The science of diabetes self-management and care最新文献_第10页

Preparing Community Health Workers to Empower Latino(a)s With Diabetes: A Real-World Implementation Study. 培养社区卫生工作者，增强拉丁裔糖尿病患者的能力：真实世界实施研究》。

The science of diabetes self-management and care Pub Date : 2024-02-01 Epub Date: 2024-01-20 DOI: 10.1177/26350106231220012

Laura Porterfield, Zuleica Santiago Delgado, Premal G Patel, Michael L Goodman, Kendall M Campbell, Elizabeth M Vaughan

{"title":"Preparing Community Health Workers to Empower Latino(a)s With Diabetes: A Real-World Implementation Study.","authors":"Laura Porterfield, Zuleica Santiago Delgado, Premal G Patel, Michael L Goodman, Kendall M Campbell, Elizabeth M Vaughan","doi":"10.1177/26350106231220012","DOIUrl":"10.1177/26350106231220012","url":null,"abstract":"Purpose: The purpose of the study was to evaluate the delivery of diabetes self-management education (DSME) to Latino(a) adults by community health workers (CHWs).Methods: Investigators developed an evidence-based, bilingual (Spanish/English) diabetes education curriculum and trained 10 CHWs on its content. CHWs then implemented the curriculum in 6-month diabetes group visit programs for low-income Latino(a)s with type 2 diabetes in nonacademic 501(c)3 community clinics. Investigators evaluated efficacy of the training through successful implementation, measured by participant group visit acceptance and attendance.Results: Participants (n = 70) reported high levels of program satisfaction (3.8/4.0), improvement in quality of life (9.7/10), meeting of individual needs (3.8/4.0), and acceptability (9.7/10.0). Content analyses revealed that 87.1% of participants would not change the program or wanted to extend it. Participant attendance was 81.6%.Conclusions: Investigators demonstrated the ability to develop a training that nonmedical personnel (CHWs) successfully implemented in a real-world study. This study provides a curricular framework for CHW-led education that may serve as a template to extend to other diseases and populations.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503290","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 Gaming (Gamification) on Diabetes Self-Care Behaviors and Glycemic Outcomes Among Adults With Type 2 Diabetes. 游戏（游戏化）对2型糖尿病成年人糖尿病自我护理行为和血糖结果的影响。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-11-05 DOI: 10.1177/26350106231208153

Veronica Joyce Brady, Nitha Mathew Joseph, Hsiao-Hui Ju

{"title":"Impact of Gaming (Gamification) on Diabetes Self-Care Behaviors and Glycemic Outcomes Among Adults With Type 2 Diabetes.","authors":"Veronica Joyce Brady, Nitha Mathew Joseph, Hsiao-Hui Ju","doi":"10.1177/26350106231208153","DOIUrl":"10.1177/26350106231208153","url":null,"abstract":"Purpose: The purpose of this systematic review was to determine if the use of gaming (gamification) among persons with type 2 diabetes improves diabetes self-management behaviors and diabetes outcomes.Methods: A systematic review was conducted using electronic databases including MEDLINE, Embase, Web of Science, and CINAHL. Studies reporting on the impact of gaming on at least 1 of the Association of Diabetes Care and Education Specialists self-care behaviors (ADCES7) were included.Results: The review included 9 studies, 8 of which were of strong/high quality. Five of the self-care behaviors were addressed in at least 1 of the included studies. However, taking medications and problem solving were not reported in any of the studies. Physical activity and self-efficacy or quality of life (healthy coping) were the most frequently reported ADCES7 behaviors. Six of the studies used A1C as an outcome measure, with a reduction reported in all the studies except 1.Conclusion: Type 2 diabetes affects a person holistically, necessitating a range of self-care behaviors to effectively manage the chronic condition. Novel gaming interventions may improve coping mechanisms, lifestyle behaviors, medication engagement, and monitoring of risks and problems, all of which are essential in facilitating optimal diabetes self-management.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"493-511"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489834","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

Adolescents' Experiences of Transition to Self-Management of Type 1 Diabetes: Systematic Review and Future Directions. 青少年向1型糖尿病自我管理过渡的经历：系统回顾和未来方向。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-11-05 DOI: 10.1177/26350106231206779

