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Current Research in Diabetes & Obesity Journal最新文献

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Elderly HbA1c Goals and Complications 老年HbA1c目标和并发症
Pub Date : 2022-11-21 DOI: 10.19080/crdoj.2022.16.555931
R. Priefer
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引用次数: 0
Tirzepatide Reduced Significantly the Body Weight in Obese Patients 替西肽显著降低肥胖患者体重
Pub Date : 2022-11-02 DOI: 10.19080/crdoj.2022.16.555930
L. Geŕó
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引用次数: 0
Screening for Oral Diseases among Diabetic Patients: The Unmet Need of Emerging Importance 糖尿病患者口腔疾病的筛查:未满足的日益重要的需求
Pub Date : 2022-09-16 DOI: 10.19080/crdoj.2022.16.555929
I. Perera
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引用次数: 0
Glycemic Control and its Associated Factors among Elderly Diabetic Patients in a Tertiary Hospital in Lagos, Nigeria 尼日利亚拉各斯某三级医院老年糖尿病患者的血糖控制及其相关因素
Pub Date : 2022-08-01 DOI: 10.19080/crdoj.2022.16.555928
Ayonote Uzoramaka Angela, Akujuobi Obianuju Mirian, Ogbonna Adaobi Nneamaka
Background: Glycaemic control in the elderly diabetic patient is highly individualized and achieving desired targets in the presence of comorbid conditions could be very challenging. This study was conducted to assess the glycemic control of elderly diabetics and identify associated factors at the Lagos University Teaching Hospital (LUTH). Methods: A hospital-based, cross-sectional descriptive study involving 199 randomly selected elderly diabetic patients receiving care at LUTH. A pretested, interviewer-administered questionnaire was used in data collection, which include sociodemographic characteristics, clinical history, and glycaemic control. Glycemic control was assessed using glycated haemoglobin (HBA1C). HBA1C<7.0% was tight; 7-8% targeted and >8% poor glycaemic control. Associations between glycemic control and independent variables was assessed using the chi-square test and its predictors identified by logistic regression analysis. Level of significance was set at p<0.05. Results: The mean age of the participants was 68.6 years ± 6.7 years. Tight and poor glycemic control was seen in 35.1% and 34.2% respectively. Significant associations existed between glycemic control, age (ꭓ2 =9.310; p – 0.010), and marital status (ꭓ2 = 9.934; p – 0.007). Independent predictors include >2 antidiabetic medication (aOR – 2.55; p – 0.048) Conclusion: Poor glycaemic control was high among the elderly and there was a negative correlation between age and glycaemic control among the participants. Statistically significant association was also found between glycaemic control and marital status of the participants as well as the number of diabetic medications, the presence of co-morbid conditions and adherence to medications. The need for individualized care among elderly diabetics cannot be overemphasized in order to reduce the risk of hypoglycaemia, improve clinical outcome, while considering other factors which could have an impact on glycaemic control among the elderly.
背景:老年糖尿病患者的血糖控制是高度个体化的,在存在合并症的情况下达到预期目标可能非常具有挑战性。本研究在拉各斯大学教学医院(LUTH)进行,目的是评估老年糖尿病患者的血糖控制并确定相关因素。方法:一项以医院为基础的横断面描述性研究,随机选择199例在LUTH接受治疗的老年糖尿病患者。数据收集使用了一份预先测试的、由访谈者管理的问卷,其中包括社会人口学特征、临床病史和血糖控制。使用糖化血红蛋白(HBA1C)评估血糖控制情况。hba1c - 8%血糖控制不良。使用卡方检验评估血糖控制与自变量之间的关系,并通过逻辑回归分析确定其预测因子。降糖药物治疗水平为p2 (aOR - 2.55;结论:老年人血糖控制不良发生率较高,年龄与血糖控制呈负相关。统计上也发现血糖控制与参与者的婚姻状况、糖尿病药物的数量、合并症的存在以及药物的依从性之间存在显著的关联。为了降低低血糖风险,改善临床结果,同时考虑其他可能影响老年人血糖控制的因素,对老年糖尿病患者进行个性化护理的必要性再怎么强调也不为过。
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引用次数: 0
Family Social Support Perceptions and Medication Adherence among Elderly Diabetics in a Tertiary Health Institution in Lagos, Nigeria 家庭、社会支持观念和药物依从性在老年糖尿病患者在拉各斯的三级卫生机构,尼日利亚
Pub Date : 2022-07-21 DOI: 10.19080/crdoj.2022.16.555927
Ayonote Uzoramaka Angela, Akujuobi Obianuju Mirian, Ogbonna Adaobi Nneamaka
