Practical Diabetes最新文献_第2页

Resistance exercise in children and adolescents with type 1 diabetes: what clinicians need to know 1 型糖尿病儿童和青少年的抗阻运动：临床医生须知

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2491

Joanne Ruffell, Edward T Andrews

The benefits of regular exercise in children and young people (CYP) with type 1 diabetes (T1D) are undisputed. Although encouraged, the total amount of exercise in this cohort remains suboptimal, with uncertainty of glycaemic response a barrier to exercise involvement. The bulk of the exercise literature for T1D concentrates on aerobic activities, but resistance exercise (RE) must not be overlooked. There are many benefits of RE – including physiological, psychological, musculoskeletal and cardiovascular effects – and emerging evidence highlights the possible glucose‐stabilising impact for individuals with T1D. In this review we describe the evidence base for the safety and benefits of RE in CYP with T1D, alongside strategies for optimising glycaemic management when engaging in this exercise modality, to minimise perceived barriers. Copyright © 2024 John Wiley & Sons.

1 型糖尿病（T1D）儿童和青少年（CYP）定期锻炼的好处毋庸置疑。虽然鼓励儿童和青少年进行运动，但他们的运动总量仍未达到最佳水平，而且血糖反应的不确定性也阻碍了他们参与运动。大部分有关 T1D 运动的文献都集中在有氧运动方面，但阻力运动（RE）也不容忽视。阻力运动有很多益处--包括生理、心理、肌肉骨骼和心血管方面的作用--新出现的证据强调了阻力运动对 T1D 患者可能产生的血糖稳定作用。在本综述中，我们将介绍 RE 对患有 T1D 的 CYP 安全性和益处的证据基础，以及在参与这种运动方式时优化血糖管理的策略，以最大限度地减少感知障碍。版权所有 © 2024 约翰威利父子公司。

引用次数: 0

Biochemical and patient factors as predictors for multiple surgeries in diabetic foot disease 预测糖尿病足病多次手术的生化因素和患者因素

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2493

Danuksha K Amarasena, Ahmad Bilal, Ibrahim H Elkhidir, Michael Flatman, Anand Pillai

Diabetic foot disease (DFD) bestows a huge surgical burden on patients and health care systems worldwide. Medical and surgical management centres around limb preservation and maintaining patient mobility. Despite vast experience in managing DFD, little is understood about the surgical prognosis of a patient presenting for their first DFD procedure.We evaluated for predictive factors, observable at a patient's first presentation for a surgical procedure on their diabetic foot, which may indicate an increased likelihood of requiring similar procedures in the future.Method: Our study included 70 patients with diabetes mellitus who underwent surgery on their diabetic foot. These patients were split into cohorts. Cohort 1 received only one surgery on their diabetic foot; Cohort 2 received multiple surgeries on their diabetic foot. Statistical analysis was conducted looking at various parameters between the cohorts to assess for any significant differences at the time of first surgery.Results: On Mann‐Whitney U test, there was a significant difference in C‐reactive protein (CRP) between patients who had a single surgery and those receiving multiple surgeries (p=0.009). A binomial logistic regression model found CRP to be a significant predictor of whether a patient will undergo one surgery or multiple surgeries (Exp[B] 0.988, 95% CI 0.978–0.998). On analysis of the ROC curve, 84mg/L was the best cut‐off for CRP in predicting number of surgeries.Clinical relevance: These predictive factors could highlight patients who are ‘at risk’ for needing further procedures, so they can be managed with more intense surveillance and follow‐up. Copyright © 2024 John Wiley & Sons.

