Diabetes Spectrum最新文献

英文中文

Diabetes Care at Summer Camps. 夏令营中的糖尿病护理。

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0010

Lowell R Schmeltz, Nader Kasim

Attending summer camp can be a rewarding experience for children with type 1 diabetes and an opportunity for them to build their confidence and diabetes self-management skills. Diabetes camps are built to cater to the medical needs of children with diabetes. With proper communication, education, and resources, traditional summer camps can provide the same benefits.

参加夏令营对 1 型糖尿病患儿来说是一次有益的经历，也是他们建立自信和掌握糖尿病自我管理技能的机会。糖尿病夏令营旨在满足糖尿病儿童的医疗需求。通过适当的沟通、教育和资源，传统夏令营也能带来同样的益处。

引用次数: 0

Diabetes in Diverse Settings. 不同环境中的糖尿病。

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0013

Ryan J McDonough

引用次数: 0

Considerations to Better Meet the Needs of People Living With Diabetes While in Prison or Detention. 更好地满足监狱或拘留所中糖尿病患者需求的考虑因素。

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/dsi24-0009

Jennifer L West, Rebecca A Ballard, John P May

Diabetes care within prison walls offers challenges and opportunities for both health care providers and individuals living with diabetes. To meet the challenges, providers and patients work together to manage diabetes within the limitations imposed by imprisonment. Upon release, patients face new challenges, as they transition from incarceration into the community.

监狱内的糖尿病护理为医疗服务提供者和糖尿病患者带来了挑战和机遇。为了应对挑战，医疗服务提供者和患者共同努力，在监禁所带来的限制条件下控制糖尿病。获释后，患者从监禁中过渡到社区生活，面临着新的挑战。

引用次数: 0

About Ryan J. McDonough: Guest Editor. 关于 Ryan J. McDonough：客座编辑。

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2337/ds24-ge03

引用次数: 0

Correlates of Self-Reported Executive Function Impairment Among Medicaid Beneficiaries With Type 2 Diabetes 2 型糖尿病医疗补助受益人自述执行功能受损的相关因素

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-07-10 DOI: 10.2337/ds23-0067

David Von Nordheim, Cynthia Herrick, N. Verdecias, Rachel Garg, Matthew W Kreuter, Amy McQueen

Executive function (EF) impairment is associated with poorer outcomes for individuals with type 2 diabetes. Previous research has identified risk factors for EF impairment, but many of these are also associated with type 2 diabetes. To address this issue, this study identified relevant variables from the literature and compared their association with EF in a sample of people with type 2 diabetes. Adult members of a Medicaid health plan diagnosed with type 2 diabetes were enrolled in a social needs intervention trial. Using baseline data from the trial, bivariate and multivariable regression analyses examined associations between EF and demographic, health, and psychosocial factors. When controlling for other factors, we identified six significant correlates of EF impairment: age (β = 0.10), education (college vs. no college; β = −0.38), depression symptoms (β = 0.18), comorbidity burden (β = 0.21), diabetes-related distress (β = 0.14), and future time orientation (β = −0.13). Our analysis identified several factors associated with greater EF impairment, which may interfere with diabetes self-management. Providers should consider these factors when prescribing treatments and determine whether additional resources or accommodations are warranted.

执行功能（EF）受损与 2 型糖尿病患者较差的预后有关。以往的研究已经确定了导致执行功能受损的风险因素，但其中许多因素也与 2 型糖尿病有关。为了解决这个问题，本研究从文献中找出了相关变量，并在 2 型糖尿病患者样本中比较了这些变量与 EF 的关系。医疗补助健康计划中被诊断出患有 2 型糖尿病的成人成员参加了一项社会需求干预试验。利用试验的基线数据，我们进行了双变量和多变量回归分析，研究了EF与人口、健康和社会心理因素之间的关系。在控制其他因素的情况下，我们发现了六个与 EF 损伤显著相关的因素：年龄（β = 0.10）、教育程度（大学与非大学；β = -0.38）、抑郁症状（β = 0.18）、合并症负担（β = 0.21）、糖尿病相关困扰（β = 0.14）和未来时间取向（β = -0.13）。我们的分析确定了与更大的 EF 损伤相关的几个因素，这些因素可能会干扰糖尿病的自我管理。医生在开具治疗处方时应考虑这些因素，并确定是否需要额外的资源或调整。

