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3.
Clin Podiatr Med Surg ; 36(3): 349-354, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31079601

RESUMO

Diabetes prevalence is increasing in the United States. As of 2017, 30.3 million people in the United States have diabetes (9.4% of population). Of these, an estimated 7.2 million persons are undiagnosed. Prediabetes, a condition that is associated with peripheral neuropathy and is a precurser to diabetes, affects 83.1 million or 33.9% of adults in the United States. Diabetes is most commonly diagnosed by fasting plasma glucose or by an A1C test. An oral glucose tolerance test can also be used, but its use is primarily restricted to research settings.


Assuntos
Diabetes Mellitus/terapia , Gerenciamento Clínico , Análise Custo-Benefício , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/epidemiologia , Dieta , Exercício , Hemoglobina A Glicada/análise , Humanos , Hipoglicemiantes/uso terapêutico , Estilo de Vida , Assistência Centrada no Paciente , Estado Pré-Diabético/diagnóstico , Estados Unidos/epidemiologia
5.
Saudi Med J ; 40(3): 271-276, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30834423

RESUMO

OBJECTIVES: To determine the association between emergency department (ED) visits, glycemic control and the quality of preventive diabetes care among diabetic patients in a Saudi community. Methods: This study was an observational, cross-sectional study that collected data through interview-based surveys between February and April 2017. Data were collected from 530 diabetic patients in the diabetes clinics at King Saud Medical City, the tertiary center of Riyadh, Kingdom of Saudi Arabia.  Results: This study found statistically significant relationships (p less than 0.05) between ED visits and patient age, the glycated hemoglobin (HbA1c) and education level. Emergency department visits increased by 43% for each unit of increase in HbA1c (odds ratio [OR]=1.43, 95% confidence interval (CI)=1.26-1.62). Graduating from high school decreased the odds of visiting the ED by 43% (OR=0.57, 95% CI=0.34-0.94). Most of the participants were not followed for possible microvascular complications; the majority did not visit nephrology (96.2%), ophthalmology (78.3%) and neurology (97.9%) clinics within the 12 months prior to the interviews. Conclusion: Emergency department visits can indicate poor glycemic control in diabetic patients. Additionally, the current practices of preventive diabetes care in Saudi Arabia are not sufficient, according to the diabetic standards of care recommended by the American Diabetes Association.


Assuntos
Complicações do Diabetes/prevenção & controle , Diabetes Mellitus Tipo 1/terapia , Diabetes Mellitus Tipo 2/terapia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Hemoglobina A Glicada/metabolismo , Qualidade da Assistência à Saúde , Adulto , Fatores Etários , Idoso , Estudos Transversais , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/complicações , Angiopatias Diabéticas/prevenção & controle , Escolaridade , Feminino , Humanos , Masculino , Microvasos/patologia , Pessoa de Meia-Idade , Cooperação do Paciente , Arábia Saudita , Inquéritos e Questionários
6.
Molecules ; 24(5)2019 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-30818888

