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"Don't Just Say, 'You Got Type 2 Diabetes' and Then Tell Me Nothing Else": Exploring Self-Management Challenges and Information Needs Among Low-Income Adults With Type 2 Diabetes. “不要只是说，‘你得了2型糖尿病’，然后什么都不告诉我”：探索自我管理挑战和信息需求在低收入成人2型糖尿病患者。
Clinical Diabetes Pub Date : 2025-10-14 DOI: 10.2337/cd25-0069
Eyitayo O Owolabi, Michelle D S Boakye, Advait Rajan, Anthony I Ajayi, Gabriel Q Shaibi
{"title":"\"Don't Just Say, 'You Got Type 2 Diabetes' and Then Tell Me Nothing Else\": Exploring Self-Management Challenges and Information Needs Among Low-Income Adults With Type 2 Diabetes.","authors":"Eyitayo O Owolabi, Michelle D S Boakye, Advait Rajan, Anthony I Ajayi, Gabriel Q Shaibi","doi":"10.2337/cd25-0069","DOIUrl":"10.2337/cd25-0069","url":null,"abstract":"<p><p>This qualitative study explored the self-management behaviors, challenges, motivations, and information needs of low-income people with type 2 diabetes. Four themes emerged: <i>1</i>) low-income adults are navigating behavioral modification amid challenges; <i>2</i>) low-income adults need comprehensive and personalized education for proficient self-management; <i>3</i>) digital health tools are desirable; and <i>4</i>) fear, support, and health aspirations drive self-management engagement. The findings of this study underscore the need for improved clinician awareness of evidence-based diabetes education and support programs, and for innovative approaches to bridge the gap between low-income patients' educational needs and their access to such services.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12610872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514529","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
Understanding Immediate Concerns at Type 2 Diabetes Diagnosis: A Qualitative Comparison of Perspectives From Newly Diagnosed Adults and Clinicians. 了解2型糖尿病诊断的直接关注点：新诊断成人和临床医生的定性比较
Clinical Diabetes Pub Date : 2025-10-14 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0049
Michelle D S Boakye, Rockson Ansong, Eyitayo O Owolabi, Shammah O Omololu, Hanan Abdelrahman, Christina R Whitehouse
{"title":"Understanding Immediate Concerns at Type 2 Diabetes Diagnosis: A Qualitative Comparison of Perspectives From Newly Diagnosed Adults and Clinicians.","authors":"Michelle D S Boakye, Rockson Ansong, Eyitayo O Owolabi, Shammah O Omololu, Hanan Abdelrahman, Christina R Whitehouse","doi":"10.2337/cd25-0049","DOIUrl":"10.2337/cd25-0049","url":null,"abstract":"<p><p>This study explored the immediate concerns of people at the time of type 2 diabetes diagnosis by comparing perspectives from 18 adults with a recent diagnosis and eight clinicians. Four key themes emerged: <i>1</i>) concerns about diabetes and its management, <i>2</i>) communication challenges at diagnosis, <i>3</i>) inconsistent identification of concerns, and <i>4</i>) discrepancies between clinicians' actions and patients' satisfaction. The findings highlight the need for improved communication, longer consultations, and personalized support during diagnosis to enhance patient satisfaction and engagement in care.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"746-756"},"PeriodicalIF":0.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821489","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
Scaling the Diabetes Prevention Program and Diabetes Self-Management Education and Support Services Across a Health System. 扩大糖尿病预防计划和糖尿病自我管理教育和支持服务在整个卫生系统。
Clinical Diabetes Pub Date : 2025-10-10 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0043
Nisa M Maruthur, Siawlin Chan, Eugene Arnold, Megan Brown, Caitlin Nass, Eva Tseng, Scott A Berkowitz, Nae-Yuh Wang, Hsin-Chieh Yeh, Dingfen Han, Jason Fu, Mohammed S Abusamaan, Benjamin Lalani, Nestoras N Mathioudakis
