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International journal of diabetes and clinical research最新文献

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In a Changing World of Disease Prevalence, We Must Change Our Differentials: A Case of Diabetic Myonecrosis 在疾病流行不断变化的世界中,我们必须改变我们的区别对待:糖尿病肌坏死病例
Pub Date : 2023-12-31 DOI: 10.23937/2377-3634/1410173
Caudell Chloe W, Wilson Jon D, Sessions William S
Background: Weight gain is linked to poor glycemic control in Type 2 Diabetes patients especially in resource restrained environment, and it is made worse by the lack of access to sustainable treatment options in these same environments. Due to poverty and limited financial resources, these individuals must prioritize safer, locally accessible
背景:体重增加与 2 型糖尿病患者血糖控制不佳有关,尤其是在资源有限的环境中。由于贫困和经济资源有限,这些人必须优先选择更安全、当地可获得的治疗方案。
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引用次数: 0
Insulin Injection Abscesses caused by Bacteria of the Burkholderia cepacia Complex 伯克霍尔德氏菌复合菌引起的胰岛素注射脓肿
Pub Date : 2023-12-31 DOI: 10.23937/2377-3634/1410174
Alam Md Ejaz, Bhat Mohammad Hayat Ahmad, Patto Shoiab M, Bhat Mohammad Afaan
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引用次数: 0
Glycaemic Control and Weight Reduction in Type 2 Diabetes Mellitus Patient Using a Wholly Nigerian Diet - A Hospital Based Study 使用全尼日利亚饮食的 2 型糖尿病患者的血糖控制和体重减轻 - 一项医院研究
Pub Date : 2023-12-31 DOI: 10.23937/2377-3634/1410172
Akoko Sokiprim, Siminialayi Iyeopu M, Chinenye Sunday
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引用次数: 0
Remission of Type 2 Diabetes with High-Fiber, Low-Fat, and Calorie Restricted Plant-Based Diet Study 高纤维、低脂肪和卡路里限制的植物性饮食缓解2型糖尿病的研究
Pub Date : 2023-06-30 DOI: 10.23937/2377-3634/1410167
Panigrahi Gunadhar
Background: Type 2 Diabetes (T2D) is a chronic progressive disease, and its prevalence is on the rise around the world. Despite advances in pharmacotherapy, mitigating the burden of the disease on individuals, societies and the healthcare system remains a challenge. Remission has emerged as a therapeutic target in T2D with wide range of interventions. A plant-based diet seems to be promising to achieve
背景:2型糖尿病(T2D)是一种慢性进行性疾病,其患病率在世界范围内呈上升趋势。尽管药物治疗取得了进展,但减轻疾病对个人、社会和卫生保健系统的负担仍然是一项挑战。缓解已成为T2D广泛干预的治疗目标。植物性饮食似乎有望实现
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引用次数: 0
Determinants of Glucose Imbalance and its Effects on Developing Undiagnosed Type 2 Diabetes Mellitus in an Urban and Rural Ghanaian Community 加纳城市和农村社区中葡萄糖失衡的决定因素及其对未确诊2型糖尿病的影响
Pub Date : 2023-06-30 DOI: 10.23937/2377-3634/1410171
Issah Shani, Harrison Obed Akwaa, Danquah Angelina O, Mumuni Kamal Sumani, Salifu Iddrisu, A. Mutala, Aseidu Matilda Steiner
Background and Objectives: Glucose imbalance or impaired fasting glycemia refers to a condition where there is imbalance in blood sugar levels in an individual. This is usually influenced by the inability of the kidneys to properly convert excess sugar into a form that can easily be eliminated from the body. Accumulation of excess sugar in the body leads to the occurrence of Type 2 diabetes mellitus
背景和目的:血糖失衡或空腹血糖受损是指个体血糖水平失衡的情况。这通常是由于肾脏无法将多余的糖适当地转化为一种很容易从体内消除的形式。体内过量糖分的积累导致2型糖尿病的发生
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引用次数: 0
Back to the Beginning: Diagnosis Experiences of Persons with Type Two Diabetes 回到最初:2型糖尿病患者的诊断经验
Pub Date : 2023-06-30 DOI: 10.23937/2377-3634/1410170
Haase Christie
Background: One in ten adults in the United States has diabetes; the vast majority are diagnosed with type two diabetes mellitus (T2DM). Even though diabetes care has significantly evolved, and a wide variety of pharmacological treatments are available, approximately one-half of people with type two diabetes do not achieve a hemoglobin A1C of less than seven percent. In addition, self-management is a consequential contributor to glycemic control. In light of the mortality, morbidity, decreased quality of life, and financial burden caused by T2DM, the author wanted to explore the diagnosis experiences of type two diabetics. Could their experiences be a contributing factor to less-than-optimal treatment outcomes? Methods: The author interviewed nine consenting adults with T2DM in person, over the telephone, and via videoconference over four weeks in March and April 2023. The data from each transcript was analyzed independently and then compared, identifying meanings and clustering themes found throughout utilizing descriptive phenomenology as the underpinning for this study.
