Knowledge Of Prediabetes Research Articles

Predictors of Prediabetes Among Young Adults in East Java, Indonesia: A Cross-sectional Study

Background: Prediabetes is a condition that can be controlled and managed to prevent the occurrence of type-2 diabetes mellitus (T2DM). This condition can occur at all ages, especially in young adults. However, little is known about what factors increase the risk of prediabetes in young adults in East Java, Indonesia.Purpose: This study aimed to estimate the prevalence and the influential risk factors of prediabetes among young adults in East Java, Indonesia.Methods: This study used a cross-sectional design. The purposive sampling technique was used to recruit young adults in Surabaya, East Java Province, Indonesia. International physical activity questionnaire short-form version questionnaire (IPAQ-SF) and physical indicators for anthropometry were used to obtain data on sociodemographic characteristics, prediabetes knowledge, and physical activity. In addition, Blood pressure, impaired fasting glucose (IFG), and body mass index (BMI) were measured. Multivariable logistic regression analysis was performed to determine risk factors associated with prediabetesResults: There were 126 participants recruited with 69 (54.8%) had prediabetes based on impaired fasting glucose (IFG) levels. Age (p=0.035), routine exercise (p=0.015), activity level (p=0.026), body weight (p=<0.001), waist circumference (p=0.002), BMI (p=<0.001) and obesity (p=<0.001) were significant factors associated with prediabetes.Conclusion: The high prevalence of prediabetes in young adults is associated with age, routine exercise, activity level, body weight, waist circumference), BMI and obesity. It is crucial to implement strategies, for example through regular IFG testing to identify young adults with these risk factors for prediabetes screening.

200 Assessing Pre-Diabetes Knowledge, Attitudes, & Needs: A Study of the CHW Translational Advisory Board of South Texas

OBJECTIVES/GOALS: The CHW TAB is exploring pre-diabetes knowledge and perceived needs in south Texas to facilitate the role of CHWs to increase the capacity of community members to better manage their prediabetes diabetes risk. The long-term goal of this project is to show how the diagnosis of pre-diabetes can be managed to prevent type 2 diabetes. METHODS/STUDY POPULATION: We selected a two-pronged approach to gather quantitative and qualitative data. CHW TAB members collected data participated in different aspects of the project (e.g., study design, survey development, etc.). Data collection procedures include Quantitative - a 9-item survey in English and Spanish administered by each participating CHW in 2022 at community events. One hundred surveys were collected. In Phase 2: Qualitative, participants attended focus groups to gather in-depth data about pre-diabetes management, including challenges and opportunities, which will inform CHW-led intervention development. Eight English and one Spanish focus groups, with 65 participants in 6 counties were completed. RESULTS/ANTICIPATED RESULTS: This project is still in progress. Preliminary results show that most survey participants identify as Hispanic, and half have been diagnosed with pre-diabetes. Additionally, 87.8% report that prediabetes is a problem in their community. Preliminary focus group findings indicate that knowledge and support for managing prediabetes is missingin South Texas. Many participants report feeling “doomed” to develop type 2 diabetes but are eager to share their experiences. Additionally, participants report that family and culture play a huge part in their ability to eat healthier foods. DISCUSSION/SIGNIFICANCE: These findings can help identify knowledge gaps, strengths, and areas for promoting and empowering better health behaviors among those who have pre-diabetes. Participant feedback and focus group responses will inform a CHW-led educational intervention through our TAB.

Prediabetes and lifestyle habits in Reunion Island: Need for targeted interventions

Abstract Background Prediabrun is a cohort study of prediabetic patients settled in primary care in Reunion Island, focusing on the transition to diabetes. This study aimed to analyze the lifestyle habits of the first 330 prediabetics included. Methods A dietary score was calculated from the food frequency questionnaire to assess the adherence of participants to the National Nutrition and Health Plan 4 (PNNS-4) recommendations (-14 to 13.25). Physical activity was classified according to the WHO recommendation of 30 minutes of moderate activity per day. Results The mean dietary score of the participants was 3.7 with an equal distribution of patients between ‘moderately close’ and ‘close’ adherence to PNNS-4 recommendations. Although the average perception of their dietary balance (6/10) seemed consistent with the mean dietary score, there was no correlation between the two variables. The main discrepancies concerned fruits and vegetables consumption: only 2.4% consumed at least five fruits or vegetables per day, and less than half at least one. About 9/10 prediabetic subjects declared 30 minutes of physical activity per day, mainly consisting of walking, and housework. Prior knowledge of prediabetes had no impact on the lifestyle habits. Discussion Effective management of prediabetes requires a balanced diet and regular physical activity to avoid evolution to diabetes. These study results highlight the necessity of lifestyle interventions to assist prediabetic patients in modifying their habits. While subjects perceived their dietary balance to be adequate, they did not comply with dietary recommendations, regardless of their knowledge of their prediabetic condition. This indicates the need for specific dietary and physical activity support, easily accessible that can be prescribed by physicians and reimbursed by the national healthcare system. Key messages • Prediabetics in Reunion Island need targeted lifestyle interventions to improve adherence to dietary recommendations. • Prediabetic patients in Reunion Island require specific dietary and physical activity support, easily accessible and reimbursed by the national healthcare system.

