Trends in chronic complications of type 2 diabetic patients from Spanish primary health care centres (GEDAPS study): Ten year-implementation of St. Vincent recommendations

2012 ◽  
Vol 6 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Xavier Mundet ◽  
Francisco Cano ◽  
Manel Mata-Cases ◽  
Pilar Roura ◽  
Josep Franch ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Chronic Complications ◽  
Primary Health ◽  
Type 2 Diabetic

Foot Ulceration and Lower Limb Amputation in Type 2 Diabetic Patients in Dutch Primary Health Care

Diabetes Care ◽  
2002 ◽  
Vol 25 (3) ◽  
pp. 570-574 ◽  
Author(s):  
I. S. Muller ◽  
W. J.C. de Grauw ◽  
W. H.E.M. van Gerwen ◽  
M. L. Bartelink ◽  
H. J.M. van den Hoogen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Lower Limb ◽  
Limb Amputation ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Foot Ulceration ◽  
Primary Health ◽  
Type 2 Diabetic

scholarly journals Symptoms of depression and anxiety among a Sample of Type 2 diabetic patients at Primary Health Care in Erbil city

2019 ◽  
Vol 23 (10) ◽  
pp. 5
Author(s):  
Bnar Sardar Yaseen ◽  
Ali Shakir Dauod
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hemoglobin A1c ◽  
Glycated Hemoglobin ◽  
Diabetic Patients ◽  
Depression And Anxiety ◽  
Type 2 Diabetic Patients ◽  
Primary Health ◽  
Type 2 Diabetic

Background and Objectives: Diabetes mellitus (DM) is exceedingly widespread disease with the highest prevalence in the Middle East countries. Co-existing psychological symptoms affect glycemic control and considered as an important problem in achieving target. The objective of this study was to determine the percentage of depressive and anxiety symptoms among diabetes patients. Methods: This cross-sectional study was conducted among a sample of 300 adult patients with type 2 diabetes who attended Primary Health Care centers in Erbil City during the period from the 1st of July 2016 to the end of 28th of June 2017. The Patient Health Questionnaire (PHQ9) and Diagnostic and Statistical Manual of Mental Disorders DSM-5 questionnaires has been used as diagnostic tools for depression and anxiety. The glycemic control measured using glycated hemoglobin A1C. Results: The mean age  SD of the sample was 54.79  9.16 years, ranging from 40 to 75 years, the median was 54 years and considerable proportion (44.7%) were of low socio-economic status (SES). Only one quarter of the patients are highly adherent to the treatment. 52.3% of the patients were complaining from anxiety whether mild (28%), moderate (23.3%) or severe (1%). Regarding depression, 58.7% had had depression of different severity. No significant association was detected between anxiety and depression with diabetes control as assessed by glycated hemoglobin A1C (p = 0.932) and (p = 0.220) respectively. The prevalence of depression among those who follow a healthy diet (53.6%) and who practice physical activity (41.4%) was significantly less (p = 0.024). Conclusion: The study revealed that large percentage of type 2 diabetic patients suffered from anxiety and or depressive symptoms, a results should alert all physicians working in primary health centers to consider these symptoms since they have a direct impact in improving treatment   http://dx.doi.org/10.25130/tjps.23.2018.162

scholarly journals Choroidal Thickness and Urinary Albumin Excretion in Type 2 Diabetic Patients without Retinopathy

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Cláudia Oliveira-Ferreira ◽  
Mariana Leuzinger-Dias ◽  
João Tavares-Ferreira ◽  
F. Falcão-Reis ◽  
Amândio Rocha-Sousa
Keyword(s):  
Health Care ◽  
Diabetic Retinopathy ◽  
Choroidal Thickness ◽  
Urinary Albumin ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Primary Health ◽  
Type 2 Diabetic ◽  
Sd Oct

