Primary care diabetes最新文献

{"title":"Shoulder pain among type 2 diabetes mellitus patients: A cross-sectional study in Chilean population.","authors":"Fernanda A P Habechian, Mauricio Esteban Flores-Quezada, Anais Catalina Martinez-Ortega, Rodrigo Ignacio Cuevas-Cid, Gisele Garcia Zanca","doi":"10.1016/j.pcd.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.003","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed determine the prevalence of shoulder pain among Chilean patients with type 2 DM and to characterize their pain intensity and associated disabilities, including an analysis of sex-based differences.</p><p><strong>Methods: </strong>A total of 151 participants with type 2 DM, aged 18-79, from family health centers in Talca, Chile, were included. Data were collected via telephone interview, capturing demographic details and information about current shoulder pain, including its duration, intensity, using a Numerical Rating Scale (NRS), and disability using the Shoulder Pain and Disability Index (SPADI). Statistical analysis was performed using frequency measures, Chi-squared tests, binary logistic regression, and Student's t-tests with SPSS version 21.0.</p><p><strong>Results: </strong>Out of 1662 eligible patients, 151 participated. The overall prevalence of shoulder pain was 53.6 % (95 % CI: 53.8-53.4), with women showing a higher prevalence (63 %; 95 % CI: 63.2-62.8) compared to men (37 %; 95 % CI: 37.2-36.8), a difference that was statistically significant (chi-square=13.5; p ≤ 0.001). The results showed that neither BMI nor sex was significantly associated with the presence of pain. No significant differences were found between sexes regarding pain intensity and disability (p ≥ 0.05).</p><p><strong>Conclusion: </strong>Shoulder pain is highly prevalent among patients with type 2 DM, with a higher prevalence in women. Future research should explore the impact of this condition on patients and develop targeted musculoskeletal rehabilitation programs.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257588","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}

{"title":"Investigation of food cravings in individuals with type 2 diabetes: A hierarchical regression analysis.","authors":"Esra Çavuşoğlu, Yasemin Çayir, Meral Gün","doi":"10.1016/j.pcd.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.009","url":null,"abstract":"<p><strong>Aims: </strong>The aim was to determine food cravings and associated variables in patients with type 2 diabetes.</p><p><strong>Methods: </strong>204 type 2 diabetes patients were enrolled in the cross-sectional study between February 16, 2024 and June 16, 2024. Data were collected face-to-face using personal information form, Food Cravings Scale and Diabetes Awareness and Acceptance Scale. Number, percentage, mean, standard deviation and minimum-maximum values, hierarchical regression analysis and pearson correlation test were used to analyze the data. The statistical significance level was assumed to be p < 0.05.</p><p><strong>Results: </strong>The mean score on the food cravings scale was found to be 23.52 ± 19.44. Hierarchical regression analysis revealed that living alone, increased body mass index, alcohol consumption and hospitalization increased the food cravings in patients with type 2 diabetes. It was also found that the use of a diabetes-specific diet by participants, regular check-ups and high diabetes awareness and acceptance reduced the food cravings.</p><p><strong>Conclusions: </strong>It has been shown that managing type 2 diabetes is a dynamic and multidimensional process that is influenced by the desire to eat, awareness of diabetes, knowledge and practices related to diabetes.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257550","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}