Primary care providers' knowledge, attitudes, and practices related to prediabetes in China: A cross-sectional study.

The management of prediabetes has great clinical significance, and primary care providers (PCPs) play important roles in the management and prevention of diabetes in China. Nevertheless, little is known about PCPs' knowledge, attitudes, and practices (KAP) regarding prediabetes. This cross-sectional study aimed to assess the KAP regarding prediabetes among PCPs in the Central China region. This cross-sectional study was conducted using self-administered KAP questionnaires among PCPs from Central China region. In total, 720 PCPs completed the survey. Most physicians (85.8%) claimed to be aware of the adverse effects of prediabetes and reported positive attitudes toward prediabetes prevention, but the PCPs' knowledge of prediabetes and management practices showed substantial gaps. The prediabetes knowledge level and practice subscale scores of the PCPs were only 54.7% and 32.6%, respectively, of the corresponding optimal scores. Female PCPs showed higher prediabetes knowledge level scores (p = 0.04) and better practice scores (p = 0.038). Knowledge and attitude scores were inversely correlated with participants' age and duration of practice (p < 0.001). The PCPs who served in township hospitals had significantly higher knowledge and attitude scores than those who served in village clinics (p < 0.001). Furthermore, knowledge and practice scores increased with increasing professional titles. Recent continuing medical education (CME) attendance had a significant positive influence on knowledge of prediabetes (p = 0.029), but more than four-fifths of the surveyed PCPs did not participate in diabetes-related CME in the past year. Substantial gaps were observed in PCPs' knowledge and practices regarding prediabetes in the Central China region. CME programmes were under-utilized by PCPs. Structured programmes are required to improve PCPs' prediabetes-related knowledge and practices in China.

Assessment of prediabetes knowledge among adults in Al-Madinah, Saudi Arabia.

Background: Prediabetes is a serious health condition which can be treated with changes to lifestyle behaviour. It is a significant warning sign of being at high risk of developing type 2 diabetes. This study aims to assess knowledge of prediabetes and its associated risk factors in the community of Al-Madinah, Saudi Arabia (SA). Methods: A cross-sectional study was conducted among adult respondents in Al-Madinah in 2022. A sample size of 397 participants completed a validated self-administrated survey and data were analysed using descriptive statistics (numbers, percentages, mean and standard deviation). Results: Of the 397 participants who responded to the survey, 56.7% were aged between 21 and 25 years old, with more than half (51.9%) being male and the majority being more educated (72%). Among the participants, 14.1%, 34.3% and 51.5% had a high, moderate and poor knowledge of prediabetes, respectively. Overall, there was a statistically significant association between age (>25 years old) (p = 0.003), gender difference (p = 0.006), and prediabetes knowledge. Conclusion: Knowledge of prediabetes is important in the prevention of type 2 diabetes. The population of Al-Madinah demonstrated a low level of prediabetes knowledge; therefore, the design and implementation of community-based intervention programmes with an emphasis on raising prediabetes awareness is crucial. Policymakers, organisations and partnerships will be required to develop a well-designed and effective programme.

Patient and Provider Prediabetes Knowledge, Attitudes, and Behaviors in a Large Urban Family Medicine Practice

One-third of U.S. adults have prediabetes, but only 11% are aware of their condition. Many do not receive education or treatment. The purpose of this study is to understand family medicine providers’ and patients’ attitudes, knowledge, and behaviors regarding prediabetes and its management, to guide future management interventions. Cross-sectional surveys of providers ( n = 54, 57% response rate) and patients with prediabetes ( n = 148, 16.5% response rate) were administered at a large urban academic family medicine practice. Nearly all providers agree prediabetes screening is important, but over half were unaware of the national Diabetes Prevention Program (DPP) and most do not prescribe metformin to eligible patients. Over half of patients reported being told they have prediabetes but &lt;5% had been referred to DPP and over half were unaware of medication options. In open-ended responses, providers suggested nutrition counseling resources and an improved DPP referral process to improve prediabetes care. Patients requested clear diagnosis, education on treatment options, and nutritional counseling. This study indicates that notable gaps continue to exist in provider and patient understanding and management of prediabetes, suggesting that interventions to improve prediabetes care should include more effective counseling on diagnosis and treatment and expanding access to nutrition and educational resources.

