Journal of Social Health and Diabetes最新文献

{"title":"Living with Diabetes: A Woman’s Perspective","authors":"B. Kalra","doi":"10.1055/s-0039-3400214","DOIUrl":"https://doi.org/10.1055/s-0039-3400214","url":null,"abstract":"","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132047288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equipoise Is a Slippery Eel","authors":"Sanjay Kalra","doi":"10.1055/s-0039-3400213","DOIUrl":"https://doi.org/10.1055/s-0039-3400213","url":null,"abstract":"The word “equipoise” is a versatile one. Used as a noun, it implies a “balance of forces or interests,” or a “counterbalance or balancing force.” As a verb, it is used to convey the act of balancing or counterbalancing.1 The use of this word, however, has fallen dramatically over the past century. Is this because the concept of equipoise is difficult to achieve? In this editorial, we enumerate and discuss the domains of equipoise, as related to diabetes care (►Table 1), and wonder if equipoise will always be a slippery eel.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128153105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Clinical Inertia in Diabetes","authors":"Raveendran Arkiath Veettil","doi":"10.1055/s-0039-1694300","DOIUrl":"https://doi.org/10.1055/s-0039-1694300","url":null,"abstract":"Abstract Clinical inertia is common in the management of asymptomatic chronic disease such as diabetes, hypertension, and dyslipidemia. In case of diabetes, it exists in all stages of management of diabetes. It can be at population level or at patient level. In addition to assessment of glycemic control with blood glucose and hemoglobin A1C (HbA1C) monitoring, emerging concepts such as “glycemic variability” and “time in range” are increasingly used. Inability to reduce “glycemic variability” and attain “time in range” targets also contributes to clinical inertia.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123725923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incorporating Spiritual Healing into Modern Medicine","authors":"Rashmi Aggarwal, Hemant Aggarwal","doi":"10.1055/S-0039-1692329","DOIUrl":"https://doi.org/10.1055/S-0039-1692329","url":null,"abstract":"There is ample evidence in medical literature today that suggests that cognitive therapies may be more effective, if they take into account the spiritual belief of the patient. D’Souza and Rodrigo conducted a randomized control trial and concluded that spiritually augmented cognitive behavior therapy was more effective in those patients who rated spirituality as important or very important.5 Recognizing and addressing the spiritual concern of the patients is crucial for imparting holistic health care to our patients. Incorporating spiritual care in our medical curriculum The onset of 21st century has seen a surge in spiritual awareness among people across the globe. Spirituality plays an important role in holistic management of patients suffering from all kinds of illnesses, especially terminal illnesses like cancer. It has been observed that patients whose spiritual needs have been truly addressed by their treating health care professional show a better quality of life and also experience greater well-being especially those suffering from malignancy.1 Spiritual dimension of patient: Alternative medical care in Eastern countries especially in India and neighboring countries like China, Tibet, Sri Lanka, Burma, and Nepal are usually based on spirituality and religiosity. However, in Western countries, the medical care usually revolves around physical well-being of the patient, where the spiritual aspect is not being taken care of. But lately, the Western world has also realized the usefulness of spirituality in maintaining human health and well-being. About 75% of American medical universities, as part of their curriculum, have included spiritual care in their medical courses. In Germany, several medical schools offer course in spiritual care.2 Health care professional should devote some time listening to the spiritual beliefs of their patients. So including spiritual training in medical curriculum would empower the young budding doctors to provide holistic care to the patients. Health has physical, mental, and social dimension as well. While imparting care to our patients, we must consider their spiritual dimensions as well. So if we ignore the spiritual dimensions, we may not be able to heal the person completely.