Pub Date : 2022-06-01DOI: 10.54931/2053-4787.30-6-1
Jonathan Nsamba, Elezebeth Mathews, Ronald Buyinza
The purpose of the review is to explore the interlinkages between diabetes, insulin therapy, and body composition and discuss the need for body composition assessment as part of the routine nutrition and health assessment of children living with diabetes especially in resource limited contexts with a case study of Uganda. Changes in body composition have an intractable effect of Insulin Dependent Diabetes Mellitus and its management. The association between diabetes and body composition has the potential to lead to adverse health outcomes, especially in later years of life. Health practitioners shall devise strategies to efficiently monitor the body composition of young diabetics at an early stage to revert the life threatening complications among young diabetic patients.
{"title":"Insulin dependent diabetes and anthropometric assessment: Understanding the rationale for body composition measurement.","authors":"Jonathan Nsamba, Elezebeth Mathews, Ronald Buyinza","doi":"10.54931/2053-4787.30-6-1","DOIUrl":"https://doi.org/10.54931/2053-4787.30-6-1","url":null,"abstract":"<p><p>The purpose of the review is to explore the interlinkages between diabetes, insulin therapy, and body composition and discuss the need for body composition assessment as part of the routine nutrition and health assessment of children living with diabetes especially in resource limited contexts with a case study of Uganda. Changes in body composition have an intractable effect of Insulin Dependent Diabetes Mellitus and its management. The association between diabetes and body composition has the potential to lead to adverse health outcomes, especially in later years of life. Health practitioners shall devise strategies to efficiently monitor the body composition of young diabetics at an early stage to revert the life threatening complications among young diabetic patients.</p>","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614593/pdf/EMS175052.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9588422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayub Md Som, Nam Sohadi, MF Johari, Sa Ali, Nsm Nor, M. Ahmad
Background: One of the most common types of diabetes is Type 1 Diabetes Mellitus (T1DM) which causes high or low blood glucose levels (BGL) in a patient’s body. T1DM patients need to maintain their BGL in a safe glycemic range which is between 4.0 mmol/L to 7 mmol/L. Thus, it is high time to find the optimum insulin infusion rate into the patient’s body in achieving prolonged normoglycemic range. Methods: Previous workers had focused on employing the improved Hovorka equations via in-silico study using one T1DM patient’s data; however, in-silico works employing more actual patients’ data are yet to be explored. Hence, this study attempts to apply the improved Hovorka equations on three different T1DM subjects so as to simulate their BGL profiles based on daily stipulated meal disturbances, individual body weights and age group. Results: Results showed that the optimum insulin infusion rates required to regulate the BGL within safe glycemic range were at 0.1 U/min, 0.05 U/min and 0.0167 U/min for the case of patients 1, 2 and 3, respectively; provided that different amounts of meal intake (DG) were observed by each patient during breakfast, lunch and dinner times. Conclusion: In conclusion, this study had proven that the improved Hovorka equations can be used to simulate the meal disturbance effect on BGL for more T1DM patients. Keywords Blood glucose level; Closed-loop control system; Hovorka model; Meal disturbance; Type 1 diabetes mellitus
{"title":"In-silico works on the control of blood glucose level for different Type 1 Diabetes Mellitus Subjects using improved Hovorka equations","authors":"Ayub Md Som, Nam Sohadi, MF Johari, Sa Ali, Nsm Nor, M. Ahmad","doi":"10.54931/30-6-2","DOIUrl":"https://doi.org/10.54931/30-6-2","url":null,"abstract":"Background: One of the most common types of diabetes is Type 1 Diabetes Mellitus (T1DM) which causes high or low blood glucose levels (BGL) in a patient’s body. T1DM patients need to maintain their BGL in a safe glycemic range which is between 4.0 mmol/L to 7 mmol/L. Thus, it is high time to find the optimum insulin infusion rate into the patient’s