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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Book•
01 Jan 1996
TL;DR: This book discusses Meal Planning for Diabetes: Approaches and Educational Resources, and the Role of Carbohydrate in the Diabetes Meal Plan, and Nutrition-Focused Diabetes Care Nutrition Assessment.
Abstract: UNDERSTANDING DIABETES Pathophysiology Complications of Diabetes Mellitus SETTING AND ACHIEVING NUTRITION GOALS Nutrition-Focused Diabetes Care Nutrition Assessment Diabetes Medications/Delivery Methods Exercise and Diabetes Mellitus Monitoring of Comprehensive Diabetes Management Use of Self Blood Glucose Monitoring Achieving Goals through Self-Management Training Nutritional Counseling SELECTING NUTRITIONAL EDUCATION APPROACH Meal Planning for Diabetes: Approaches and Educational Resources The Exchange System Carbohydrate Counting Very Low Calorie Diets Cultural Considerations in Diabetes Nutrition Therapy MACRONUTRIENT INFLUENCE ON BLOOD GLUCOSE AND HEALTH The Role of Carbohydrate in the Diabetes Meal Plan Protein Lipids Calories Low-Calorie Sweeteners and Fat Replacers: The Ingredients, Use in Foods, and Diabetes Management Fiber and the Diabetic Diet MAKING FOOD CHOICES Selected Foods Altering the Basic Meal Plan Glycemic Control and Supplemental Vitamins, Minerals, and Nonfood Substances LIFE STAGES Children and Adolescents Pregnancy and Diabetes Medical Nutrition Therapy for the Older Person with Diabetes NUTRITION AND SPECIFIC CLINICAL CONDITIONS Diabetic Nephropathy Hypertension and Diabetes Eating Disorders in Diabetes Mellitus Surgery and Surgical Nutrition in Diabetes Gastrointestinal Manifestations of Diabetes Mellitus Dental Care of the Person with Diabetes Diabetes in HIV/AIDS MAKING IT WORK Reimbursement for Medical Nutrition Therapy and Diabetes Self-Management Training View from the Mountain
43 citations
TL;DR: Despite well-documented health and socioeconomic disparities among AI/AN, ESRD-D incidence rates among this population have decreased substantially since 1996, and these approaches might be a useful model for diabetes management in other health care systems, especially those serving populations at high risk.
Abstract: Background American Indians and Alaska Natives (AI/AN) have the highest diabetes prevalence among any racial/ethnic group in the United States. Among AI/AN, diabetes accounts for 69% of new cases of end-stage renal disease (ESRD), defined as kidney failure treated with dialysis or transplantation. During 1982-1996, diabetes-related ESRD (ESRD-D) in AI/AN increased substantially and disproportionately compared with other racial/ethnic groups. Methods Data from the U.S. Renal Data System, the Indian Health Service (IHS), the National Health Interview Survey, and the U.S. Census were used to calculate ESRD-D incidence rates by race/ethnicity among U.S. adults aged ≥18 years during 1996-2013 and in the diabetic population during 2006-2013. Rates were age-adjusted based on the 2000 U.S. standard population. IHS clinical data from the Diabetes Cares and Outcomes Audit were analyzed for diabetes management measures in AI/AN. Results Among AI/AN adults, age-adjusted ESRD-D rates per 100,000 population decreased 54%, from 57.3 in 1996 to 26.5 in 2013. Although rates for adults in other racial/ethnic groups also decreased during this period, AI/AN had the steepest decline. Among AI/AN with diabetes, ESRD-D incidence decreased during 2006-2013 and, by 2013, was the same as that for whites. Measures related to the assessment and treatment of ESRD-D risk factors also showed more improvement during this period in AI/AN than in the general population. Conclusion and implications for public health practice Despite well-documented health and socioeconomic disparities among AI/AN, ESRD-D incidence rates among this population have decreased substantially since 1996. This decline followed implementation by the IHS of public health and population management approaches to diabetes accompanied by improvements in clinical care beginning in the mid-1980s. These approaches might be a useful model for diabetes management in other health care systems, especially those serving populations at high risk.
43 citations
Journal Article•
TL;DR: Patients with non-insulin dependent diabetes registered at two suburban practices were interviewed at least one year after the introduction of an organized general practice based system of diabetic surveillance and the results compared with data gathered from interviews administered before the introduction.
Abstract: Forty three patients with non-insulin dependent diabetes registered at two suburban practices were interviewed at least one year after the introduction of an organized general practice based system of diabetic surveillance and the results compared with data gathered from interviews administered before the introduction of the system. Structured data from the two interviews were compared in relation to the importance which patients attached to diabetes and its medical review, patients' preference for place of future review and the health professionals from whom they wished to receive diabetes care. Patients' ratings of the performance of health professionals on various aspects of care were compared with the ratings given before the introduction of the new service. At the follow-up interviews the reasons behind patients' responses to the structured questions were explored using a qualitative method. The introduction of a general practice based diabetes service was marked by an improvement in attendance for diabetes monitoring (56% before introduction, 98% in the year following introduction). This was associated with an increase in the importance which patients attached to diabetes and its medical review. After experience of diabetes care in general practice, patients remained enthusiastic about general practice involvement and confident in their general practitioners' knowledge about diabetes management. In spite of an improvement in the patients' ratings of hospital doctors' communication skills, they continued to rate general practitioners significantly more highly in these skills (P < 0.01) and in terms of convenience and accessibility (P < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)
43 citations
TL;DR: Research studies that describe the care of the student with type 1 diabetes at school and interventions to improve care identified needed improvement in the following areas: communication, after-school support, education of staff and peers, school nurse availability and lunch choices.
Abstract: This integrative literature review examines research studies that describe the care of the student with type 1 diabetes at school and interventions to improve care. Participants of the studies include school nurses, counselors, staff, administrators, parents, and students with diabetes. The studies reviewed use a descriptive approach in examining care delivered with one study adding a qualitative approach for validation of results. The findings identified needed improvement in the following areas: communication, after-school support, education of staff and peers, school nurse availability, and lunch choices. The school nurse must advocate for the student with type 1 diabetes in each area of concern, especially in ensuring education of school staff who often provide care to these students.
43 citations
TL;DR: In this paper, the authors compared the efficacy of fully automated closed-loop insulin delivery vs. usual care in patients undergoing hemodialysis while in hospital and found that those patients receiving closed loop insulin delivery significantly increased the proportion of time when a continuous glucose monitor was in the target range of 5.6-10.0 mmol/l by 37.6 percent without increasing the risk of hypoglycemia.
43 citations