Blood Sugar Monitoring Research Articles

Relationship Between Diet and Nutritional Status with Blood Sugar Levels in Type 2 Diabetes Mellitus Outpatients at RSUD Ibnu Sina Gresik

Type 2 Diabetes Mellitus is a chronic disease with an increasing incidence in Indonesia and is closely related to blood sugar control. This study was conducted aimed to analyze the relationship between diet and nutritional status with blood sugar levels in outpatients with Type 2 Diabetes Mellitus at Ibnu Sina Gresik Hospital. A cross-sectional study design was employed along with observational analysis. The sample included 34 patients selected using the Accidental Sampling technique. Data were collected through interviews, questionnaires, measurements of height and weight, and laboratory results. The study was conducted from December 2023 to April 2024, and the data were analyzed using univariate and bivariate analysis using the chi-square test. The results showed that patients with poor diet and overweight tend to have abnormal blood sugar levels, with p=0.014 for diet and p=0.023 for weight gain, both significant (p<0.05). In conclusion, there is a relationship between diet and nutritional status and blood glucose levels in patients with Type 2 Diabetes Mellitus. It is recommended, patients should implement a diet according to the 3J principle, do sufficient physical activity, regularly monitor blood sugar levels, and make dietary changes such as reducing simple carbohydrates and sugar to manage blood sugar levels.

7437 Harnessing Diabetes Technology for Management of Immune Checkpoint Inhibitor Associated Diabetes

Abstract Disclosure: A. Knape: None. A. Kotwal: None. D. Rohlfsen: None. A. Patel: None. W. Goldner: None. Background: Immune checkpoint inhibitors (ICIs) are a key treatment modality for many cancers. One percent of patients who receive ICIs can develop insulin deficient ICI associated diabetes (ICI-DM). These patients often have complex oncologic therapy plans making treatment of newly diagnosed insulin deficient diabetes challenging which often results in additional healthcare-related burden for the patient. Methods: This is a retrospective case series of five adults who developed ICI-DM after receiving either PD-1, CTLA-4 or PDL-1 inhibitors or a combination. Data on demographics, medical history and labs were collected in addition to mode of glucose monitoring and treatment after diagnosis of ICI-DM. Results: Patients were age 44-72 at diagnosis of ICI-DM, three were female. Two were admitted to the hospital in DKA, one was diagnosed in the ER with severe hyperglycemia without DKA, two had outpatient hyperglycemia without DKA. Glucose at diagnosis ranged from 215-510 mg/dL. C-peptide was low for all patients. Fingerstick blood sugar (FSBS) monitoring and basal/bolus insulin was immediately initiated for all patients. All were transitioned from FSBS to continuous glucose monitor (CGM) and 2/5 ultimately transitioned to sensor-augmented insulin pump therapy (AID). Time in range on CGM improved in four patients with percent time in range improving between 10-48%. In two patients, hypoglycemia frequency declined by 6% and 3%. Hyperglycemia frequency declined by 13% and 48% in patients on AID therapy and by 14% and 25% in two of those on basal/bolus insulin therapy. All patients preferred CGM over FSBS and remained on CGM therapy. Those who chose AID preferred it over basal/bolus insulin therapy stating it was less complicated than basal/bolus insulin with CGM. Conclusions: We report successful treatment of five cases of ICI-DM with CGM + basal/bolus insulin or AID. 80% demonstrated improved time in range and decreased overall frequency of hyperglycemia. 40% had decreased frequency of hypoglycemia. CGM allows for dynamic adjustment of insulin therapy in a population with complex medical regimens resulting in fluctuating glucose levels. The integrated pump and sensor technology in AID was less burdensome than basal/bolus in those who chose it. Managing ICI-DM is complicated. The burden of this entity can be lessened by harnessing the power of diabetes technology. Presentation: 6/2/2024

Self-Care in Diabetes as perceived by diabetic patients – A Systematic Qualitative Approach

