The role of illness schemata in self-care behaviors and glycemic control among patients with type 2 diabetes in Iran

2019 ◽  
Vol 13 (5) ◽  
pp. 474-480 ◽  
Author(s):  
Taiga Shibayama ◽  
Somayeh Tanha ◽  
Yoshiki Abe ◽  
Hiromi Haginoya ◽  
Asadollah Rajab ◽  
...  
2019 ◽  
Vol Volume 12 ◽  
pp. 427-435 ◽  
Author(s):  
Soudabeh Yarmohammadi ◽  
Somayeh Momenyan ◽  
Mohtasham Ghaffari ◽  
Ramezankhani Ali ◽  
Mohyeddin Azizpour

2018 ◽  
Vol Volume 12 ◽  
pp. 2377-2385 ◽  
Author(s):  
Allah Bukhsh ◽  
Tahir Mehmood Khan ◽  
Muhammad Sarfraz Nawaz ◽  
Hafiz Sajjad ◽  
Kok Gan Chan ◽  
...  

2016 ◽  
Vol 37 (10) ◽  
pp. 744-755 ◽  
Author(s):  
Rasmieh Al-Amer ◽  
Lucie Ramjan ◽  
Paul Glew ◽  
Sue Randall ◽  
Yenna Salamonson

Author(s):  
Emily C Soriano ◽  
James M Lenhard ◽  
Jeffrey S Gonzalez ◽  
Howard Tennen ◽  
Sy-Miin Chow ◽  
...  

Abstract Background Spouses often attempt to influence patients' diabetes self-care. Spousal influence has been linked to beneficial health outcomes in some studies, but to negative outcomes in others. Purpose We aimed to clarify the conditions under which spousal influence impedes glycemic control in patients with type 2 diabetes. Spousal influence was hypothesized to associate with poorer glycemic control among patients with high diabetes distress and low relationship quality. Methods Patients with type 2 diabetes and their spouses (N = 63 couples) completed self-report measures before patients initiated a 7-day period of continuous glucose monitoring. Mean glucose level and coefficient of variation (CV) were regressed on spousal influence, diabetes distress, relationship quality, and their two- and three-way interactions. Results The three-way interaction significantly predicted glucose variability, but not mean level. Results revealed a cross-over interaction between spousal influence and diabetes distress at high (but not low) levels of relationship quality, such that spousal influence was associated with less variability among patients with low distress, but more among those with high distress. Among patients with high distress and low relationship quality, a 1 SD increase in spousal influence predicted a difference roughly equivalent to the difference between the sample mean CV and a CV in the unstable glycemia range. Conclusions This was the first study to examine moderators of the link between spousal influence and glycemic control in diabetes. A large effect was found for glucose variability, but not mean levels. These novel results highlight the importance of intimate relationships in diabetes management.


2011 ◽  
Vol 32 (4) ◽  
pp. 515-531 ◽  
Author(s):  
Muhammad A. Abdul-Ghani ◽  
Luke Norton ◽  
Ralph A. DeFronzo

Hyperglycemia plays an important role in the pathogenesis of type 2 diabetes mellitus, i.e., glucotoxicity, and it also is the major risk factor for microvascular complications. Thus, effective glycemic control will not only reduce the incidence of microvascular complications but also correct some of the metabolic abnormalities that contribute to the progression of the disease. Achieving durable tight glycemic control is challenging because of progressive β-cell failure and is hampered by increased frequency of side effects, e.g., hypoglycemia and weight gain. Most recently, inhibitors of the renal sodium-glucose cotransporter have been developed to produce glucosuria and reduce the plasma glucose concentration. These oral antidiabetic agents have the potential to improve glycemic control while avoiding hypoglycemia, to correct the glucotoxicity, and to promote weight loss. In this review, we will summarize the available data concerning the mechanism of action, efficacy, and safety of this novel antidiabetic therapeutic approach.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Rodrigo Sudatti Delevatti ◽  
Cláudia Gomes Bracht ◽  
Salime Donida Chedid Lisboa ◽  
Rochelle Rocha Costa ◽  
Elisa Corrêa Marson ◽  
...  

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