The role of retinal vasculature’s dysfunction in the physiopathology of Diabetic Retinopathy (DR) has been extensively described. Recently, the existence of a diabetic choroidal vasculopathy has been proposed. The purpose of this study was to compare choroidal thickness (CT) in nondiabetic patients and in type 2 diabetic patients without retinopathy, using EDI SD-OCT. Additionally, considering the diabetic patient group, compare CT in patients with and without microalbuminuria. This retrospective study selected patients sent from primary health-care centers as part of the national screening of diabetic retinopathy. Inclusion criteria were diagnosis of type 2 diabetes mellitus, absence of diabetic retinopathy, and a 24 hours urinary albumin measurement in the last 3 months at the primary health-care center. Nondiabetic patients were selected from a database in the ophthalmology department, and only healthy patients were included. At the screening visit, all patients performed a complete ophthalmologic examination by the same examiner. All eyes were examined with SD- OCT, and all scans were performed in the EDI mode. Measurements were made at three points: subfoveal, 1500 μm temporally and nasally to the foveal center. We included 110 eyes of 110 diabetic patients without diabetic retinopathy and 30 eyes of 30 healthy controls. Mean subfoveal CT was greater in diabetic patients without retinopathy (with normoalbuminuria or microalbuminuria) when compared with nondiabetic patients (p<0.05). In diabetic patients without retinopathy, the subfoveal and temporal choroid was thicker among patients with microalbuminuria when compared with those of normoalbuminuric patients (p<0.05). The subfoveal and temporal choroid was thicker among diabetic patients with microalbuminuria compared with nondiabetic patients. (p<0.05). This study suggests that choroidal changes are present in type 2 diabetic patients even before the clinical development of retinopathy.

scholarly journals Dietary intake and barriers to dietary compliance in black type 2 diabetic patients attending primary health-care services

2002 ◽  
Vol 5 (2) ◽  
pp. 329-338 ◽  
Author(s):  
Gladys Nthangeni ◽  
Nelia P Steyn ◽  
Marianne Alberts ◽  
Krisela Steyn ◽  
Naomi S Levitt ◽  
...  
Keyword(s):  
Primary Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Type 2 Diabetic

AbstractObjective:To determine the dietary intake, practices, knowledge and barriers to dietary compliance of black South African type 2 diabetic patients attending primary health-care services in urban and rural areas.Design:A cross-sectional survey. Dietary intake was assessed by three 24-hour recalls, and knowledge and practices by means of a structured questionnaire (n=133 men, 155 women). In-depth interviews were then conducted with 25 of the patients to explore their underlying beliefs and feelings with respect to their disease. Trained interviewers measured weight, height and blood pressure. A fasting venous blood sample was collected from each participant in order to evaluate glycaemic control.Setting:An urban area (Sheshego) and rural areas near Pietersburg in the Northern Province of South Africa.Subjects:The sample comprised 59 men and 75 women from urban areas and 74 men and 80 women from rural areas. All were over 40 years of age, diagnosed with type 2 diabetes for at least one year, and attended primary health-care services in the study area over a 3-month period in 1998.Results:Reported dietary results indicate that mean energy intakes were low (<70% of Recommended Dietary Allowance), 8086–8450 kJ day−1and 6967–7382 kJ day−1in men and women, respectively. Urban subjects had higher (P<0.05) intakes of animal protein and lower ratios of polyunsaturated fat to saturated fat than rural subjects. The energy distribution of macronutrients was in line with the recommendations for a prudent diet, with fat intake less than 30%, saturated fat less than 10% and carbohydrate intake greater than 55% of total energy intake. In most respects, nutrient intakes resembled a traditional African diet, although fibre intake was low in terms of the recommended 3–6 g/1000 kJ. More than 90% of patients ate three meals a day, yet only 32–47% had a morning snack and 19–27% had a late evening snack. The majority of patients indicated that they followed a special diet, which had been given to them by a doctor or a nurse. Only 3.4–6.1% were treated by diet alone. Poor glycaemic control was found in both urban and rural participants, with more than half of subjects having fasting plasma glucose above 8 mmol l−1and more than 35% having plasma glycosylated haemoglobin level above 8.6%. High triglyceride levels were found in 24 to 25% of men and in 17 to 18% of women. Obesity (body mass index ≥30 kgm−2) was prevalent in 15 to 16% of men compared with 35 to 47% of women; elevated blood pressure (≥160/95 mmHg) was least prevalent in rural women (25.9%) and most prevalent in urban men (42.4%).Conclusions:The majority of black, type 2 diabetic patients studied showed poor glycaemic control. Additionally, many had dyslipidaemia, were obese and/or had an elevated blood pressure. Quantitative and qualitative findings indicated that these patients frequently received incorrect and inappropriate dietary advice from health educators.

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