Paula Leocadio, Carol Kelleher, Eluska Fernández, Colin P Hawkes

{"title":"Adolescents' Experiences of Transition to Self-Management of Type 1 Diabetes: Systematic Review and Future Directions.","authors":"Paula Leocadio, Carol Kelleher, Eluska Fernández, Colin P Hawkes","doi":"10.1177/26350106231206779","DOIUrl":"10.1177/26350106231206779","url":null,"abstract":"Purpose: The purpose of this systematic literature review was to explore studies that report the experiences of adolescents, their families, and health care professionals of adolescents' transition to self-management of type 1 diabetes (T1DM).Methods: SocINDEX, PsycInfo, APA PsycArticles, and MEDLINE electronic databases were searched. Studies reporting on experiences of transition to self-management of T1DM for adolescents, their parents, siblings, and health care professionals published between January 2010 amd December 2021 were included. The Mixed Methods Appraisal Tool guided trustworthiness and relevance of selected studies.Results: A total of 29 studies met the inclusion criteria. Findings indicate that adolescents' experiences of transitioning to self-management of T1DM are interconnected with the supports provided by others (eg, family, teachers, friends). Considering interdependence and collective lived experiences is essential to developing effective and personalized family, peer, and social interventions to facilitate transition and to avoid negative outcomes in later life. The renegotiation of roles within the network of supports that impact adolescents' transition and adolescents' self-negotiation have been neglected.Conclusion: Transition to self-management of T1DM is a dynamic and iterative process comprising of continuous shifts between interdependence and independence, making it challenging for all involved. A number of research gaps and avenues for future research are outlined.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"477-492"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489832","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

Group Versus Individual Diabetes Education for Persons With Experience of Homelessness in Canada. 加拿大无家可归者的团体与个人糖尿病教育。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-09-28 DOI: 10.1177/26350106231201365

Breanna McSweeney, Rachel B Campbell, Eshleen K Grewal, Jenny Gu, David J T Campbell

{"title":"Group Versus Individual Diabetes Education for Persons With Experience of Homelessness in Canada.","authors":"Breanna McSweeney, Rachel B Campbell, Eshleen K Grewal, Jenny Gu, David J T Campbell","doi":"10.1177/26350106231201365","DOIUrl":"10.1177/26350106231201365","url":null,"abstract":"Purpose: The purpose of the study was to explore various forms of diabetes self-management education (DSME), including group and individual sessions, for persons with lived experiences of homelessness (PWLEH) in Canada.Methods: A qualitative descriptive study using open-ended interviews with health care and homeless sector service providers was utilized to serve those experiencing homelessness in 5 cities across Canada. NVivo qualitative data analysis software was used to facilitate thematic analysis, focusing on variations in DSME for PWLEH.Results: We conducted interviews with 96 unique health and social care providers. Four themes were identified through focused coding of interviews. First, the use of a harm reduction approach during diabetes education tailored to PWLEH considered patients' access to food, medications, and supplies and other comorbidities, including mental health and substance use disorders. The second theme related to the unsuitability of the curriculum in mainstream diabetes education in a group setting for PWLEH. Third, the role of group education in community building is to create supportive relationships among members. The final theme was the importance of trust and confidentiality in DSME, which were most easily maintained during individual education, compared to group formats.Conclusions: Overall, PWLEH experience unique challenges in managing diabetes. DSME adapted to these individuals' unique needs may be more successful and could be delivered in both individual and group settings.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"415-425"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161940","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 Fatigue and Its Influencing Factors on Diabetes Self-Management in Adults With Type 2 Diabetes: A Structural Equation Modeling Analysis. 疲劳及其影响因素对2型糖尿病成年人糖尿病自我管理的影响：结构方程建模分析。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-10-24 DOI: 10.1177/26350106231205029

Hsuan-Ju Kuo, Alexandra A García, Ya-Ching Huang, Julie A Zuñiga, Aprile D Benner, Heather Cuevas, Kang-Chih Fan, Chih-Yao Hsu