{"title":"Scaling the Diabetes Prevention Program and Diabetes Self-Management Education and Support Services Across a Health System.","authors":"Nisa M Maruthur, Siawlin Chan, Eugene Arnold, Megan Brown, Caitlin Nass, Eva Tseng, Scott A Berkowitz, Nae-Yuh Wang, Hsin-Chieh Yeh, Dingfen Han, Jason Fu, Mohammed S Abusamaan, Benjamin Lalani, Nestoras N Mathioudakis","doi":"10.2337/cd25-0043","DOIUrl":"10.2337/cd25-0043","url":null,"abstract":"<p><p>This article describes and evaluates a multipronged strategy to expand use of the Diabetes Prevention Program (DPP) and diabetes self-management education and support (DSMES) services across a large academic health system. Strategies included streamlining referral processes, embedding diabetes educators in primary care, leveraging consistent leadership messaging, and building partnerships with community organizations. These interventions led to substantial increases in referrals, with 10.8% of 4,397 patients enrolling in DPP and 35.9% of 10,210 enrolling in DSMES. Coordinated, multilevel interventions can effectively increase engagement in these underutilized, evidence-based diabetes care programs.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"757-771"},"PeriodicalIF":0.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821440","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
Tirzepatide-Induced Weight Loss and Normalization of Glycemia With Nerve Regeneration in Type 2 Diabetes: A Case Report. 替西肽诱导的2型糖尿病患者体重减轻和血糖正常化伴神经再生1例报告。
Clinical Diabetes Pub Date : 2025-10-09 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0066
Hoda Y Gad, Rayaz A Malik
{"title":"Tirzepatide-Induced Weight Loss and Normalization of Glycemia With Nerve Regeneration in Type 2 Diabetes: A Case Report.","authors":"Hoda Y Gad, Rayaz A Malik","doi":"10.2337/cd25-0066","DOIUrl":"10.2337/cd25-0066","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"861-864"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821426","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
Blueprint for Comprehensive Diabetes Care in Student-Run Free Clinics: A Model for Accessible Health Care. 在学生经营的免费诊所全面糖尿病护理蓝图：一个可获得的医疗保健模式。
Clinical Diabetes Pub Date : 2025-10-09 eCollection Date: 2025-05-01 DOI: 10.2337/cd24-0097
Zaina S Kret, Kaylee N Scarnati, Aya Dakroub, Katherine L Esser, Coral D Matus, Richard Paat
{"title":"Blueprint for Comprehensive Diabetes Care in Student-Run Free Clinics: A Model for Accessible Health Care.","authors":"Zaina S Kret, Kaylee N Scarnati, Aya Dakroub, Katherine L Esser, Coral D Matus, Richard Paat","doi":"10.2337/cd24-0097","DOIUrl":"10.2337/cd24-0097","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"835-842"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821335","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
Impact of Pharmacist-Led Deprescribing on Inappropriate Rapid-Acting Insulin Use Among Admitted Older Adults. 在住院的老年人中，药师主导的处方减少对不适当使用速效胰岛素的影响。
Clinical Diabetes Pub Date : 2025-10-07 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0062
Gabriela Alvarez, Ljubica Minova, Jessica Bente
{"title":"Impact of Pharmacist-Led Deprescribing on Inappropriate Rapid-Acting Insulin Use Among Admitted Older Adults.","authors":"Gabriela Alvarez, Ljubica Minova, Jessica Bente","doi":"10.2337/cd25-0062","DOIUrl":"10.2337/cd25-0062","url":null,"abstract":"<p><p>This article describes a pharmacist-led deprescribing initiative to reduce the incidence of inappropriate rapid-acting insulin use among admitted older adults at an acute care community hospital. Inappropriate use was defined as at least one episode of severe hypoglycemia (blood glucose <b><</b>40 mg/dL) within 24 hours of insulin lispro administration, two or more episodes of hypoglycemia (blood glucose <b><</b>70 but <b>></b>40 mg/dL) within 24 hours of insulin lispro administration, or five or more held administrations of insulin lispro because of euglycemia in a 48-hour period. The initiative led to a 66% observed relative reduction of inappropriate rapid-acting insulin use over 7 months.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"805-812"},"PeriodicalIF":0.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821330","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
Increasing Lipid Profile Screening in Youth With Type 2 Diabetes. 增加青少年2型糖尿病患者的血脂筛查。
Clinical Diabetes Pub Date : 2025-10-06 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0059
Puja Singh, Christy Byer-Mendoza, Kim McNamara, Andrea Huber, Jennifer Ruiz, Mario Bialostozky, Carla Demeterco-Berggren
