{"title":"Psychosocial aspects of diabetes in pregnancy","authors":"J. Sharma, R. Zangmo","doi":"10.4103/2321-0656.193993","DOIUrl":"https://doi.org/10.4103/2321-0656.193993","url":null,"abstract":"Abstract As treating physicians, we usually focus on the patient's medical condition, forgetting the impact of the illness on the psychosocial aspects of the patient's life. Patients with chronic medical illnesses usually suffer from a lot of psychosocial stress. Diabetes is one such medical condition where numerous studies focus on the physical and medical aspects, but fewer are concerned with the psychosocial experiences and needs of the patients. Transition to motherhood is a major life-changing event for all women. It brings in a big psychological impact on the woman who has to go through this transition with an added medical condition which can affect her pregnancy and also the health and well-being of the unborn child. In this article, we discuss the psychosocial issues faced by a diabetic woman going through the transition from pregnancy to motherhood.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133481325","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":"Sociodemographic and clinical characteristics of a diabetic population at a tertiary care center in Assam, India","authors":"M. Borah, R. Goswami","doi":"10.4103/2321-0656.193997","DOIUrl":"https://doi.org/10.4103/2321-0656.193997","url":null,"abstract":"Abstract Aims: To elucidate the sociodemographic and clinical characteristics of patients with type 2 diabetes mellitus (T2DM) attending a tertiary care hospital in Dibrugarh, Assam. Subjects and Methods: A total of 132 T2DM patients (74 males and 48 females) were included in the study. Patients were evaluated with detailed history, meticulous examination, and laboratory investigations and given a detailed interview questionnaire to fill out. Statistical Analysis Used: Graph Pad Prism, published by GraphPad Software, Inc., California. Results: The highest prevalence was found in the age group 41–50 years (28%). A large number of the study population (35%) was sedentary. It was observed that the body mass index was over the normal range in 42% of the study subjects. Central obesity was observed in 76 patients (58%). Only 9% of the patients had managed to achieve good glycemic control (<6.5%). In our study, 39% of the patients were taking the prescribed medications irregularly. A significant proportion of the study subjects had associated comorbidities such as hypertension (50%), obesity (42%), and dyslipidemia (37%). Fasting blood glucose, postprandial blood glucose, and glycated hemoglobin levels were elevated in both males and females. The values were higher in males, but statistically, the difference was not significant. Conclusions: The present study revealed that poor glycemic control, irregular medication intake, obesity, dyslipidemia, sedentary lifestyles, and hypertension were prevalent in T2DM patients. Hence, the overall risk profile in patients from Assam was very poor and needs improvement. These data can support health professionals' actions to effectively maintain and provide a more comprehensive approach to management of T2DM.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114307797","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}
I. Harvey, Ledric D. Sherman, Erica C. Spears, C. Ford, H. D. Green
{"title":"Social support and diabetes self-management behavior among Caribbean, Caribbean American, and African American women: A descriptive correlation study","authors":"I. Harvey, Ledric D. Sherman, Erica C. Spears, C. Ford, H. D. Green","doi":"10.4103/2321-0656.193994","DOIUrl":"https://doi.org/10.4103/2321-0656.193994","url":null,"abstract":"Abstract Background: Type-2 diabetes (T2D) is one of the most prevalent chronic and noncommunicable conditions both domestically and globally. The objective of this descriptive study was to examine how perceived social support impacted self-care management behavior among female African American and Caribbean populations. Materials and Methods: The cross-sectional study recruited 42 African American and Caribbean women diagnosed with T2D (M = 69.1, SD = 12.0). Univariate and bivariate analyses were conducted to explore the relationship between (1) demographic characteristics, (2) desired and received social support variables, and (3) self-management behaviors. Results: Caribbean women residing in the United States were more likely to follow general diet (M = 5.38, SD = 1.43) and to engage in physical activity (M = 4.31, SD = 2.39), whereas African American women were more likely to follow a specific diabetes diet (M = 3.79, SD = 1.60) and to monitor their glucose (M = 5.70, SD = 1.75). Caribbean women living in the United States Virgin Islands were more likely to follow recommended foot care procedure (M = 4.65, SD = 1.36). A negative correlation occurred between female participants exercising and the desired support in exercising. Women who reported that they desired more support with physical activity exercised less (r s= −0.34; P = 0.04). No relationship was found between foot care procedure and demographic characteristics or social support variables (i.e. desired or received). Conclusion: This study suggests directions for future studies that would examine the dynamics of social support and T2D self-management behaviors, and this study might be relevant to other Caribbean and African American communities with T2D both in North America and the Caribbean.