Background: India is one of several developing nations where diabetes mellitus has grown to be a severe global public health concern. The individual, medical staff, and healthcare system are all subject to a heavy burden of care. As a result, there is a huge need of self-care practices in a variety of domains, such as nutrition, exercise, foot care, and blood sugar monitoring. Objectives: To determine perceptions regarding self-care management among individuals with Type 2 Diabetes mellitus following up at rural field practice areas of a tertiary care institute in Mangaluru. Materials and methods: Qualitative study using systematic technique by free listing approach was carried out on a total of forty patients confirmed type 2 Diabetes. By consecutive sampling 20 patients each from 2 field practice areas of a Tertiary medical institute were taken. Results: The general reason leading on to the diagnosis of diabetes stated was tiredness which had a composite salience of 0.48. The composite salience for self-care practice was 0.48. Participants stating that diabetes can be controlled had a composite salience of 0.3. Conclusion: Perception regarding self-care included diet, foot care, stress reduction and exercise with majority mentioning that diabetes can be controlled by these self -care mechanisms.

Diabetic retinopathy incidence, predictors and its association with longitudinal fasting blood sugar level changes among diabetes mellitus patients in Ethiopia: joint model.

Diabetes mellitus (DM) is a global public health problem characterized by an elevated blood glucose level. Monitoring blood sugar levels is vital for effective diabetes management and preventing complications. However, the association between longitudinal biomarkers and the incidence of diabetic complications is often overlooked. Therefore, this study aimed to assess the incidence of diabetic retinopathy, predictors, and association with longitudinal fasting blood sugar level changes among diabetes mellitus patients in Ethiopia. A multicenter retrospective follow-up study was carried out in referral hospitals in Amhara region, Ethiopia. A random sample of 462 newly diagnosed DM patients was selected. The proportional hazard assumption was checked for the survival sub-model, and for the longitudinal sub-model, the normality assumption was checked. Then the joint modeling with time-dependent lagged parameterizations was fitted. Model assumptions and comparisons were checked. Finally, the hazard ratio with a 95% confidence interval (CI) with a corresponding P-value<0.05 was used to identify predictors. In this study, Overall, 54 patients developed DR, and the incidence rate was 2.33 per 1000 person-months over the follow-up period, with a 95% CI of [1.78, 3.05]. Rural residence (AHR = 2.21, 95% CI: [1.21, 4.05]), hypertension co-morbidity (AHR = 3.01, 95% CI: [1.85, 6.53]), and longer duration of DM (>5 years) (AHR = 2.28, 95% CI: [1.91, 5.15]) were important predictors for the incidence of DR. In addition, the incidence of DR was substantially correlated with the time-dependent lagged value of FBS change (AHR = 4.20, 95% CI [1.62, 10.85]). In this study, the incidence of diabetic retinopathy was somewhat high when compared to prior similar studies in Ethiopia. A joint model of longitudinal fasting blood sugar level changes was significantly associated with an increased risk of DR. Besides, being rural residence, hypertension co-morbidity, and a longer duration of DM were significant predictors for the incidence of DR. Therefore, public awareness, an integrated care approach, and prioritizing glycemic control are highly recommended.

Type 1 Diabetes Mellitus Associated with Dermatomyositis: A Case Report

Abstract Type 1 diabetes mellitus (T1DM) is an autoimmune illness that targets specific organs and associated with other autoimmune conditions. Dermatomyositis is an idiopathic systemic autoimmune condition involving skeletal muscles and skin. Co-occurrence of both disorders is quite rare. We diagnosed dermatomyositis in a young male with T1DM who presented with muscle weakness and cutaneous manifestations. There is an additional metabolic hurdle in T1DM, as high doses of glucocorticoids used in dermatomyositis management are related to glycemic instability which requires regular blood sugar monitoring and insulin dose titration accordingly. Considering the prognostic consequences, early diagnosis and management of dermatomyositis is essential.

Comparison of Fasting Blood Sugar Levels and Ureum Levels In Diabetes Mellitus Patients and Diabetic Nephropathy Patients