Background: The perception of family support is pivotal in improving the health and wellbeing of elderly individuals through adherence to medication especially among diabetics. This study investigated the relationship between perceptions of family social and medication adherence among elderly diabetic patients attending the outpatient clinics of the Lagos University Teaching Hospital (LUTH). Methodology: This was a cross sectional, hospital-based study carried out among 199 randomly selected elderly diabetic patients receiving care in LUTH. Data including sociodemographic information, medication use, and procurement were obtained using an interviewer-administered semi-structured questionnaire. Perceived family social support was assessed and scored using the Perceived Social Support from Family Scale (PSS-Fa) and categorized as ‘strong’ (scores ≥ 11), ‘weak’ (scores 7-10) and ‘none’(scores≤6) while medication adherence was measured using the Morisky medication adherence scale (MMS-8). Medication adherence was rated high (score = 8), medium (scores= 6–7) and low (scores≤5). Association between perceived support and medication adherence was investigated by Chi-square test. Level of significance was p-value<0.05. Results: The mean age of the participants was 68.6 ± 6.7 years. The proportion of the participants who had strong, weak and no perceived family support were 92.5%, 3.5% and 4.0% respectively. Over two-thirds of participants (72.9%) reported family as responsible for providing funds to procure their medications while almost a quarter (23.6%) bought their medications by themselves. Only 2 (1.0%) participants relied on medical insurance to procure their medications. Almost half (49.7%) of them had high levels of medication adherence. Significant association existed between perceived family social support and medication adherence (ꭓ2 = 7.626; p-value = 0.027). Conclusion: Most participants had strong perceived family social support which was significantly associated with medication adherence. We recommend the routine assessment of family social support when dealing with geriatric patients as can improve medication adherence and ultimately better outcome of care
背景:家庭支持的感知是通过坚持服药来改善老年人健康和福祉的关键,尤其是糖尿病患者。本研究调查了在拉各斯大学教学医院(LUTH)门诊就诊的老年糖尿病患者的家庭社会观念与药物依从性之间的关系。方法:这是一项以医院为基础的横断面研究,随机选择199名在LUTH接受治疗的老年糖尿病患者。数据包括社会人口统计信息、药物使用和采购,使用访谈者管理的半结构化问卷。使用家庭感知社会支持量表(PSS-Fa)对感知家庭社会支持进行评估和评分,并将其分为“强”(得分≥11)、“弱”(得分7-10)和“无”(得分≤6),使用Morisky药物依从性量表(MMS-8)测量药物依从性。依从性分为高(8分)、中(6-7分)和低(≤5分)。采用卡方检验研究感知支持与药物依从性的关系。p值<0.05。结果:患者平均年龄68.6±6.7岁。认为家庭支持强、弱、无的比例分别为92.5%、3.5%、4.0%。超过三分之二(72.9%)的参与者报告家庭负责提供资金购买药物,而近四分之一(23.6%)的参与者自己购买药物。只有2名(1.0%)参与者依靠医疗保险购买药品。其中近一半(49.7%)的人有高度的药物依从性。感知家庭社会支持与药物依从性存在显著相关(ꭓ2 = 7.626;p值= 0.027)。结论:大多数被试具有较强的感知家庭社会支持,这与药物依从性显著相关。我们建议在处理老年患者时对家庭社会支持进行常规评估,以提高药物依从性并最终改善护理结果
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引用次数: 2
Role of Resistin in Type 2 Diabetes Mellitus and Obesity in HHcy-Patients. Opposite Effects of Intermedin in Experimental Models 抵抗素在hhcy患者2型糖尿病和肥胖中的作用。中介素在实验模型中的相反作用
Pub Date : 2022-07-15 DOI: 10.19080/crdoj.2022.16.555926
F. Cacciapuoti
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引用次数: 0
Correlation of Serum Zinc, Blood Glucose and Insulin Levels with Duration of Obesity in Children of Central China 华中地区儿童血清锌、血糖和胰岛素水平与肥胖持续时间的相关性
Pub Date : 2022-07-08 DOI: 10.19080/crdoj.2022.15.555925
T. Zhua
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引用次数: 0
Physical Activity, Exercise, Weight Reduction and Oxidative DNA Damage in Colorectal Cancer Risk Groups. Is there a Hormesis Relationship Between Risk Biomarkers and Lifestyle Factors? 体育活动、锻炼、减肥和结直肠癌风险人群的氧化性DNA损伤风险生物标志物与生活方式因素之间是否存在激效关系?
Pub Date : 2022-06-24 DOI: 10.19080/crdoj.2022.15.555922
H. Allgayer
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引用次数: 0
Gestational Diabetes and Insulin Use in Pregnancy 妊娠期糖尿病和妊娠期胰岛素使用
Pub Date : 2022-06-07 DOI: 10.19080/crdoj.2022.15.555921
Siniša Franjić
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引用次数: 0
Diabetic Foot Ulcer: An Overview, Risk Factors, Pathophysiology, And Treatment 糖尿病足溃疡:综述、危险因素、病理生理学和治疗
Pub Date : 2022-05-22 DOI: 10.19080/crdoj.2022.15.555920
Gudisa Bereda
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引用次数: 0
期刊
Current Research in Diabetes &amp; Obesity Journal
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