Diabetes Spectrum最新文献_第4页

Maternal and Neonatal Efficacy and Safety Outcomes of Myo-Inositol in Women With or at High Risk of Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis.

Diabetes Spectrum Pub Date : 2024-08-05 eCollection Date: 2025-01-01 DOI: 10.2337/ds23-0065

Youssef Ahmed Ali, Muhannad Sharara, Mostafa Mahrous, Abdelrahman Alaa Rezk, Ahmed Abuali, Mohamed Aly Seoudy, Mohamed Yousif Elnaghy, Ahmed Elsayed Elsekaily, Mohammed Elsayed Elkholy, Khaled Mohamed Ragab, Marwa Mohamed Badawy, Ibrahim Kamal, Ahmed Hashem Fathallah

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":"36 47","pages":""},"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":" 16","pages":""},"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

Experience of Telephone-Based Diabetes Health Coaching Among Community-Based Adults With Type 2 Diabetes. 以社区为基础的成人2型糖尿病患者的电话糖尿病健康指导经验

Diabetes Spectrum Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.2337/ds23-0046

Tharshika Sugumaran, Jeannette LeGris, Patricia H Strachan, Paige Alliston, Diana Sherifali

{"title":"Experience of Telephone-Based Diabetes Health Coaching Among Community-Based Adults With Type 2 Diabetes.","authors":"Tharshika Sugumaran, Jeannette LeGris, Patricia H Strachan, Paige Alliston, Diana Sherifali","doi":"10.2337/ds23-0046","DOIUrl":"10.2337/ds23-0046","url":null,"abstract":"Background: In the past decade, diabetes health coaching, also referred to as diabetes coaching, has emerged as a patient-centered intervention to help individuals with type 2 diabetes gain independence with self-management. This study explores the perceived experience of receiving telephone-based diabetes health coaching among adults living with type 2 diabetes.Method: A qualitative exploration with an interpretive descriptive design was carried out. Participants from the intervention group of a larger randomized controlled trial who had received a telephone-based diabetes coaching intervention throughout 1 year were invited to participate in a telephone interview with open-ended questions.Results: Twelve participants were interviewed, and four major themes emerged: 1) adapting to ongoing challenges with type 2 diabetes, reflecting how coaching helped individuals integrate diabetes into their daily lives by addressing misconceptions, improving knowledge, encouraging awareness, and easing the transition from oral medication to insulin injections; 2) heightened mindfulness of diabetes-related wellness, capturing the greater attention participants gave to their overall well-being and self-management behaviors; 3) behavior change guided by the participant, highlighting the differences in participants' motivation, readiness to make changes, and external factors that influenced their ability to make self-management behavior changes; and 4) valuing a supportive relationship, illustrating that most participants felt that the unique coach-client relationship was reliable, holistic, nonjudgmental, and encouraging.Conclusion: Participants found diabetes coaching to be positive and highlighted the various ways it was able to support their ability to manage diabetes.","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"37 4","pages":"360-368"},"PeriodicalIF":0.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802610","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

“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":"16 5","pages":""},"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

Disordered Eating Behaviors and Eating Disorders in Youth With Type 2 Diabetes: A Systematic Review 2 型糖尿病青少年的进食行为紊乱和进食障碍：系统回顾

Diabetes Spectrum Pub Date : 2024-03-22 DOI: 10.2337/ds23-0064

Kaely Mateo, Brooke Greenberg, Jessica M Valenzuela

{"title":"Disordered Eating Behaviors and Eating Disorders in Youth With Type 2 Diabetes: A Systematic Review","authors":"Kaely Mateo, Brooke Greenberg, Jessica M Valenzuela","doi":"10.2337/ds23-0064","DOIUrl":"https://doi.org/10.2337/ds23-0064","url":null,"abstract":"\u0000 \u0000 This systematic review aimed to examine disordered eating behaviors (DEBs) in youth with type 2 diabetes. Specifically, we sought to describe the most common DEBs, identify risk and protective factors, and review screening tools and interventions that have been developed for and/or used in this population.\u0000 \u0000 \u0000 \u0000 A systematic review was performed of randomized controlled, quasi-experimental, case, and qualitative studies focused on DEBs in youth with type 2 diabetes. All studies were rated for quality by the first and second authors.\u0000 \u0000 \u0000 \u0000 Five reports from four unique studies were included in the review. Trends found in the reviewed studies included that approximately half of youth study participants with type 2 diabetes had elevated scores on the Diabetes Eating Problem Survey – Revised. Based on the limited data available, these youth were more likely to engage in DEBs than youth with type 1 diabetes. Risk factors for DEBs in youth with type 2 diabetes included obesity, body weight/shape concerns, and caregiver subclinical binge eating.\u0000 \u0000 \u0000 \u0000 There is very limited published literature regarding DEBs in youth with type 2 diabetes, suggesting a need for further research to better develop a framework to illuminate key influential variables in the development of DEBs in this population, further develop screening tools, and to design effective interventions.\u0000","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140219688","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

Care Partner Experiences in Supporting Deaf and Hard of Hearing Adults With Diabetes 护理伙伴在支持聋人和重听成人糖尿病患者方面的经验

Diabetes Spectrum Pub Date : 2024-03-21 DOI: 10.2337/ds22-0088

Sierra M. Canela, Nancy A. Allen, Murdock Henderson, Shinduk Lee, N. A. Miller, Zach Howes, Michelle L. Litchman

