Practical diabetes international : the journal for diabetes care teams worldwide最新文献_第6页

Screening for diabetes: are we acting on the results? 糖尿病筛查:我们是否根据结果采取行动?

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-04-01 DOI: 10.1002/PDI.1571

J. Logue

引用次数: 0

Making sense of outcomes in the ACCORD trial 理解ACCORD试验的结果

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-04-01 DOI: 10.1002/PDI.1567

A. White, M. Fisher

引用次数: 1

Diabetic cystopathy: do we recognise this in our patients? 糖尿病性膀胱病变:我们在患者中认识到这一点吗?

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-04-01 DOI: 10.1002/PDI.1575

B. Jose, E. Karampini, M. Pucci, W. Burbridge, S. Irwin, P. De

{"title":"Diabetic cystopathy: do we recognise this in our patients?","authors":"B. Jose, E. Karampini, M. Pucci, W. Burbridge, S. Irwin, P. De","doi":"10.1002/PDI.1575","DOIUrl":"https://doi.org/10.1002/PDI.1575","url":null,"abstract":"A 44-year-old South Asian woman, with type 2 diabetes requiring insulin, presented with multiple syncopal episodes. Her diabetes was complicated by peripheral neuropathy, diabetic retinopathy and nephropathy. She also had features of autonomic neuropathy. Short synacthen test ruled out adrenal insufficiency; thyroid function was normal. HbA1c was elevated at 14.6% (136mmol/mol). Abdominal computed tomography showed grossly dilated bladder (9.5cm x 14cm x 17.5cm), compressing the mid-ureter. The size suggested an on-going chronic process, consistent with diabetic cystopathy. \u0000 \u0000 \u0000 \u0000An indwelling urethral catheter relieved the bladder distension and the patient was later successfully educated to void the bladder by the clock rather than bladder sensation. Euglycaemia was achieved with twice-daily pre-mixed analogue insulin. \u0000 \u0000 \u0000 \u0000Diabetic cystopathy is an under-diagnosed complication of diabetes. Most contemporary investigators believe that the aetiology is multifactorial, including disturbances of the bladder detrusor muscle, urethra, autonomic nerves and perhaps the urothelium. This most troublesome of all the genitourinary complications of diabetes is often overlooked. Copyright © 2011 John Wiley & Sons.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"75 1","pages":"129-131"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025303","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: 2

Doing diabetes: an evaluation of communication skills and behaviour change training for health professionals 治疗糖尿病:对卫生专业人员沟通技巧和行为改变培训的评估

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-04-01 DOI: 10.1002/PDI.1573

V. Swanson, A. Gold, A. Keen

{"title":"Doing diabetes: an evaluation of communication skills and behaviour change training for health professionals","authors":"V. Swanson, A. Gold, A. Keen","doi":"10.1002/PDI.1573","DOIUrl":"https://doi.org/10.1002/PDI.1573","url":null,"abstract":"Good communication skills enhance consultations between health professionals and patients, leading to better patient outcomes and increased satisfaction. Health professionals working in diabetes can find it difficult to understand patients' apparent self-management ‘failures’, but may lack psychological skills to support efforts at behaviour change. This paper reports on the impact of three-day workshops using evidenced psychological theory as a basis for promoting communication and behaviour change skills in health professionals working in diabetes. \u0000 \u0000 \u0000 \u0000Workshops were delivered in seven urban or rural health service areas in Scotland by a multidisciplinary team. Each included three full-day sessions two weeks apart, and used a range of theoretically-underpinned and evidenced teaching and learning methods. Eighty-one health professionals working in diabetes care participated. Pre-and post-evaluations utilised questionnaires with closed and open questions. \u0000 \u0000 \u0000 \u0000Participants recorded a significant increase in ‘positive’ communication and behaviour change techniques and a decrease in ‘negative’ techniques over the three workshops. Improved communication and behaviour change skills were perceived as having a positive impact on their understanding of patients' motivations and on their own day-to-day practice. \u0000 \u0000 \u0000 \u0000In conclusion, communication and behaviour change skills are very important tools for health professionals working in diabetes care. They can be taught effectively in relatively few sessions using theoretically-based and evidenced approaches, and have a perceived benefit in relation to enhancing patient care and professionals' satisfaction with clinical practice. Copyright © 2011 John Wiley & Sons.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"27 3","pages":"119"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025235","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: 9

Psychological insulin resistance: a critical review of the literature 心理胰岛素抵抗:文献综述

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-04-01 DOI: 10.1002/PDI.1574

