Journal of Social Health and Diabetes最新文献_第6页

Dietary Management of Diabetes: Focus on Ketogenic Diet 糖尿病的饮食管理:以生酮饮食为主

Journal of Social Health and Diabetes Pub Date : 2018-11-12 DOI: 10.1055/s-0038-1675675

R. Singla, Rahul Rosha, S. Kalra

引用次数: 1

Glycemic impact of intensified self monitoring of blood glucose in insulin treated subjects with type 2 diabetes mellitus 胰岛素治疗的2型糖尿病患者加强自我血糖监测对血糖的影响

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.1055/s-0038-1676194

E. Ugwu, I. Gezawa, O. Adeleye

{"title":"Glycemic impact of intensified self monitoring of blood glucose in insulin treated subjects with type 2 diabetes mellitus","authors":"E. Ugwu, I. Gezawa, O. Adeleye","doi":"10.1055/s-0038-1676194","DOIUrl":"https://doi.org/10.1055/s-0038-1676194","url":null,"abstract":"Objective:The aim of this study was to evaluate if intensified self-monitoring of blood glucose (SMBG) improves glycemic control in insulin-treated subjects with type 2 diabetes mellitus (T2DM). Methods:Ninety-six adults with stable but poorly controlled [glycated hemoglobin (HbA1c) level >7.5%] T2DM receiving twice-daily biphasic insulin were randomly assigned to either of the two groups: intensive monitors (IM) that performed SMBG at least twice daily or conventional monitors (CM) that performed SMBG at their discretionary frequency for 12 weeks. Demographic, clinical, and glycemic indices, including fasting blood glucose (FBG), postprandial glucose (PPG), and HbA1c, were compared at baseline and week 12. Results:A total of 71 subjects (25 IM and 46 CM) completed the study. Both groups had similar HbA1c at baseline. From baseline to week 12, the IM group had higher mean daily test strip usage (P <0.001), engaged in more frequent insulin dose adjustments (P <0.001), and attained greater daily insulin dosage (P = 0.002). All glycemic indices including FBG, PPG, and HbA1c improved significantly from baseline to week 12 in the IM but not in the CM group. HbA1c level declined by −1.2 ±0.4% in the IM group (P = 0.002). There was no difference in the frequency of hypoglycemia in both groups. The monthly cost of intensified SMBG was nearly four times that of conventional monitoring (P <0.001). Conclusion:Both short- and long-term glycemic control significantly improved by intensified SMBG in stable but poorly controlled insulin-treated adults with T2DM. Intensified SMBG enabled better self-titration of insulin and probably other self-care practices. This benefit, however, occurred at the expense of costs that may be difficult to sustain in resource-poor countries.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127446616","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}

引用次数: 1

Mango and diabetes 芒果和糖尿病

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.1055/s-0038-1676187

B. Kalra, L. Gupta, D. Khandelwal, Nishant Choubey

引用次数: 0

Diabetes-free life in India: Application of survival function analysis 印度无糖尿病生活:生存功能分析的应用

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.1055/s-0038-1676192

S. Singh, S. Pedgaonkar, P. Puri, J. Gupta

{"title":"Diabetes-free life in India: Application of survival function analysis","authors":"S. Singh, S. Pedgaonkar, P. Puri, J. Gupta","doi":"10.1055/s-0038-1676192","DOIUrl":"https://doi.org/10.1055/s-0038-1676192","url":null,"abstract":"Background:India being a diverse country has an assortment of various socio-economic and demographic structures. These socio-economic and demographic factors often intervene with the diabetes-free survival in any geographical region. The present study explores diabetes-free survival patterns of adult respondents with respect to various socio-economic and demographic factors in eighteen states of India with better demographic indicators. Material and Methods:The study utilizes data from the fourth round of the District Level Household and Facility Survey (DLHS) undertaken during 2012–2013. The study computes the survival functions by five year age groups followed by Peto and Pike's test for assessing the significant differences in the survival pattern between the various sub-groups in 18 states of India. Results:The study points out that the diabetes-free survival of a respondent is affected by factors such as the place of residence, sex, social group, the standard of living (wealth) index, and region of residence. Conclusions:Timely detection, screening, and treatment of non-communicable diseases, as well as palliative care, are recommended to the community for diabetes prevention. A healthy lifestyle including healthy diet, physical activity on regular basis, and avoiding tobacco needs to be promoted.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123997723","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}

引用次数: 7

Study on bacteriological profile and antibiotic susceptibility pattern in patients with diabetic foot ulcers in a tertiary care teaching hospital 某三级教学医院糖尿病足溃疡患者细菌学特征及抗生素药敏模式的研究