Knowledge, attitudes and practices regarding prediabetes among general practitioners in Reunion Island

BackgroundGeneral practitioners (GPs) are among the first health care providers to be involved in prediabetes care, and their actions can prevent patients’ transition from prediabetes to diabetes. However, data on knowledge and management of prediabetes in primary care remain scarce. AimTo describe the knowledge, attitudes and practices of GPs towards prediabetes. Design and settingThis descriptive cross-sectional study included all private GPs working in Reunion Island. MethodGPs were sent an electronic questionnaire that specifically sought to establish whether GPs knew the definition of prediabetes and whether their practices were in line with French guidelines for prediabetes screening and management. ResultsA total of 121 GPs completed the questionnaire. Of these, 95.0% knew the definition of impaired fasting glucose, but only 66.1% knew that of impaired glucose tolerance. Many GPs reported practices that are not recommended in guidelines. Thus, 59% of respondents declared that they monitored prediabetes with HbA1c and 10% said that they prescribed oral anti-diabetic drugs as prediabetes treatment. The risks factors associated with prediabetes were generally well known. Although 59.5% of respondents reported not having enough time to provide therapeutic education and medical follow up, only 19% referred their patients to a nutritionist or dietician. Lastly, 93.4% of respondents favoured the implementation of a local therapeutic education program targeting prediabetic individuals. ConclusionPrediabetes management in primary care can be made more effective by improving GPs’ knowledge of prediabetes and official guidelines, facilitating referral of prediabetic patients to lifestyle specialists and implementing local therapeutic education programs.

A community-based prediabetes knowledge assessment among Saudi adults in Al-Ahsa region, 2018.

Background: Prediabetes has been considered to be a reversible condition; a modification of lifestyle and other intervention can be successfully applied during the prediabetes period to prevent the development of type 2 diabetes. The purpose of the present study was to assess knowledge of prediabetes and its risk factors for the community in the Al-Ahsa region.Design and method: A cross-sectional community-based study was conducted in the Al-Ahsa region from mid-to-late December 2018. A sample size of 812 was determined using a single-proportion formula.Results: Of the 812 respondents who gave consent to participate in the interview; the male to female ratio was 1.1:1. 13.2% of the respondents reported that they had diabetes. Among the respondents, 87.1% had a high level of knowledge of prediabetes, while 12.9% had low-to-moderate knowledge. 84% of males 40 years of age or older, 88.7% (384) of people with university or higher education, and 95.1% (78) of people who worked as health practitioners had high knowledge of prediabetes. Overall, there was a statistically significant association between age and prediabetes knowledge (χ2 =5.006, p=0.025). Occupation also showed a significant statistical association with prediabetes knowledge (χ2 =9.85, p=0.02).Conclusion: Knowledge is considered an important factor in the prevention of prediabetes and diabetes. People in Al-Ahsa demonstrated a high level of knowledge regarding some risk factors for prediabetes. However, there were a number of deficiencies in the knowledge of prediabetes risk factors and preventive measures as well as in general knowledge of prediabetes, which may lead to a high prevalence of prediabetes and diabetes.Significance for public healthAssessment of the community knowledge about prediabetes will have a significant impact on the control and prevention of type 2 diabetes in Saudi Arabia and worldwide, especially that Saudi Arabia is one of countries that have high prevalence of diabetes. Modification of lifestyle and other interventions can be applied during the prediabetes period to prevent the development of type 2 diabetes. Moreover, prediabetes knowledge assessment of public is unique and no research has been done about this topic in Saudi Arabia. A comprehensive evaluation of the prediabetes knowledge is required to assess its impacts on the prevention of both prediabetes and diabetes among Saudi communities. Therefore a well designed prediabetes community educational program must be constantly implemented in order to improve the diabetes awareness that lead to diabetes prevention.