RESUMO

Curcumin (CC) is known to have anti-inflammatory and anti-oxidative properties and has already been tested for its efficiency in different diseases including diabetes mellitus (DM). New formulations and route administration were designed to obtain products with higher bioavailability. Our study aimed to test the effect of intraperitoneal (i.p.) administration of liposomal curcumin (lCC) as pre-treatment in streptozotocin(STZ)-induced DM in rats on oxidative stress, liver, and pancreatic functional parameters. Forty-two Wistar-Bratislava rats were randomly divided into six groups (seven animals/group): control (no diabetes), control-STZ (STZ-induced DM -60 mg/100g body weight a single dose intraperitoneal administration, and no CC pre-treatment), two groups with DM and CC pre-treatment (1mg/100g bw-STZ + CC1, 2 mg/100g bw-STZ + CC2), and two groups with DM and lCC pre-treatment (1 mg/100g bw-STZ + lCC1, 2 mg/100g bw-STZ + lCC1). Intraperitoneal administration of Curcumin in diabetic rats showed a significant reduction of nitric oxide, malondialdehyde, total oxidative stress, and catalase for both evaluated formulations (CC and lCC) compared to control group (p < 0.005), with higher efficacy of lCC formulation compared to CC solution (p < 0.002, excepting catalase for STZ + CC2vs. STZ + lCC1when p = 0.0845). The CC and lCC showed hepatoprotective and hypoglycemic effects, a decrease in oxidative stress and improvement in anti-oxidative capacity status against STZ-induced DM in rats (p < 0.002). The lCC also proved better efficacy on MMP-2, and -9 plasma levels as compared to CC (p < 0.003, excepting STZ + CC2 vs. STZ + lCC1 comparison with p = 0.0553). The lCC demonstrated significantly better efficacy as compared to curcumin solution on all serum levels of the investigated markers, sustaining its possible use as adjuvant therapy in DM.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Curcumina/farmacologia , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus Experimental/tratamento farmacológico , Hipoglicemiantes/farmacologia , Lipossomos/administração & dosagem , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Antioxidantes/administração & dosagem , Antioxidantes/farmacologia , Curcumina/administração & dosagem , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/patologia , Hipoglicemiantes/administração & dosagem , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Masculino , Estresse Oxidativo , Pâncreas/efeitos dos fármacos , Pâncreas/metabolismo , Pâncreas/patologia , Ratos , Ratos Wistar
7.
J Pak Med Assoc ; 69(3): 440-441, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30890844

RESUMO

The article highlights the need to follow a multifactorial, comprehensive approach while managing diabetes. Apart from glycaemic control, blood pressure, lipid, weight and platelet management are equally important if one is to ensure optimal therapeutic outcomes. The mnemonic SMILE (salute-metabolic interventions for life enhancement) includes all evidence-based therapies which help in improving metabolic health, and in preventing morbidity and mortality. It allows evenhanded addressal of all vasculo metabolic parameters, so as to bring SMILEs on faces of all persons involved in diabetes.


Assuntos
Anti-Hipertensivos/uso terapêutico , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus/terapia , Hipoglicemiantes/uso terapêutico , Hipolipemiantes/uso terapêutico , Inibidores da Agregação de Plaquetas/uso terapêutico , Comportamento de Redução do Risco , Complicações do Diabetes/terapia , Gerenciamento Clínico , Medicina Baseada em Evidências , Nível de Saúde , Humanos
8.
Artigo em Inglês | MEDLINE | ID: mdl-30754675

RESUMO

This study aimed to identify any drug-related problems (DRPs) in diabetic patients during Ramadan fasting in Saudi Arabia. The study used a mixed-methods approach consisting of two phases and was conducted in Makkah, Saudi Arabia from December 2017 to March 2018. The first phase of the study involved qualitative semi-structured individual interviews with diabetic patients. A 13-item questionnaire was used in the second phase to further identify DRPs in the wider population. The data was mainly presented as frequencies and percentages. Inferential statistics was performed using Statistical Package for Social Sciences (SPSS) version 21 to compare relevant variables/questions using the chi-square test. Twenty patients (10 male, 10 female) attended face-to-face interviews during the first phase of the study while 95 (40 male, 55 female) completed the questionnaire in the second phase of the study. Two possible risk factors for DRPs were identified from the qualitative data: patient-related factors, including changes in their medicine intake during fasting, and healthcare professionals-related factors, including lack of advice from healthcare professionals regarding fasting. The quantitative results indicated that 52 (54%) of the 95 participants who observed fasting reported to have changed the way they were taking their medicines. Furthermore, 41% of the participants experienced general healthcare problems such as hypoglycemia, hyperglycemia, fatigue, excessive sweating, and gastrointestinal disturbances. Healthcare professionals need to educate patients who are at risk of DRPs by providing structured education and counseling.


