Diabetes Spectrum最新文献

{"title":"Lessons on Diabetes From the Front Line: The Impact of Armed Conflict on Ukrainians With Diabetes: The TeleHelp Ukraine Initiative.","authors":"Ji Won Susie Yoo, Rahul D Barmanray","doi":"10.2337/ds24-0003","DOIUrl":"10.2337/ds24-0003","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 1","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433800","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}

{"title":"Rural-Urban Disparities in the Uptake of New Diabetes Medications.","authors":"Benjamin Zhu, Dong Ding, Jing Luo, Sherry Glied","doi":"10.2337/ds23-0075","DOIUrl":"10.2337/ds23-0075","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed rural-urban differences in the uptake and use of glucagon-like peptide 1 (GLP-1) receptor agonists, dipeptidyl peptidase 4 (DPP-4) inhibitors, and sodium-glucose cotransporter 2 (SGLT2) inhibitors among U.S. adults with diabetes.</p><p><strong>Research design and methods: </strong>We calculated person-level annual total and out-of-pocket (OOP) expenditures for new, other, and all diabetes medications in the Medical Expenditure Panel Survey. We defined newer diabetes medications as GLP-1 receptor agonists, DPP-4 inhibitors, and SGLT2 inhibitors. The primary outcome was whether a person received a new diabetes medication during the year, and secondary outcomes were medication expenditures. The key independent variable was metropolitan statistical area (MSA) status. Logistic regression was used to estimate use rates of new diabetes medications by MSA status, and a two-part model was used to estimate individual-level annual total and OOP expenditures on new, other, and all diabetes medications.</p><p><strong>Results: </strong>We observed no significant difference (adjusted odds ratio 0.943, <i>P</i> = 0.37) in newer diabetes medication use. Individuals with diabetes in non-MSAs were more likely to have spending (probit coefficient 0.058, <i>P</i> = 0.06) and to spend more on other diabetes medications (combined marginal effect $103.13, <i>P</i> = 0.09), although this result was not statistically significant. This imbalance increased from $81.33 (<i>P</i> = 0.09) in 2003-2006 to $136.66 (<i>P</i> = 0.08) in 2017-2020.</p><p><strong>Conclusions: </strong>Rural-urban diabetes outcome disparities are not likely to be the result of differences in the uptake of GLP-1 receptor agonist, DPP-4 inhibitor, and SGLT2 inhibitor medications.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 1","pages":"49-57"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433880","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}

{"title":"Cannabis Use and Clinical Outcomes in Adolescents and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study.","authors":"Alissa J Roberts, Joshua Sellner, Erin Sullivan, Kelsey B Eitel, Angela D Liese, Elizabeth T Jensen, Anwar T Merchant, Lawrence M Dolan, Santica Marcovina, Catherine Pihoker","doi":"10.2337/ds24-0019","DOIUrl":"10.2337/ds24-0019","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 1","pages":"93-100"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434249","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}

{"title":"Health Literacy Among Young People With Type 1 Diabetes: A Qualitative Study of Patient Involvement.","authors":"Margit Oien Nielsen, Hanne Frejlev, Anette Vestermark, Liva B Larsen, Anna Pietraszek, Jakob Dal, Dorte Melgaard","doi":"10.2337/ds24-0006","DOIUrl":"10.2337/ds24-0006","url":null,"abstract":"<p><strong>Objective: </strong>This qualitative study explored the challenges and knowledge gaps among Danish youth with type 1 diabetes and subsequently introduced an information program to empower these youth in their diabetes self-management.</p><p><strong>Research design and methods: </strong>Nine young patients 18-25 years of age who were diagnosed with type 1 diabetes, living independently, or cohabiting with a partner were included. Relevant participants were invited by mail or telephone. Group interviews were conducted to uncover the specific knowledge requirements essential for improving their diabetes health literacy. Based on these interviews, four education sessions were held.</p><p><strong>Results: </strong>The participants identified pertinent topics, including alcohol consumption, blood glucose control, educational and employment aspects, nutrition, sexuality, pregnancy, relationships, and interactions with health care professionals (HCPs). Notably, the participants expressed a preference for personalized interactions over information dissemination through digital platforms such as mobile applications. Building on this insight, we organized four sessions to provide education on the identified subjects. These sessions were designed to facilitate networking among participants and offer them the opportunity for discussion. Although invitations were extended to all individuals aged 18-25 years with type 1 diabetes (<i>n</i> = 52), only 13 patients and seven relatives participated. The feedback from attendees was overwhelmingly positive. Reasons for nonparticipation included forgetfulness or a reluctance to engage in group settings.</p><p><strong>Conclusion: </strong>Young people with type 1 diabetes appreciate personal contact with HCPs. They do not want to receive knowledge via digital apps and virtual media but instead to meet with equals. However, it remains difficult to involve them in social events. The problem of how to create contact with young people with type 1 diabetes to strengthen their health literacy remains unsolved, and there is a need for further innovative initiatives.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 1","pages":"41-48"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434255","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}

{"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":"37 3","pages":"227-233"},"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}

{"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":"37 3","pages":"234-240"},"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}

{"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":"37 3","pages":"211-219"},"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}

{"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":"37 3","pages":"241-246"},"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}

{"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":"37 3","pages":"220-226"},"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}

{"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":"37 3","pages":"207-209"},"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}