General Background: Diabetes Mellitus (DM) is a chronic disease characterized by hyperglycemia. Specific Background: A severe complication of DM is diabetic nephropathy, marked by progressive kidney function decline. Blood sugar and urea levels serve as crucial indicators in diagnosing DM and its complications. Knowledge Gap: Limited comparative studies exist on fasting blood sugar and urea levels between diabetes mellitus patients and diabetic nephropathy patients. Aims: This study aims to compare fasting blood sugar levels and urea levels in diabetes mellitus patients and diabetic nephropathy patients. Results: Conducted from April to June 2024, this quantitative, laboratory experimental study sampled 30 diabetes mellitus patients and 30 diabetic nephropathy patients from RSUD dr. Wahidin Sudiro Husodo, Mojokerto City. Using the SPSS Mann-Whitney test, the study found significant differences (p=0.000) in fasting blood sugar levels (125.20±20.348 mg/dL vs. 221.07±65.545 mg/dL) and urea levels (13.30±2.059 mg/dL vs. 54.10±26.699 mg/dL) between the two patient groups. Novelty: This study provides novel insights into the metabolic differences between diabetes mellitus and diabetic nephropathy patients, emphasizing the progressive impact of high blood sugar on kidney function. Implications: The findings underscore the importance of early intervention and continuous monitoring of blood sugar and urea levels to prevent or mitigate diabetic nephropathy in DM patients. Highlights : Significant Differences: The study found significant differences in fasting blood sugar and urea levels between diabetes mellitus and diabetic nephropathy patients. Metabolic Insights: Provides insights into the metabolic impact of high blood sugar on kidney function in diabetic nephropathy patients. Clinical Implications: Highlights the need for early intervention and continuous monitoring to prevent or mitigate diabetic nephropathy in DM patients. Keywords : Diabetes Mellitus, Diabetic Nephropathy, Fasting Blood Sugar Levels, Urea Levels, Kidney Function

Optical sensor to improve the accuracy of non-invasive blood sugar monitoring

Optical sensors offer a painless method of monitoring blood glucose levels using various light technologies to analyze blood characteristics without penetrating the skin. The literature review part reflects the progress in optical sensor technology evaluates its potential in blood glucose monitoring by overcoming the limitations of conventional methods and recognizes the challenges and future prospects in this rapidly developing area of research. The results of empirical studies are then presented. The methodology is presented as a non-invasive method of blood glucose monitoring based on near-infrared spectroscopy. To precisely evaluate blood glucose concentrations, spectroscopy techniques involving absorption and reflection are employed at wavelengths 450, 900, 1350, and 1800 nm. After absorption and reflection of glucose molecules, light is generated. An experimental study of different samples revealed a linear relationship between the final output voltage and sugar concentration. The results demonstrate a correlation between blood glucose level and signal intensity after transmission.

Diabetic self-care practice and quality of life among diabetes patients in the Hail region of Saudi Arabia

Purpose: To determine the association between type 2 diabetic patients' adherence to self-care routines, medication use, and health-related quality of life (HRQoL). Methods: This analytical and cross-sectional study was conducted in Hail Region of Saudi Arabia. The sample population comprised 400 men and women diagnosed with type 2 diabetes, all above the age of 18 years. A modified Euro QoL-five-dimensional (EQ-5D) health questionnaire was utilized to evaluate self-care habits and their association with health-related quality of life. Results: Participants' mean age ± standard deviation (SD) was 53 ± 9.4 years, with 50.5 % being female. Non-adherence rates measured were 32.7 % for foot care, smoking (28.2 %), diet (28 %), insulin usage (26.2 %), exercise (23.2 %), and blood sugar monitoring (15.2 %). Mobility challenges were reported in 14.2 % of cases, 26.2 % self-care, 28.2 % everyday activities, 48.2 % pain or discomfort, and 28.2 % anxiety or depression. Significant associations occurred between poor foot care and mobility difficulties (58.2 %), impairment in everyday activities (53.7 %), and experiencing pain and discomfort (63.9 %) with p-values of 0.002, 0.003, and 0.03, respectively. Likewise, significant correlations (p &lt; 0.05) exist between self-care (47.5 %), pain/discomfort (58.7 %), anxiety/depression (31.1 %), and non-adherence to exercise. Regression analysis indicated a positive correlation between respondents' EQ-5D index and oral hypoglycemic agent non-adherence (R2 = 0.25; p = 0.001). A significant relationship exists between EQ-5D index and smoking non-adherence after normalization (p = 0.003; 95 % CI: 0.0001 to 0.0001). Conclusion: In Hail region of Saudi Arabia, the health-related quality of life for diabetics diminishes as self-care practices are neglected.

