Diabetes is the world’s third largest threat to people’s health. In China, the incidence of diabetes is on the rise, the cure rate of diabetes is low, patients with complications are more, and diabetes patients brin...Diabetes is the world’s third largest threat to people’s health. In China, the incidence of diabetes is on the rise, the cure rate of diabetes is low, patients with complications are more, and diabetes patients bring a heavy economic burden to the family and society. <span "="">Compared with developed countries, China still has a big gap in terms of diabetes care, education and management, and even less long-term follow-up of diabetes education and management results. Therefore, the management of diabetic patients should not only stay in the intervention during hospitalization, but also extend to the outside of the hospital. Only by implementing the whole-process nursing case management integrating hospitalization</span>-family/community-outpatient, can diabetic patients better control blood glucose, delay or prevent the occurrence of chronic complications, and improve their quality of life. The nursing work method of case management is adopted to carry out personalized assessment for diabetes patients, design the process of initial outpatient consultation, content and process of follow-up consultation for nurses, and implement personalized guidance. The diabetic complications should be screened regularly, diabetes management should be standardized, self-care ability and behavior compliance of treatment and nursing of diabetic patients should be improved, and comprehensive whole-process nursing management should be provided for every diabetic patient, so as to improve the quality of life of patients and truly benefit diabetic patients.展开更多
Introduction: Type 2 Diabetes Mellitus (T2DM) has witnessed a rise in its prevalence worldwide and in the Middle East region. The overall burden associated with the disease is well characterized, but little is known a...Introduction: Type 2 Diabetes Mellitus (T2DM) has witnessed a rise in its prevalence worldwide and in the Middle East region. The overall burden associated with the disease is well characterized, but little is known about patient satisfaction in the region. The purpose of the study is to evaluate the quality of life (QoL) and treatment satisfaction of patients T2DM. Methods: The SIMPLIFY study was an observational, cross-sectional, multicenter, regional study that used patient-reported outcomes of T2DM patients in Jordan and Lebanon. Results: Patients were more satisfied when they were treated exclusively with oral medications, mainly metformin alone or combined with either sulfonylurea or dipeptidyl peptidase-4 inhibitor. Targets for glycated hemoglobin (HbA1c) values were better reached in patients treated with oral medications. Occurrence of comorbidities did not seem to be affected by oral or injectable medications or to affect patients’ satisfaction. Data highlighted a suboptimal screening for albuminuria and showed that most patients were overweight or obese and around 30% suffered from hypoglycemia episodes. Conclusion: Data shed the light on the management of T2DM in Jordan and Lebanon and suggested the need for a more comprehensive approach to T2DM management and selection of medications that would support weight control and a lower hypoglycemia incidence.展开更多
Technologies for diabetes management,such as continuous subcutaneous insulin infusion(CSII)and continuous glucose monitoring(CGM)systems,have improved remarkably over the last decades.These developments are impacting ...Technologies for diabetes management,such as continuous subcutaneous insulin infusion(CSII)and continuous glucose monitoring(CGM)systems,have improved remarkably over the last decades.These developments are impacting the capacity to achieve recommended hemoglobin A1c levels and assisting in preventing the development and progression of microand macro vascular complications.While improvements in metabolic control and decreases in risk of severe and moderate hypoglycemia have been described with use of these technologies,large epidemiological international studies show that many patients are still unable to meet their glycemic goals,even when these technologies are used.This editorial will review the impact of technology on glycemic control,hypoglycemia and quality of life in children and youth with type 1 diabetes.Technologies reviewed include CSII,CGM systems and sensoraugmented insulin pumps.In addition,the usefulness of advanced functions such as bolus profiles,bolus calculators and threshold-suspend features will be also discussed.Moreover,the current editorial will explore the challenges of using these technologies.Indeed,despite the evidence currently available of the potential benefits of using advanced technologies in diabetes management,many patients still report barriers to using them.Finally this article will highlight the importance of future studies tailored toward overcome these barriers to optimizing glycemic control and avoiding severe hypoglycemia.展开更多