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129400621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Hindi Pentad of V: Vijay over Diabetes","authors":"B. Kalra, Hans Raj Kalra, N. Aggarwal, Shrimant Kumar Sahoo","doi":"10.1055/S-0039-1683463","DOIUrl":"https://doi.org/10.1055/S-0039-1683463","url":null,"abstract":"","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125407993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic Vipaka","authors":"D. Abeyaratne, G. Priya, S. Kalra, T. Aye, M. Aung, M. Sumanatilleke","doi":"10.1055/s-0039-1683468","DOIUrl":"https://doi.org/10.1055/s-0039-1683468","url":null,"abstract":"Abstract Diabetes management should focus on biopsychosocial aspects and comprehensive care. The philosophical tenets of Buddhism can be a source of inspiration for both the individual with diabetes and health care provider. Buddhism preaches the immutable relationship between action and outcomes. This has a corollary in diabetes care; optimized metabolic control in diabetes is associated with improved short- and long-term outcomes and a legacy effect. Buddhism emphasizes on maintaining a “middle path.” When applied to diabetes care, this would mean avoiding both extremes of hyperglycemia and hypoglycemia and optimization of metabolic health while minimizing treatment-emergent adverse events. Mindfulness meditation-based stress reduction strategies may further improve not only psychological health but also biophysical outcomes in diabetes and merit further research.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131856906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Social Media in Diabetes: Best Practice from Ahmedabad","authors":"Rutul Gokalani","doi":"10.1055/S-0039-1692327","DOIUrl":"https://doi.org/10.1055/S-0039-1692327","url":null,"abstract":"DOI https://doi.org/ 10.1055/s-0039-1692327 ISSN 2321-0656. ©2019 Novo Nordisk Education Foundation This letter highlights the use of social media in the treatment of diabetes, and the uses of technology that has proven beneficial in treating lifelong condition. As the world is changing, traditional health care services have been replaced by the new era of technology. Patients use Internet to stay in touch with others and also use it to share clinical information and receive the required support. In my daily practice, I have created two separate WhatsApp groups for Type 1 and Type 2 diabetes. The WhatsApp application is used as an alternative treatment to regular clinical visit. The group is open on weekends, where participants are free to ask their questions, inform their blood glucose value, or ask for any suggestions related to the disease. Persons with diabetes who are not added into the group prefer to text me their fasting and prandial values personally. To my part, I respond to their queries promptly and titrate their medicine/insulin dosage if needed. In case the condition is deteriorating, I advise them to visit clinic. Also, laboratory investigations to be performed are informed prior to the visit, thus saving time. Facebook has helped most of my adult patients living with Type 1 diabetes. I use Facebook for posting information related to diabetes and technology, physical activities, or calorie intake. These updates help as well as empower the patients to fight against this chronic disease. Facebook is used as a tool for education. This wise use of technology allows patients to gain knowledge of the disease and be in constant contact with the treating physician. I try to use this platform to treat and educate as many patients as possible. Also, diabetes is a disease where the patient has to keep an eye on food intake, mental status, and exercise, all under expert advice. All this can be done through social media now. Using the aforementioned platforms since the past one year has shown improvement in diabetes control, similar to regular clinical visits. The rising burden of diabetes has affected the economic state of individuals and families as well, as the cost of treatment is high and is mostly individually borne. If the physician tries to lessen the burden by use of technology, this can prove to be a boon for the society.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"07 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130904305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes Care in Guinea: Challenges and Solutions","authors":"A. Kake","doi":"10.1055/S-0039-1685244","DOIUrl":"https://doi.org/10.1055/S-0039-1685244","url":null,"abstract":"In Guinea, the 2009 Steps survey conducted in Conakry high-lights a prevalence of 5.6% in patients aged 25 to 64 years. Undiagnosed diabetes cases were 57.3%, and of the known cases, 68.5% were untreated. 1 Poor control of diabetes (hemo-globin A1C (HbA1C) ≥ 7%) was noted in 84% of Guinean diabetics, of whom, 41% had HbA1C ≥ 10%.2 Moreover, different studies showed that diabetes is often complicated: 20% of patients on dialysis. 