糖尿病足病（DFD）给全球患者和医疗系统带来了巨大的手术负担。医疗和手术管理的核心是保护肢体和保持患者的活动能力。我们评估了患者首次接受糖尿病足外科手术时可观察到的预测因素，这些因素可能预示着今后需要类似手术的可能性增加：我们的研究包括 70 名接受糖尿病足手术的糖尿病患者。这些患者被分为不同的组群。组群 1 只接受了一次糖尿病足手术；组群 2 接受了多次糖尿病足手术。我们对组群间的各种参数进行了统计分析，以评估首次手术时是否存在显著差异：经曼-惠特尼 U 检验，接受过一次手术和多次手术的患者之间的 C 反应蛋白（CRP）存在显著差异（P=0.009）。二项式逻辑回归模型发现，CRP 是预测患者接受一次手术还是多次手术的重要指标（Exp[B] 0.988，95% CI 0.978-0.998）。根据 ROC 曲线分析，84 毫克/升是 CRP 预测手术次数的最佳临界值：临床相关性：这些预测因素可突出显示需要进一步手术的 "高危 "患者，以便对他们进行更严格的监控和随访。版权所有 © 2024 约翰威利父子公司。

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引用次数: 0

Housing and diabetes 住房与糖尿病

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2489

R. Hillson

引用次数: 0

Cognitive behavioural therapy treatment for a fear of hypoglycaemia within a primary care psychological therapy service: a case study 初级保健心理治疗服务中对低血糖恐惧的认知行为疗法：案例研究

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2494

Josie Bannon

Many individuals with type 1 diabetes (T1D) experience a fear of hypoglycaemia (FOH) which can have detrimental consequences on management of blood glucose (BG) levels and quality of life. A cognitive behavioural therapy (CBT) graded exposure approach has been recommended to treat FOH. The purpose of this case study is to examine the effectiveness of CBT in treating FOH within the context of a primary care psychological therapy service. It was found that CBT treatment led to: a reduction in threat beliefs related to FOH; lower BG levels; and reduced levels of depression and anxiety. Clinical implications are discussed for treating FOH within primary care. Copyright © 2024 John Wiley & Sons.

许多 1 型糖尿病（T1D）患者都会对低血糖（FOH）感到恐惧，这会对血糖（BG）水平的控制和生活质量造成不利影响。有人建议采用认知行为疗法（CBT）分级暴露法来治疗低血糖恐惧。本案例研究旨在探讨 CBT 在初级保健心理治疗服务中治疗 FOH 的有效性。研究发现，CBT 治疗可降低与 FOH 相关的威胁信念；降低 BG 水平；降低抑郁和焦虑水平。本文讨论了在初级保健中治疗 FOH 的临床意义。版权所有 © 2024 约翰威利父子公司。

引用次数: 0

Double trouble – men and obesity 双重麻烦--男性和肥胖

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2492

Jane DeVille‐Almond

We know that boys take more risks than girls,1 are six times more likely to have an accident, four times more likely to take their own life,2 and twice as likely not to seek medical health when they are unwell.3 Yet despite knowing men are less likely to engage in the health service, more likely to develop long‐term chronic disease and more likely to die earlier than women,4 we continue to offer services for our patients in a generic way.Men often have little opportunity to engage with health care professionals until they are sick. My ambition is to de‐medicalise men's health in primary care and develop more innovative, gender‐specific services, to capture men's attention. If we are trying to sell something, that men don’t realise they want, we should try and think about selling it in the same way other products are sold. We need to invest in innovation and social marketing. Copyright © 2024 John Wiley & Sons.

我们知道，男孩比女孩冒更多的风险，1 发生事故的几率是女孩的六倍，自杀的几率是女孩的四倍，2 身体不适时不寻求医疗保健的几率是女孩的两倍。3 然而，尽管我们知道男性不太可能参与医疗服务，更有可能患上长期慢性病，而且比女性更有可能早逝，4 但我们仍然以一种通用的方式为患者提供服务。我的目标是在初级保健中将男性健康去医疗化，并开发更多创新的、针对不同性别的服务，以吸引男性的注意力。如果我们试图销售一些男性并没有意识到他们需要的东西，我们就应该试着用销售其他产品的方式来考虑。我们需要对创新和社会营销进行投资。版权所有 © 2024 约翰威利父子公司。

