. Evidence Acquisition We searched PubMed Google Scholar databases relevant studies on insulin sensitivity, control in people with T1DM T2DM. Synthesis In patients T1DM, generally improves fitness, muscle strength, glucose levels. However, limited work has evaluated effect aerobic plus resistance compared to either alone outcomes. Moreover, less research breaks sedentary behavior activity. When considering factors that may cause hypoglycemic effects during we found therapy, meal timing, neuroendocrine regulation homeostasis all important. T2DM, is recommended therapy independent weight loss. Contemporary consideration timing relative meals time day, potential medication interactions, have gained recognition as potentially novel enhance management. Conclusion is, overall, an effective treatment glycemia additional surrounding needed maximize health benefit, particularly “free-living” settings.

Язык: Английский

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