背景:在美国,十分之一的成年人患有糖尿病;绝大多数被诊断为2型糖尿病(T2DM)。尽管糖尿病护理已经显著发展,并且有各种各样的药物治疗,但大约一半的二型糖尿病患者的血红蛋白A1C没有低于7%。此外,自我管理是血糖控制的重要因素。鉴于T2DM引起的死亡率、发病率、生活质量下降和经济负担,作者希望探讨2型糖尿病的诊断经验。他们的经历是否会成为导致治疗结果不理想的因素?方法:作者在2023年3月和4月的四周时间里,通过电话和视频会议,亲自采访了9名同意T2DM的成年人。对每个转录本的数据进行独立分析,然后进行比较,确定意义和聚类主题,并将描述性现象学作为本研究的基础。
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引用次数: 0
Incidence and Predictors of Diabetic Retinopathy among Newly Diagnosed Type 2 Diabetic Patients at Chronic Follow-Up Clinic of University of Gondar Specialized Hospital: A Retrospective Follow-Up Study 贡达尔大学专科医院慢性随访门诊新诊断2型糖尿病患者糖尿病视网膜病变的发病率及预测因素:回顾性随访研究
Pub Date : 2023-06-30 DOI: 10.23937/2377-3634/1410169
Tassew Worku Chekol, Birhan Nigussie, Zewdu Yemataw
Background: Diabetic retinopathy is a complication of type 2 diabetes resulting from long-term accumulated damage to retinal blood vessels and one of the life-threatening complications and is the most common cause of acquired blindness in adults and it affects 93 million people worldwide. DR is the principal cause of blindness in adults of working age and responsible for a worsening in quality of life despite preventable and treatable causes. To date, most of the epidemiological research on DR in Ethiopia has been limited to prevalence estimates from cross-sectional studies. This study determined the incidence of retinopathy and its predictors among type 2 diabetic patients Methods: Hospital-based retrospective follow-up study was conducted among 420 adults with newly diagnosed type 2 diabetic patients from January 1, 2014, to December 31, 2019. Data were extracted from medical records and entered into Epi info version7.2.2.6and exported to Stata 14 for analysis. Bivariable and multivariable Cox proportional hazard model were used to identify predictors of diabetic retinopathy. In a multivariable analysis variable having a p-value < 0.05 in the Cox; PH model was considered as predictors of diabetic retinopathy. Results: Overall, 19.5% (95% CI; 16.2-23.8) of the study population developed diabetic retinopathy, with a median survival time of 30.4 months. Congestive heart failure [AHR: 2.53 (95% CI; 1.49, 4.29)], chronic kidney disease [AHR: 5.02(95% CI; 2.73, 9.26)], hypertension [AHR: 2.07(95% CI; 1.17, 2.89)], and HBA1c [AHR: 10.5 (95% CI; 5.6, 19.6)] were found to be predictors of diabetic retinopathy.
