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Multidisciplinary Diabetes Management and Education Strategies in the Inpatient Rehabilitation Setting. 住院康复治疗中的多学科糖尿病管理和教育策略。
Diabetes Spectrum Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0012
Christopher L Greer, Joshua J Neumiller
{"title":"Multidisciplinary Diabetes Management and Education Strategies in the Inpatient Rehabilitation Setting.","authors":"Christopher L Greer, Joshua J Neumiller","doi":"10.2337/dsi24-0012","DOIUrl":"10.2337/dsi24-0012","url":null,"abstract":"<p><p>People with diabetes receiving inpatient rehabilitation have multiple unique care needs. Although the condition, event, or disability resulting in admission to an inpatient rehabilitation facility (IRF) may not have a causal relationship with chronic conditions such as diabetes, the condition precipitating referral to IRF care may increase a person's risk for worsening cardiometabolic disease. Furthermore, diabetes management in the IRF setting may be complicated by stress hyperglycemia from illness and/or drug-induced hyperglycemia from the use of glucocorticoids or other offending medications. The availability of a multidisciplinary team of clinicians and therapists in the IRF setting holds great opportunity for development of robust diabetes care and education programs to optimize therapy, teach or reinforce diabetes self-management survival skills, and facilitate safe transitions of care to individuals' next setting of care.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing Type 1 Diabetes in an Inpatient Child Psychiatric Care Setting. 在儿童精神科住院治疗环境中管理 1 型糖尿病。
Diabetes Spectrum Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0008
Amanda L Olinger, Shilpa Sachdeva, Ann M Manzardo, Sharon E Cain
{"title":"Managing Type 1 Diabetes in an Inpatient Child Psychiatric Care Setting.","authors":"Amanda L Olinger, Shilpa Sachdeva, Ann M Manzardo, Sharon E Cain","doi":"10.2337/dsi24-0008","DOIUrl":"10.2337/dsi24-0008","url":null,"abstract":"<p><p>Individuals with diabetes are at increased risk for psychological, behavioral, and social problems. Comorbid mental illness and diabetes present a unique set of challenges for people with diabetes and their health care providers, particularly in an inpatient setting. Psychiatric symptoms before admission may affect type 1 diabetes management, and mental status and behavior can affect individuals' ability to cooperate with treatment while they are inpatients. This article describes a clinical protocol to manage type 1 diabetes and maximize patient safety in an acute inpatient child psychiatric unit.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Standardizing Diabetes Care in Colorado Schools: Nearly Two Decades of Success. 科罗拉多州学校糖尿病护理标准化：近二十年的成功经验。
Diabetes Spectrum Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0011
G Todd Alonso, Andrea Houk, Pamela Brunner Nii, Dianne Chorny, Kathleen Patrick, Leah Wyckoff
{"title":"Standardizing Diabetes Care in Colorado Schools: Nearly Two Decades of Success.","authors":"G Todd Alonso, Andrea Houk, Pamela Brunner Nii, Dianne Chorny, Kathleen Patrick, Leah Wyckoff","doi":"10.2337/dsi24-0011","DOIUrl":"10.2337/dsi24-0011","url":null,"abstract":"<p><p>Since 2005, a group of stakeholders in Colorado has collaborated to improve diabetes management in schools and childcare centers by standardizing care and embedding local expertise to support school personnel in this task. This effort has included the development of toolkits for parents, school nurses, and other health care providers; the establishment of a diabetes resource nurses program; and annually updated guidelines titled <i>Standards of Care for Diabetes Management in the School Setting & Licensed Child Care Facilities</i>. This collaboration has fundamentally changed how school nurses and staff in Colorado care for students with diabetes.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes Care at Summer Camps. 夏令营中的糖尿病护理。
Diabetes Spectrum Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0010
Lowell R Schmeltz, Nader Kasim
{"title":"Diabetes Care at Summer Camps.","authors":"Lowell R Schmeltz, Nader Kasim","doi":"10.2337/dsi24-0010","DOIUrl":"10.2337/dsi24-0010","url":null,"abstract":"<p><p>Attending summer camp can be a rewarding experience for children with type 1 diabetes and an opportunity for them to build their confidence and diabetes self-management skills. Diabetes camps are built to cater to the medical needs of children with diabetes. With proper communication, education, and resources, traditional summer camps can provide the same benefits.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes in Diverse Settings. 不同环境中的糖尿病。