{"title":"Targeting depression and diabetes comorbidity: A generalization meta-analysis of randomized controlled trials on cognitive-behavioural therapy efficacy.","authors":"Kenni Wojujutari Ajele, Elmari Deacon","doi":"10.1016/j.pcd.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.004","url":null,"abstract":"<p><strong>Aims: </strong>This study evaluated the effectiveness of cognitive-behavioural therapy (CBT) in managing comorbid depression and diabetes by examining its influence on psychological and metabolic outcomes, addressing inconsistencies in existing research.</p><p><strong>Methods: </strong>A systematic review of 26 randomized controlled trials (RCTs) involving 4220 participants conducted between 2000 and 2024 was performed. Subgroup analyses evaluated geographic location, delivery modes, and intervention characteristics, including session duration and frequency.</p><p><strong>Methods: </strong>A systematic review of 26 randomized controlled trials (RCTs) involving 4220 participants from year 2000 to 2024 was conducted…. Sub-group analyses assessed geographic location, delivery modes, and intervention features, such as session duration and frequency.</p><p><strong>Results: </strong>CBT significantly reduced depressive symptoms (SMD = -1.30, 95 % CI -2.46 to -0.13, p < 0.05), demonstrating substantial psychological benefits. Its effect on glycemic control, measured by HbA1c levels, was modest and not statistically significant (SMD = -0.56, 95 % CI -1.12-0.01, p > 0.05). Subgroup analyses revealed variations based on region and intervention characteristics. High heterogeneity across studies highlighted the need for tailored approaches that consider context-specific factors and delivery methods.</p><p><strong>Conclusions: </strong>CBT effectively reduces depressive symptoms in individuals with diabetes, supporting its role in integrated care models. However, its association with glycemic control remains inconclusive. Future research should refine CBT protocols to enhance both psychological and metabolic outcomes while addressing diverse needs.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191703","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}

{"title":"Erectile dysfunction and diabetes mellitus.","authors":"Shih-Wei Lai","doi":"10.1016/j.pcd.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.002","url":null,"abstract":"","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082705","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}

{"title":"Factors influencing the uptake of culturally tailored diabetes self-management education and support programmes among ethnic minority patients with type 2 diabetes: A systematic review.","authors":"Sariata Abu, Sofia Llahana","doi":"10.1016/j.pcd.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.010","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aimed to evaluate the factors influencing the uptake of culturally-tailored Diabetes Self-Management Education and Support (DSMES) programmes among ethnic minority patients diagnosed with type 2 diabetes mellitus (T2DM).</p><p><strong>Methods: </strong>A systematic review, following PRISMA guidelines, was conducted, including quantitative research studies published in peer-reviewed journals from January 2013 to January 2023. Studies were extracted via the following databases, AMED, MEDLINE, CINAHL, EMBASE, EMCARE, PSYCHINFO, Ovid Nursing, and grey literature. Studies were selected based on eligibility criteria including the evaluation of DSMES programmes tailored for ethnic minorities and involving adult participants with T2DM. The factors affecting the uptake of these programs were mapped against the three categories of the Andersen's Behavioural Model of Health Services Use: predisposing, enabling, and need factors. The quality of the included studies was assessed using the Critical Appraisal Skills Program (CASP) checklist, and a narrative synthesis was conducted to analyse the findings.</p><p><strong>Results: </strong>Nine studies met the inclusion criteria, demonstrating that culturally-tailored DSMES programmes significantly improve uptake among ethnic minorities. Key factors influencing participation included demographic characteristics, diabetes knowledge, emotional support, and cultural beliefs. Barriers such as language proficiency, cost, and diabetes fatalism were identified, while enablers included the use of local champions and culturally specific strategies.</p><p><strong>Conclusions: </strong>This systematic review highlights the effectiveness of culturally-tailored DSMES programmes in improving health outcomes among ethnic minority groups. It suggests that more research is needed to explore these barriers and develop strategies to enhance the uptake of DSMES programmes among underserved populations.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082709","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}