body in achieving prolonged normoglycemic range. Methods: Previous workers had focused on employing the improved Hovorka equations via in-silico study using one T1DM patient’s data; however, in-silico works employing more actual patients’ data are yet to be explored. Hence, this study attempts to apply the improved Hovorka equations on three different T1DM subjects so as to simulate their BGL profiles based on daily stipulated meal disturbances, individual body weights and age group. Results: Results showed that the optimum insulin infusion rates required to regulate the BGL within safe glycemic range were at 0.1 U/min, 0.05 U/min and 0.0167 U/min for the case of patients 1, 2 and 3, respectively; provided that different amounts of meal intake (DG) were observed by each patient during breakfast, lunch and dinner times. Conclusion: In conclusion, this study had proven that the improved Hovorka equations can be used to simulate the meal disturbance effect on BGL for more T1DM patients. Keywords Blood glucose level; Closed-loop control system; Hovorka model; Meal disturbance; Type 1 diabetes mellitus","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77395435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of the review is to explore the interlinkages between diabetes, insulin therapy, and body composition and discuss the need for body composition assessment as part of the routine nutrition and health assessment of children living with diabetes especially in resource limited contexts with a case study of Uganda. Changes in body composition have an intractable effect of Insulin Dependent Diabetes Mellitus and its management. The association between diabetes and body composition has the potential to lead to adverse health outcomes, especially in later years of life. Health practitioners shall devise strategies to efficiently monitor the body composition of young diabetics at an early stage to revert the life threatening complications among young diabetic patients.
{"title":"Insulin dependent diabetes and anthropometric assessment: Understanding the rationale for body composition measurement.","authors":"Jonathan Nsamba, E. Mathews, Ronald Buyinza","doi":"10.54931/2053-4787.30-6","DOIUrl":"https://doi.org/10.54931/2053-4787.30-6","url":null,"abstract":"The purpose of the review is to explore the interlinkages between diabetes, insulin therapy, and body composition and discuss the need for body composition assessment as part of the routine nutrition and health assessment of children living with diabetes especially in resource limited contexts with a case study of Uganda. Changes in body composition have an intractable effect of Insulin Dependent Diabetes Mellitus and its management. The association between diabetes and body composition has the potential to lead to adverse health outcomes, especially in later years of life. Health practitioners shall devise strategies to efficiently monitor the body composition of young diabetics at an early stage to revert the life threatening complications among young diabetic patients.","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75660510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.54931/2053-4787.30-3-2
Arefeh Tabashiri, Mohammad Sadegh Qadirifard, A. Ghaderi, Maryam Rahmannia, Amir Mohammad Sharafi, Shamim Kiani, Farhad Nikzad, A. Ansari, Faezeh Soveyzi, N. Deravi
Diabetes is a widely known disease, which afflicts millions of people annually and is considered one of the leading culprits of mortality and morbidity worldwide. Researchers are making an enormous effort to propose more efficient remedies for the better amelioration of the disease. On the other hand, the public interest in the consumption of herbal medicine for therapeutic purposes is rocketing and the use of these drugs is becoming ubiquitous. Murraya koenigii MK is a tropical tree, originally found in the Indian subcontinent, which is an indispensable piece of the Indian diet and has multipotent medicinal capa -bilities. The variety of its leaves’ hypoglycemic characteristics has been investigated via human, animal, and in vitro studies. This review intends to elaborate on the latest knowledge about the anti-diabetic and hypoglycemic effects of MK in the hope of easing the further application of MK in the alleviation of the diabetes signs and symptoms.