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引用次数: 0

Patient Satisfaction and Clinical Experience With the Tandem t:slim X2 With Control-IQ Technology Advanced Hybrid Closed-Loop Insulin Delivery System 采用 Control-IQ 技术的 Tandem t:slim X2 高级混合闭环胰岛素输送系统的患者满意度和临床体验

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-07-05 DOI: 10.2337/ds23-0057

Lisa T. Meade, Adriane B. Marino, Madison A. Barrier, Madison H. Wilson

The purpose of this study was to assess patient satisfaction and clinical experience with the t:slim X2 with Control-IQ Technology automated insulin delivery system. This descriptive study used a retrospective electronic health record review of all individuals trained on the Control-IQ system between December 2019 and April 2022 in one adult endocrinology practice. A total of 99 patients using the Control-IQ system for at least 3 months completed the glucose monitoring satisfaction survey (GMSS). The primary outcome was overall satisfaction with the system as measured by the GMSS. Secondary outcomes included changes in A1C from baseline at 3, 6, and 12 months, the association between GMSS scores and A1C levels, and the use of the system’s sleep activity feature to achieve lower A1C levels. The overall satisfaction score for patients using the system was 4.0 ± 0.6 (possible score range 1–5). A1C decreased by 0.6% 3 months, 0.7% at 6 months, and 0.8% at 12 months. Participants with A1C levels ≤7% did not experience greater satisfaction compared to those with higher A1C levels. Participants using the Control-IQ system reported a high rate of overall satisfaction and experienced significant reductions from baseline A1C at 3, 6, and 12 months.

本研究旨在评估患者对带有 Control-IQ 技术的 t:slim X2 胰岛素自动给药系统的满意度和临床经验。这项描述性研究采用回顾性电子健康记录审查的方式，对一家成人内分泌科诊所在 2019 年 12 月至 2022 年 4 月期间接受过 Control-IQ 系统培训的所有人员进行了审查。共有 99 名使用 Control-IQ 系统至少 3 个月的患者完成了血糖监测满意度调查 (GMSS)。主要结果是通过 GMSS 测定的对该系统的总体满意度。次要结果包括 3 个月、6 个月和 12 个月时 A1C 与基线相比的变化、GMSS 分数与 A1C 水平之间的关联，以及使用该系统的睡眠活动功能达到较低 A1C 水平的情况。使用该系统的患者总体满意度为 4.0 ± 0.6（评分范围为 1-5）。3 个月后，A1C 下降了 0.6%，6 个月后下降了 0.7%，12 个月后下降了 0.8%。与 A1C 水平较高的参与者相比，A1C 水平≤7% 的参与者并没有获得更高的满意度。使用 Control-IQ 系统的参与者总体满意度较高，3 个月、6 个月和 12 个月时的 A1C 与基线相比均有显著下降。

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引用次数: 0

Experience of Telephone-Based Diabetes Health Coaching Among Community-Based Adults With Type 2 Diabetes. 以社区为基础的成人2型糖尿病患者的电话糖尿病健康指导经验

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.2337/ds23-0046

Tharshika Sugumaran, Jeannette LeGris, Patricia H Strachan, Paige Alliston, Diana Sherifali

Background: In the past decade, diabetes health coaching, also referred to as diabetes coaching, has emerged as a patient-centered intervention to help individuals with type 2 diabetes gain independence with self-management. This study explores the perceived experience of receiving telephone-based diabetes health coaching among adults living with type 2 diabetes.

