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Education And Diabetic And T1DM

Yiyu Zhang, Xia Li, Shuoming Luo, Chaoyuan Liu, Yuting Xie, Jia Guo, Fang Liu, Zhiguang Zhou
BACKGROUND: The diabetes disease burden in China is heavy, and mobile apps have a great potential for diabetes management. However, there is a lack of investigation of diabetes app use among Chinese diabetes patients and diabetologists. The perspectives and attitudes of diabetes patients and diabetologists regarding diabetes apps are also unclear. OBJECTIVE: Our objectives were to investigate diabetes patients' and diabetologists' use, attitudes, and perspectives, as well as patients' needs, with respect to diabetes apps to provide information regarding the optimal design of diabetes apps and the best strategies to promote their use...
February 8, 2019: JMIR MHealth and UHealth
Abdullah M Al Zahrani, Adnan Al Shaikh
Objective: To determine the glycemic control and cardio-metabolic complications of children and adolescents with type 1 diabetes mellitus (T1DM) attending a tertiary care diabetes clinic in Saudi Arabia. Methods: We conducted a retrospective cross-sectional study of children and adolescents with T1DM attending King Abdulaziz Medical City-Jeddah from 2010 to 2013. We assessed their glycemic control and diabetes management. Vitamin D status was compared with glycemic control and gender differences...
2019: Clinical Medicine Insights. Endocrinology and Diabetes
Jennifer Saylor, Kathleen M Hanna, Christina J Calamaro
PURPOSE: To gain insight and understanding of emerging adult experiences after a diagnosed with type 1 diabetes mellitus (T1DM) and prior to or during college life experiences. DESIGN AND METHODS: A qualitative research design using a focus group was conducted with 12 college students recently diagnosed with T1DM during emerging adulthood. The focus group took place during a College Diabetes Network retreat. Using Braun and Clarke's six phase process, two researchers independently conducted a thematic analysis from the transcribed, verbatim audiotaped narratives...
January 2019: Journal of Pediatric Nursing
Sophie Harris, Ari Miller, Stephanie Amiel, Henrietta Mulnier
People with type 1 diabetes mellitus (T1DM) are offered attendance at diabetes self-management education courses to provide them with skills for self-management of flexible insulin dose adjustment. Attendance is poor, even when courses are evidence-based and nationally available. To understand barriers to attendance, we sought common characteristics of nonattenders from adults with T1DM living in south London. Twenty-five in person semistructured interviews were carried out until thematic saturation occurred...
January 17, 2019: Qualitative Health Research
Pragya Mangla, Aditi Chopra, Siddhnath Sudhanshu, Eesh Bhatia, Preeti Dabadghao, Suchit Gupta, Vijayalakshmi Bhatia
INTRODUCTION: Diabetes knowledge has a large impact on glycemic control. There is a pressing need for creation of validated tests of knowledge for different ethnic groups. OBJECTIVE: To create and validate a diabetes knowledge test (DKT) for young Indians with type 1 diabetes mellitus (T1DM). METHODS: We created a 34 item Hindi language DKT, with basic (19-questions) and advanced (15-questions) components. It was administered to 77 consecutive patients who had previously received in-hospital diabetes education...
December 20, 2018: Primary Care Diabetes
Wenqing Xia, Yu-Chen Chen, Yong Luo, Dan-Feng Zhang, Huiyou Chen, Jianhua Ma, Xindao Yin
BACKGROUND/AIMS: Type 1 diabetes mellitus (T1DM) has been proven to be associated with an increased risk of cognitive dysfunction. In this study, we aimed to investigate whether disrupted spontaneous activity and functional connectivity (FC) exist in T1DM patients using resting-state functional magnetic resonance imaging (rs-fMRI) and to detect the relationships of these parameters with cognitive impairment. METHODS: T1DM patients (n=35) were compared with age-, sex-, and education level-matched healthy controls (n=50) through rs-fMRI...
December 12, 2018: Cellular Physiology and Biochemistry
Yukiyo Yamamoto, Toru Kikuchi, Tatsuhiko Urakami, Motohide Goto, Kohji Tsubouchi, Goro Sasaki, Haruo Mizuno, Yuki Abe, Kazuteru Kitsuda, Shin Amemiya, Shigetaka Sugihara
Background Treatment for type 1 diabetes mellitus (T1DM) has greatly changed by the general use of insulin analogs and continuous subcutaneous insulin infusion (CSII). To investigate whether these advances have been translated into continued improvement in glycemic control in Japanese children and adolescents, we analyzed the registration data of the two consecutive recent cohorts of Japanese childhood-onset T1DM patients. Methods The registration data including hemoglobin A1c (HbA1c), hypoglycemia and insulin regimen were compared between the two cohorts (862 patients in the 2008 cohort and 1090 in the 2013 cohort)...