A. Gherman, I. Vereșiu, Raluca Sassu, J. Schnur, Bl Scheckner, G. Montgomery

{"title":"Psychological insulin resistance: a critical review of the literature","authors":"A. Gherman, I. Vereșiu, Raluca Sassu, J. Schnur, Bl Scheckner, G. Montgomery","doi":"10.1002/PDI.1574","DOIUrl":"https://doi.org/10.1002/PDI.1574","url":null,"abstract":"objective was to conduct a critical review of the factors that account for psychological insulin resistance (PIR) and of the available strategies to reduce it. Medline, PubMed, Cochrane reviews, PsycInfo, ProQuest, Science Direct, and EBSCO databases were searched and 60 studies were included in the final review. Topics reviewed included: research methods, instruments to assess PIR, PIR in patients and in the medical care team, and proposed strategies for overcoming it. The results showed that a large number of factors account for PIR in patients. The main categories are emotional, cognitive, social/cultural, and interaction with health providers. Physicians mainly delay insulin because they lack knowledge on guidelines or pancreas physiology, they fear inducing hypoglycaemia in elderly or impaired patients, and/or they lack time or personnel resources to teach initiation. Strategies proposed to reduce PIR are educational and psychological (exposure, desensitisation, relaxation and counselling). We concluded that there is a great need of evidence-based interventions that help remove psychological barriers about insulin use in patients, as well as in health care providers. Copyright © 2011 John Wiley & Sons. Practical Diabetes Int 2011; 28(3): 125-128","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025288","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: 43

Practical Diabetes Care. By David Levy. 3rd Edition Published by Wiley‐Blackwell, 2011 Paperback, price: ISBN: 978 1 4443 3385 5 Website: www.wiley.com 实用糖尿病护理。David Levy著，Wiley‐Blackwell出版，2011年第3版平装，价格:ISBN: 978 144443 3385，网址:www.wiley.com

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-04-01 DOI: 10.1002/PDI.1577

A. Begg

引用次数: 0

What do patients prefer: insulin pumps or multiple daily injections and structured education? 患者更喜欢什么:胰岛素泵还是每天多次注射和有组织的教育?

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-03-01 DOI: 10.1002/PDI.1561

Lf Clark, Jc Bilbie, P. Abraham

{"title":"What do patients prefer: insulin pumps or multiple daily injections and structured education?","authors":"Lf Clark, Jc Bilbie, P. Abraham","doi":"10.1002/PDI.1561","DOIUrl":"https://doi.org/10.1002/PDI.1561","url":null,"abstract":"Potential advantages of continuous subcutaneous insulin infusion (CSII) over multiple daily injections (MDI) include improved glycaemia, and reduced frequency and severity of hypoglycaemia. In our hospital, to be considered for CSII, patients must be using MDI, and then undergo a Dose Adjustment For Normal Eating (DAFNE) structured education course. \u0000 \u0000 \u0000 \u0000We reviewed the records of the 21 patients with type 1 diabetes who had sequentially undergone MDI, then DAFNE and are now treated with CSII. \u0000 \u0000 \u0000 \u0000HbA1c improved as patients increased the intensity of the management of diabetes despite reductions in total daily insulin dose. Patients did a similar number of home blood glucose tests per day and spent a similar amount of time managing their diabetes. \u0000 \u0000 \u0000 \u0000Contacts with health care team members were the same for all modalities in the first three months but reduced for those on MDI with or without having completed a structured education course, while contacts with the health care team remained higher on pumps. Patients were generally satisfied with all modalities of treatment and would recommend each modality. \u0000 \u0000 \u0000 \u0000The input into the management of diabetes from both patients and health care professionals remained high even after the initial stages of being commenced on CSII therapy. This reflects the additional input needed in assessing the various basal rates and other ratios. However, patient preference was in favour of pumps in this select group who had sequentially experienced all three options. Copyright © 2011 John Wiley & Sons.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"3 4","pages":"73"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024569","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: 3

Is there a role for vitamin D in prevention of diabetes and metabolic syndrome 维生素D在预防糖尿病和代谢综合征方面是否有作用

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-03-01 DOI: 10.1002/PDI.1555

Adriana Buitrago-López, Geordan D Shannon, O. Franco

引用次数: 0

The surgical panacea for diabetes: time for diabetologists to discriminate facts from fiction and flights of fantasy 手术治疗糖尿病的灵丹妙药:糖尿病专家是时候区分事实与虚构和幻想了

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-03-01 DOI: 10.1002/PDI.1562

J. Pinkney

引用次数: 2

Spirit of respect 尊重精神

Practical diabetes international : the journal for diabetes care teams worldwide Pub Date : 2011-03-01 DOI: 10.1002/PDI.1565

F. Kirkland

引用次数: 1