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129381252","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":"Living with diabetes: Life story with a difference","authors":"B. Kalra, Meenakshi Thukral","doi":"10.4103/2321-0656.194002","DOIUrl":"https://doi.org/10.4103/2321-0656.194002","url":null,"abstract":"Nishant (name changed) lives in a suburb of Karnal, where his parents migrated 6 years ago in search of livelihood. The family lives in rented accommodation and does not enjoy the social support that the traditional Haryanvi village or extended family offers. While Nishant’s father works in a leather factory, his mother manages the home and her 2-year-old daughter. The family is barely able to make both ends meet, and often has to borrow money from the local moneylender at high-interest rates, to meet medical expenses.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131212019","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":"A cross-sectional survey about the prevalence of food addiction among selected type 2 diabetes subjects","authors":"T Sivapriya T, S. John, V. Kannammal","doi":"10.4103/2321-0656.193995","DOIUrl":"https://doi.org/10.4103/2321-0656.193995","url":null,"abstract":"Abstract Background: Plethora of studies has authenticated the linkage between overeating, overweight, and diabetes. Thus, this study was framed to evaluate whether diabetes subjects are food addicted which leads to overweight and thereby pave way for the development of type 2 diabetes. Methodolgy: The Yale Food Addiction Scale (YFAS) has been recommended for the assessment of addictive eating behavior. Result: The German version of the YFAS was administered to type 2 diabetes subjects (n = 100) and the results were analyzed. Item analysis revealed that out of the hundred selected diabetic subjects only 6% had food addition.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126295048","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":"Mishti copes with diabetes: Dancing","authors":"S. Kalra, Naresh Kardwal","doi":"10.4103/2321-0656.193991","DOIUrl":"https://doi.org/10.4103/2321-0656.193991","url":null,"abstract":"My favorite physical activity is dancing. I practice folk dance at least 5 times a week for about 1⁄2 h, with my friends and siblings. I begin by warming up with simple steps and then move on to vigorous movements, before cooling off with light stretching exercises. I try to practice dance forms which involve both upper limb and lower limb movements and include both large and small muscle contractions. This promotes flexibility as well as strength. Such dances also work to increase my insulin sensitivity, so that I need less insulin doses, and keep my nerves, bones, and joints fit. Dances which help me achieve this include Haryanvi folk dance and Bhangra.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116855440","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 ominous octet of “S” in noncommunicable disease","authors":"Ruchita Sharma, K. Kumar, S. Kalra","doi":"10.4103/2321-0656.194000","DOIUrl":"https://doi.org/10.4103/2321-0656.194000","url":null,"abstract":"Abstract Noncommunicable diseases (NCDs) have surpassed the infectious disorders as the major causes of morbidity and mortality worldwide. This is the first decade in the existence of humanity, where the prevalence of obesity has surpassed that of the malnutrition. Although the NCD rates have increased in developed countries, the mortality rates have reduced due to the effective management and prevention strategies. Similar trends are not seen in developing countries where the NCD-related mortality is on the rise. The risk factors for NCD are commonly encountered and require a lot of personal involvement to curb the rise. In this review, we shall discuss the common risk factors leading to the NCD and also suggest certain remedial measures. We propose the ominous octet of “S,” a constellation of risk factors starting with the letter “S,” leading to the NCD.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121054692","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":"Prevalence of diagnosed diabetes and associated risk factors: Evidence from the large-scale surveys in India","authors":"S. Akhtar, P. Dhillon","doi":"10.4103/2321-0656.194001","DOIUrl":"https://doi.org/10.4103/2321-0656.194001","url":null,"abstract":"Abstract Context: India has observed the most devastating increases in the burden of diabetes in the contemporary era. However, so far, the comparable prevalence of diabetes is only available for limited geography. Aims: The present paper provides comparable estimates of diabetes prevalence in states and districts of India and examines the associated risk factors with newly diagnosed and self-reported diabetes. Setting and Design: The study uses clinical, anthropometric, and biochemical data from District Level Household and Facility Survey (2012–2013) and Annual Health