{"title":"Impact of Fatigue and Its Influencing Factors on Diabetes Self-Management in Adults With Type 2 Diabetes: A Structural Equation Modeling Analysis.","authors":"Hsuan-Ju Kuo, Alexandra A García, Ya-Ching Huang, Julie A Zuñiga, Aprile D Benner, Heather Cuevas, Kang-Chih Fan, Chih-Yao Hsu","doi":"10.1177/26350106231205029","DOIUrl":"10.1177/26350106231205029","url":null,"abstract":"Purpose: The purposes of this study were to (1) examine the relationships between fatigue, its influencing factors, and diabetes self-management and (2) test the mediation effects of fatigue on the link between the influencing factors and diabetes self-management in adults with type 2 diabetes.Methods: This cross-sectional, correlational study was guided by the theory of unpleasant symptoms. Data were collected using structured questionnaires. Fatigue was measured by the Fatigue Symptom Inventory and the Multidimensional Fatigue Inventory. Diabetes self-management was measured by the Summary of Diabetes Self-Care Activities. From March to July 2021, a convenience sample of 150 participants was recruited from 2 diabetes outpatient clinics of a regional hospital in Taiwan. Data were analyzed using structural equation modeling.Results: A more recent diagnosis of diabetes, more depressive symptoms, and lower sleep quality were related to higher fatigue. Higher fatigue correlated with less performance in diabetes self-management. Fatigue mediated the relationship between depressive symptoms, sleep quality, and diabetes self-management.Conclusions: Fatigue had a mediating effect on the link between psychological influencing factors and diabetes self-management. Future development of fatigue interventions integrating depressive symptoms and sleep management will likely increase the performance of diabetes self-management and improve the health outcomes in adults with type 2 diabetes. The study tested the theory of unpleasant symptoms using empirical data and will assist in building theory-guided fatigue interventions to improve diabetes self-management in people with type 2 diabetes.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"438-448"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694928","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

Cultural Beliefs and Practices in Self-Management of Diabetes Among Pnar Women in Meghalaya, India. 印度梅加拉亚Pnar妇女糖尿病自我管理的文化信仰和实践。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI: 10.1177/26350106231208155

Alacrity Muksor, Daksha Parmar

{"title":"Cultural Beliefs and Practices in Self-Management of Diabetes Among Pnar Women in Meghalaya, India.","authors":"Alacrity Muksor, Daksha Parmar","doi":"10.1177/26350106231208155","DOIUrl":"10.1177/26350106231208155","url":null,"abstract":"Purpose: The purpose of the study was to explore the cultural beliefs and practices of the Pnar tribe in terms of their self-management of diabetes.Methods: A qualitative study design using an ethnographic approach was adopted to understand the experiences of the Pnar women with type 2 diabetes. Around 60 women living with diabetes across 20 villages in the Thadlaskein rural block were interviewed in the Pnar language. Thematic analysis was employed to identify the pattern related to beliefs and cultural practices in the self-management of diabetes across the data set.Results: Misconceptions related to diet, such as all vegetables grown underground need to be avoided and bitter herbs and vegetables are good for blood glucose control, were reported. Participants used home remedies and complementary and alternative medicine to bring down their blood glucose levels. Participants believe that diabetes is an episodic or short-term illness and can be cured through herbal medicine. Participants reported that consuming atta or round flat bread made of wheat flour instead of rice caused \"acidity.\"Conclusions: Misconceptions are barriers to disease management, which are often shaped in people's minds by culture. Therefore, health care service providers must know what people think about diabetes and its management. Accordingly, information related to diabetes should be disseminated to the masses for effective management of diabetes.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"462-476"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016421","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

Barriers and Facilitators to Uptake of Continuous Glucose Monitoring for Management of Type 2 Diabetes Mellitus in Youth. 青少年接受持续血糖监测治疗2型糖尿病的障碍和促进因素。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-11-05 DOI: 10.1177/26350106231205030

Vaishnavi Peyyety, Margaret F Zupa, Brianna Hewitt, Adriana Rodriguez Gonzalez, Iswariya Mani, Temiloluwa Prioleau, Jessica McCurley, Yu Kuei Lin, Mary Ellen Vajravelu