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.1055/s-0038-1676190

J. Shareef, S. Sunny, K. Bhagavan

{"title":"Study on bacteriological profile and antibiotic susceptibility pattern in patients with diabetic foot ulcers in a tertiary care teaching hospital","authors":"J. Shareef, S. Sunny, K. Bhagavan","doi":"10.1055/s-0038-1676190","DOIUrl":"https://doi.org/10.1055/s-0038-1676190","url":null,"abstract":"Introduction:Diabetic foot ulcer and infections are one of the major complications in diabetic patients leading to frequent hospitalization and increased mortality. Knowledge about the microbes that cause infections will be helpful for providing appropriate antimicrobial therapy. Aim:To evaluate the bacteriological profile of patients with diabetic foot ulcers and their antibiotic susceptibility pattern. Methodology:A cross-sectional study was carried out for a period of eight months in the Department of surgery in patients with diabetic foot ulcer at a tertiary care teaching hospital. Patient data relevant to the study were collected using a standard data collection form designed as per the need of the study. Details of the organisms isolated and susceptibility pattern were collected from microbiology department. Results:A total of 122 pathogens were identified from 71 patients with male (63.38%) predominance over females (36.61%). Out of the 71 patients, 38 (53.52%) patients had monomicrobial infections and 33 (46.47%) patients had polymicrobial infections. Of the total 122 organisms, 79(64.75%) organisms were found to be gram negative organisms and 43(35.24%) were gram positive. Pseudomonas aeruginosa found in 22 (18.03%) patients was the predominant pathogen isolated followed by Klebsiella pneumonia found in 18 (14.75%) patients. The gram-positive organisms isolated showed maximum susceptibility towards antibiotics Teicoplanin and Linezolid while the gram-negative organisms showed susceptibility to Imipenem, Meropenem, and Piperacillin/Tazobactum combination. Conclusion:The study showed a preponderance of gram-negative bacilli among the isolates from the diabetic foot ulcers. It is recommended that antimicrobial sensitivity testing is necessary for initiating appropriate antibiotic regimen which will help to reduce the drug resistance and minimize the healthcare costs.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115513346","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}

引用次数: 4

Diabetes and poverty: A primer for resource poor countries 糖尿病与贫困:资源贫乏国家的入门书

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.1055/s-0038-1676186

A. Shaikh, K. V. Kumar

引用次数: 4

Achievement of 3B goals among T2DM patients: An experience from Central Nepal T2DM患者实现3B目标:来自尼泊尔中部的经验

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.4103/JSHD.JSHD_29_17

H. Shrestha, Ashish Shrestha, R. Tamrakar, S. Amatya

{"title":"Achievement of 3B goals among T2DM patients: An experience from Central Nepal","authors":"H. Shrestha, Ashish Shrestha, R. Tamrakar, S. Amatya","doi":"10.4103/JSHD.JSHD_29_17","DOIUrl":"https://doi.org/10.4103/JSHD.JSHD_29_17","url":null,"abstract":"Background:Management of type 2 diabetes mellitus (T2DM) requires comprehensive control of three metabolic parameters: blood glucose, blood pressure (BP), and blood lipid commonly known as 3B. We studied the prevalence of patients reaching the 3B goals in Nepalese context. Materials and Methods:Patients aged 30 years or above who presented in Dhulikhel Hospital outpatient clinic of internal medicine department of Dhulikhel Hospital with a diagnosis of T2DM diagnosed at least for 6 months were enrolled in this cross-sectional, observational study. Patients with any major illness, surgery, or diabetic ketoacidosis in last 6 months, use of glucocorticoids, post-transplant diabetes, and gestational diabetes were excluded. The study was conducted during the period between January 2015 and June 2015. Chi-square test was used to compare qualitative variables. The nonparametric test (2 independent sample tests) was used for quantitative variables. Results:One hundred and fifty study participants had a mean age of 56 ± 11.88 years, body mass index of 23.97 4.72kg/m 2, and an HbA1c of 8.02 ± 1.78%. The proportion of patients with good glycemic control (HbA1c >7%) was 30%. Only 26% patients had achieved targets for both systolic and diastolic BP (>130/80) and 35% patients had achieved the target of LDL less than 100. In this study, 32 (21.33%) patients had control of blood glucose and blood lipid, whereas 26 (17.33%) patients had control of blood glucose and BP. Likewise, only 19 (12.67%) patients met the target of blood glucose, BP, and blood lipid control. Conclusion:Our data showed that only 13% of patients achieved the 3B goals. Our study highlights the urgent unmet need, to improve the quality of diabetes care in our center which may be a representative of the country.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123231385","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}

引用次数: 0

Diabetes distress 糖尿病困扰

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.4103/jshd.jshd_22_17

S. Kalra, Komal Verma, Y. Balhara

引用次数: 2

CDiC Textbook of Pediatric Diabetes: Book review CDiC小儿糖尿病教材:书评

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.1055/s-0038-1676188

N. Raizada

引用次数: 0

The sweet ‘truth’ of Gujarat – Gujarati diet & lifestyle and diabetogenesis 古吉拉特邦甜蜜的“真相”——古吉拉特人的饮食、生活方式和糖尿病的发生

Journal of Social Health and Diabetes Pub Date : 2018-01-01 DOI: 10.1055/S-0038-1676193

Om J. Lakhani, A. Shaikh

引用次数: 0