Assuntos
Diabetes Mellitus/tratamento farmacológico , Jejum , Hipoglicemiantes/efeitos adversos , Hipoglicemiantes/uso terapêutico , Islamismo , Adulto , Complicações do Diabetes/prevenção & controle , Feminino , Humanos , Hiperglicemia , Hipoglicemia , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Arábia Saudita/epidemiologia , Inquéritos e Questionários
11.
Expert Opin Drug Saf ; 18(3): 241-251, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30810055

RESUMO

INTRODUCTION: Diabetes mellitus is a major public health problem with significant macro- and microvascular complications. Achievement of glucose control is associated with a substantial reduction of microvascular events, while the effects of antidiabetic drugs in macro-vascular complications are less clear. This review summarizes and critically discusses the cardiovascular effects of non-insulin antidiabetic agents. AREAS COVERED: A selective literature search of Pubmed was performed regarding the efficacy and safety of non-insulin antidiabetic agents in randomized controlled clinical trials and relevant meta-analyses. Data are presented for all major classes of antidiabetic drugs: metformin, sulfonylureas, thiazolidinediones, DPP-4 inhibitors, GLP-1 analogues, and SGLT-2 inhibitors. Efficacy and safety were focused on the cardiovascular system. EXPERT OPINION: Disparities in cardiovascular safety and efficacy between antidiabetic drugs exist. Metformin remains the first-choice drug with proven cardiovascular benefits. The cardiovascular profile of sulfonylureas is yet unclarified, while thiazolidinediones seem to be effective in secondary stroke prevention but heart failure concerns limit their use. The cardiovascular safety of DPP-4 inhibitors has been demonstrated, without however significant morbidity and mortality benefits. SGLT-2 inhibitors and GLP-1 analogues offer significant cardiovascular benefits and are recommended for patients with overt cardiovascular disease.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Diabetes Mellitus/tratamento farmacológico , Hipoglicemiantes/administração & dosagem , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Complicações do Diabetes/epidemiologia , Complicações do Diabetes/prevenção & controle , Humanos , Hipoglicemiantes/efeitos adversos , Hipoglicemiantes/farmacologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco
12.
Bone Joint J ; 101-B(1_Supple_A): 3-9, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30648488

RESUMO

AIMS: Prosthetic joint infection (PJI) remains a serious complication that is associated with high morbidity and costs. The aim of this study was to prepare a systematic review to examine patient-related and perioperative risk factors that can be modified in an attempt to reduce the rate of PJI. MATERIALS AND METHODS: A search of PubMed and MEDLINE was conducted for articles published between January 1990 and February 2018 with a combination of search terms to identify studies that dealt with modifiable risk factors for reducing the rate of PJI. An evidence-based review was performed on 12 specific risk factors: glycaemic control, obesity, malnutrition, smoking, vitamin D levels, preoperative Staphylococcus aureus screening, the management of anti-rheumatic medication, perioperative antibiotic prophylaxis, presurgical skin preparation, the operating room environment, irrigant options, and anticoagulation. RESULTS: Poor glycaemic control, obesity, malnutrition, and smoking are all associated with increased rates of PJI. Vitamin D replacement has been shown in preliminary animal studies to decrease rates of PJI. Preoperative Staphylococcus aureus screening and appropriate treatment results in decreased rates of PJI. Perioperative variables, such as timely and appropriate dosage of prophylactic antibiotics, skin preparation with chlorohexidine-based solution, and irrigation with dilute betadine at the conclusion of the operation, have all been associated with reduced rates of PJI. Similarly, aggressive anticoagulation and increased operating room traffic should be avoided to help minimize risk of PJI. CONCLUSION: PJI remains a serious complication of arthroplasty. Surgeons should be vigilant of the modifiable risk factors that can be addressed in an attempt to reduce the risk of PJI.


Assuntos
Prótese de Quadril/efeitos adversos , Prótese do Joelho/efeitos adversos , Infecções Relacionadas à Prótese/prevenção & controle , Artroplastia de Quadril , Artroplastia do Joelho , Complicações do Diabetes/prevenção & controle , Humanos , Desnutrição/complicações , Obesidade/complicações , Cuidados Pré-Operatórios/métodos , Infecções Relacionadas à Prótese/etiologia , Fatores de Risco , Fumar/efeitos adversos
13.
Diabetes Metab Syndr ; 13(1): 390-394, 2019 Jan - Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30641730