{"title":"A cohort study on the risk of diabetic retinopathy in type 2 diabetes patients with serum TG/HDL-C ratio.","authors":"Chunhui Li, Lei Wang, Dongmei Feng, Xiyun Bian, Hu You, Chengquan Liang, Jing Wang","doi":"10.1016/j.pcd.2025.01.005","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.005","url":null,"abstract":"<p><strong>Background: </strong>Diabetic retinopathy (DR) is a leading cause of vision impairment in type 2 diabetes. This study aims to clarify the association between baseline triglyceride to high-density lipoprotein cholesterol (TG/HDL-C) ratio and DR risk in type 2 diabetes patients to aid in prevention and treatment strategies.</p><p><strong>Methods: </strong>This retrospective cohort study included 1049 patients with type 2 diabetes who met the inclusion criteria and underwent health examinations at our hospital from January 2017 to December 2023. All patients completed seven follow-up visits within seven years. Baseline data from 2017 were utilized for the analysis. The Kaplan-Meier method and the Cox proportional hazards regression model and restricted cubic spline (RCS) method were employed to analyze the association between baseline serum TG/HDL-C ratio and the risk of DR.</p><p><strong>Results: </strong>A total of 1049 patients were included in the cohort, with a median follow-up period of seven years. During the follow-up period, 124 new cases of DR were identified, with an incidence rate of 11.8 %. The incidence of DR showed an upward trend with increasing baseline TG/HDL-C ratio. After adjusting for various potential confounding factors in the Cox proportional hazards regression model, high TG/HDL-C ratio levels were identified as a risk factor for DR (HR=3.04, 95 % CI 1.55-5.98, P = 0.0029).In the dose-response relationship analysis, a significant nonlinear relationship was observed between the TG/HDL-C ratio and the risk of diabetic retinopathy (DR) (nonlinear P value = 0.029). The risk of DR significantly increased when the TG/HDL-C ratio reached 3.3 (HR = 1.56, 95 % CI: 1.17-2.10, P = 0.003) and then leveled off.</p><p><strong>Conclusion: </strong>High TG/HDL-C ratio is closely associated with the occurrence of DR and has a certain predictive value for the onset of DR.</p><p><strong>Data availability: </strong>The data that support the findings of this study are available from the corresponding author upon reasonable request. The data are not publicly available due to confidentiality agreements with the funding organization.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076163","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}

{"title":"Impact of general practitioner appointment frequency on disease management in type 2 diabetes mellitus patients.","authors":"Miguel García-Villarino, Pablo Martínez-Camblor, Ana Victoria García, Elsa Villa-Fernández, Sonia Pérez-Fernández, Carmen Lambert, Pedro Pujante, Elena Fernández-Suárez, María-Dolores Chiara, Edelmiro Menéndez Torre, José María Fernández Rodríguez-Lacín, Jesús De la Hera, Elías Delgado","doi":"10.1016/j.pcd.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.007","url":null,"abstract":"<p><strong>Aims: </strong>We investigated the association between the frequency of visits to general practitioners (GPs) and the degree of disease control in patients with T2DM.</p><p><strong>Methods: </strong>This study included patients diagnosed with T2DM who visited their GPs between 2014 and 2018. A total of 89,674 patients, accounting for 1,203,035 visits, were included. Different clinical features such as glycated hemoglobin (HbA1c%), blood pressure (BP), and c-LDL levels were analyzed. Multifactorial control of T2DM was defined as HbA1c ≤ 7 %, BP ≤ 140/90 mmHg, and LDL cholesterol ≤ 100 mg/dL. Generalized Estimating Equations models were implemented in order to deal with repeated measures for the same patient.</p><p><strong>Results: </strong>The median age of the patients is 70 years, with 52.8 % being male. An increase in the number of visits per year significantly improves the likelihood of achieving multifactorial diabetes control. Patients with more than 3-visits per year (55.6 %) have a Relative Risks (RR) of 1.258 (95 % Confidence Interval: 1.120-1.414). Frequent visits are associated with better multifactorial control and better c-LDL management. Patients visiting more than 3-times annually tend to achieve better outcomes in multifactorial and c-LDL control.</p><p><strong>Conclusion: </strong>Increasing the frequency of primary care visits significantly enhances multifactorial and cholesterol control among T2DM patients.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070532","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}

