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Diabetes India 2022: 12th World Congress of DiabetesIndia 糖尿病印度2022:第12届世界糖尿病大会印度
Pub Date : 2023-08-10 DOI: 10.59793/ajd.v24i2.543
Conference Proceedings
Diabetes India 2022: 12th World Congress of DiabetesIndia
糖尿病印度2022:第12届世界糖尿病大会印度
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引用次数: 0
Sapiotypes and Diabetes Care 智型和糖尿病护理
Pub Date : 2023-08-10 DOI: 10.59793/ajd.v24i2.535
Dr Sanjay Kalra, Dr Nitin Kapoor, DR. Atul Dhingra
Sapiotypes and Diabetes Care
智型和糖尿病护理
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引用次数: 0
Glucometric Guardianship Glucometric监护
Pub Date : 2023-08-10 DOI: 10.59793/ajd.v24i2.531
S. Kalra, P. Kalra, U. Ayyagari, D. Kapoor, S. Shaikh, S. Nallaperumal, K. Gangopadhyay, Vishal Gala
It is a well-known fact that the knowledge of their current glucose readings empowered people with diabetes to evaluate and monitor the trends in glucose fluctuations and take informed decisions on adjusting their medicines, food intake, and physical activity. Glucose monitoring technology has undergone a technological evolution and has improved diabetes care in patients living with type 2 diabetes. This has also made the need to efficiently and effectively utilize blood glucose monitoring tools. Given the above, the article has reviewed the significance of glucometric guardianship. Glucometric checklists offer a standardized approach to glucometric guardianship which is necessary to improve the process of drug choice and dose titration. The stepwise factors included in the glucometric guardianship checklist include procurement, distribution, pre-testing hygiene, testing, recording, action, disposal, quality control, and procedure safety.
众所周知,了解自己当前的血糖读数使糖尿病患者能够评估和监测血糖波动的趋势,并在调整药物、食物摄入和身体活动方面做出明智的决定。血糖监测技术经历了技术的发展,改善了2型糖尿病患者的糖尿病护理。这也使得需要高效有效地利用血糖监测工具。鉴于此,本文综述了血糖监护的意义。血糖检查表为血糖监护提供了一种标准化的方法,这对于改善药物选择和剂量滴定过程是必要的。血糖监护检查表中包含的逐步因素包括采购、分发、检测前卫生、检测、记录、行动、处置、质量控制和程序安全。
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引用次数: 0
Is Diabetes Pre-coded in the Brain? Role of Hypothalamus, Addiction Network and Social Cognition 糖尿病是在大脑中预先编码的吗?下丘脑、成瘾网络与社会认知的作用
Pub Date : 2023-08-10 DOI: 10.59793/ajd.v24i2.541
Subhankar Chatterjee, Souvik Dubey, Ritwik Ghosh, Rana Bhattacharjee
The hypothalamus, the master regulator of circadian rhythm, in association with peripheral clocks, play crucial roles in glucose metabolism. Impairment in cerebral sensing, uptake and processing of glucose has been suggested in various animal and human diabetic models. Diabetes Mellitus has been largely superseded by the discovery of insulin and insulin resistance. Expanding horizons of knowledge of the roles of the hypothalamus in glucose metabolism and the overlapping neural pathways of sugar addictionwith other classically described substance and behavioral addictions networks have again thrown some light on the cerebral theory of DM pathogenesis.
下丘脑是昼夜节律的主要调节器,与外周时钟相关,在葡萄糖代谢中起着至关重要的作用。在各种动物和人类糖尿病模型中都发现了大脑感知、摄取和处理葡萄糖的损伤。胰岛素和胰岛素抵抗的发现在很大程度上取代了糖尿病。下丘脑在葡萄糖代谢中的作用以及糖成瘾与其他经典描述的物质和行为成瘾网络的重叠神经通路的知识范围的扩大,再次为糖尿病发病机制的大脑理论提供了一些线索。
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引用次数: 0
Knowledge, Attitude and Practice in Managing Chronic Kidney Disease with SGLT2 Inhibitors SGLT2抑制剂治疗慢性肾病的知识、态度和实践
Pub Date : 2023-08-10 DOI: 10.59793/ajd.v24i2.538
B. Sethi, C. Dev, NS Praveenkumar, A. Thamburaj, Ashish Birla, Ashish Prasad
Background and objective: Chronic kidney disease (CKD), and its increasing global burden, is associated with significant morbidity and mortality. This survey-based study aims to capture the knowledge, attitude and practices (KAP) amongst practicing physicians in considering sodium-glucose co-transporter 2 inhibitors (SGLT2i) for the prevention and progression of CKD in diabetic or nondiabeticindividuals. Methodology: An online questionnaire-based survey was conducted among 262 health care practitioners (HCPs) who manage people with CKD with or without diabetes. The survey was prepared as a Google form and circulated through email to different HCPs. The survey consisted of 6 knowledge-based questions, 4 attitude-based questions and 4 practice-based questions. The forms were filled up voluntarily by the participants and the authors had no control over the response provided. All the responses wereconsolidated using Microsoft Excel and analyzed. Results: A total of 262 HCPs from different regions of the country participated in the survey. About 87% to 94% of the participants were aware that SGLT2i, specifically dapagliflozin, is approved for use in CKD patients with or without diabetes. About threefourths of the HCPs accepted that an initial drop in estimated glomerular filtration rate (eGFR) occursupon initiation of dapagliflozin treatment. Almost 90% of them acknowledged the importance of screening for CKD in diabetic patients, and the majority were aware of the renal benefits of SGLT2i. Almost 96% of HCPs consider that dapagliflozin could be used in all patients with CKD irrespective of their diabetes status. Major determining factors with respect to a setback in practice are fear of side effects (54%) and hesitation in switching to newer medications when older medications work fine (34%). Conclusion:SGLT2i have demonstrated significant clinical benefits in patients with CKD with or without diabetes. This survey has shown good awareness among clinicians of the beneficial role of SGLT2i in CKD. 
背景和目的:慢性肾脏疾病(CKD)及其日益增加的全球负担与显著的发病率和死亡率相关。这项基于调查的研究旨在了解执业医生在考虑钠-葡萄糖共转运蛋白2抑制剂(SGLT2i)预防糖尿病或非糖尿病患者CKD进展方面的知识、态度和实践(KAP)。方法:对262名管理CKD合并或不合并糖尿病患者的卫生保健从业人员(HCPs)进行了在线问卷调查。该调查以谷歌形式准备,并通过电子邮件分发给不同的医护人员。调查由6道知识题、4道态度题和4道实践题组成。这些表格是由参与者自愿填写的,作者无法控制所提供的回答。使用Microsoft Excel对所有回复进行合并和分析。结果:来自全国不同地区的262名医护人员参与了调查。约87%至94%的参与者知道SGLT2i,特别是达格列净,被批准用于伴有或不伴有糖尿病的CKD患者。大约四分之三的hcp接受了在开始使用达格列净治疗后估计肾小球滤过率(eGFR)的初始下降。几乎90%的人承认糖尿病患者CKD筛查的重要性,大多数人意识到SGLT2i对肾脏的益处。几乎96%的HCPs认为达格列净可用于所有CKD患者,无论其糖尿病状态如何。在实践中遇到挫折的主要决定因素是对副作用的恐惧(54%)和当旧药物效果良好时切换新药物的犹豫(34%)。结论:SGLT2i在伴有或不伴有糖尿病的CKD患者中具有显著的临床益处。这项调查显示临床医生对SGLT2i在CKD中的有益作用有很好的认识。
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引用次数: 0
期刊
Asian Journal of Diabetology
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