Assessing the Knowledge, Attitude and Practice (KAP) among the newly diagnosed Prediabetes screened in selected districts of South India

Currently, 314 million people in the world are Prediabetes, and it is predicted that around 500 million would be burdened by the year 2025. Continuing education of diabetes and its complications is crucial, but it should be accompanied with regular assessment of Knowledge Attitude and Practice (KAP) among the high-risk population. That would play a cost-effective role in prevention and control of the disease.This study was carried out to assess the Knowledge, Attitude and Practice among the newly diagnosed Prediabetes screened over selected districts of South India.This study was conducted through prediabetes screening camps over districts of Calicut, Wayanad and Malappuram in Kerala and The Nilgiris district in Tamilnadu from September 2017 to October 2019. A questionnaire survey was done as a part of a prospective open-label interventional study with 308 prediabetes individuals. Baseline characteristics of the participants were obtained, and their knowledge, attitude and practice regarding Prediabetes were assessed. The finding of the present study revealed 90% of the respondents had poor knowledge, 9% had average knowledge, and only 1% had good knowledge of Prediabetes. In the attitude assessment, only 1.9% had a strongly positive attitude, 14% had a positive attitude, 54% had neutral attitude while 17% had a negative attitude and 13% had a strongly negative attitude. Regarding healthy lifestyle practices, 35.4% had a deplorable practice that scored below 6. Around half of the population, 52.3% had poor practice, 12% had proper training, while only 0.3% had a perfect practice.Knowledge and practice regarding lifestyle modifications among prediabetes participants were found to be reduced.

An assessment of medical students\u2019 knowledge of prediabetes and diabetes prevention

BackgroundThe United States has 84 million adults with prediabetes, putting them at a higher risk than the general population for developing type 2 diabetes. Missed opportunities among primary care providers in diagnosing and managing patients with prediabetes represent a gap in care, suggesting there is a need to educate practicing physicians and medical students about diabetes prevention. The purpose of this study is to assess medical students’ basic knowledge of prediabetes and diabetes prevention, identify potential educational needs, and target areas for improvement in undergraduate medical education curricula.MethodsA cross-sectional study to assess medical students’ preclinical and clinical management knowledge of prediabetes and diabetes prevention. Medical students attending the 2016 American Medical Association’s annual meeting took a 6-item knowledge questionnaire using a mobile application or a paper version. Scores were reported for the full sample of respondents, by year in medical school, by topic area, and by mode of survey response.ResultsThe average student answered fewer than half of the questionnaire questions correctly. Scores on some items addressing preclinical content were higher among third- and fourth-year students compared to first- and second-year students (p = 0.039 and effect size = 0.363). Average scores on the items addressing clinical management were not significantly different by year in medical school, but the item measuring effectiveness of metformin to a lifestyle change program had 41.9% correct answers among the mobile application respondents compared to 21.5% among paper test respondents (p = 0.003 and effect size = 0.463).ConclusionsMedical student performance on the prediabetes knowledge questionnaire was low. Students’ year in medical school had a slight impact on overall performance, but only for certain questions. The results suggest the need for improvements in current medical school curricula for increasing the awareness of screening for prediabetes as well as the benefits of the lifestyle change programs in the National Diabetes Prevention Program.

Prediabetes Knowledge, Attitudes, and Practices at an Academic Family Medicine Practice.

Lifestyle change programs are an effective but underutilized approach to prevent or delay type 2 diabetes in people with prediabetes. Understanding clinician prediabetes knowledge, attitudes, and practices can inform implementation efforts to increase lifestyle change program referrals. We surveyed clinicians at an academic family medicine clinic about their prediabetes knowledge, attitudes, and practices. From the same clinic, we reviewed electronic health records to assess prediabetes screening, diagnosis, and treatment coverage in the cohort of adults seen from 2015 to 2017. Thirty-one clinicians (69.6%) completed the survey. Clinicians believed prediabetes was an important health issue (n = 29; 93.7%) and that prediabetes screening (n = 20, 64.5%) and diagnosis (n = 31, 100%) were important for prediabetes management. About half of the respondents (n = 14; 45.2%) reported familiarity with the National Diabetes Prevention Program (DPP). Electronic chart review included 15,520 adult patients. Most of the 5360 nondiabetic patients meeting US Preventive Services Task Force diabetes screening guidelines (n = 4068; 75.9%) received a hemoglobin A1c test. Of the 1437 patients with an A1c result diagnostic of prediabetes, 729 (50.7%) had the diagnosis in their chart. Prediabetes patients receiving point-of-care A1c testing instead of laboratory testing had 4.7 increased odds (95% CI, 3.5 to 6.4) of metformin prescription. No patients were referred to a DPP. Clinicians' positive attitudes toward prediabetes screening, moderate knowledge of prediabetes management, and low awareness of DPPs were reflected by high diabetes screening coverage, limited prediabetes diagnosis, and no DPP referrals. We will tailor our implementation strategy to overcome these prediabetes care barriers.