{"title":"A decade anti-diabetic potential of murraya koenigii (curry leaf): A narrative review","authors":"Arefeh Tabashiri, Mohammad Sadegh Qadirifard, A. Ghaderi, Maryam Rahmannia, Amir Mohammad Sharafi, Shamim Kiani, Farhad Nikzad, A. Ansari, Faezeh Soveyzi, N. Deravi","doi":"10.54931/2053-4787.30-3-2","DOIUrl":"https://doi.org/10.54931/2053-4787.30-3-2","url":null,"abstract":"Diabetes is a widely known disease, which afflicts millions of people annually and is considered one of the leading culprits of mortality and morbidity worldwide. Researchers are making an enormous effort to propose more efficient remedies for the better amelioration of the disease. On the other hand, the public interest in the consumption of herbal medicine for therapeutic purposes is rocketing and the use of these drugs is becoming ubiquitous. Murraya koenigii MK is a tropical tree, originally found in the Indian subcontinent, which is an indispensable piece of the Indian diet and has multipotent medicinal capa -bilities. The variety of its leaves’ hypoglycemic characteristics has been investigated via human, animal, and in vitro studies. This review intends to elaborate on the latest knowledge about the anti-diabetic and hypoglycemic effects of MK in the hope of easing the further application of MK in the alleviation of the diabetes signs and symptoms.","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75220108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.54931/2053-4787.30-2-1
Yarhere Iroro E, Jaja Tamunopriye
Purpose: Paediatric endocrinology services are relatively new in Africa and Nigeria and the services and resources for the children with diabetes and other endocrine disorders are poorly de-veloped. We aimed to survey pediatric endocrinology services in Nigeria using an online survey tool. Methods: We surveyed the paediatric endocrinologists practicing in public tertiary institutions in Nigeria using an instrument designed to evaluate the availability of manpower, infrastructures, specific medications, and collaborations with other endo crinologists. Results: Fifteen of the 37 practicing paediatric endocrinologists responded, giving a response rate of h a response rate of 40.5%. The mean practice years was 9.3 (range 7-12), and many had skills in managing children with diabetes, thyroid and growth abnormalities. All centres had facilities for ultrasound scan and simple diagnostic techniques but few centres had access to iodine uptake studies, antibody testing and special hormones. While most centres could outsource special tests, patients could rarely afford the services. There were 297 children on manage ment for TIDM and over 90% of these were on pre-mix insulin. Conclusion: The dearth in human and infrastructural capacity in paediatric endocrinology services should be improved on and this will alleviate the burden of diabetes and endocrine disorders in Nigerian children. means the test can be outsourced in a peripheral laboratory not attached to the home center of the paediatric endocrinologist.
{"title":"Paediatric endocrinology and diabetes mapping and services in Nigeria: A decade after","authors":"Yarhere Iroro E, Jaja Tamunopriye","doi":"10.54931/2053-4787.30-2-1","DOIUrl":"https://doi.org/10.54931/2053-4787.30-2-1","url":null,"abstract":"Purpose: Paediatric endocrinology services are relatively new in Africa and Nigeria and the services and resources for the children with diabetes and other endocrine disorders are poorly de-veloped. We aimed to survey pediatric endocrinology services in Nigeria using an online survey tool. Methods: We surveyed the paediatric endocrinologists practicing in public tertiary institutions in Nigeria using an instrument designed to evaluate the availability of manpower, infrastructures, specific medications, and collaborations with other endo crinologists. Results: Fifteen of the 37 practicing paediatric endocrinologists responded, giving a response rate of h a response rate of 40.5%. The mean practice years was 9.3 (range 7-12), and many had skills in managing children with diabetes, thyroid and growth abnormalities. All centres had facilities for ultrasound scan and simple diagnostic techniques but few centres had access to iodine uptake studies, antibody testing and special hormones. While most centres could outsource special tests, patients could rarely afford the services. There were 297 children on manage ment for TIDM and over 90% of these were on pre-mix insulin. Conclusion: The dearth in human and infrastructural capacity in paediatric endocrinology services should be improved on and this will alleviate the burden of diabetes and endocrine disorders in Nigerian children. means the test can be outsourced in a peripheral laboratory not attached to the home center of the paediatric endocrinologist.","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90383510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.54931/2053-4787.30-3-1
A. Ibrahim, G. Ajani, K. Adewoye, T. Olanrewaju, Eniola Ayoyemi Afolabi-Obe, A. Ibikunle
The main therapeutic goal for all type 2 diabetes mellitus (T2DM) patients is to maintain good control so as to prevent the risk of complications associated with poor control. This study determined the prevalence of poor control and its association with socio-demographics and malaria parasitaemia among middle aged and elderly T2DM patients at a tertiary hospital in rural Southwestern Nigeria. We conducted a retrospective observational study on 250 T2DM using semi-structured interviewer administered questionnaire. Venous blood samples were collected and processed for glycated hemoglobin sugar estimation and malaria parasite detection by microscopy. Data were analyzed using SPSS version 20.0. Multivariate logistic regression identi-fied the association of socio-demographics and asymptomatic malaria parasitaemia with poor control. The prevalence of poor glycemic control was 31.6% (95%CI: 34.4%-45.8%). Old age, (AOR=4.868; 95% CI: 1.258-24.574), female genders (AOR=7.100; 95% CI: 1.875-34.655), no formal education (AOR=3.447; 95% CI: 1.098-21.478), presence of malaria parasitaemia (AOR=48.423; 95% CI: 4.987-411.366), and higher parasite density (AOR=7.102; 95% CI: 1.785-15.002), were significantly associated with poor control. Health facilities should integrate screening of malaria parasitaemia into the management of T2DM patients while also exploring other barriers of poor control.