背景:糖尿病视网膜病变是2型糖尿病的一种并发症,由视网膜血管的长期累积损伤引起,是危及生命的并发症之一,是成人获得性失明的最常见原因,影响着全球9300万人。DR是工作年龄成年人失明的主要原因,也是生活质量恶化的原因,尽管原因是可以预防和治疗的。迄今为止,埃塞俄比亚对DR的大多数流行病学研究仅限于横断面研究的流行率估计。本研究确定了2型糖尿病患者视网膜病变的发生率及其预测因素。方法:从2014年1月1日至2019年12月31日,在420名新诊断为2型糖尿病的成年人中进行了基于医院的回顾性随访研究。从医疗记录中提取数据,并输入Epi信息版本7.2.2.6,然后导出到Stata 14进行分析。使用双变量和多变量Cox比例风险模型来确定糖尿病视网膜病变的预测因素。在多变量分析中,Cox中p值<0.05的变量;PH模型被认为是糖尿病视网膜病变的预测因素。结果:总体而言,19.5%(95%CI;16.2-23.8)的研究人群出现糖尿病视网膜病变,中位生存时间为30.4个月。充血性心力衰竭[AHR:2.53(95%CI;1.49,4.29)]、慢性肾脏疾病[AHR:5.02(95%CI);2.73,9.26)]、高血压[AHR:2.07(95%CI;1.17,2.89)]和HBA1c[AHR:10.5(95%CI);5.6,19.6)]被发现是糖尿病视网膜病变的预测因素。
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引用次数: 0
The Effect of Hyperglycemia on Outcome in COVID-19 Patients with Known Diabetes: A Retrospective Observational Study 高血糖对已知糖尿病的COVID-19患者预后的影响:一项回顾性观察研究
Pub Date : 2023-06-30 DOI: 10.23937/2377-3634/1410168
Singh Yudhyavir, S. Abhishek, Surbhi Surbhi, Soni Kapil Dev, Aggarwal Richa, Trikha Anjan
Background: The blood glucose level in a patient with diabetes is an important prognostic factor for any form of severe illness requiring intensive care hospitalization. We conducted this retrospective study to examine the effect of hyperglycemia on outcomes in patients with diabetes with coronavirus diseases (COVID-19) admitted to the intensive care unit (ICU). Method: A retrospective analysis of 25 adult patients with diabetes with COVID-19 admitted to the ICU between 1st January to 15 th February 2021 was done. Demographics details, past medical history, random blood sugar, medical management, ventilatory requirements, and survival data were obtained from medical record files and computerized patient recording systems. Outcomes such as mortality, need for mechanical ventilation, length of ICU stay, and length of hospital stay were analyzed. Result: The median age of the patients was 61 years with a male preponderance. Hypertension is the most common co-morbidity associated with diabetes patients. The median blood sugar level was consistently high in the non-survivors although the result was not statistically significant. Clinical management showed that 84% of patients received insulin, 16% (oral hypoglycemic agents) 72% (steroids) and (64%) mechanical ventilation. The median ICU stay was 8(2-72) days, the median hospital stay was 13(6-79) days and overall mortality in patients with diabetes with COVID-19 was 52%. Conclusion: Hyperglycemia in critically ill COVID-19 patients with preexisting diabetes shows worst outcome in terms of complications, need for mechanical ventilation, and mortality a well-designed prospective study is needed to determine the optimal target for glucose control and its effect on outcomes in patients with diabetes and COVID-19.