RESUMO

PURPOSES: This study aimed to (1) assess the level of diabetes self-care knowledge among patients with diabetes mellitus and (2) examine the relationship between patients' diabetes self-care knowledge and their demographic and medical characteristics. METHODS: A cross-sectional design was used to implement the study. A convenience sample of 273 diabetic patients were recruited from five primary health-care centers in Amman- Jordan. RESULTS: The overall level of knowledge of diabetes self-care in the total sample was moderate (58.28% (SD = 18.24)). The highest level of knowledge was meal planning (70.2%) followed by monitoring, causes of diabetes, foot care, symptoms and complication, diabetic medication, and the lowest level was exercise (42.5%). Furthermore, knowledge of diabetes self-care was found to be associated with age, educational status, diabetic medications and years with diabetes. CONCLUSION: and Practice implications: The study findings emphasized that diabetic patients had a moderate level of knowledge and there were many of the learning needs for each area of knowledge. The health-care professional has an important role in developing the appropriate diabetes educational programs based on patients' learning needs and patients' characteristics. These programs that enhances knowledge on diabetes could be reduced or prevented diabetes-related complications.


Assuntos
Complicações do Diabetes/prevenção & controle , Diabetes Mellitus/tratamento farmacológico , Conhecimentos, Atitudes e Prática em Saúde , Hipoglicemiantes/uso terapêutico , Autocuidado , Adolescente , Adulto , Estudos Transversais , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Inquéritos e Questionários , Adulto Jovem
14.
Biochimie ; 158: 208-216, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30682388

RESUMO

Evidence suggests that hydrogen sulfide precondition (HIPC) is an effective protocol in the management of ischemia reperfusion (I/R) by attenuating free radical and calcium overload in mitochondria. However the efficacy of HIPC is largely unknown in diabetic cardiomyopathy (DCM) hearts subjected to I/R procedure. Male Wistar rats were randomly divided into three groups: i) normal, ii) diabetes mellitus (DM), and iii) diabetic cardiomyopathy (DCM). DM and DCM animals were prepared by using streptozotocin injection at the age of 4 week (35 mg/kg, i.p). DCM animals were additionally administered with high fat diet for 3 months. Isolated rat hearts were perfused by using Langendorff apparatus with continuous hemodynamic monitoring. Following reperfusion, cardiac physiological efficiency was highly compromised in DCM heart (high infarct size by 94% and low relative pressure product by 65%) as compared to normal rat heart. HIPC effectively improved cardiac physiology of I/R challenged normal rat hearts by 62.5% (RPP), reduced injury by 60% (Infarct size) and subsequently preserved mitochondrial electron transport chain enzyme activities NQR by 57%, membrane potential, swelling behaviour, ATP content, ATP producing capacity and oxidative defence system by reducing lipid peroxidation by 55% compared with I/R. But in DM and DCM animals, isolated hearts conditioned with HIPC substantially improved cardiac physiology (RPP) by 44% in DM and 58% in DCM, arrest tissue injury (Infarct size) by 72% in DM and 79% in DCM and preserved mitochondrial activity only to its own sham control, primarily due to the basal level defect. Furthermore, we found that SSM fraction of diabetic heart mitochondria showed overall better improvement in their function than IFM by HIPC. However, mitochondrion experienced I/R associated oxidative stress was not improved by HIPC.


Assuntos
Cardiomiopatias , Complicações do Diabetes , Diabetes Mellitus Experimental , Sulfeto de Hidrogênio/farmacologia , Precondicionamento Isquêmico , Mitocôndrias Cardíacas/metabolismo , Traumatismo por Reperfusão Miocárdica , Animais , Cardiomiopatias/etiologia , Cardiomiopatias/metabolismo , Cardiomiopatias/prevenção & controle , Complicações do Diabetes/metabolismo , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus Experimental/tratamento farmacológico , Diabetes Mellitus Experimental/metabolismo , Masculino , Traumatismo por Reperfusão Miocárdica/metabolismo , Traumatismo por Reperfusão Miocárdica/prevenção & controle , Distribuição Aleatória , Ratos , Ratos Wistar
15.
CuidArte, Enferm ; 13(1): 22-26, jan.2019.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1010402

RESUMO

Introdução: A neuropatia distal diabética é uma das principais complicações do diabetes mellitus, acometendo metade dos pacientes com diabetes, e pode ser a causa de deformidades, úlceras e amputações. Mais de 70% dos pacientes com pé diabético apresentam neuropatias. A investigação e o reconhecimento precoce da presença da neuropatia distal diabética são importantes, pois permitem detectar pacientes que apresentam neuropatia distal diabética, que podem evoluir para úlcera e/ou amputação...(AU)