引用次数: 0

Cognitive behavioural therapy treatment for a fear of hypoglycaemia within a primary care psychological therapy service: a case study 初级保健心理治疗服务中对低血糖恐惧的认知行为疗法：案例研究

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2494

Josie Bannon

Many individuals with type 1 diabetes (T1D) experience a fear of hypoglycaemia (FOH) which can have detrimental consequences on management of blood glucose (BG) levels and quality of life. A cognitive behavioural therapy (CBT) graded exposure approach has been recommended to treat FOH. The purpose of this case study is to examine the effectiveness of CBT in treating FOH within the context of a primary care psychological therapy service. It was found that CBT treatment led to: a reduction in threat beliefs related to FOH; lower BG levels; and reduced levels of depression and anxiety. Clinical implications are discussed for treating FOH within primary care. Copyright © 2024 John Wiley & Sons.

许多 1 型糖尿病（T1D）患者都会对低血糖（FOH）感到恐惧，这会对血糖（BG）水平的控制和生活质量造成不利影响。有人建议采用认知行为疗法（CBT）分级暴露法来治疗低血糖恐惧。本案例研究旨在探讨 CBT 在初级保健心理治疗服务中治疗 FOH 的有效性。研究发现，CBT 治疗可降低与 FOH 相关的威胁信念；降低 BG 水平；降低抑郁和焦虑水平。本文讨论了在初级保健中治疗 FOH 的临床意义。版权所有 © 2024 约翰威利父子公司。

引用次数: 0

Trend Diabetes Nursing Conference June 2023: key updates 2023 年 6 月糖尿病护理趋势大会：主要更新内容

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2495

Joy Ogden

The focus for the Trend Diabetes Nursing Conference in June 2023, which was held in London, Birmingham and Newcastle, was on ‘Diabetes: Making it personal’ and on continuing professional development in diabetes. Topics included presentations in women's health from cradle to grave and how they are impacted by diabetes, as well as specific challenges for men with diabetes.

2023 年 6 月在伦敦、伯明翰和纽卡斯尔举行的趋势糖尿病护理会议的重点是 "糖尿病：让糖尿病成为个人问题 "以及糖尿病的持续专业发展。会议主题包括从摇篮到坟墓的女性健康和糖尿病对她们的影响，以及男性糖尿病患者面临的特殊挑战。

引用次数: 0

Double trouble – men and obesity 双重麻烦--男性和肥胖

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2492

Jane DeVille‐Almond

We know that boys take more risks than girls,1 are six times more likely to have an accident, four times more likely to take their own life,2 and twice as likely not to seek medical health when they are unwell.3 Yet despite knowing men are less likely to engage in the health service, more likely to develop long‐term chronic disease and more likely to die earlier than women,4 we continue to offer services for our patients in a generic way.Men often have little opportunity to engage with health care professionals until they are sick. My ambition is to de‐medicalise men's health in primary care and develop more innovative, gender‐specific services, to capture men's attention. If we are trying to sell something, that men don’t realise they want, we should try and think about selling it in the same way other products are sold. We need to invest in innovation and social marketing. Copyright © 2024 John Wiley & Sons.

我们知道，男孩比女孩冒更多的风险，1 发生事故的几率是女孩的六倍，自杀的几率是女孩的四倍，2 身体不适时不寻求医疗保健的几率是女孩的两倍。3 然而，尽管我们知道男性不太可能参与医疗服务，更有可能患上长期慢性病，而且比女性更有可能早逝，4 但我们仍然以一种通用的方式为患者提供服务。我的目标是在初级保健中将男性健康去医疗化，并开发更多创新的、针对不同性别的服务，以吸引男性的注意力。如果我们试图销售一些男性并没有意识到他们需要的东西，我们就应该试着用销售其他产品的方式来考虑。我们需要对创新和社会营销进行投资。版权所有 © 2024 约翰威利父子公司。

引用次数: 0

Trend Diabetes Nursing Conference June 2023: key updates 2023 年 6 月糖尿病护理趋势大会：主要更新内容

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2495

Joy Ogden

The focus for the Trend Diabetes Nursing Conference in June 2023, which was held in London, Birmingham and Newcastle, was on ‘Diabetes: Making it personal’ and on continuing professional development in diabetes. Topics included presentations in women's health from cradle to grave and how they are impacted by diabetes, as well as specific challenges for men with diabetes.