{"title":"Socio-Demographic Profile, Asymptomatic Malaria Parasitaemia and Glycemic Control among Midled-Aged and Elderly Type 2 Diabetes Mellitus Patients in Rural Southwestern Nigeria: A Cross Sectional Study","authors":"A. Ibrahim, G. Ajani, K. Adewoye, T. Olanrewaju, Eniola Ayoyemi Afolabi-Obe, A. Ibikunle","doi":"10.54931/2053-4787.30-3-1","DOIUrl":"https://doi.org/10.54931/2053-4787.30-3-1","url":null,"abstract":"The main therapeutic goal for all type 2 diabetes mellitus (T2DM) patients is to maintain good control so as to prevent the risk of complications associated with poor control. This study determined the prevalence of poor control and its association with socio-demographics and malaria parasitaemia among middle aged and elderly T2DM patients at a tertiary hospital in rural Southwestern Nigeria. We conducted a retrospective observational study on 250 T2DM using semi-structured interviewer administered questionnaire. Venous blood samples were collected and processed for glycated hemoglobin sugar estimation and malaria parasite detection by microscopy. Data were analyzed using SPSS version 20.0. Multivariate logistic regression identi-fied the association of socio-demographics and asymptomatic malaria parasitaemia with poor control. The prevalence of poor glycemic control was 31.6% (95%CI: 34.4%-45.8%). Old age, (AOR=4.868; 95% CI: 1.258-24.574), female genders (AOR=7.100; 95% CI: 1.875-34.655), no formal education (AOR=3.447; 95% CI: 1.098-21.478), presence of malaria parasitaemia (AOR=48.423; 95% CI: 4.987-411.366), and higher parasite density (AOR=7.102; 95% CI: 1.785-15.002), were significantly associated with poor control. Health facilities should integrate screening of malaria parasitaemia into the management of T2DM patients while also exploring other barriers of poor control.","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80107484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.54931/2053-4787.30-1-4
D. Klu, R. Alhassan, M. Dalaba, P. Doegah
Introduction: Diabetes Mellitus remains a major public health problem in Africa in the last two decades. A new conceptual framework for studying and understanding trajectories of experiences of people with diabetes mellitus in Africa is presented. Objective: The paper examines all known factors influencing the trajectories of lived experiences of persons with diabetes and how these factors interact with each other at micro and macro levels. Methods: A systematic mapping of peer reviewed literature (n=61) conducted in Africa and published between 01/01/1990 and 31/12/2020 was utilised. Results: Using a conceptual framework, we synthesised the factors influencing trajectories of lived experiences of diabetes in Africa, grouped into six domains: diabetes risk factors, socio-demographic characteristics, individual level experiences, household/family level experiences, community/society level experiences and national level experiences. Conclusion: This framework can be used to test hypotheses about facilitators and barriers to health care-seeking behaviour. As well as understand how trajectories of lived experience of diabetes might be influenced by policy or practice. Research based on understanding of trajectories is expected to improve diabetes patient’s experiences and outcome in diabetes management and care in Africa.