Method: A qualitative exploration with an interpretive descriptive design was carried out. Participants from the intervention group of a larger randomized controlled trial who had received a telephone-based diabetes coaching intervention throughout 1 year were invited to participate in a telephone interview with open-ended questions.

Results: Twelve participants were interviewed, and four major themes emerged: 1) adapting to ongoing challenges with type 2 diabetes, reflecting how coaching helped individuals integrate diabetes into their daily lives by addressing misconceptions, improving knowledge, encouraging awareness, and easing the transition from oral medication to insulin injections; 2) heightened mindfulness of diabetes-related wellness, capturing the greater attention participants gave to their overall well-being and self-management behaviors; 3) behavior change guided by the participant, highlighting the differences in participants' motivation, readiness to make changes, and external factors that influenced their ability to make self-management behavior changes; and 4) valuing a supportive relationship, illustrating that most participants felt that the unique coach-client relationship was reliable, holistic, nonjudgmental, and encouraging.

Conclusion: Participants found diabetes coaching to be positive and highlighted the various ways it was able to support their ability to manage diabetes.

背景：在过去的十年中，糖尿病健康指导，也被称为糖尿病指导，已经成为一种以患者为中心的干预措施，帮助2型糖尿病患者通过自我管理获得独立性。本研究探讨了成人2型糖尿病患者接受电话糖尿病健康指导的感知体验。方法：采用解释性描述设计进行定性探讨。在一项更大的随机对照试验中，干预组的参与者接受了1年的电话糖尿病指导干预，并被邀请参加一个带有开放式问题的电话访谈。结果：12名参与者接受了采访，出现了四个主要主题：1)适应2型糖尿病的持续挑战，反映了教练如何通过消除误解、提高知识、鼓励意识和缓解从口服药物到胰岛素注射的过渡，帮助个人将糖尿病融入日常生活；2)糖尿病相关健康意识增强，参与者对自身整体健康和自我管理行为给予了更多关注；3)被试引导的行为改变，突出被试的动机、改变的准备程度以及影响自我管理行为改变能力的外部因素的差异；4)重视支持性关系，说明大多数参与者认为独特的教练-客户关系是可靠的、全面的、不评判的和鼓励的。结论：参与者发现糖尿病指导是积极的，并强调了能够支持他们管理糖尿病能力的各种方式。

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引用次数: 0

“A Wake-Up Call”: A Mixed-Methods Analysis of Barriers to Type 2 Diabetes Prevention After Gestational Diabetes Mellitus "警钟长鸣"：妊娠糖尿病后 2 型糖尿病预防障碍的混合方法分析

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-05-03 DOI: 10.2337/ds23-0072

Julia D. DiTosto, Maria V Gomez-Roas, C. Niznik, Brittney R. Williams, W. Grobman, Lynn M. Yee

Individuals who have gestational diabetes mellitus (GDM) are advised to engage in physical activity and healthy eating behaviors in the postpartum period to prevent type 2 diabetes. We aimed to understand individual perspectives on incorporating such lifestyle choices during the first postpartum year. This was a mixed-methods analysis of data from individuals with GDM who completed surveys and in-depth interviews at 4–12 weeks and 11–13 months postpartum as part of their participation in a feasibility randomized controlled trial on postpartum patient navigation. Participant attitudes were elicited with surveys (structured items with Likert-scale responses) and interviews that focused on barriers to postpartum type 2 diabetes prevention. We used a concurrent, triangulation design to jointly analyze survey data alongside interview data. Of 40 participants, 39 provided data about their type 2 diabetes prevention activities. Interview themes triangulated with survey results to yield consistent insights about attitudes regarding physical activity and healthy eating. The majority of participants reported that caring for a new baby and family responsibilities made it much harder to be physically active; fewer participants identified cost of exercise, accessing a safe area to exercise, or breastfeeding as barriers. The most common barriers to healthy eating included caring for a new baby, family responsibilities, and work/school schedules. Although proximity and transportation to healthy food sources were uncommon barriers, when they did occur, they were experienced as major burdens. Individuals who had GDM reported many barriers to implementing recommended postpartum lifestyle choices. Recognizing these unique needs may enhance provision of guidance for type 2 diabetes prevention postpartum.