IJCM_302A: Perceptions related to lifestyle modifications among Diabetes Mellitus (DM) patients in tertiary care hospitals in Mangalore

Background: Diabetes is a chronic lifestyle disease which can be kept under control by some simple lifestyle modifications like blood sugar monitoring, dietary modification and exercise pattern. Diabetes mellitus (DM) appears to be a global epidemic and an increasingly major non-communicable disease threatening both affluent and non-affluent sections of the society. Methods: A cross-sectional study was conducted in tertiary care hospitals in Mangalore involving 109 participants. The study utilized the Summary Diabetes Self-Care Activities questionnaire to collect data. Practices were categorized as good or poor based on an average score, with scores above 75% indicating good and lower scores indicating poorer practices. Data analysis was performed using SPSS version 16.0. Results: The dietary modifications were good in 7.3% of the subjects, exercise behavior in 14.67%, foot care practices in 12.6% and sugar monitoring in only 1% of the subjects. Being male and married was associated with better self-care behaviors. People belonging to low socio-economic status had better dietary modification habits. Conclusion: Self-care activities with respect to diet and sugar monitoring are poor in the population studied. The self-care activities relating to exercise behavior and foot care are good. Improving self-care behavior among patients with diabetes in India should start with adequate targeted health education.

Determination of the Optimum Test Conditions for Measurement of Glucose Level in Liquids

Diabetes is a disease that affects more than 400 million people worldwide and currently lacks a cure. Monitoring blood sugar levels is crucial in minimizing the effects of this disease and protecting against its complications. Invasive and minimally invasive methods are commonly used traditional approaches for detecting and monitoring blood sugar levels. However, these methods bring along psychological and infectious risks. Currently, efforts are being made to develop a non-invasive method for determining blood sugar levels. Microwaves offer the possibility of non-invasive glucose measurement as they do not cause any harmful effects on human tissue. Furthermore, the complex permeability of blood is sensitive to glucose concentration in the microwave band. In literature, most of the studies are done with vector network analyzers (VNA) to detect blood sugar level noninvasively. In this study, an expensive and bulky VNA is replaced by an affordable microwave source and RMS power detector. The influence of the type and diameter of the test tube material used for non-invasive determination of sugar levels is examined with this setup. Additionally, the effect of the distance between the Vivaldi antennas used during measurements and the test tube is investigated. The results indicate that measurements performed using plastic test tubes yield better results compared to glass test tubes. Moreover, reducing the diameter of the test tube leads to improved outcomes. It has been observed that accurate results cannot be obtained if the antennas and the test tube are too close (4.5cm) from each other.

Improvement of Non-invasive Blood Sugar and Cholesterol Meter with IoT Technology

In checking blood sugar levels, patients often feel uncomfortable because invasive blood sampling must be done and if done to patients who have a history of high glucose, it can cause wounds that are difficult to heal and can be operated on. This study aims to non-invasively monitor cholesterol levels, reducing discomfort and pain for patients by eliminating the need for invasive procedures. The method used in this research is the MAX30102 sensor will detect blood sugar through the patient's finger, the data will be processed in ESP8266 as monitoring will connect to the OLED LCD as a viewer and IoT as data storage with Wi-Fi connected. In this study, the greatest accuracy value was obtained 99.03% with the largest error value of 10.52% and the smallest accuracy value was 89.48% with the smallest error value of 0.97%. From all measurement results, the average accuracy value is 93.974% and the average error is 6.026%. It can be concluded that the development of a non-invasive method for monitoring blood sugar levels by utilizing the MAX30102 sensor with this accuracy value shows that this non-invasive method is reliable for monitoring blood sugar levels. In future studies, researchers are expected to use more accurate sensors and take more data to get a better average value.

Fournier's Gangrene in 21 Years Old Female: A Case Report

Introduction: Fournier's gangrene, also known as gangrene of the genital region, is an uncommon and rapidly advancing form of necrotizing fasciitis that affects the genitals. The severity and mortality of the disease are dependent upon the overall health status of the patient at the time of diagnosis and the speed at which the infection spreads.&#x0D; Case presentation: An unmarried 21-year-old woman presented with a persistent discharge of abscesses in the perineal area. The patient came in ambulatory and showed no indicators of heart or lung discomfort. A pelvic examination was performed, and the following observations were made: A visual examination revealed swelling in the vulvar area on both sides, along with an open wound within the swelling measuring 3×3 cm. The wound was discharging reddish, thick, and foul-smelling fluid. A glucose level of +4 was observed in the urine, and a random blood sugar test yielded a value of 324 mg/dl. The patient received wound debridement, excision, and electrocauterization of genital warts, blood sugar monitoring with insulin administration, and a 14-day course of antibiotics. The patient's condition improved, and they were discharged after receiving 14 days of intravenous antibiotic treatment.&#x0D; Conclusion: The treatment of Fournier gangrene requires a comprehensive approach that includes intensive systematic management, broad-spectrum antibiotic therapy, and early surgical debridement. This involves removing the necrotic tissues and surgically draining the peritoneum, scrotum, penis, and inguinal regions.