2 In addition, 5% of diabetic patients seen in 2000 were blind, 2 and 10% of them sustained an amputation in the thigh in 2001. 3 Nearly one-half of men with diabetes (48.4%) surveyed in a study in 2003 showed erectile dysfunctions. 4 A study conducted in 2000 showed that 8% of patients had a stroke. 5 Cardiovascular risk factors were also noted in the 2009 Steps survey in Conakry. Hypertension was found in 33.4% of the population aged 25 to 64, 67.9% of them were not known before the study, and 87.5% of all patients with high blood pressure were not treated. In addition, 14.3% of the population had hypercholesterolemia (total cholesterol ≥190 mg/dL), 10% were smokers, and 59.3% did not","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127227002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traditional Medicine and Diabetes Care in Myanmar","authors":"T. Latt, T. Aye, Ei Sandar U., Y. Win, K. Wint, Ei Thinzar Khin","doi":"10.1055/s-0039-1692507","DOIUrl":"https://doi.org/10.1055/s-0039-1692507","url":null,"abstract":"Abstract According to the National Survey of Diabetes and Its Risk Factors conducted in 2014, Myanmar has a high burden of diabetes, as the prevalence of diabetes in adult population was 10.5% and the estimated number of adults with diabetes was 2.5 million. Diabetes care in the country is still far from satisfaction, as more than 50% of people with diabetes were unaware of their diagnosis, and access to the comprehensive diabetes care is generally available in the big cities only. Moreover, most people have to pay the cost of health care out of their own pocket, as the health insurance system and social security system are currently in their rudimentary stage. Because of these gaps in diabetes care and health financing system, a significant number of people resort to the traditional medicine, which is familiar to a significant proportion of the public and also being relatively more accessible with affordable cost. This article assesses the current situation of traditional medicine in diabetes care in Myanmar and attempts to make some suggestions to remedy the drawbacks of traditional medicine. It discusses ways to adopt an integrated approach to strengthen the practice of traditional medicine, in general, in the health care system of the country regarding the diabetes care.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123883242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telescreening of Diabetic Retinopathy","authors":"V. Bhatia","doi":"10.1055/S-0039-1683465","DOIUrl":"https://doi.org/10.1055/S-0039-1683465","url":null,"abstract":"DOI https://doi.org/ 10.1055/s-0039-1683465 ISSN 2321-0656. ©2019 Novo Nordisk Education Foundation We run a busy endocrinology program and diabetes clinic, with an average of 1,000 to 1,200 patient visits a month. Around 60 to 65% of these patients live with diabetes, and a significant number of these patients have microand macrovascular complications. While tools and resources are available to screen and diagnose most of these complications, timely diagnosis of retinal involvement has always been a challenge. One reason for this has been the need for a separate visit to an ophthalmologist’s office. This inconvenience led to a poor eye care seeking behavior, resulted in suboptimal clinical outcomes. Such a challenge is not unique to us, and it has been reported by clinicians and diabetes care providers from across the world.1,2 In an effort to overcome this barrier, we assessed and appraised various solutions for retinal examinations during a diabetes clinic visit. One of these is IRIS (Intelligent Retinal Imaging Systems, Pensacola, Florida, United States). Using this technology, a diabetes care provider is able to perform retinal examination during routine diabetes care visit. Retinal imaging can be performed by a trained paraclinical staff. Retinal pictures are populated in the electronic medical record, transmitted to designated ophthalmologists in Boston, and reported by them within 24 hours. From May of 2016 onward, we have performed 800 to 1000 scans yearly, using two cameras, one in our office and one in a primary care clinic. The following data show a highlevel overview of the current status of the IRIS Diabetic Retinal Examination program for St Vincent Endocrinology, Evansville, for the month of October 2018 (►Fig. 1): Detailed Breakdown of the Diabetic Retinopathy of the Total Number of Patients (59)","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"17 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125915515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}