Racial Disparities in Diabetes Management Outcomes: Evidence from a Remote Patient Monitoring Program for Type 2 Diabetic Patients

2021 ◽  
Vol 27 (1) ◽  
pp. 55-61
Author(s):  
Jennifer A. Andersen ◽  
Dylan Scoggins ◽  
Tzeyu Michaud ◽  
Neng Wan ◽  
Ming Wen ◽  
...  
Keyword(s):  
Racial Disparities ◽  
Patient Monitoring ◽  
Diabetes Management ◽  
Monitoring Program ◽  
Diabetic Patients ◽  
Remote Patient Monitoring ◽  
Type 2 Diabetic Patients ◽  
Remote Patient ◽  
Type 2 Diabetic

Association Between Weight Loss and Glycemic Outcomes: A Post Hoc Analysis of a Remote Patient Monitoring Program for Diabetes Management

2020 ◽  
Vol 26 (5) ◽  
pp. 621-628 ◽  
Author(s):  
Tzeyu L. Michaud ◽  
Mohammad Siahpush ◽  
Paul Estabrooks ◽  
Robert J. Schwab ◽  
Tricia D. LeVan ◽  
...  
Keyword(s):  
Weight Loss ◽  
Patient Monitoring ◽  
Diabetes Management ◽  
Monitoring Program ◽  
Remote Patient Monitoring ◽  
Post Hoc Analysis ◽  
Remote Patient ◽  
Glycemic Outcomes ◽  
Post Hoc

scholarly journals Barriers to Diet and Exercise among Nepalese Type 2 Diabetic Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Saruna Ghimire
Keyword(s):  
Diabetes Management ◽  
Social Acceptability ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Exercise Timing ◽  
Diet And Exercise ◽  
Type 2 Diabetic

This study aims to identify the modifiable barriers encountered by type 2 diabetic patients in Nepal to achieving their recommended dietary and exercise advice. A cross-sectional study was conducted among 197 type 2 diabetic patients, attending a diabetic clinic. Binary logistic regression models were used to identify perceived barriers. About 41% and 46% of the participants were noncompliant to diet and exercise advice, respectively; only 35.5% the participants were compliant to both. Perceived social acceptability (OR = 0.14; 95% CI: 0.03–0.58) and reminder to action (OR = 2.77; 95% CI: 1.38–5.53) were associated with noncompliance to diet. Most of the barriers to diet were related to taste, feast and festivals, lack of knowledge, and availability of healthy options. Self-efficacy (OR = 0.09; 95% CI: 0.02–0.34) and social acceptability (OR = 0.12; 95% CI: 0.04–0.34) were significant predictors of noncompliance to exercise. The supportive role of children and spouse and the opposing role of friends and relatives were important for compliance to both. A misconception on diabetes severity, effectiveness of healthy lifestyle, and exercise timing was prevalent among the study participants. Addressing the modifiable barriers identified in this study is essential for successful diabetes management in Nepal.

Program completion and glycemic control in a remote patient monitoring program for diabetes management: Does gender matter?

2020 ◽  
Vol 159 ◽  
pp. 107944
Author(s):  
Tzeyu L. Michaud ◽  
Mohammad Siahpush ◽  
Keyonna M. King ◽  
Athena K. Ramos ◽  
Regina E. Robbins ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Patient Monitoring ◽  
Diabetes Management ◽  
Monitoring Program ◽  
Program Completion ◽  
Remote Patient Monitoring ◽  
Remote Patient

Cost analysis of a remote patient monitoring programme for post-discharge patients with type 2 diabetes

2021 ◽  
pp. 1357633X2098539
Author(s):  
Tzeyu L Michaud ◽  
Jennie L Hill ◽  
Paul A Estabrooks ◽  
Dejun Su
Keyword(s):  
Type 2 Diabetes ◽  
Cost Analysis ◽  
Patient Monitoring ◽  
Diabetes Management ◽  
Economic Feasibility ◽  
Remote Patient Monitoring ◽  
Post Discharge ◽  
Scenario Analyses ◽  
Remote Patient

Introduction Assessing costs of an evidence-based health promotion programme is crucial to understand the economic feasibility of adopting or sustaining the programme. This study conducted a cost analysis of a remote patient monitoring (RPM) programme to enhance the post-discharge management of type 2 diabetes. Methods Using retrospective data collected during RPM implementation from September 2014 to February 2018, we estimated the costs of implementing an RPM in the primary care setting. Measures included total and average annual costs, costs per participant who was enrolled or completed the programme, and costs per person-day. We further conducted sensitivity and scenario analyses to examine variations in estimated programme costs associated with varying programme efficiencies and alternative personnel compositions of the RPM team. Results The total RPM implementation costs were estimated at US$4,374,544 with an average annual programme costs of US$1,249,870, which translated to US$3207 per participant ( n = 1364) completing the three-month programme. The per person-day cost was averaged at US$24 (182,932 person-days). Sensitivity and scenario analyses results indicate that the sustainment costs were approximately US$1.6 million annually and the per-person-day costs were between US$21 and US$29 with each nurse coach on average serving a panel of 62–93 patients. Conclusion The implementation and sustainment costs of an RPM programme, estimated under various assumptions of programme efficiency and care team compositions, as exemplified in this study, will help healthcare organizations make informed decisions in budgeting for and sustaining telehealth programmes to enhance diabetes management.