{"title":"Care Partner Experiences in Supporting Deaf and Hard of Hearing Adults With Diabetes","authors":"Sierra M. Canela, Nancy A. Allen, Murdock Henderson, Shinduk Lee, N. A. Miller, Zach Howes, Michelle L. Litchman","doi":"10.2337/ds22-0088","DOIUrl":"https://doi.org/10.2337/ds22-0088","url":null,"abstract":"\u0000 \u0000 Care partners play an important role in diabetes management of people with diabetes. Although deaf and hard of hearing (DHH) adults experience diabetes at a higher rate than their hearing counterparts, there is a lack of information regarding the experience of care partners assisting those in the DHH community. There is a need to identify intentional support for this population. The purpose of this study was to explore how care partners of DHH people with diabetes provide helpful and unhelpful support, the care partner experience of providing support, and care partners’ perceived diabetes self-management education, support needs, and recommendations.\u0000 \u0000 \u0000 \u0000 We engaged a community advisory board of care partners to DHH people with diabetes to explore how care partners provide support, their individual experiences in providing support, and their suggestions for diabetes self-management education. We used thematic analysis to analyze individual and collective responses.\u0000 \u0000 \u0000 \u0000 Three emergent themes were identified suggesting that care partners give support in a variety of ways, are often overwhelmed in meeting the demanding and ongoing needs of DHH people with diabetes, and have a multitude of suggestions for implementing a future diabetes care partner education program. We also identified some DHH population-specific challenges to diabetes care, including communication barriers with health care providers, inability to use hearing cues if a person with diabetes experiences a fall, and limited access to diabetes care education in sign language.\u0000 \u0000 \u0000 \u0000 These findings highlight a need to provide more support for care partners of DHH people with diabetes and to address the needs of DHH populations to ensure more equitable diabetes care. Further research is needed to adequately inform successful interventions for DHH people with diabetes and their care partners.\u0000","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"20 2‐3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140223644","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

Novel Approach to Continuation of Elective Procedures in People at Risk for Sodium–Glucose Cotransporter 2 Inhibitor–Associated Euglycemic Ketoacidosis 对有钠-葡萄糖共转运体 2 抑制剂相关优生酮症酸中毒风险的人继续进行择期手术的新方法

Diabetes Spectrum Pub Date : 2024-03-15 DOI: 10.2337/ds23-0040

Matthew Verdone, Jonathan Bauman, Esben Iversen, Rifka C. Schulman-Rosenbaum, Anthony Antonacci, Sabatino Leffe, Joseph Simpson, Yael Tobi Harris, Joseph Marino

引用次数: 0

Diversity in Clinical Trials: A Complicated Issue, Not a Simple Solution 临床试验中的多样性：问题复杂，解决不易

Diabetes Spectrum Pub Date : 2024-03-14 DOI: 10.2337/ds24-0021

Janet Brown-Friday

引用次数: 0

Experiences With Outpatient Nutrition Services Among Caregivers of Youth With Type 1 Diabetes 1 型糖尿病青少年患者照顾者对门诊营养服务的体验

Diabetes Spectrum Pub Date : 2024-03-07 DOI: 10.2337/ds23-0051

Erin N. Gordon, Blair Dykeman, Kimberly F Greco, Enju Liu, E. Rhodes, Katharine C. Garvey

{"title":"Experiences With Outpatient Nutrition Services Among Caregivers of Youth With Type 1 Diabetes","authors":"Erin N. Gordon, Blair Dykeman, Kimberly F Greco, Enju Liu, E. Rhodes, Katharine C. Garvey","doi":"10.2337/ds23-0051","DOIUrl":"https://doi.org/10.2337/ds23-0051","url":null,"abstract":"Many children with type 1 diabetes do not meet nutritional guidelines. Little is known about how caregivers perceive the necessity of registered dietitian (RD) visits or how satisfied they are with nutrition care. This study aimed to evaluate nutrition experiences and perceptions of care among caregivers of children with type 1 diabetes at an academic medical center. We analyzed 159 survey responses. Using multivariable logistic regression, we assessed factors associated with the perception of need for annual nutrition visits, satisfaction with RD care, and encouragement from a nurse or doctor to meet with an RD. Covariates included age (<13 vs. ≥13 years), type 1 diabetes duration (≤3 vs. >3 years), sex, race/ethnicity, and insulin pump and continuous glucose monitoring use. More than half of caregivers (56%) considered annual visits necessary. Shorter type 1 diabetes duration (odds ratio [OR] 1.92, 95% CI 1.02–3.63) was associated with this finding. Less than half (46.5%) reported satisfaction with nutrition care; higher satisfaction was also correlated with shorter type 1 diabetes duration (OR 2.20, 95% CI 1.17–4.15). Although 42% reported meeting with an RD in the past year, less than two-thirds (62%) reported receiving a medical provider recommendation for nutrition care. Leading reasons for not meeting with an RD were: “I am knowledgeable in nutrition and do not need to see an [RD]” (41%) and “I had a past visit with an [RD] that was not helpful” (40%). Our findings suggest that satisfaction with and perceived need for nutrition care may wane with longer type 1 diabetes duration. Improved strategies for therapeutic alliance between caregivers and RDs and engagement of families at later stages of type 1 diabetes are needed.","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"36 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260368","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