{"title":"Increasing Lipid Profile Screening in Youth With Type 2 Diabetes.","authors":"Puja Singh, Christy Byer-Mendoza, Kim McNamara, Andrea Huber, Jennifer Ruiz, Mario Bialostozky, Carla Demeterco-Berggren","doi":"10.2337/cd25-0059","DOIUrl":"10.2337/cd25-0059","url":null,"abstract":"<p><p>Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <i>Clinical Diabetes</i>. The following article describes an initiative to improve the rate of lipid profile screening in youth with type 2 diabetes at a tertiary children's hospital in Southern California.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"853-857"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821479","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
心电图fQRS波、2型糖尿病与急性心肌梗死患者PCI术后恶性心律失常发生的相关性分析 心电图fQRS波、2型糖尿病与急性心肌梗死患者PCI术后恶性心律失常发生的相关性分析
Clinical Diabetes Pub Date : 2025-10-01 DOI: 10.70976/j.1672-7851.dw250002
金芳 许
{"title":"心电图fQRS波、2型糖尿病与急性心肌梗死患者PCI术后恶性心律失常发生的相关性分析","authors":"金芳 许","doi":"10.70976/j.1672-7851.dw250002","DOIUrl":"https://doi.org/10.70976/j.1672-7851.dw250002","url":null,"abstract":"<x>【摘要】</x> <sec> <title>目的：</title> 探讨心电图碎裂QRS（fQRS）波、合并2型糖尿病与急性心肌梗死（acute myocardial infarction，AMI）患者经皮冠状动脉介入治疗（percutaneous coronary intervention，PCI）术后恶性心律失常的相关性。 </sec> <sec> <title>方法：</title> 选取2024年2月—2025年5月在石河子大学第一附属医院接受PCI术治疗的86例AMI合并2型糖尿病患者作为观察组，分为观察1组（伴fQRS波）和观察2组（无fQRS波）；选取无2型糖尿病接受PCI术治疗的AMI患者86例作为对照组，分为对照1组（伴fQRS波）和对照2组（无fQRS波）。对比各组基线资料、心律失常发生率，以Pearson相关性分析fQRS波及2型糖尿病与AMI患者PCI术后发生心律失常的关系。 </sec> <sec> <title>结果：</title> 观察组和对照组年龄、性别、病变支数、血清心肌肌钙蛋白Ⅰ（cTnⅠ）水平等指标对比，差异无统计学意义（<italic>P</italic>&gt;0.05），观察组心电图存在fQRS波占比较对照组高（<italic>P</italic>&lt;0.05）；观察1组PCI术后恶性心律失常发生率较其余3组高（<italic>P</italic>&lt;0.05）；经Pearson分析结果显示，合并2型糖尿病、心电图fQRS波均与AMI患者PCI术后恶性心律失常发生呈正相关（<italic>P</italic>&lt;0.05）。 </sec> <sec> <title>结论：</title> 心电图fQRS波、合并2型糖尿病均与AMI患者PCI术后恶性心律失常发生呈正相关，临床可借此评估预后。 </sec>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"22 4","pages":"91-93"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147914077","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
糖尿病健康教育在糖尿病门诊护理中的运用效果分析 糖尿病健康教育在糖尿病门诊护理中的运用效果分析
Clinical Diabetes Pub Date : 2025-10-01 DOI: 10.70976/j.1672-7851.dw250022
靖萍 李
{"title":"糖尿病健康教育在糖尿病门诊护理中的运用效果分析","authors":"靖萍 李","doi":"10.70976/j.1672-7851.dw250022","DOIUrl":"https://doi.org/10.70976/j.1672-7851.dw250022","url":null,"abstract":"<x>【摘要】</x> <sec> <title>目的：</title> 探讨分析糖尿病健康教育在糖尿病门诊护理中的运用效果，为糖尿病患者的临床护理提供参考依据。 </sec> <sec> <title>方法：</title> 选取2024年1月—2025年7月收治的120例糖尿病患者，采用随机数表法分为对照组和观察组，每组60例。对照组采用常规护理，观察组在常规护理基础上加强糖尿病健康教育。对比血糖控制情况、自我管理能力、生活质量、护理满意度及并发症发生率。 </sec> <sec> <title>结果：</title> 观察组自我管理能力、生活质量评分、护理满意度高于对照组，血糖指标、并发症发生率低于对照组（<italic>P</italic>&lt;0.05）。 </sec> <sec> <title>结论：</title> 糖尿病门诊护理当中，加大健康教育干预措施，对于改进血糖控制效果，优化患者自我管理能力，改良生活品质，降低并发症发生风险有着重要意义。 </sec>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"22 4","pages":"110-113"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147919083","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
大黄䗪虫丸对胃癌并2型糖尿病患者化疗耐受性的影响 大黄䗪虫丸对胃癌并2型糖尿病患者化疗耐受性的影响
Clinical Diabetes Pub Date : 2025-10-01 DOI: 10.70976/j.1672-7851.dw250043
耘慷 伏
{"title":"大黄䗪虫丸对胃癌并2型糖尿病患者化疗耐受性的影响","authors":"耘慷 伏","doi":"10.70976/j.1672-7851.dw250043","DOIUrl":"https://doi.org/10.70976/j.1672-7851.dw250043","url":null,"abstract":"<x>【摘要】</x> <sec> <title>目的：</title> 探讨大黄䗪虫丸联合XELOX方案对气滞血瘀型胃癌合并2型糖尿病（type 2 diabetes mellitus，T2DM）患者化疗耐受性及生存质量的影响。 </sec> <sec> <title>方法：</title> 随机将124例胃癌合并T2DM患者分成对照组和观察组各62例，分别给予XELOX化疗和XELOX化疗联合大黄䗪虫丸治疗。观察两组不良反应发生率、退出化疗百分率、欧洲癌症研究与治疗组织生命质量测定量表（EORTC QLQ-C30）评分、空腹血糖（FPG）和餐后2 h血糖（2 h PPG）水平。 </sec> <sec> <title>结果：</title> 观察组不良反应发生率和化疗退出率均低于对照组（<italic>P</italic>&lt;0.05）。治疗后，两组患者躯体、认知、感情、社会、角色等功能评分均显著高于治疗前（<italic>P</italic>&lt;0.05），且观察组高于对照组（<italic>P</italic>&lt;0.05）。治疗后，对照组FPG和2 h PPG高于治疗前（<italic>P</italic>&lt;0.05），观察组低于治疗前（<italic>P</italic>&lt;0.05），且观察组低于对照组（<italic>P</italic>&lt;0.05）。 </sec> <sec> <title>结论：</title> 在XELOX方案基础上联合大黄䗪虫丸用于气滞血瘀型胃癌合并T2DM患者，可有效提高化疗耐受性，改善生存质量，并对血糖控制产生积极影响。 </sec>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"22 4","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147886494","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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