Introduction: Diabetic distal neuropathy is one of the main complications of diabetes mellitus, affecting half of diabetes patients, and may be the cause of deformities, ulcers and amputations. More than 70% of diabetic foot patients have neuropathies. Investigation and early recognition of the presence of diabetic distal neuropathy is important because it allows the detection of patients with diabetic distal neuropathy, which may progress to ulcer and / or amputation ... (AU)


Introducción: la neuropatía distal diabética es una de las principales complicaciones de la diabetes mellitus, afecta a la mitad de los pacientes con diabetes y puede ser la causa de deformidades, úlceras y amputaciones. Más del 70% de los pacientes con pie diabético tienen neuropatías. La investigación y el reconocimiento temprano de la presencia de neuropatía distal diabética es importante porque permite la detección de pacientes con neuropatía distal diabética, que puede progresar a úlcera y / o amputación ... (AU)


Assuntos
Pé Diabético , Complicações do Diabetes/prevenção & controle , Neuropatias Diabéticas , Amputação , Fatores de Risco
16.
JAMA ; 321(3): 277-287, 2019 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-30667501

RESUMO

Importance: The role for aspirin in cardiovascular primary prevention remains controversial, with potential benefits limited by an increased bleeding risk. Objective: To assess the association of aspirin use for primary prevention with cardiovascular events and bleeding. Data Sources: PubMed and Embase were searched on Cochrane Library Central Register of Controlled Trials from the earliest available date through November 1, 2018. Study Selection: Randomized clinical trials enrolling at least 1000 participants with no known cardiovascular disease and a follow-up of at least 12 months were included. Included studies compared aspirin use with no aspirin (placebo or no treatment). Data Extraction and Synthesis: Data were screened and extracted independently by both investigators. Bayesian and frequentist meta-analyses were performed. Main Outcomes and Measures: The primary cardiovascular outcome was a composite of cardiovascular mortality, nonfatal myocardial infarction, and nonfatal stroke. The primary bleeding outcome was any major bleeding (defined by the individual studies). Results: A total of 13 trials randomizing 164 225 participants with 1 050 511 participant-years of follow-up were included. The median age of trial participants was 62 years (range, 53-74), 77 501 (47%) were men, 30 361 (19%) had diabetes, and the median baseline risk of the primary cardiovascular outcome was 9.2% (range, 2.6%-15.9%). Aspirin use was associated with significant reductions in the composite cardiovascular outcome compared with no aspirin (57.1 per 10 000 participant-years with aspirin and 61.4 per 10 000 participant-years with no aspirin) (hazard ratio [HR], 0.89 [95% credible interval, 0.84-0.95]; absolute risk reduction, 0.38% [95% CI, 0.20%-0.55%]; number needed to treat, 265). Aspirin use was associated with an increased risk of major bleeding events compared with no aspirin (23.1 per 10 000 participant-years with aspirin and 16.4 per 10 000 participant-years with no aspirin) (HR, 1.43 [95% credible interval, 1.30-1.56]; absolute risk increase, 0.47% [95% CI, 0.34%-0.62%]; number needed to harm, 210). Conclusions and Relevance: The use of aspirin in individuals without cardiovascular disease was associated with a lower risk of cardiovascular events and an increased risk of major bleeding. This information may inform discussions with patients about aspirin for primary prevention of cardiovascular events and bleeding.


Assuntos
Aspirina/uso terapêutico , Doenças Cardiovasculares/prevenção & controle , Hemorragia/induzido quimicamente , Inibidores da Agregação de Plaquetas/uso terapêutico , Prevenção Primária , Aspirina/efeitos adversos , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus/tratamento farmacológico , Feminino , Humanos , Masculino , Inibidores da Agregação de Plaquetas/efeitos adversos , Risco
17.
Clin Podiatr Med Surg ; 36(1): 83-102, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30446046

RESUMO

Diabetes mellitus is a devastating disease that has reached epidemic proportions. The surgical patient with diabetes is at increased risk for developing complications when compared with patients without diabetes. A comprehensive preoperative work-up must be performed, including ancillary studies, with optimization of the patient's glucose levels during the perioperative period to decrease the chance of developing surgical complications. A multispecialty team approach for the care of patients with diabetes should be used to produce successful surgical outcomes.