December 5, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
Luis Eduardo Calliari, Laura Cudizio, Balduino Tschiedel, Hermelinda C Pedrosa, Rosangela Rea, Augusto Pimazoni-Netto, Laurence Hirsch, Kenneth Strauss
Background: In 2014-2015, the largest international survey of insulin injection technique in patients with diabetes taking insulin was conducted in 42 countries, totaling 13,289 participants. In Brazil, patients from five public health centers were included. This study aims to evaluate insulin injection technique in Brazilian patients and compare results with Latin America (LatAm) and World data. Methods: The insulin Injection Technique Questionnaire (ITQ) survey consisted of an initial patient section (questions applied by an experienced nurse), followed by observation of injection technique and examination of the injection sites by the health care professional...
2018: Diabetology & Metabolic Syndrome
Rodrigo Nunes Lamounier, Bruno Geloneze, Silmara Oliveira Leite, Renan Montenegro, Lenita Zajdenverg, Milene Fernandes, Fabiano de Oliveira Griciunas, Mariana Narbot Ermetice, António Roberto Chacra
Background: Hypoglycemia affects patient safety and glycemic control during insulin treatment of both type 1 (T1DM) and type 2 diabetes mellitus (T2DM). The Hypoglycemia Assessment Tool study in Brazil aimed to determine the proportion of patients experiencing hypoglycemic events and to characterize patient awareness and fear about hypoglycemia, among insulin-treated T1DM or T2DM patients. Methods: This was a non-interventional, multicenter study, with a 6-month retrospective and a 4-week prospective evaluation of hypoglycemic events...
2018: Diabetology & Metabolic Syndrome
Rosario Caruso, Paola Rebora, Federica Dellafiore, Diletta Fabrizi, Barbara Riegel, Davide Ausili, Stefania Di Mauro
AIMS: To describe self-care maintenance, monitoring, and management behaviors in adults with type 1 diabetes (T1DM), and to identify clinical and socio-demographic determinants of inadequate self-care. METHODS: A cross-sectional study was conducted in two diabetes outpatient clinics in Italy. Clinical and socio-demographic characteristics were collected from the medical records of 181 consecutively enrolled T1DM patients. The Self-Care of Diabetes Inventory was used to measure self-care maintenance, self-care monitoring, self-care management and self-care confidence...
November 27, 2018: Acta Diabetologica
Anne Helen Hansen, Jan Broz, Tor Claudi, Eirik Årsand
BACKGROUND: The prevalence of diabetes and the use of electronic health (eHealth) are increasing. People with diabetes need frequent monitoring and follow-up of health parameters, and eHealth services can be of great value. However, little is known about the association between the use of eHealth and provider-based health care services among people with diabetes. OBJECTIVE: The objective of this study was to investigate the use of 4 different eHealth platforms (apps, search engines, video services, and social media sites) and associations with the use of provider-based health care visits among people diagnosed with type 1 diabetes mellitus (T1DM)...
November 7, 2018: Journal of Medical Internet Research
Masaaki Matsumoto, Hiroyuki Awano, Yushi Hirota, Masashi Nagai, Ryosuke Bo, Atsuko Matsuoka, Tetsushi Hamaguchi, Takehito Takeuchi, Yasushi Nakagawa, Wataru Ogawa, Kazumoto Iijima
PURPOSE: Hypoglycemia is a common and life-threatening complication in type 1 diabetes mellitus (T1DM) patients. Current guidelines recommend glucagon for treating hypoglycemia in out-of-hospital settings; however, glucagon is reportedly underused in such patients. We conducted a doctor-oriented, questionnaire-based survey of pediatricians and physicians to determine the glucagon prescription rate and identify the reason(s) for its underuse in T1DM patients. METHODS: A questionnaire was mailed to 415 pediatricians and 200 physicians employed at 66 facilities with >100 general wards throughout Hyogo, Japan...
October 26, 2018: Endocrine
Ashley H Ng, Timothy C Crowe, Kylie Ball, Bodil Rasmussen
BACKGROUND: Young adulthood is marked by transitions that impact diabetes self-management behaviors, which require ongoing diabetes education and support. Traditional diabetes education programs and services currently do not meet the needs of many young adults with type 1 diabetes mellitus (T1DM) as they continue to fall through the cracks of clinical services. Age-centered diabetes education programs and services present an opportunity for young adults to meet in a supportive environment and gain a better understanding about diabetes management...
November 30, 2017: JMIR diabetes
Yiyu Zhang, Xia Li, Shuoming Luo, Chaoyuan Liu, Fang Liu, Zhiguang Zhou
BACKGROUND: With the popularity of mobile phones, mobile apps have great potential for the management of diabetes, but the effectiveness of current diabetes apps for type 1 diabetes mellitus (T1DM) is poor. No study has explored the reasons for this deficiency from the users' perspective. OBJECTIVE: The aims of this study were to explore the perspectives and needs of T1DM patients and diabetes experts concerning a diabetes app and to design a new T1DM management mobile app...