目的:探究以互动达标理论为指导的延续性护理对糖尿病视网膜病变(DR)患者的影响。方法:选取2022年6月—2023年10月遵义市第一人民医院收治的92例DR患者。根据随机数表法将其分为对照组和观察组,各46例。对照组给予常规延续性护理,观察...目的:探究以互动达标理论为指导的延续性护理对糖尿病视网膜病变(DR)患者的影响。方法:选取2022年6月—2023年10月遵义市第一人民医院收治的92例DR患者。根据随机数表法将其分为对照组和观察组,各46例。对照组给予常规延续性护理,观察组给予以互动达标理论为指导的延续性护理。比较两组护理前后血糖水平、自我管理能力、生活质量。结果:护理后,观察组空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)水平均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组饮食控制、足部护理、规律运动、血糖监测、遵医嘱用药、高低血糖处理评分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组阅读和精细动作、调节能力、日常生活、远视力、移动和光感评分均高于对照组,差异有统计学意义(P<0.05)。结论:在DR患者中实施以互动达标理论为指导的延续性护理可提高自我管理能力,利于血糖的良好控制,进而改善生活质量。展开更多
文摘Diabetes is the world’s third largest threat to people’s health. In China, the incidence of diabetes is on the rise, the cure rate of diabetes is low, patients with complications are more, and diabetes patients bring a heavy economic burden to the family and society. <span "="">Compared with developed countries, China still has a big gap in terms of diabetes care, education and management, and even less long-term follow-up of diabetes education and management results. Therefore, the management of diabetic patients should not only stay in the intervention during hospitalization, but also extend to the outside of the hospital. Only by implementing the whole-process nursing case management integrating hospitalization</span>-family/community-outpatient, can diabetic patients better control blood glucose, delay or prevent the occurrence of chronic complications, and improve their quality of life. The nursing work method of case management is adopted to carry out personalized assessment for diabetes patients, design the process of initial outpatient consultation, content and process of follow-up consultation for nurses, and implement personalized guidance. The diabetic complications should be screened regularly, diabetes management should be standardized, self-care ability and behavior compliance of treatment and nursing of diabetic patients should be improved, and comprehensive whole-process nursing management should be provided for every diabetic patient, so as to improve the quality of life of patients and truly benefit diabetic patients.
文摘Introduction: Type 2 Diabetes Mellitus (T2DM) has witnessed a rise in its prevalence worldwide and in the Middle East region. The overall burden associated with the disease is well characterized, but little is known about patient satisfaction in the region. The purpose of the study is to evaluate the quality of life (QoL) and treatment satisfaction of patients T2DM. Methods: The SIMPLIFY study was an observational, cross-sectional, multicenter, regional study that used patient-reported outcomes of T2DM patients in Jordan and Lebanon. Results: Patients were more satisfied when they were treated exclusively with oral medications, mainly metformin alone or combined with either sulfonylurea or dipeptidyl peptidase-4 inhibitor. Targets for glycated hemoglobin (HbA1c) values were better reached in patients treated with oral medications. Occurrence of comorbidities did not seem to be affected by oral or injectable medications or to affect patients’ satisfaction. Data highlighted a suboptimal screening for albuminuria and showed that most patients were overweight or obese and around 30% suffered from hypoglycemia episodes. Conclusion: Data shed the light on the management of T2DM in Jordan and Lebanon and suggested the need for a more comprehensive approach to T2DM management and selection of medications that would support weight control and a lower hypoglycemia incidence.
文摘Technologies for diabetes management,such as continuous subcutaneous insulin infusion(CSII)and continuous glucose monitoring(CGM)systems,have improved remarkably over the last decades.These developments are impacting the capacity to achieve recommended hemoglobin A1c levels and assisting in preventing the development and progression of microand macro vascular complications.While improvements in metabolic control and decreases in risk of severe and moderate hypoglycemia have been described with use of these technologies,large epidemiological international studies show that many patients are still unable to meet their glycemic goals,even when these technologies are used.This editorial will review the impact of technology on glycemic control,hypoglycemia and quality of life in children and youth with type 1 diabetes.Technologies reviewed include CSII,CGM systems and sensoraugmented insulin pumps.In addition,the usefulness of advanced functions such as bolus profiles,bolus calculators and threshold-suspend features will be also discussed.Moreover,the current editorial will explore the challenges of using these technologies.Indeed,despite the evidence currently available of the potential benefits of using advanced technologies in diabetes management,many patients still report barriers to using them.Finally this article will highlight the importance of future studies tailored toward overcome these barriers to optimizing glycemic control and avoiding severe hypoglycemia.
文摘目的:探究以互动达标理论为指导的延续性护理对糖尿病视网膜病变(DR)患者的影响。方法:选取2022年6月—2023年10月遵义市第一人民医院收治的92例DR患者。根据随机数表法将其分为对照组和观察组,各46例。对照组给予常规延续性护理,观察组给予以互动达标理论为指导的延续性护理。比较两组护理前后血糖水平、自我管理能力、生活质量。结果:护理后,观察组空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)水平均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组饮食控制、足部护理、规律运动、血糖监测、遵医嘱用药、高低血糖处理评分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组阅读和精细动作、调节能力、日常生活、远视力、移动和光感评分均高于对照组,差异有统计学意义(P<0.05)。结论:在DR患者中实施以互动达标理论为指导的延续性护理可提高自我管理能力,利于血糖的良好控制,进而改善生活质量。