Assuntos
Glicemia/análise , Complicações do Diabetes/prevenção & controle , Fixação Interna de Fraturas/efeitos adversos , Complicações Pós-Operatórias/fisiopatologia , Cuidados Pré-Operatórios/métodos , Fraturas do Tornozelo/cirurgia , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/cirurgia , Feminino , Traumatismos do Pé/cirurgia , Fixação Interna de Fraturas/métodos , Consolidação da Fratura/fisiologia , Humanos , Masculino , Assistência Perioperatória/métodos , Podiatria/métodos , Complicações Pós-Operatórias/terapia , Medição de Risco , Resultado do Tratamento , Cicatrização/fisiologia
18.
Rev. Rol enferm ; 41(11/12,supl): 80-86, nov.-dic. 2018.
Artigo em Inglês | IBECS | ID: ibc-179945

RESUMO

Adequate management of noncommunicable diseases is dependent on self-care1. Being diabetes mellitus one of these major diseases2, several determinants con-tribute to the process of health care and outcomes, however, in the last decades the evidence has been illustrating the concept of health literacy as a relevant and influential factor in diabetes3. In this cross-sectional study, developed in the municipal health centres of the Autonomous Region of Madeira, we used a data collection instrument with the sociodemographic and clinical characteristics created for this purpose and use the European Health Literacy Survey for Portugal4, the Diabetes Self-Care Activities Scale5 and the Treatment Adherence Scale6, too. In the sample (n = 138), we observed a low control of diabetes, including glyca-ted hemoglobin, low density lipoprotein, blood pressure and weight. About a quarter of respondents already showed complications of diabetes. In health literacy, we found a higher percentage of individuals with limited li-teracy in all domains. Adherence to self-care activities was also poor and activities with greater adherence were with medication. Given the inconsistency in the statistically significant relationship between health literacy and health outcomes, and that the results of this study seem to su-ggest that nursing interventions can condition the adherence to some of self-care activities, seeking to optimize the promotion of self-care, we suggest further re-search on the determinants that may influence it, namely the therapeutic relation-ship between the nurse and the adult with diabetes in the community context.


No disponible


Assuntos
Humanos , Adulto , Autocuidado , Educação de Pacientes como Assunto/estatística & dados numéricos , Diabetes Mellitus Tipo 2/terapia , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus Tipo 2/enfermagem , Informação de Saúde ao Consumidor/tendências
19.
Rev. Rol enferm ; 41(11/12,supl): 128-134, nov.-dic. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-179953

RESUMO

Evidence shows that living with diabetes during adolescence is a challenging expe-rience. Besides the disease and treatment implications, it is important to compre-hend how young people make sense of and manage their illness. Illness percep-tions have been associated with a range of physical and mental health outcomes in adolescents with chronic disease. In order to contribute to a better understanding of the adolescent's experiences with diabetes, this study aimed at1 describing ill-ness perceptions of young people with diabetes2; understanding whether and in what ways, an in-depth analysis of the adolescent's narratives, offers additional in-sight into their experience of living with diabetes. Participants were 32 adolescents with diabetes, aged 12 to 18 years, who com-pleted the Brief Illness Perception Questionnaire and wrote a text about "What it is like to have diabetes". Narratives were analysed with thematic analysis and illustrate how adolescents experience their disease, and the strategies adopted by them to maintain a sense of normalcy. Significant associations with the scores for illness perceptions were found, as for example, adolescents who reported a better understanding of their illness, eva-luated the experience of having diabetes as less restrictive (r = -0,445; p = 0.011). The use of narratives proved very informative on the adolescent's experiences with diabetes. For clinical interventions aimed to promote the adaptation of young people with diabetes, this study findings address the need to focus on normalizing their lives, and to promote more positive illness beliefs and coping strategies, to balance the restrictive impact that diabetes has on adolescent's lives