{"title":"Barriers and Facilitators to Uptake of Continuous Glucose Monitoring for Management of Type 2 Diabetes Mellitus in Youth.","authors":"Vaishnavi Peyyety, Margaret F Zupa, Brianna Hewitt, Adriana Rodriguez Gonzalez, Iswariya Mani, Temiloluwa Prioleau, Jessica McCurley, Yu Kuei Lin, Mary Ellen Vajravelu","doi":"10.1177/26350106231205030","DOIUrl":"10.1177/26350106231205030","url":null,"abstract":"Purpose: The purpose of this study was to identify factors impacting the acceptability of continuous glucose monitoring (CGM) in adolescents and young adults (AYAs) with type 2 diabetes mellitus (T2DM).Methods: In this single-center study, semistructured interviews were conducted with AYAs with T2DM and their parents to determine attitudes about CGM, including barriers and facilitators. Interviews were audio-recorded, transcribed, and evaluated using thematic analysis.Results: Twenty AYAs and 10 parents participated (n = 30 total). AYAs were mean age 16.5 years (SD 2.2, range = 13.7-20.1) and had median diabetes duration of 1.3 years. Most were female (65%) and from minoritized background (40% non-Hispanic Black, 10% Hispanic, 5% Asian). Seven (35%) used CGM. The primary facilitator elicited was convenience over glucose meter use. Important barriers included the impact of physically wearing the device and drawing unwanted attention, desire for AYA privacy, and inadequate education about the device.Conclusions: In this diverse sample of AYAs with T2DM and their parents, CGM was generally regarded as convenient, although concerns about worsening stigma and conflict with parents were prevalent. These findings can guide the development of patient-centered approaches to CGM for AYAs with T2DM, a critical step toward reducing inequities in diabetes technology uptake.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"426-437"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10895543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489833","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

Validation and Psychometric Evaluation of Diabetes Literacy, Numeracy, and Knowledge Tools in the Arabic Context. 阿拉伯语背景下糖尿病识字、算术和知识工具的验证和心理测量评估。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-10-29 DOI: 10.1177/26350106231207349

Sanah Hasan, Hamzah Alzubaidi, Catarina Samorinha, Ahmed Al Radhaideh

{"title":"Validation and Psychometric Evaluation of Diabetes Literacy, Numeracy, and Knowledge Tools in the Arabic Context.","authors":"Sanah Hasan, Hamzah Alzubaidi, Catarina Samorinha, Ahmed Al Radhaideh","doi":"10.1177/26350106231207349","DOIUrl":"10.1177/26350106231207349","url":null,"abstract":"Purpose: The purpose of this study was to validate the Literacy Assessment for Diabetes (LAD), the Diabetes Numeracy Test (DNT), and the Simplified Diabetes Knowledge Test (DKT) in the Arabic language and context.Methods: Three hundred eighty four, ≥18-year-old patients with type 1, type 2, or gestational diabetes mellitus were recruited from 3 endocrinology clinics in the United Arab Emirates. Exploratory factor analysis using principal component was performed. Achieved scores were compared using Pearson bivariate correlation.Results: All 60 LAD items loaded on 1 factor accounting for 66.7% of the variance, with internal consistency α = .991. Average score = 68.7%. Nineteen out of 26 items were retained on the DNT and grouped into 4 factors, prescription reading and directions, proper dose coverage, nutrition, and insulin, with good internal consistency (α = .721). Average score = 73.2%. All 20 DKT items loaded on 3 factors accounting for 41.2% of the variance, causes and consequences of the high blood sugar level, prevention of the disease, and misconceptions about diabetes self-management, with good internal consistency (α = .799). Average score = 71.9%. A moderate and significant correlation between the DKT and DNT (r = .56, P < .001) was observed.Conclusions: Three tools to assess diabetes literacy, numeracy, and knowledge were psychometrically tested to establish their validity and reliability in the Arabic language and context. The tools could be used to assess patient skills and competence in navigating the health care system and managing their diabetes.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"449-461"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415851","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

Promotore-Led Versus Registered Nurse-Led Diabetes Self-Management Education in Mexican Americans: A Randomized Clinical Trial. 墨西哥裔美国人的Promotore领导的与注册护士领导的糖尿病自我管理教育：一项随机临床试验。

The science of diabetes self-management and care Pub Date : 2023-10-01 Epub Date: 2023-08-18 DOI: 10.1177/26350106231192353