scholarly journals The New Era for Reno-Cardiovascular Treatment in Type 2 Diabetes

2019 ◽  
Vol 8 (6) ◽  
pp. 864 ◽  
Author(s):  
Clara García-Carro ◽  
Ander Vergara ◽  
Irene Agraz ◽  
Conxita Jacobs-Cachá ◽  
Eugenia Espinel ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Kidney Disease ◽  
Diabetes Management ◽  
Angiotensin Receptor Blockers ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Converting Enzyme Inhibitors ◽  
Dipeptidyl Peptidase 4 Inhibitors ◽  
Type 2 Diabetic

Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease in the developed world. Until 2016, the only treatment that was clearly demonstrated to delay the DKD was the renin-angiotensin system blockade, either by angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. However, this strategy only partially covered the DKD progression. Thus, new strategies for reno-cardiovascular protection in type 2 diabetic patients are urgently needed. In the last few years, hypoglycaemic drugs, such as sodium-glucose co-transporter 2 inhibitors and glucagon-like peptide-1 receptor agonists, demonstrated a cardioprotective effect, mainly in terms of decreasing hospitalization for heart failure and cardiovascular death in type 2 diabetic patients. In addition, these drugs also demonstrated a clear renoprotective effect by delaying DKD progression and decreasing albuminuria. Another hypoglycaemic drug class, dipeptidyl peptidase 4 inhibitors, has been approved for its use in patients with advanced chronic kidney disease, avoiding, in part, the need for insulinization in this group of DKD patients. Studies in diabetic and non-diabetic experimental models suggest that these drugs may exert their reno-cardiovascular protective effect by glucose and non-glucose dependent mechanisms. This review focuses on newly demonstrated strategies that have shown reno-cardiovascular benefits in type 2 diabetes and that may change diabetes management algorithms.

scholarly journals FOOD AND LIVING HABITS OF DIABETIC PATIENTS TYPE 2 MONITORED TO DEPARTMENTAL HOSPITAL CENTER (CHD) ATACORA (BENIN).

2019 ◽  
Vol 8 (4) ◽  
Author(s):  
Christian Tétédé Rodrigue Konfo
Keyword(s):  
Food Habits ◽  
Diabetes Management ◽  
Diabetes Type 2 ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Rapid Urbanization ◽  
Validated Questionnaire ◽  
Type 2 Diabetic

Rapid urbanization and the globalization of the food market have led to changes in nutritional behavior and the way of life of populations, including developing countries such as Benin, with the consequent emergence of various pathologies such as diabetes type 2. The aim of this study was to study the food profile and lifestyle of type 2 diabetic patients followed by CHD-Atacora from Natitingou, Benin.It was a cross-sectional study with a descriptive and analytical purpose. Sociodemographic, biometric and dietary information were collected on the basis of a pre-established and validated questionnaire. A total of 204 type 2 diabetic patients were enrolled in the study. The mean age of the subjects was 56 ± 12 years with female predominance (sex-ratio = 1.5). The Wama, Bariba and Ditamari ethnic groups accounted for 43% of the sample. Almost 75% have a level of education less than or equal to secondary school. The main comorbidities were abdominal obesity (90%) and high blood pressure (48%). About 70% of the subjects reported that they regularly engage in physical activity, including walking (60%). Cereal-based foods (maize, rice, millet and sorghum) and vegetable sauces largely dominate the food consumed by the subjects (90%). Food habits including cereal-based foods, mainly maize seem to have a definite impact on the management of the disease. Educational attainment would also be a key factor to consider as higher educated individuals appear to be more aware of the influence of food habits and lifestyle on diabetes management.  

scholarly journals Impact of Diabetes Management on Diabetes Control and Resource Consumption in Type 2 Diabetic Patients

2016 ◽  
Vol 19 (7) ◽  
pp. A683
Author(s):  
JC Chan ◽  
A Ramachandran ◽  
JC Mbanya ◽  
MV Shestakova ◽  
JJ Gagliardino ◽  
...  
Keyword(s):  
Diabetes Management ◽  
Resource Consumption ◽  
Diabetes Control ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Type 2 Diabetic
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