{"title":"Ramadan fasting and glycemic control in patients with type 2 diabetes: A real-world data analysis.","authors":"Swan-Abu Salih A, G Chodick, P Klein, S Eilat-Adar","doi":"10.1016/j.pcd.2024.12.010","DOIUrl":"https://doi.org/10.1016/j.pcd.2024.12.010","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to assess the impact of Ramadan intermittent fasting on glycemic control in individuals diagnosed with type 2 diabetes.</p><p><strong>Methods: </strong>This historical prospective study utilized electronic health records from a major state-mandated healthcare provider. The research sample included Muslim adults aged 40-70 years, who had been diagnosed with type 2 diabetes. Their place of residence, categorized as a yes/no predominantly Muslim-Arab city, was identified for analysis purposes. Data regarding fasting plasma glucose and HbA1C levels were extracted from the 90 days preceding and the 45 days following the Ramadan period, spanning across six years (2011-2016). The annual data were aggregated and analyzed using a mixed-model ANOVA.</p><p><strong>Results: </strong>Muslim participants during Ramadan were found to have a higher likelihood of experiencing a change in HbA1C levels of ≥ 0.5 % compared to their non-Muslim counterparts, displaying an odds ratio (OR) of 1.89 (95 % confidence interval [CI]: 1.24-2.88). Among Muslims with initially normal HbA1C levels (≤7 %), there was a heightened risk of both decreased (≤-0.5 %) HbA1C levels (OR=2.62, 95 % CI: 1.15-6.00) and increased (≥+0.5 %) HbA1C levels (OR=2.85, 95 % CI: 1.24-6.57) in comparison to the non-Muslim group.</p><p><strong>Conclusions: </strong>In Muslims with type 2 diabetes, fasting during the Ramadan increases the risk of their HbA1C-levels rising by more than 0.5 %. These results underscore the potentially dual impact of Ramadan intermittent fasting on glycemic control in individuals with type 2 diabetes.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030544","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}

{"title":"Diabetic foot ulcer in the Western Pacific Region: Current data on ulceration rates and microbial profiles, gaps and charting strategies.","authors":"Quan-Hziung Lim, Lawrence Chun-Wei Loy, Haireen Abdul Hadi, Nik Aizah Nabilla Faheem, Izzati Syahirah Shaharuddin, Sasheela Sri La Ponnampalavanar, Lee-Ling Lim","doi":"10.1016/j.pcd.2024.12.012","DOIUrl":"https://doi.org/10.1016/j.pcd.2024.12.012","url":null,"abstract":"<p><p>The Western Pacific Region hosts the largest proportion of people with diabetes. Despite being a key diabetes-related complication, diabetic foot ulcer has been neglected in both prevention and treatment efforts. This narrative review highlights available data on the burden (either prevalence or incidence), as well as microbial profiles of diabetic foot ulcers in the Western Pacific Region, identifies data gaps, and discusses strategies to address these gaps. There are substantial gaps in epidemiological data and microbial profiles for many countries in the Western Pacific Region. Addressing these gaps require developing and strengthening data collection systems for effective surveillance and benchmarking of diabetes care.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019169","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}

{"title":"The effect of a team-based service model on treatment processes and outcomes and healthcare usage among people with type 2 diabetes in North Karelia, Finland.","authors":"Marja-Leena Lamidi, Katja Wikström, Hilkka Tirkkonen, Päivi Rautiainen, Matias Laaninen, Tiina Laatikainen","doi":"10.1016/j.pcd.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.pcd.2025.01.001","url":null,"abstract":"<p><strong>Aims: </strong>In North Karelia, Finland, a team-based service model was implemented in primary healthcare (PHC) during 2020. In this model, a healthcare customer contacts a nurse who initiates the service process immediately, possibly consulting or directing customers to other professionals. The effect of this new service model among patients with type 2 diabetes (T2D) was assessed.</p><p><strong>Methods: </strong>Data from T2D patients diagnosed by 2016 and still residing in North Karelia in 2023 (N = 6312) were extracted from electronic health records. Diabetes-related contacts with nurses or physicians in PHC and specialised healthcare (SHC) were considered, along with emergency care contacts, measurement activity and levels of glycated haemoglobin (HbA1c) and low-density lipoproteins (LDL) between 2017 and 2022. Annual differences between areas were analysed using logistic and Poisson mixed models.</p><p><strong>Results: </strong>The team-based service model increased T2D-related PHC remote contacts with nurses for a couple of years, but eventually they decreased to a lower level than before. Additionally, the number of other contacts reduced. It had no effect on measurement activity or treatment levels of HbA1c and LDL.</p><p><strong>Conclusion: </strong>The team-based service model might reduce the number of healthcare contacts among T2D patients, but more evidence is needed on its effectiveness and cost-effectiveness.</p>","PeriodicalId":94177,"journal":{"name":"Primary care diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019174","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}