No disponible


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Qualidade de Vida/psicologia , Perfil de Impacto da Doença , Diabetes Mellitus Tipo 1/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus Tipo 1/epidemiologia , Cuidado Transicional/organização & administração
20.
Rev. andal. med. deporte ; 11(3): 0-0, sept. 2018. graf
Artigo em Português | IBECS | ID: ibc-181197

RESUMO

Objetivo: Apresentar o Doce Vida - programa de exercício físico supervisionado para diabéticos como estratégia para promoção e supervisão do exercício físico para pacientes diabéticos. Métodos: O Doce Vida caracteriza‐se como um programa de pesquisa e extensão universitária da Universidade de Pernambuco. Acontece três vezes por semana. Antes e após todas as sessões de exercício físico são avaliadas as variáveis glicêmicas e hemodinâmicas dos diabéticos. São realizadas avaliações físicas, palestras educativas e atividades de pesquisa. Resultados: O Doce Vida já atendeu diversos diabéticos nesses cinco anos, construiu um amplo banco de dados e, até ao início do mês de junho de 2015, mais de 72 350 dados já foram tabulados. Ao analisar a média da glicemia capilar dos participantes do Doce Vida durante esses cinco anos, podemos apresentar uma redução estatisticamente significativa de 49 mg/dL (181.0 ± 61.3 vs. 132.0 ± 61.0, p = 0.001). Conclusão: Programas deste cunho são eficazes no controle da diabetes, porém ainda são pouco divulgados. Assim sendo, é de suma importância a divulgação de propostas semelhante ao Doce Vida, que atua como estratégia efetiva de promoção e supervisão do exercício físico para diabéticos


Objetivo: Presentar Dulce Vida - Programa de ejercicio físico supervisado para diabéticos como una estrategia para la promoción y la supervisión del ejercicio físico para los pacientes diabéticos. Métodos: El programa Dulce Vida es un programa de investigación y extensión universitaria de la Universidad de Pernambuco. Las sesiones de ejercicio se celebran tres veces por semana. Antes y después de cada sesión de ejercicio se evalúa la glucemia y las variables hemodinámicas de los diabéticos. Se realizan evaluaciones físicas, charlas educativas y encuestas. Resultados: En el programa Dulce Vida han participado muchos diabéticos en estos cinco años, se elaboró una base de datos completa en la que se han incluido, hasta principios de junio de 2015, los datos de más de 72 350 participantes. Mediante el análisis de la glucemia media de los participantes en el programa Dulce Vida durante esos cinco años, podemos presentar una reducción estadísticamente significativa de 49 mg/dl (181.0 ± 61.3 vs. 132.0 ± 61.0, p = 0.001). Conclusiones: Los programas de esta naturaleza son eficaces en el control de la diabetes, pero aún son poco divulgados. Por lo tanto, es de suma importancia la divulgación de propuestas similares al programa Dulce Vida, que actúa como una estrategia eficaz para la promoción y supervisión de ejercicio para los diabéticos


Objectives: To present Sweet Life-Supervised Exercise Program for Diabetics as a strategy for promoting and supervising the exercise for diabetic patients. Methods: Sweet Life is characterized as a Research Program and University Extension of the University of Pernambuco. Exercise sessions are held three times a week. Before and after each exercise session, blood glucose and hemodynamic variables of diabetics are evaluated. Physical evaluations, educational talks and surveys are carried out. Results: In the Sweet Life program, many diabetics have participated in these five years, a complete database has been developed which, until the beginning of June 2015, has included data from more than 72 350 participants. By analyzing the mean blood glucose of the participants in the Sweet Life program during those five years, we can present a statistically significant reduction of 49 mg/dl (181.0 ± 61.3 vs. 132.0 ± 61.0, p = 0.001). Conclusions: Programs of this nature are effective in controlling diabetes, but are still poorly publicized. Therefore, the dissemination of proposals similar to the Sweet Life program, which acts as an effective strategy for the promotion and supervision of exercise for diabetics, is extremely important


Assuntos
Humanos , Terapia por Exercício/métodos , Diabetes Mellitus/reabilitação , Hiperglicemia/prevenção & controle , Brasil/epidemiologia , Complicações do Diabetes/prevenção & controle , Condicionamento Físico Humano/métodos
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