我们建议妊娠糖尿病（GDM）患者在产后进行体育锻炼并养成健康的饮食习惯，以预防 2 型糖尿病。我们的目的是了解个人对在产后第一年选择这种生活方式的看法。这项研究采用混合方法对 GDM 患者的数据进行了分析，这些患者在产后 4-12 周和 11-13 个月时填写了调查问卷并进行了深入访谈，这是他们参与产后患者指导可行性随机对照试验的一部分。我们通过调查（采用李克特量表回答的结构化项目）和访谈了解了参与者的态度，访谈的重点是产后预防 2 型糖尿病的障碍。我们采用了并行三角测量设计，将调查数据与访谈数据一起进行联合分析。在 40 位参与者中，有 39 位提供了有关其 2 型糖尿病预防活动的数据。访谈主题与调查结果进行了三角测量，得出了有关体育锻炼和健康饮食态度的一致见解。大多数参与者表示，照顾新生儿和家庭责任使他们更难进行体育锻炼；较少参与者认为运动成本、获得安全的运动场所或母乳喂养是障碍。最常见的健康饮食障碍包括照顾新生儿、家庭责任以及工作/学业时间安排。虽然就近获得健康食品和交通是不常见的障碍，但当这些障碍出现时，它们就会成为主要的负担。患有 GDM 的人表示，在实施建议的产后生活方式选择时会遇到很多障碍。认识到这些独特的需求可以加强对产后预防 2 型糖尿病的指导。

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引用次数: 0

Disordered Eating Behaviors and Eating Disorders in Youth With Type 2 Diabetes: A Systematic Review 2 型糖尿病青少年的进食行为紊乱和进食障碍：系统回顾

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-03-22 DOI: 10.2337/ds23-0064

Kaely Mateo, Brooke Greenberg, Jessica M Valenzuela

This systematic review aimed to examine disordered eating behaviors (DEBs) in youth with type 2 diabetes. Specifically, we sought to describe the most common DEBs, identify risk and protective factors, and review screening tools and interventions that have been developed for and/or used in this population. A systematic review was performed of randomized controlled, quasi-experimental, case, and qualitative studies focused on DEBs in youth with type 2 diabetes. All studies were rated for quality by the first and second authors. Five reports from four unique studies were included in the review. Trends found in the reviewed studies included that approximately half of youth study participants with type 2 diabetes had elevated scores on the Diabetes Eating Problem Survey – Revised. Based on the limited data available, these youth were more likely to engage in DEBs than youth with type 1 diabetes. Risk factors for DEBs in youth with type 2 diabetes included obesity, body weight/shape concerns, and caregiver subclinical binge eating. There is very limited published literature regarding DEBs in youth with type 2 diabetes, suggesting a need for further research to better develop a framework to illuminate key influential variables in the development of DEBs in this population, further develop screening tools, and to design effective interventions.

本系统综述旨在研究 2 型糖尿病青少年的饮食紊乱行为 (DEB)。具体而言，我们试图描述最常见的饮食失调行为，确定风险和保护因素，并回顾针对该人群开发和/或使用的筛查工具和干预措施。我们对有关 2 型糖尿病青少年 DEBs 的随机对照、准实验、病例和定性研究进行了系统回顾。所有研究均由第一作者和第二作者进行质量评级。来自四项独特研究的五份报告被纳入综述。综述研究中发现的趋势包括：约有一半的 2 型糖尿病青少年研究参与者在糖尿病饮食问题调查--修订版中得分升高。根据现有的有限数据，这些青少年比 1 型糖尿病青少年更有可能出现 DEBs。2 型糖尿病青少年出现 DEB 的风险因素包括肥胖、对体重/体形的担忧以及照顾者的亚临床暴饮暴食。有关 2 型糖尿病青少年 DEBs 的已发表文献非常有限，这表明有必要开展进一步的研究，以更好地建立一个框架，阐明对该人群 DEBs 发展有影响的关键变量，进一步开发筛查工具，并设计有效的干预措施。