Alex Kopelowicz, Soma Wali, Rhonda Polzin, Maria Elena Ruiz, Karabi Nandy

{"title":"Promotore-Led Versus Registered Nurse-Led Diabetes Self-Management Education in Mexican Americans: A Randomized Clinical Trial.","authors":"Alex Kopelowicz, Soma Wali, Rhonda Polzin, Maria Elena Ruiz, Karabi Nandy","doi":"10.1177/26350106231192353","DOIUrl":"https://doi.org/10.1177/26350106231192353","url":null,"abstract":"Purpose: The purpose of this study is to compare the benefits of a diabetes self-management program led by registered nurses (RNs) versus community health workers (promotores) for Spanish-speaking Mexican Americans with type 2 diabetes (T2DM).Methods: Three hundred thirty Spanish-speaking Mexican American adults with T2DM were randomly assigned to \"Tomando Control de Su Diabetes\" delivered for six 2.5-hour sessions either by promotores or RNs. The primary outcome measure was the Summary of Diabetes Self-Care Activities (SDSCA). Evaluations were made at baseline, 6 weeks, and at 3, 6, and 12 months. Mixed-effects regression models were fit to test if participants had differential changes in the SDSCA total score by group over time, controlling for demographic and clinical factors.Results: SDSCA scores were significantly higher at all time points compared to baseline and not statistically different between the 2 groups. Only years of education correlated with improvement in diabetes self-management behaviors. No moderating variables predicted improvement between groups.Conclusions: Spanish-speaking Mexican American adults with T2DM who participated in a diabetes educational program with promotores or RNs demonstrated similar improvements. Promotores may increase the accessibility of effective diabetes self-management training for this difficult-to-reach population.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":"49 5","pages":"374-383"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223096","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

Comparisons of Psycho-Behavioral Factors, Body Composition, and Clinical Outcomes in Adults With Type 2 Diabetes by Perceived Hypoglycemia. 通过感知低血糖对成人2型糖尿病患者的心理行为因素、身体成分和临床结果的比较。

The science of diabetes self-management and care Pub Date : 2023-10-01 Epub Date: 2023-09-01 DOI: 10.1177/26350106231192362

EunSeok Cha, Kyong Hye Joung, Yun-A Shin, Nak-Hoon Son, Hyun Jin Kim, Melissa Spezia Faulkner

{"title":"Comparisons of Psycho-Behavioral Factors, Body Composition, and Clinical Outcomes in Adults With Type 2 Diabetes by Perceived Hypoglycemia.","authors":"EunSeok Cha, Kyong Hye Joung, Yun-A Shin, Nak-Hoon Son, Hyun Jin Kim, Melissa Spezia Faulkner","doi":"10.1177/26350106231192362","DOIUrl":"https://doi.org/10.1177/26350106231192362","url":null,"abstract":"Purpose: The purpose of the study was to examine the associations between perceived hypoglycemia and psycho-behavioral and clinical factors in persons with type 2 diabetes (T2D).Methods: Adults with T2D were recruited from outpatient clinics in a university hospital in Korea. Sociodemographics, psycho-behavioral and clinical factors, and body composition were assessed. The participants were divided into 2 groups reporting perceived hypoglycemia or not in the previous month based on an item of the Control Problem Scale. Group differences were compared at α = .05 using SPSS (version 26.0).Results: Of 177 participants, approximately one-third (n = 67) perceived hypoglycemia. The hypoglycemia group reported poor health-related quality of life, frequent blood monitoring and foot care, and sleep difficulties. However, no differences between groups were identified for diet, exercise, or glycosylated hemoglobin. The hypoglycemia group had a lower body mass index and a trend toward a lower skeletal muscle mass and fat free mass.Conclusions: Perceived hypoglycemia was associated with psycho-behavioral factors and body composition. Importantly, some persons on oral antidiabetic medications that do not cause hypoglycemia still perceived hypoglycemia. Further investigation is warranted to examine the efficacy of strategies to minimize hypoglycemia and inappropriate fear of hypoglycemia. In addition, clinicians should be aware of the potential risk of hypoglycemia in persons with lower muscle mass.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":"49 5","pages":"351-361"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223097","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: 1