Diabetes Spectrum Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0013
Ryan J McDonough
{"title":"Diabetes in Diverse Settings.","authors":"Ryan J McDonough","doi":"10.2337/dsi24-0013","DOIUrl":"10.2337/dsi24-0013","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Considerations to Better Meet the Needs of People Living With Diabetes While in Prison or Detention. 更好地满足监狱或拘留所中糖尿病患者需求的考虑因素。
Diabetes Spectrum Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0009
Jennifer L West, Rebecca A Ballard, John P May
{"title":"Considerations to Better Meet the Needs of People Living With Diabetes While in Prison or Detention.","authors":"Jennifer L West, Rebecca A Ballard, John P May","doi":"10.2337/dsi24-0009","DOIUrl":"10.2337/dsi24-0009","url":null,"abstract":"<p><p>Diabetes care within prison walls offers challenges and opportunities for both health care providers and individuals living with diabetes. To meet the challenges, providers and patients work together to manage diabetes within the limitations imposed by imprisonment. Upon release, patients face new challenges, as they transition from incarceration into the community.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
About Ryan J. McDonough: Guest Editor. 关于 Ryan J. McDonough：客座编辑。
Diabetes Spectrum Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/ds24-ge03
{"title":"About Ryan J. McDonough: Guest Editor.","authors":"","doi":"10.2337/ds24-ge03","DOIUrl":"https://doi.org/10.2337/ds24-ge03","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlates of Self-Reported Executive Function Impairment Among Medicaid Beneficiaries With Type 2 Diabetes 2 型糖尿病医疗补助受益人自述执行功能受损的相关因素
Diabetes Spectrum Pub Date : 2024-07-10 DOI: 10.2337/ds23-0067
David Von Nordheim, Cynthia Herrick, N. Verdecias, Rachel Garg, Matthew W Kreuter, Amy McQueen
{"title":"Correlates of Self-Reported Executive Function Impairment Among Medicaid Beneficiaries With Type 2 Diabetes","authors":"David Von Nordheim, Cynthia Herrick, N. Verdecias, Rachel Garg, Matthew W Kreuter, Amy McQueen","doi":"10.2337/ds23-0067","DOIUrl":"https://doi.org/10.2337/ds23-0067","url":null,"abstract":"\u0000 \u0000 Executive function (EF) impairment is associated with poorer outcomes for individuals with type 2 diabetes. Previous research has identified risk factors for EF impairment, but many of these are also associated with type 2 diabetes. To address this issue, this study identified relevant variables from the literature and compared their association with EF in a sample of people with type 2 diabetes.\u0000 \u0000 \u0000 \u0000 Adult members of a Medicaid health plan diagnosed with type 2 diabetes were enrolled in a social needs intervention trial. Using baseline data from the trial, bivariate and multivariable regression analyses examined associations between EF and demographic, health, and psychosocial factors.\u0000 \u0000 \u0000 \u0000 When controlling for other factors, we identified six significant correlates of EF impairment: age (β = 0.10), education (college vs. no college; β = −0.38), depression symptoms (β = 0.18), comorbidity burden (β = 0.21), diabetes-related distress (β = 0.14), and future time orientation (β = −0.13).\u0000 \u0000 \u0000 \u0000 Our analysis identified several factors associated with greater EF impairment, which may interfere with diabetes self-management. Providers should consider these factors when prescribing treatments and determine whether additional resources or accommodations are warranted.\u0000","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141659350","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
Patient Satisfaction and Clinical Experience With the Tandem t:slim X2 With Control-IQ Technology Advanced Hybrid Closed-Loop Insulin Delivery System 采用 Control-IQ 技术的 Tandem t:slim X2 高级混合闭环胰岛素输送系统的患者满意度和临床体验
Diabetes Spectrum Pub Date : 2024-07-05 DOI: 10.2337/ds23-0057
Lisa T. Meade, Adriane B. Marino, Madison A. Barrier, Madison H. Wilson