The Knowledge, Attitudes, and Practices Regarding Diabetic Ketoacidosis Among Diabetic Patients in the Northern and Western Regions of Saudi Arabia.

Background and objective Diabetes mellitus (DM) is a chronic debilitating metabolic diseasecaused by insulin deficiency. Diabetic ketoacidosis (DKA) is a potentially fatal complicationcharacterized by acute hyperglycemia and metabolic acidosis. In light of the high prevalence of DM in Saudi Arabia, we sought to investigate the knowledge, attitudes, and practices of the Saudi general population about DKA. Methods An online self-administered questionnaire was distributed through popular social media platforms among diabetics in the Saudi population. The survey questions involved demographic data; diabetesstatusincluding the time of diagnosis, current medications, and the latest HbA1c level; and an assessment of theknowledge about DKA through queries related to diagnostic criteria, definition, risk factors, symptoms, and preventive measures. Results Our study involved 400 participants, and 42.5% of them were able to correctly identify DKA as an emergency requiring immediate medical attention. Regarding the awareness of DKA's symptoms among the participants, 33.8% correctly identified excessive thirst as a key indicator, followed closely by frequent urination (31.8%), and the characteristic fruity breath odor (31.3%). As for the awareness of the participants of the causes of DKA, 33.8%correctly linked forgetting insulin injections to DKA development. Encouragingly, 39.8% of participants identified regular blood sugar monitoring as the most effective way to prevent DKA. Conclusions Most patients in our study demonstrated limited knowledge of DKA. However, a significant portion of them was able to identify it as an emergency. To prevent such events, raising awareness about DM and its complications may serve as the first step toward better outcomes in diabetic patients. We believe our findings can be used to devise quality-improving interventions in this field.

A Study of Methods for Predicting and Controlling Blood Glucose in Diabetic Patients

With the development of society and the improvement of people's living standard, diabetes has gradually become one of the world public health problems that endanger human life safety and affect the development of global economy. Type 1 diabetes is a chronic metabolic disorder that prevents the pancreas from producing insulin and requires lifelong treatment with daily insulin injections to prevent high blood sugar. The lack of insulin leads to the continuous high level of blood sugar in patients. The most important thing for patients is to monitor blood sugar changes and control blood sugar within the normal range. In this paper, a systematic literature search is carried out to study these two aspects, and key information such as the learning model adopted in the literature, the main results, the development of relevant technologies, and the limitations are summarized. From the perspective of glucose-insulin prediction model, due to the complex structure of physiological model, many parameters and difficult to identify, most of the modeling methods are data-driven. There is a great room for improvement in the research on how to mine and utilize existing models to effectively establish accurate glucose prediction models for different objects. From the perspective of control theory, after insulin injection, there is a certain delay in the reduction of blood glucose concentration, and the onset time is different depending on the injection site. The rapid development of deep learning and the increase in available data offer the possibility of addressing these challenges in the near future. When designing closed-loop glucose algorithms, consider using a variety of approaches to establish a personalized glucose control algorithm for each diabetic patient.