2023 年 6 月在伦敦、伯明翰和纽卡斯尔举行的趋势糖尿病护理会议的重点是 "糖尿病：让糖尿病成为个人问题 "以及糖尿病的持续专业发展。会议主题包括从摇篮到坟墓的女性健康和糖尿病对她们的影响，以及男性糖尿病患者面临的特殊挑战。

引用次数: 0

Biochemical and patient factors as predictors for multiple surgeries in diabetic foot disease 预测糖尿病足病多次手术的生化因素和患者因素

IF 0.6 Q3 Medicine

Practical Diabetes

Pub Date : 2024-02-01 DOI: 10.1002/pdi.2493

Danuksha K Amarasena, Ahmad Bilal, Ibrahim H Elkhidir, Michael Flatman, Anand Pillai

Diabetic foot disease (DFD) bestows a huge surgical burden on patients and health care systems worldwide. Medical and surgical management centres around limb preservation and maintaining patient mobility. Despite vast experience in managing DFD, little is understood about the surgical prognosis of a patient presenting for their first DFD procedure.We evaluated for predictive factors, observable at a patient's first presentation for a surgical procedure on their diabetic foot, which may indicate an increased likelihood of requiring similar procedures in the future.Method: Our study included 70 patients with diabetes mellitus who underwent surgery on their diabetic foot. These patients were split into cohorts. Cohort 1 received only one surgery on their diabetic foot; Cohort 2 received multiple surgeries on their diabetic foot. Statistical analysis was conducted looking at various parameters between the cohorts to assess for any significant differences at the time of first surgery.Results: On Mann‐Whitney U test, there was a significant difference in C‐reactive protein (CRP) between patients who had a single surgery and those receiving multiple surgeries (p=0.009). A binomial logistic regression model found CRP to be a significant predictor of whether a patient will undergo one surgery or multiple surgeries (Exp[B] 0.988, 95% CI 0.978–0.998). On analysis of the ROC curve, 84mg/L was the best cut‐off for CRP in predicting number of surgeries.Clinical relevance: These predictive factors could highlight patients who are ‘at risk’ for needing further procedures, so they can be managed with more intense surveillance and follow‐up. Copyright © 2024 John Wiley & Sons.

糖尿病足病（DFD）给全球患者和医疗系统带来了巨大的手术负担。医疗和手术管理的核心是保护肢体和保持患者的活动能力。我们评估了患者首次接受糖尿病足外科手术时可观察到的预测因素，这些因素可能预示着今后需要类似手术的可能性增加：我们的研究包括 70 名接受糖尿病足手术的糖尿病患者。这些患者被分为不同的组群。组群 1 只接受了一次糖尿病足手术；组群 2 接受了多次糖尿病足手术。我们对组群间的各种参数进行了统计分析，以评估首次手术时是否存在显著差异：经曼-惠特尼 U 检验，接受过一次手术和多次手术的患者之间的 C 反应蛋白（CRP）存在显著差异（P=0.009）。二项式逻辑回归模型发现，CRP 是预测患者接受一次手术还是多次手术的重要指标（Exp[B] 0.988，95% CI 0.978-0.998）。根据 ROC 曲线分析，84 毫克/升是 CRP 预测手术次数的最佳临界值：临床相关性：这些预测因素可突出显示需要进一步手术的 "高危 "患者，以便对他们进行更严格的监控和随访。版权所有 © 2024 约翰威利父子公司。

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引用次数: 0