{"title":"Trajectories of lived experiences of people living with Diabetes Mellitus in Africa: An evidence mapping of conceptual framework","authors":"D. Klu, R. Alhassan, M. Dalaba, P. Doegah","doi":"10.54931/2053-4787.30-1-4","DOIUrl":"https://doi.org/10.54931/2053-4787.30-1-4","url":null,"abstract":"Introduction: Diabetes Mellitus remains a major public health problem in Africa in the last two decades. A new conceptual framework for studying and understanding trajectories of experiences of people with diabetes mellitus in Africa is presented. Objective: The paper examines all known factors influencing the trajectories of lived experiences of persons with diabetes and how these factors interact with each other at micro and macro levels. Methods: A systematic mapping of peer reviewed literature (n=61) conducted in Africa and published between 01/01/1990 and 31/12/2020 was utilised. Results: Using a conceptual framework, we synthesised the factors influencing trajectories of lived experiences of diabetes in Africa, grouped into six domains: diabetes risk factors, socio-demographic characteristics, individual level experiences, household/family level experiences, community/society level experiences and national level experiences. Conclusion: This framework can be used to test hypotheses about facilitators and barriers to health care-seeking behaviour. As well as understand how trajectories of lived experience of diabetes might be influenced by policy or practice. Research based on understanding of trajectories is expected to improve diabetes patient’s experiences and outcome in diabetes management and care in Africa.","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"90 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72424819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.54931/2053-4787.30-1-3
Kimia Moiniafshari, M. Gholami, Hamid Dalvand, M. Efatpanah, S. Rezayi
Physical inactivity and poor dietary pattern are considered as health related challenges in ASD (ASD) which seems to be affected by Covid-19 pandemic. The purpose of this clinical trial was to investigate the effect of functional training along with online nutritional education on metabolic related biomarkers in children with ASD. 80 verified children with ASD (age=9.73 ± 1.29, weight=49.94 ± 2.08 kg, stature=146.08 ± 40 cm, BMI percentile= 64.88 ± 2.89, FM percentage+24.71 ± 1.48) were randomly divided into four groups including: (1) functional training, (2) online nutritional education, 3) training+ education and 4) control group. Pre-test was taken for metabolic related biomarkers and each experimental group received their interventions for 8 weeks. Post-test was taken at the end of 8 weeks. The results from this study, did not show significant changes for WHR (sig=0.06). Significant changes was indicated for FM (sig<0.001), TC(sig<0.001), TG (sig=0.006), HDL (sig<0.001), LDL (sig=0.001), HOMA (sig=0.04). In conclusion, functional training and online nutritional education can be considered as beneficial interventions for metabolic related biomarkers improvement in children with ASD during Covid-19 pandemic.
{"title":"Evaluation of functional training along with online nutritional education on autistic children's metabolic status during Covid-19 pandemic-A randomized clinical trial","authors":"Kimia Moiniafshari, M. Gholami, Hamid Dalvand, M. Efatpanah, S. Rezayi","doi":"10.54931/2053-4787.30-1-3","DOIUrl":"https://doi.org/10.54931/2053-4787.30-1-3","url":null,"abstract":"Physical inactivity and poor dietary pattern are considered as health related challenges in ASD (ASD) which seems to be affected by Covid-19 pandemic. The purpose of this clinical trial was to investigate the effect of functional training along with online nutritional education on metabolic related biomarkers in children with ASD. 80 verified children with ASD (age=9.73 ± 1.29, weight=49.94 ± 2.08 kg, stature=146.08 ± 40 cm, BMI percentile= 64.88 ± 2.89, FM percentage+24.71 ± 1.48) were randomly divided into four groups including: (1) functional training, (2) online nutritional education, 3) training+ education and 4) control group. Pre-test was taken for metabolic related biomarkers and each experimental group received their interventions for 8 weeks. Post-test was taken at the end of 8 weeks. The results from this study, did not show significant changes for WHR (sig=0.06). Significant changes was indicated for FM (sig<0.001), TC(sig<0.001), TG (sig=0.006), HDL (sig<0.001), LDL (sig=0.001), HOMA (sig=0.04). In conclusion, functional training and online nutritional education can be considered as beneficial interventions for metabolic related biomarkers improvement in children with ASD during Covid-19 pandemic.","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91131174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.54931/2053-4787.30-1-5
Sh Shahrokhian, A. Habibi, Saeed Shakerian