September 21, 2018: JMIR MHealth and UHealth
Minerva Granado-Casas, Anna Ramírez-Morros, Mariona Martín, Jordi Real, Núria Alonso, Xavier Valldeperas, Alicia Traveset, Esther Rubinat, Nuria Alcubierre, Marta Hernández, Manel Puig-Domingo, Albert Lecube, Esmeralda Castelblanco, Didac Mauricio
Medical nutrition therapy is an important part of the management of type 1 diabetes mellitus (T1DM). Proper adherence to a healthy diet may have a favorable impact on diabetes management and its diabetic complications. Our aim was to assess differences in food and nutrient intake of type 1 diabetic patients with and without diabetic retinopathy (DR). This was a two-center, cross-sectional study in patients with T1DM, with and without DR. Subjects were recruited from the outpatient clinic of the two participating centers...
August 29, 2018: Nutrients
Swashti Agarwal, Aditi Khokhar, Salvador Castells, Albara Marwa, Dawn Hagerty, Laura Dunkley, Jamila Cooper, Vivian Chin, Vatcharapan Umpaichitra, Sheila Perez-Colon
OBJECTIVE: With the rising incidence of Type 1 diabetes (T1DM), it is important to recognize deficiencies in care and areas of improvement to provide better access to resources and education for T1DM patients. The objective of this study was to recognize social factors and compliance barriers affecting glycated hemoglobin (A1c) level in T1D patients among the minority population. METHODS: A total of 84 T1DM patients, ages 3 to 21 years, 49% males, 87% African American participated in the study...
June 25, 2018: Journal of the National Medical Association
Stefano Bortolotti, Lisa Zarantonello, Ambra Uliana, Nicola Vitturi, Sami Schiff, Patrizia Bisiacchi, Angelo Avogaro, Piero Amodio, Alberto Maran
AIMS: To detect whether adults with type 1 diabetes mellitus (T1DM) have lower cognitive performance than healthy individuals and to detect risk factors for low cognitive performance. METHODS: Twenty-six adults with T1DM and twenty-six healthy subjects matched for age, gender and educational level were compared for cognitive performance by a chronometric computerized test measuring visuo-spatial working memory (N-Back) and by two validated neuropsychological tests (Mini Mental State Examination, Animal Naming Test)...
November 2018: Journal of Diabetes and its Complications
Zadalla Mouslech, Maria Somali, Livadas Sarantis, Daramilas Christos, Chatzi Alexandra, Papagianni Maria, George Mastorakos, Christos Savopoulos, Apostolos I Hatzitolios
OBJECTIVE: Type 1 diabetes mellitus (T1DM) constitutes a real challenge in everyday practice for both physicians and patients. Due to the complexity of the disease and its unpredictable nature, structured education and training programs are nowadays implemented that ensure active patient involvement and self-care behaviors to achieve adequate glycemic control, prevent diabetic complications, and improve the quality of life of patients. These programs provide patients with the necessary knowledge and skills to self-monitor and self-manage the disease and its associated metabolic conditions...
September 2018: Hormones: International Journal of Endocrinology and Metabolism
Malin Rising Holmström, Marie Häggström, Siv Söderberg
PURPOSE: The purpose of the study was to describe school personnel's experiences of caring for youth with diabetes type 1. DESIGN AND METHODS: A qualitative design was chosen for this study. Data were collected with individual interviews that were subjected to inductive qualitative content analysis. The sample consisted of 24 school personnel (teachers, principals and school nurses) from Swedish schools. All had experience with youth aged 6 to 18 years old with diabetes type 1...
August 10, 2018: Journal of Pediatric Nursing
Andrés A González-Garrido, Geisa B Gallardo-Moreno, Rebeca Romo-Vázquez, Hugo Vélez-Pérez, Adolfo Flores-Saiffe-Farías, Gerardo Mendizabal-Ruiz, Stewart R Santos-Arce, Vanessa D Ruiz-Stovel, Fabiola R Gómez-Velázquez, Julieta Ramos-Loyo
The aim of the study was to evaluate the neurofunctional effect of gender in Type-1 Diabetes Mellitus (T1DM) patients during a Visual Spatial Working Memory (VSWM) task. The study included 28 participants with ages ranging from 17-28 years. Fourteen well-controlled T1DM patients (7 female) and 14 controls matched by age, sex, and education level were scanned performing a block-design VSWM paradigm. Behavioral descriptive analyses and mean comparisons were done, and between-group and condition functional activation patterns were also compared...
October 2018: Journal of Neuroscience Research
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