Survey (2014). Subjects and Methods: The paper analyses the information on glucose level of the blood sample and defines diabetes as per the World Health Organization (1999) criteria. It applies multinomial logistic regression to identify the risk factors of diabetes. Results: The study estimates 7% adults with diabetes in India, with a higher level in urban (9.8%) than in the rural area (5.7%), a higher proportion of males (7.1%) than females (6.8%). Widowed, older persons, and persons with high blood pressure have very high risk of both diagnosed and self-reported diabetes. Comparing to Hindus, Muslims and Christians have higher, and Sikhs have less risk of diabetes. Further, corresponding to general caste, scheduled castes, and other backward classes have a high risk of newly diagnosed but the lower risk of self-reported diabetes. Conclusions: The list of districts and states with alarming diabetes prevalence is the valuable information for further programs and research. A significant population with undiagnosed diabetes reflects an urgent need to strengthen the diagnostics at the local level and for those who need them most.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122674655","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}
Shallu Khullar, G. Kaur, Harjot Dhillon, Ritu S. Sharma, K. Mehta, Monica Singh, Puneetpal Singh
{"title":"The prevalence and predictors of cognitive impairment in type 2 diabetic population of Punjab, India","authors":"Shallu Khullar, G. Kaur, Harjot Dhillon, Ritu S. Sharma, K. Mehta, Monica Singh, Puneetpal Singh","doi":"10.4103/2321-0656.193996","DOIUrl":"https://doi.org/10.4103/2321-0656.193996","url":null,"abstract":"Abstract Background: The present cross sectional study was carried out on 516 subjects with type 2 diabetes from a tertiary health care hospital to identify the prevalence and predictors of cognitive impairment in diabetes. Materials and Methods: Cognitive impairment was tested using Mini Mental Scale Examination (MMSE), Trail making tests-A and B (TMT-A and TMT-B). Efficiency of these tests to diagnose cognitive impairment was analysed using reliability index (Cronbach's α = 0.82), which ruled out any internal inconsistency. Of the study participants, 174 (33.73%) met the criteria for cognitive impairment and 342 (66.27%) were having normal cognition. Out of 174, 156 diabetic subjects (89.65 percent) were not diagnosed for neurocognitive impairment prior participation. Results: Cognitive impairment was observed to be strongly associated with being a woman (P < 0.001), divorced or separated (P = 0.007), sedentary life style (P = 0.001), smoking (P < 0.001), drinking alcohol (P < 0.001), systolic blood pressure >120 mmHg (P = 0.003), triglycerides (TG) >150 mg/dl (P = 0.001), high density lipoprotein <40 mg/dl (P = 0.001), statin use (P = 0.009), waist hip ratio in both males and females (P = 0.001), glucose levels >125 mg/dl (P = 0.005) and duration of diabetes >2 years upto 10 years and more than 10 years (P = 0.001) in univariate testing. In multivariate logistic regression model, being a woman was an independent risk factor for cognitive decline, which is two fold higher (OR 2.00 95%CI 1.25-3.20, P = 0.004) than being a man. Other risk factors like glucose levels > 125 mg/dl, systolic blood pressure >120 mmHg, sedentary life style and duration of diabetes >10 years emerged as independent predictors of cognitive impairment in diabetes. Conclusion: In conclusion, the present study revealed that higher prevalence of cognitive impairment in diabetes is evident in population of Punjab, especially in women and majority of these patients remain undiagnosed for it.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132082859","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":"A comprehensive literature review of theories and constructs utilized in type 2 diabetes self-care management research involving African-American men","authors":"Ledric D. Sherman","doi":"10.4103/2321-0656.187995","DOIUrl":"https://doi.org/10.4103/2321-0656.187995","url":null,"abstract":"Abstract Introduction: The purpose of this study is to ascertain the extent and quality of theory and theoretical construct utilization among published empirical studies specific to self-care management research involving African-American men living with type 2 diabetes. Materials and Methods: Systematic literature review for peer-reviewed articles was performed. Articles with barriers, facilitators, masculinity, social support, mistrust, behaviors and decision making among this specific group were sought out. Results: Some studies mentioned a specific theoretical framework or model. However, 35 out of fifty studies did not report any use of theoretical framework or model. Conclusions: This paucity of theory utilization points to a breach in the quality of both qualitative and quantitative research in this area with is particular population of men. Researchers either failed to sufficiently use theory or did so but failed to specify how.","PeriodicalId":131259,"journal":{"name":"Journal of Social Health and Diabetes","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114901321","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}