Impact of Diabetes on Heart

Diabetes is sometimes described as the "coronary equivalent." A coronary equivalent refers to a condition or risk factor that increases the likelihood of developing coronary artery disease (CAD), a condition characterized by the narrowing or blockage of blood vessels supplying the heart. Identifying and managing these coronary equivalents is crucial for preventing and mitigating the severity of CAD". These illnesses are regarded as coronary equivalents since they have been linked to a higher risk of CAD and would need the same therapies and management techniques as CAD. Diabetes has the potential to significantly affect the heart and circulatory system. Additionally, diabetes patients are more likely to smoke, be obese, be inactive physically, and have other heart disease risk factors. some diabetic treatments, including insulin, and sulfonylureas, might raise the danger of hypoglycaemia, which can cause heart rhythm problems and even sudden death. The risk of heart disease can be decreased by preventing and controlling diabetes by lifestyle modifications like consistent exercise, a balanced diet, and weight management, as well as with the use of the proper medical care. Diabetes complications, especially impact on heart and circulatory system, must be prevented and managed by closely monitoring blood sugar, blood pressure, and cholesterol levels. Lowering cardiovascular risk factors and treating the illness he high frequency of health issues and death from cardiovascular disease in those at risk for and with diabetes has made this a more crucial and all-encompassing component of diabetes care. Additionally, there are drugs that can aid in lowering risk factors and the prevalence of heart-related illnesses. With precise guidelines, more attention is placed on lowering the likelihood of developing heart and kidney issues and safeguarding these organs from harm. For patients with atherosclerotic cardiovascular disease (ASCVD) and/or those at high risk for heart and kidney disease, heart failure, and chronic kidney disease, the recommendations center on selecting drugs properly. SGLT2 inhibitors or GLP-1 receptor agonists are typically the recommended treatments. More than ever, there are drugs available now that help treat or prevent these additional illnesses as well as blood glucose levels. The Standards synchronized the blood pressure target with other significant organizations that established these recommendations. A systolic blood pressure of less than 130 mmHg or a diastolic blood pressure of less than 80 mmHg (130/80 mmHg) is now considered high blood pressure. For adults with diabetes and risk factors for ASCVD who are 40 to 75 years old, the target LDL-cholesterol level is 70 mg/dL, and for those who already have ASCVD, the target LDL-cholesterol level is 55 mg/dL. In addition, if the goal level is not reached, it is advised to achieve an LDL reduction of 50% or more from the beginning point LDL with a high intensity statin drug and then use a different drug, such as ezetimibe or a PCSK9, if necessary. This emphasizes the significance of managing and preventing cardiovascular disease.

High-precision sensor for glucose solution using active multidimensional feature THz spectroscopy.

Terahertz waves are known for their bio-safety and spectral fingerprinting features, and terahertz spectroscopy technology holds great potential for both qualitative and quantitative identification in the biomedical field. There has been a substantial amount of research utilizing this technology in conjunction with machine learning algorithms for substance identification. However, due to the strong absorption of water for terahertz waves, the single-dimensional features of the sample become indistinct, thereby diminishing the efficiency of the algorithmic recognition. Building upon this, we propose a method that employs terahertz time-domain spectroscopy (THz-TDS) in conjunction with multidimensional feature spectrum identification for the detection of blood sugar and glucose mixtures. Our research indicates that combining THz-TDS with multidimensional feature spectrum and linear discriminant analysis (LDA) algorithms can effectively identify glucose concentrations and detect adulteration. By integrating the multidimensional feature spectrum, the identification success rate increased from 68.9% to 96.0%. This method offers an economical, rapid, and safe alternative to traditional methods and can be applied in blood sugar monitoring, sweetness assessment, and food safety.

The Association between Self-Care Activities and Depression in Adult Patients with Type 2 Diabetes in Saudi Arabia: A Cross-Sectional Web-Based Survey Study.

This study examined the level of adherence to self-care behaviors among individuals with type 2 diabetes in Saudi Arabia and its connection with depression and demographic factors. A cross-sectional survey was conducted among diabetes patients using the Patient Health Questionnaire (PHQ-9) to measure depression and the Summary of Diabetes Self-Care Activities (SDSCA) to evaluate diabetes self-care activities. Among the 252 participants who completed the survey, 43.2% were older than 55 and 59% were men. The ordinal regression model showed an association between the PHQ-9 and SDSCA scores with an OR of 0.83 (95% CI: 0.71 to 0.96, p = 0.013). The PHQ-9 score was significantly associated with blood sugar monitoring (OR: 0.90 [95% CI: 0.82 to 0.99, p = 0.003]), exercise (OR: 0.88 [95% CI: 0.79 to 0.98, p = 0.002]), and diet (OR: 0.94 [95% CI: 0.85 to 1.03, p = 0.045]). Of all the diabetes-related factors, only a history of hospitalization and receiving diabetes education were found to be associated with improved self-care behaviors. In conclusion, a negative association was found between PHQ-9 scores and the SDSCA mean score and most daily diabetic self-care behavior components.