背景:糖尿病患者的血糖水平是任何需要重症监护住院治疗的严重疾病的重要预后因素。我们进行了这项回顾性研究,以检查高血糖对入住重症监护室(ICU)的糖尿病冠状病毒疾病(新冠肺炎)患者结局的影响。方法:对2021年1月1日至2月15日入住ICU的25例成年新冠肺炎糖尿病患者进行回顾性分析。从病历文件和计算机化患者记录系统中获得人口统计数据、既往病史、随机血糖、医疗管理、通气要求和生存数据。分析了死亡率、机械通气需求、ICU住院时间和住院时间等结果。结果:患者的中位年龄为61岁,以男性为主。高血压是糖尿病患者最常见的并发症。非幸存者的中位血糖水平一直很高,尽管结果没有统计学意义。临床管理显示,84%的患者接受了胰岛素治疗,16%(口服降糖药),72%(类固醇)和64%(机械通气)。新冠肺炎糖尿病患者的中位ICU住院时间为8(2-72)天,中位住院时间为13(6-79)天,总死亡率为52%。结论:已有糖尿病的危重新冠肺炎患者的高血糖在并发症、机械通气需求和死亡率方面表现出最差的结果。需要进行精心设计的前瞻性研究,以确定糖尿病和新冠肺炎患者血糖控制的最佳目标及其对结果的影响。
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引用次数: 0
High Rate of Mortality in Children and Youth with HIV Infection Compared to those with Diabetes in Tanzania 坦桑尼亚与糖尿病患者相比,感染艾滋病毒的儿童和青年死亡率较高
Pub Date : 2023-03-31 DOI: 10.23937/2377-3634/1410166
Majaliwa Edna S, Ndayongeje Joel, Ramaiya Kaushik, Mmbaga Blandina T, Mfinanga Sayoki G
Background: Pediatric and youth diabetes mellitus (DM) and pediatric and youth human immunodeficiency virus (HIV) infection are among the chronic diseases with significant public health implications and high mortality. The availability of mortality statistics in type 1 diabetes and HIV/AIDS is critical for addressing the two conditions in one setting. Objective: To compare the mortality of children and youth living with Diabetes (CYLDM) versus children and youth living with HIV (CYLHIV). Methods: This retrospective cross-sectional approach extracted data from registries of Tanzania Diabetes Association (TDA) and National AIDS Control Programme (NACP). Mortality was defined as death recorded in the registry. STATA version 14 was used for analysis. Results: A total of 3822 data for CYLDM and 33,941 CYLHIV were extracted. Almost fifty-one per cent (50.8%) and 27.2% were males CYLDM and CYLHIV respectively, mean age (SD) at diagnosis was 14 (± 5.8) and 9.4 (± 7.3) years for CYLDM and CYLHIV, respectively. Total death was 95 (3.0%) in CYLDM and 3718 (11%) in CYLHIV. Mean age (SD) at death was 17 (± 4.5) years for CYLDM and 11 (± 8) years for CYLHIV. The loss to follow up rate was 33.7% for CYLDM and 43.7% for CYLHIV. Conclusion: The estimated death rate was high in CYLHIV compared to CYLDM. Both conditions had a high rate of loss to follow up. This study serves as the basis for prospective studies to determine causes and possible mitigation against mortality and loss to follow up in these two chronic conditions.