{"title":"The effect of nonlinear resistance training on serum myostatin and insulin resistance in women with breast cancer","authors":"Sh Shahrokhian, A. Habibi, Saeed Shakerian","doi":"10.54931/2053-4787.30-1-5","DOIUrl":"https://doi.org/10.54931/2053-4787.30-1-5","url":null,"abstract":"","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84780473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-15DOI: 10.21203/RS.3.RS-722330/V1
Bonkana Maiga, C. Bagayoko, M. A. Ahmed, A. Anne, M. Gagnon, Sidibé Assa Traore, J. Landrier, A. Geissbuhler
Background The use of digital health technologies to tackle diabetes has been particularly flourishing in recent years. Previous studies have shown to varying degrees that these technologies can have an impact on diabetes prevention and management. Objective The aim of this review is to summarize the best evidence regarding the effectiveness of digital health interventions to improve one or more diabetes indicators. Methods We included all types of interventions aimed at evaluating the effect of digital health on diabetes. We considered at all types of digital interventions (mobile health, teleconsultations, tele-expertise, electronic health records, decision support systems, e-learning, etc.). We included systematic reviews published in English or French over the last 29 years, from January 1991 to December 2019, that met the inclusion criteria. Two reviewers independently reviewed the titles and abstracts of the studies to assess their eligibility, and extracted relevant information according to a predetermined grid. Any disagreement was resolved by discussion and consensus between the two reviewers, or involved a third author as referee. Results In total in our review of journals, we included 10 reviews. The outcomes of interest were clinical indicators of diabetes that could be influenced by digital interventions. These outcomes had to be objectively measurable indicators related to diabetes surveillance and management that are generally accepted by diabetes experts. Six of the ten reviews showed moderate to large significant reductions in glycated hemoglobin (HBA1c) levels compared to controls. Most reviews reported overall positive results and found that digital health interventions improved health care utilization, behaviours, attitudes, knowledge and skills. Conclusion Based on a large corpus of scientific evidence on digital health interventions, this overview could help identify the most effective interventions to improve diabetes indicators.
{"title":"Effectiveness of digital health interventions for diabetes: systematic review of systematic reviews","authors":"Bonkana Maiga, C. Bagayoko, M. A. Ahmed, A. Anne, M. Gagnon, Sidibé Assa Traore, J. Landrier, A. Geissbuhler","doi":"10.21203/RS.3.RS-722330/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-722330/V1","url":null,"abstract":"\u0000 Background\u0000\u0000The use of digital health technologies to tackle diabetes has been particularly flourishing in recent years. Previous studies have shown to varying degrees that these technologies can have an impact on diabetes prevention and management.\u0000Objective\u0000\u0000The aim of this review is to summarize the best evidence regarding the effectiveness of digital health interventions to improve one or more diabetes indicators.\u0000Methods\u0000\u0000We included all types of interventions aimed at evaluating the effect of digital health on diabetes. We considered at all types of digital interventions (mobile health, teleconsultations, tele-expertise, electronic health records, decision support systems, e-learning, etc.). We included systematic reviews published in English or French over the last 29 years, from January 1991 to December 2019, that met the inclusion criteria. Two reviewers independently reviewed the titles and abstracts of the studies to assess their eligibility, and extracted relevant information according to a predetermined grid. Any disagreement was resolved by discussion and consensus between the two reviewers, or involved a third author as referee.\u0000Results\u0000\u0000 In total in our review of journals, we included 10 reviews. The outcomes of interest were clinical indicators of diabetes that could be influenced by digital interventions. These outcomes had to be objectively measurable indicators related to diabetes surveillance and management that are generally accepted by diabetes experts. Six of the ten reviews showed moderate to large significant reductions in glycated hemoglobin (HBA1c) levels compared to controls. Most reviews reported overall positive results and found that digital health interventions improved health care utilization, behaviours, attitudes, knowledge and skills.\u0000Conclusion\u0000\u0000Based on a large corpus of scientific evidence on digital health interventions, this overview could help identify the most effective interventions to improve diabetes indicators.","PeriodicalId":74927,"journal":{"name":"The African journal of diabetes medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89771406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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