Low-Temperature Chemical Synthesis of Three-Dimensional Hierarchical Ni(OH)2-Coated Ni Microflowers for High-Performance Enzyme-Free Glucose Sensor

Since prevention methods of type-II diabetes and knowledge of prediabetes are lacking, the development of sensitive and accurate glucose sensors with an ultralow detection limit is imperative. In this work, the enzyme-free glucose sensor based on three-dimensional (3D) hierarchical Ni microflowers with a Ni(OH)2 coating layer has been demonstrated in a simple one-step chemical reaction at a low temperature of 80 °C. The as-synthesized materials were characterized by several analytical and spectroscopic techniques. In addition, the thin Ni(OH)2 layer formed at the surface of the Ni microflower was evidenced by Raman, HRTEM, and XPS, which is the key factor to achieve highly sensitive enzyme-free glucose sensors based on low-cost materials such as copper, nickel, and their oxide and hydroxide. Moreover, our modified electrode exhibits an outstanding detection limit as low as 2.4 nM with an ultrahigh sensitivity of 2392 μA mM–1 cm–2, which is attributed to not only the increased surface area due to the contr...

Improving Prediabetes Screenings at Rural Missouri County Health Departments.

With prediabetes criteria expanding in recent years, nurses offering prediabetes screenings require updates to stay abreast of current clinical guidelines. This study looked to improve rural Missouri health department nurses' understanding of prediabetes, improve the identification of prediabetes at participating health departments, and educate the nurses on existing prediabetes guidelines. A convenience sample of twenty-two nurses from seven rural Missouri health departments participated. Nurses completed a demographic questionnaire and a prediabetes knowledge pre-test prior to the intervention. Seven to eight weeks post-intervention, the health department nurses completed the prediabetes post-tests. A single live education session was conducted at each health department. Data from the pre- and post-tests was reviewed within three result categories. The overall, laboratory nursing knowledge, and general nursing knowledge divisions each showed statistically significant improvement with a p<0.05. This study's post-test improvement in prediabetes knowledge replicates the usefulness of a simple, low cost educational update. Nurses improved the identification of prediabetes laboratory values on post-test data and showed an increase in overall prediabetes knowledge. A single and simple continuing education program is a useful tool for rural health nurses.

Hospital Nurses' Pre-diabetes Knowledge, Performance and Expectation of Patient Education

Hospital Nurses' Pre-diabetes Knowledge, Performance and Expectation of Patient Education

The predictors of adopting a health‐promoting lifestyle among work site adults with prediabetes

To examine how prediabetes knowledge, health beliefs and self-efficacy of health behaviour contribute to work site adults adopting a health-promoting lifestyle and to analyse these three factors as independent variables to identify key predictors of adopting health-promoting lifestyles. Health providers use health-promoting lifestyle interventions as the primary approach in preventing diabetes. However, many influential factors make it difficult for individuals to adopt a health-promoting lifestyle. Furthermore, no previous study has examined prediabetes knowledge, health beliefs, self-efficacy of health behaviour and health-promoting lifestyle in work site adults with prediabetes, especially among Asians. This was a cross-sectional study of 260 adults at four work sites in southern Taiwan. Patients with prediabetes were given a cross-sectional questionnaire about prediabetes knowledge, health beliefs, self-efficacy of health behaviour and health-promoting lifestyle. Multiple stepwise regression analysis was used to determine predictors of implementing health-promoting lifestyles. In general, this study found that over age 45 and a BMI above 25 kg/m(2) are risk factors for prediabetes. A 47.5% variance in implementing health-promoting lifestyle was explained by a model that included self-efficacy of health behaviour (beta = 0.519, p < 0.001), perceived action barrier (beta = -0.207, p = 0.001) and perceived action benefits (beta = 0.129, p = 0.023). Work site health care units should identify prediabetes cases and teach diet control strategies for reducing body weight. By designing behaviour self-regulation protocol to promote self-management for prediabetic individuals, organisations could enhance self-efficacy and delay further development of diabetes. Findings guide the clinical assessment (e.g. self-efficacy) of prediabetic adults regarding their health-promoting lifestyles and provide effective guidelines for designing lifestyle interventions to prevent prediabetes in high-risk groups.