{"title":"Patient Satisfaction and Clinical Experience With the Tandem t:slim X2 With Control-IQ Technology Advanced Hybrid Closed-Loop Insulin Delivery System","authors":"Lisa T. Meade, Adriane B. Marino, Madison A. Barrier, Madison H. Wilson","doi":"10.2337/ds23-0057","DOIUrl":"https://doi.org/10.2337/ds23-0057","url":null,"abstract":"\u0000 \u0000 The purpose of this study was to assess patient satisfaction and clinical experience with the t:slim X2 with Control-IQ Technology automated insulin delivery system.\u0000 \u0000 \u0000 \u0000 This descriptive study used a retrospective electronic health record review of all individuals trained on the Control-IQ system between December 2019 and April 2022 in one adult endocrinology practice. A total of 99 patients using the Control-IQ system for at least 3 months completed the glucose monitoring satisfaction survey (GMSS). The primary outcome was overall satisfaction with the system as measured by the GMSS. Secondary outcomes included changes in A1C from baseline at 3, 6, and 12 months, the association between GMSS scores and A1C levels, and the use of the system’s sleep activity feature to achieve lower A1C levels.\u0000 \u0000 \u0000 \u0000 The overall satisfaction score for patients using the system was 4.0 ± 0.6 (possible score range 1–5). A1C decreased by 0.6% 3 months, 0.7% at 6 months, and 0.8% at 12 months. Participants with A1C levels ≤7% did not experience greater satisfaction compared to those with higher A1C levels.\u0000 \u0000 \u0000 \u0000 Participants using the Control-IQ system reported a high rate of overall satisfaction and experienced significant reductions from baseline A1C at 3, 6, and 12 months.\u0000","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141675236","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
“A Wake-Up Call”: A Mixed-Methods Analysis of Barriers to Type 2 Diabetes Prevention After Gestational Diabetes Mellitus "警钟长鸣"：妊娠糖尿病后 2 型糖尿病预防障碍的混合方法分析
Diabetes Spectrum Pub Date : 2024-05-03 DOI: 10.2337/ds23-0072
Julia D. DiTosto, Maria V Gomez-Roas, C. Niznik, Brittney R. Williams, W. Grobman, Lynn M. Yee
{"title":"“A Wake-Up Call”: A Mixed-Methods Analysis of Barriers to Type 2 Diabetes Prevention After Gestational Diabetes Mellitus","authors":"Julia D. DiTosto, Maria V Gomez-Roas, C. Niznik, Brittney R. Williams, W. Grobman, Lynn M. Yee","doi":"10.2337/ds23-0072","DOIUrl":"https://doi.org/10.2337/ds23-0072","url":null,"abstract":"\u0000 \u0000 Individuals who have gestational diabetes mellitus (GDM) are advised to engage in physical activity and healthy eating behaviors in the postpartum period to prevent type 2 diabetes. We aimed to understand individual perspectives on incorporating such lifestyle choices during the first postpartum year.\u0000 \u0000 \u0000 \u0000 This was a mixed-methods analysis of data from individuals with GDM who completed surveys and in-depth interviews at 4–12 weeks and 11–13 months postpartum as part of their participation in a feasibility randomized controlled trial on postpartum patient navigation. Participant attitudes were elicited with surveys (structured items with Likert-scale responses) and interviews that focused on barriers to postpartum type 2 diabetes prevention. We used a concurrent, triangulation design to jointly analyze survey data alongside interview data.\u0000 \u0000 \u0000 \u0000 Of 40 participants, 39 provided data about their type 2 diabetes prevention activities. Interview themes triangulated with survey results to yield consistent insights about attitudes regarding physical activity and healthy eating. The majority of participants reported that caring for a new baby and family responsibilities made it much harder to be physically active; fewer participants identified cost of exercise, accessing a safe area to exercise, or breastfeeding as barriers. The most common barriers to healthy eating included caring for a new baby, family responsibilities, and work/school schedules. Although proximity and transportation to healthy food sources were uncommon barriers, when they did occur, they were experienced as major burdens.\u0000 \u0000 \u0000 \u0000 Individuals who had GDM reported many barriers to implementing recommended postpartum lifestyle choices. Recognizing these unique needs may enhance provision of guidance for type 2 diabetes prevention postpartum.\u0000","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141015852","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
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