The use of mobile health applications in empowering self-management of type 2 diabetes: a literature review

The use of mobile health applications is vital for achieving glycemic control, promoting lifestyle changes, and empowering self-management in individuals with type 2 diabetes. This literature review aims to assess the effectiveness of mobile health applications in empowering self-management among type 2 diabetes patients. A thorough search was conducted in databases like PubMed, CINAHL, Web of Science, Cochrane Library, Scopus, ULAKBIM National Database, and Medline between January 2020 and March 2023, using keywords such as "mobile health, mobile applications, type 2 diabetes, diabetes self-management, nursing." The search yielded 525 articles, out of which 34 studies in Turkish or English that evaluated the effectiveness of mobile health applications in individuals aged 18 years and above with type 2 diabetes were included in the review. Recent studies demonstrate a growing utilization of mobile health applications for the management of treatment and care in individuals with type 2 diabetes. These applications have been shown to empower self-management by promoting dietary adherence, regular blood sugar monitoring, regular physical activity, reduced medication requirements, and decreased HbA1c levels. Additionally, mobile health applications have been found to reduce face-to-face counseling time and healthcare costs. In conclusion, mobile health applications offer promising solutions for improving self-management and healthcare outcomes for individuals with type 2 diabetes. Further research and continued integration of these applications into clinical practice are essential to optimize their benefits and address the challenges faced by diabetes patients worldwide.

A laboratory-based cross-sectional study about helicobacter pylori infection and diabetes.

Despite the numerous articles discussing the relationship between diabetes mellitus type 2 (DMT2) and chronic Helicobacter pylori (H. pylori) infection the results have been inconsistent, necessitating further research. This study investigated the coexistence of Helicobacter pylori infection and DMT2. We conducted a study in selected laboratories in Tehran, measuring the H.Pylori stool antigen (HpSA) in individuals referred by physicians for a glycosylated hemoglobin A1c (HbA1c) test. Out of the 2500 patients who were referred to randomly selected laboratories, a total of 2025 (81%) patients had serum HbA1c levels above 6.5%. of 2025 patients with HbA1c levels above 6.5%, 1321 (52.84%) had HpSA in their stool. No significant gender difference was observed, with a mean age ± SD, 48.65 ± 7.55. HpSA was positive in 52.84% of the DM group, while in the non-DM group, HpSA was positive in 37.36% of cases. Fecal antigen titers are not related to gender (P = 0.274) but are related to age (r = 0.213, P=0.034). Long-term infection with Helicobacter pylori may be significantly associated with elevated HgA1c.Testing for H. pylori infection, regular monitoring of blood sugar and HbA1c levels in high-risk people can prevent DMT2.

Improving the self-care behavior of type 2 diabetes mellitus clients by combining the basic conditioning factors and self-care agency

Background and purpose: Type 2 diabetes mellitus (T2DM) is a chronic disease that requires active participation of the person to perform self-care. Self-care behavior requires various drivers to perform effectively. This study aims to investigate how the basic conditioning factors (BCF) and self-care agency (SCA) improve the self-care behavior (SCB) of T2DM clients. Methods: This is a cross-sectional study that involved 195 T2DM clients who were selected through convenience sampling from three public health centers (PHCs) in Surabaya. Questionnaires were used to gather information on basic conditioning factors (i.e. developmental status, health services, sociocultural, family support, lifestyle, and environment) and self-care agency (diet, blood sugar monitoring, physical exercise, treatment, and foot care) For self-care behavior, we adopted the American Association of Diabetes Educators variables including healthy eating, being active, monitoring, taking medications, problem-solving, healthy coping, and reducing risks. We conducted the Structural Equation Modelling Smart PLS (SEM) Version 3.0 to analyze the interaction of sub-variables of BCF and SCA that improve the SCB. Results: The development status, health status, sociocultural, family, and lifestyle indirectly (where SCA becomes the intermediate factor) influence the improvement of SCB among T2DM clients. Lifestyle and environmental factors of SCA are the sub-variables that directly improve the SCB of T2DM clients. Conclusion: The study concludes that some sub-variables of basic conditioning factors and self-care agency are influential in improving the quality of self-care practice of T2DM sufferers. It is advised that empowering T2DM clients to perform effective self-care management requires drivers from BCF and SCA factors.