背景:儿童和青年糖尿病(DM)和儿童和青年人类免疫缺陷病毒(HIV)感染是具有重大公共卫生影响和高死亡率的慢性疾病。提供1型糖尿病和艾滋病毒/艾滋病的死亡率统计数据对于在一个环境中解决这两种情况至关重要。目的:比较儿童和青年糖尿病患者与儿童和青年艾滋病患者的死亡率。方法:这种回顾性横断面方法从坦桑尼亚糖尿病协会(TDA)和国家艾滋病控制计划(NACP)的登记处提取数据。死亡率被定义为登记处记录的死亡。STATA版本14用于分析。结果:共提取了3822份CYLDM数据和33941份CYLV。近51%(50.8%)和27.2%为男性CYLDM和CYLVIV,诊断时的平均年龄(SD)分别为14(±5.8)和9.4(±7.3)岁。CYLDM患者的总死亡人数为95人(3.0%),CYLVIV患者的总死亡率为3718人(11%)。CYLDM和CYLVIV的平均死亡年龄分别为17(±4.5)岁和11(±8)岁。CYLDM和CYLVIV的失访率分别为33.7%和43.7%。结论:与CYLDM相比,CYLVIV的估计死亡率较高。这两种情况都有很高的损失率需要跟进。这项研究是前瞻性研究的基础,以确定这两种慢性病的病因和可能的死亡率和损失缓解措施。
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引用次数: 0
A Randomized, Double-Blind, Monocentric, and Placebo-Controlled Blood Glycemic Response Evaluation of Sweetch, a Natural Sugar Replacement Blend, on Healthy Volunteers 一项随机、双盲、单中心、安慰剂控制的健康志愿者对天然糖替代混合物Sweetch的血糖反应评价
Pub Date : 2023-03-31 DOI: 10.23937/2377-3634/1410165
Minh Le A, Tu Do A, A. Khaiat
Diabetes mellitus is a serious global concern due to its long-term health-related effects and the financial burden it poses to healthcare systems and families around the world. Excess consumption of sugar is one of the main causes of the issue. There are many sweetening ingredients that claim to be the solution to substitute normal sugar while maintaining the blood sugar level at a low level, yet the evidence is lacking and not always substantiated. Sweetch Natural Sugar Replacement is a proprietary natural sugar alternative product composed of a blend of different plant-derived sweetening ingredients. It has zero calories, no added flavor, non-GMO, and the same taste profile and measure as sugar (1:1 replacement). It is appropriate in drinks as well as any form of cooking. The objective of this study is to evaluate changes in blood sugar levels, as well as the safety of human volunteers after oral absorption of Sweetch Natural Sugar Replacement, substantiating Sweetch claim on zero glycemic response. The efficacy and safety analyses were performed using the principles of a fasting blood sugar level test on 22 randomized subjects practicing a healthy lifestyle. Participants were divided into 2 groups: An active group using the investigational product (IP; 50 g of the IP dissolved into mineral water.) versus a controlled group using a placebo (plain mineral water). After 12 hours of overnight fasting, volunteers took their drink orally and their blood samples were taken at specific time points (T0, T30 min, and T2 h) to measure blood glucose levels. Results indicate that there is no significant difference in the average blood glucose level at various time points between the active group and the placebo group. This study confirms that Sweetch Natural Sugar Replacement does not cause any noticeable changes in blood sugar levels post-oral administration. No adverse health events were observed throughout the study. Through this study, Sweetch Natural Sugar Replacement’s claim on zero glycemic index (GI) is proven legitimate.
糖尿病是一个严重的全球性问题,因为它对健康产生长期影响,并给世界各地的卫生保健系统和家庭带来经济负担。过量摄入糖是导致这一问题的主要原因之一。有许多甜味剂成分声称可以替代正常糖,同时将血糖水平维持在较低水平,但证据不足,而且并不总是得到证实。Sweetch天然糖替代品是一种专有的天然糖替代产品,由不同植物来源的甜味剂成分混合而成。它没有卡路里,没有添加香料,非转基因,和糖一样的味道和计量(1:1替代)。它适用于饮料和任何形式的烹饪。本研究的目的是评估口服Sweetch天然糖替代品后血糖水平的变化,以及人类志愿者的安全性,以证实Sweetch声称的零血糖反应。疗效和安全性分析采用空腹血糖水平测试的原则,22随机受试者实行健康的生活方式。参与者被分为两组:一组使用研究产品(IP);50克IP溶解在矿泉水中)与使用安慰剂(普通矿泉水)的对照组相比。禁食12小时后,志愿者口服饮料,并在特定时间点(T0、T30分钟和T2小时)采集血样,测量血糖水平。结果显示,活动组与安慰剂组在各时间点的平均血糖水平无显著差异。这项研究证实,Sweetch天然糖替代品在口服后不会引起任何明显的血糖水平变化。在整个研究过程中未观察到不良健康事件。通过这项研究,Sweetch天然糖替代品声称的零血糖指数(GI)被证明是合法的。
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引用次数: 0
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International journal of diabetes and clinical research
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