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引用次数: 0

Care Partner Experiences in Supporting Deaf and Hard of Hearing Adults With Diabetes 护理伙伴在支持聋人和重听成人糖尿病患者方面的经验

Q3 Medicine

Diabetes Spectrum

Pub Date : 2024-03-21 DOI: 10.2337/ds22-0088

Sierra M. Canela, Nancy A. Allen, Murdock Henderson, Shinduk Lee, N. A. Miller, Zach Howes, Michelle L. Litchman

Care partners play an important role in diabetes management of people with diabetes. Although deaf and hard of hearing (DHH) adults experience diabetes at a higher rate than their hearing counterparts, there is a lack of information regarding the experience of care partners assisting those in the DHH community. There is a need to identify intentional support for this population. The purpose of this study was to explore how care partners of DHH people with diabetes provide helpful and unhelpful support, the care partner experience of providing support, and care partners’ perceived diabetes self-management education, support needs, and recommendations. We engaged a community advisory board of care partners to DHH people with diabetes to explore how care partners provide support, their individual experiences in providing support, and their suggestions for diabetes self-management education. We used thematic analysis to analyze individual and collective responses. Three emergent themes were identified suggesting that care partners give support in a variety of ways, are often overwhelmed in meeting the demanding and ongoing needs of DHH people with diabetes, and have a multitude of suggestions for implementing a future diabetes care partner education program. We also identified some DHH population-specific challenges to diabetes care, including communication barriers with health care providers, inability to use hearing cues if a person with diabetes experiences a fall, and limited access to diabetes care education in sign language. These findings highlight a need to provide more support for care partners of DHH people with diabetes and to address the needs of DHH populations to ensure more equitable diabetes care. Further research is needed to adequately inform successful interventions for DHH people with diabetes and their care partners.

护理伙伴在糖尿病患者的糖尿病管理中发挥着重要作用。虽然聋人和重听人 (DHH) 成年人患糖尿病的比例高于听力正常的同龄人，但有关护理合作伙伴为 DHH 社区患者提供帮助的经验的信息却很缺乏。有必要为这一人群提供有针对性的支持。本研究旨在探讨 DHH 糖尿病患者的护理伙伴如何提供有帮助和无帮助的支持，护理伙伴提供支持的经验，以及护理伙伴认为的糖尿病自我管理教育、支持需求和建议。我们聘请了一个由 DHH 糖尿病患者的护理伙伴组成的社区咨询委员会，以探讨护理伙伴如何提供支持、他们在提供支持方面的个人经历以及他们对糖尿病自我管理教育的建议。我们采用主题分析法对个人和集体的回答进行了分析。我们发现了三个新出现的主题，它们表明护理伙伴提供支持的方式多种多样，在满足 DHH 糖尿病患者苛刻而持续的需求方面往往力不从心，并且对未来实施糖尿病护理伙伴教育计划提出了许多建议。我们还发现了一些 DHH 群体在糖尿病护理方面面临的特殊挑战，包括与医疗服务提供者之间的沟通障碍、糖尿病患者跌倒时无法使用听觉提示以及获得手语糖尿病护理教育的机会有限。这些发现突出表明，有必要为 DHH 糖尿病患者的护理伙伴提供更多支持，并满足 DHH 群体的需求，以确保更公平的糖尿病护理。我们需要开展进一步的研究，以充分了解针对 DHH 糖尿病患者及其护理伙伴的成功干预措施。

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