Topic
Diabetes management
About: Diabetes management is a research topic. Over the lifetime, 6060 publications have been published within this topic receiving 164670 citations.
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TL;DR: Evidence supports the notion that inpatient education is related to earlier discharge and improved outcomes following discharge, and in centers where quality diabetes management is a priority, education is readily available, roles are clear, and quality is monitored.
Abstract: In Brief Recent concern about the optimum management of
hyperglycemia for hospital patients has heightened awareness of necessary
standards of care. Publications have confirmed that diabetes is not diagnosed
or treated when detected in acute care settings, and opportunities for
education are missed. Hospitalization presents an opportunity to address
patients9 unique urgent learning needs. In centers where quality diabetes
management is a priority, education is readily available, roles are clear, and
quality is monitored, evidence supports the notion that inpatient education is
related to earlier discharge and improved outcomes following discharge.
48 citations
TL;DR: Prevalence of diabetes in Lebanon was comparable to that found in the West, yet remained lower than estimates in other resource-rich neighboring countries, and adherence to management and self-care measures was sub-optimal resulting in high complication rates.
48 citations
TL;DR: A comprehensive telemedicine intervention improved outcomes among veterans with persistent poorly controlled diabetes mellitus despite clinic-based care and may represent a practical, real-world strategy to reduce the burden of poor diabetes control among veterans.
Abstract: Background: Telemedicine-based diabetes management improves outcomes versus clinic care but is seldom implemented by healthcare systems. In order to advance telemedicine-based management as a practical option for veterans with persistent poorly controlled diabetes mellitus (PPDM) despite clinic-based care, we evaluated a comprehensive telemedicine intervention that we specifically designed for delivery using existing Veterans Health Administration (VHA) clinical staffing and equipment. Materials and Methods: We conducted a 6-month randomized trial among 50 veterans with PPDM; all maintained hemoglobin A1c (HbA1c) levels continuously >9.0% for >1 year despite clinic-based management. Participants received usual care or a telemedicine intervention combining telemonitoring, medication management, self-management support, and depression management; existing VHA clinical staff delivered the intervention. Using linear mixed models, we examined HbA1c, diabetes self-care (measured by the Self-Care Invent...
48 citations
TL;DR: 18 longitudinal studies conducted in cohort studies, patient registries and clinical trial populations that tested the associations between obesity and survival in patients with diabetes reported that mortality was lowest in overweight and obese persons, and that leaner adults had the highest relative total and cardiovascular mortality.
Abstract: Overweight or obese adults have demonstrated a survival advantage compared with leaner adults in several population-based samples. This counterintuitive association has been termed the obesity paradox. Evidence for an obesity paradox among persons with diabetes has been less consistent. In the present review, we identified 18 longitudinal studies conducted in cohort studies, patient registries and clinical trial populations that tested the associations between obesity and survival in patients with diabetes. The majority of these studies reported that mortality was lowest in overweight and obese persons, and that leaner adults had the highest relative total and cardiovascular mortality. Some of these studies observed the patterns most strongly in older (age > 65 years) adults. To date, little research has been conducted to identify mechanisms that could explain elevated mortality in leaner adults with diabetes, or to identify strategies for diabetes management or mitigation of elevated mortality risk.
47 citations
TL;DR: Positive, daily, motivational text messages may be effective in increasing motivation for small goal changes in the areas of nutrition and physical activity among adolescents and young adults with diabetes.
Abstract: Adolescents and young adults use text messaging as their primary mode of communication, thus providing an opportunity to use this mode of communication for mobile health (mHealth) interventions. Youth with diabetes are an important group for these mHealth initiatives, as diabetes management requires an enormous amount of daily effort and this population has difficulty achieving optimal diabetes management. Goal setting and self-efficacy are 2 factors in the management of diabetes. We examined the feasibility of a healthy lifestyle text messaging program targeting self-efficacy and goal setting among adolescents and young adults with diabetes. Participants, ages 16-21, were assigned to either a text messaging group, which received daily motivational messages about nutrition and physical activity, or a control group, which received paper-based information about healthy lifestyle. Both groups set goals for nutrition and physical activity and completed a measure of self-efficacy. Participants’ mean age was 18.7 ± 1.6 years old, with diabetes duration of 10.0 ± 4.6 years, and A1c of 8.7 ± 1.7%. The text messaging intervention was rated highly and proved to be acceptable to participants. Self-efficacy, glycemic control, and body mass index did not change over the course of the short, 1-month pilot study. Positive, daily, motivational text messages may be effective in increasing motivation for small goal changes in the areas of nutrition and physical activity. These interventions may be used in the future in youth with diabetes to improve diabetes care. Utilizing more targeted text messages is an area for future research.
47 citations