Effectiveness of a nurse‐led online educational programme based on basic insulin therapy in patients with diabetes mellitus: A quasi‐experimental trial

2021 ◽  
Author(s):  
Wenzhen Huang ◽  
Wei Wei ◽  
Jie Wang ◽  
Yinghua Lyu ◽  
Li Li
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Educational Programme ◽  
Experimental Trial ◽  
Patients With Diabetes ◽  
Quasi Experimental

PENGARUH BUERGER ALLEN EXERCISE TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS

2021 ◽  
Vol 4 (1) ◽  
pp. 90-94
Author(s):  
Pratiwi Christa Simarmata ◽  
Sari Desi Esta Ulina Sitepu ◽  
Abdi Lestari Sitepu ◽  
Ruttama Hutauruk ◽  
Rita Ayu Butar-butar
Keyword(s):  
Diabetes Mellitus ◽  
Exercise Intervention ◽  
Ankle Brachial Index ◽  
Endocrine System ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Flexion Extension ◽  
Patients With Diabetes ◽  
Quasi Experimental ◽  
The Difference

Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.

scholarly journals FACTORS OF POOR ADHERENCE TO INSULIN THERAPY IN PATIENTS WITH DIABETES MELLITUS AND THEIR FAMILIES

2021 ◽  
Vol 19 (7) ◽  
pp. 568-581
Author(s):  
Babak Pezeshki ◽  
Mostafa Bijani ◽  
Azizollah Dehghan ◽  
Zahra Salehi ◽  
◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Poor Adherence ◽  
Patients With Diabetes

scholarly journals RELUCTANCE OF PATIENTS WITH DIABETES MELLITUS TO INSULIN THERAPY; PSYCHOLOGICAL INSULIN RESISTANCE

2021 ◽  
Vol 71 (2) ◽  
pp. 602-05
Author(s):  
Umair Ali ◽  
Muhammad Wajid Munir ◽  
Jahanzeb Maqsood ◽  
Mahwash Jamil ◽  
Syed Saif Ur Rehman ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Resistance ◽  
Insulin Therapy ◽  
Demographic Data ◽  
Tertiary Care ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Patients With Diabetes

Objective: To evaluate factors resulting in reluctance of initiation of insulin therapy in patients with type 2 diabetes mellitus. Study Design: Cross sectional study. Place and Duration of Study: Medical OPD of a private tertiary care multi-specialty hospital in Islamabad, from Apr to Jul 2019. Methodology: Patients with diabetes mellitus between age of 30-70 years, who had poor glycaemic control on two oral antidiabetic drugs having HbA1c>9% and were insulin naïve, were included in this study. A validated questionnaire was developed which had two sections; first including the demographic data of the study populations and second having closedended dichotomous questions which were asked from patients by the treating physicians Results: A total of 180 patients with diabetes mellitus eligible for insulin therapy were included in the study, among them 52 (28.9%) were agreed to initiate the insulin. Negative attitude and beliefs include painful way of administration 85 (66.4%), difficult insulin storage 98 (76.6%), risk of hypoglycemia 82 (64.1%).The mean negative perception Score was 7.35 (SD 0.98). Conclusion: Psychological insulin resistance is present in significant diabetic population, and it is a big obstacle in insulin therapy initiation and compliance.

scholarly journals Insulin Therapy and Colorectal Adenomas in Patients with Diabetes Mellitus

2012 ◽  
Vol 21 (10) ◽  
pp. 1833-1840 ◽  
Author(s):  
Patricia Wong ◽  
Mark G. Weiner ◽  
Wei-Ting Hwang ◽  
Yu-Xiao Yang
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Colorectal Adenomas ◽  
Patients With Diabetes

scholarly journals Therapy of acromegalic patients exacerbated by concomitant type 2 diabetes requires higher pegvisomant doses to normalise IGF1 levels

2014 ◽  
Vol 171 (1) ◽  
pp. 59-68 ◽  
Author(s):  
Michael Droste ◽  
Julia Domberg ◽  
Michael Buchfelder ◽  
Klaus Mann ◽  
Anja Schwanke ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Glucose Metabolism ◽  
Insulin Therapy ◽  
Oral Treatment ◽  
Receptor Expression ◽  
Diabetic Patients ◽  
Glucose Metabolism Disorders ◽  
Patients With Diabetes ◽  
Worse Prognosis

ObjectiveAcromegaly is associated with an increased prevalence of glucose metabolism disorders. Clinically confirmed diabetes mellitus is observed in approximately one quarter of all patients with acromegaly and is known to have a worse prognosis in these patients.DesignOf 514 acromegalic patients treated with pegvisomant and recorded in the German Cohort of ACROSTUDY, 147 had concomitant diabetes mellitus. We analysed these patients in an observational study and compared patients with and without concomitant diabetes.ResultsUnder treatment with pegvisomant, patients with diabetes mellitus rarely achieved normalisation (64% in the diabetic cohort vs 75% in the non-diabetic cohort,P=0.04) for IGF1. Diabetic patients normalised for IGF1 required higher pegvisomant doses (18.9 vs 15.5 mg pegvisomant/day,P<0.01). Furthermore, those diabetic patients requiring insulin therapy showed a tendency towards requiring even higher pegvisomant doses to normalise IGF1 values than diabetic patients receiving only oral treatment (22.8 vs 17.2 mg pegvisomant/day,P=0.11).ConclusionsHence, notable interdependences between the acromegaly, the glucose metabolism of predisposed patients and their treatment with pegvisomant were observed. Our data support recent findings suggesting that intra-portal insulin levels determine the GH receptor expression in the liver underlined by the fact that patients with concomitant diabetes mellitus, in particular those receiving insulin therapy, require higher pegvisomant doses to normalise IGF1. It is therefore important to analyse various therapy modalities to find out whether they influence the associated diabetes mellitus and/or whether the presence of diabetes mellitus influences the treatment results of an acromegaly therapy.

Outpatient initiation of insulin therapy in patients with diabetes mellitus

1987 ◽  
Vol 146 (1) ◽  
pp. 19-22 ◽  
Author(s):  
David G. Bruce ◽  
Elaine M. Clark ◽  
Genni A. Danesi ◽  
Lesley V. Campbell ◽  
Donald J. Chisholm
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Patients With Diabetes

scholarly journals Hypoglycemias deliberately induced by insulin in diabetic children

1995 ◽  
Vol 41 (6) ◽  
pp. 27-29
Author(s):  
T. L. Kurayeva ◽  
O. V. Remizov
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Therapy ◽  
Cause Of Death ◽  
Severe Hypoglycemia ◽  
Modern Medicine ◽  
Research Centre ◽  
Munchausen Syndrome ◽  
Young Girls ◽  
Diabetic Children ◽  
Patients With Diabetes

Hypoglycemic conditions are one of the complex problems in modern medicine. Among patients with diabetes mellitus (DM), obvious and asymptomatic hypoglycemia, according to various authors, are recorded in 25–58% of patients. Asymptomatic hypoglycemia is more often observed at 3 o'clock. Severe hypoglycemia as a cause of death occurs in 0.25-0.05% of cases of insulin therapy. There are few reports of deliberately induced hypoglycemia in patients with diabetes. This is more often observed in young girls and is considered as one of the options for Munchausen syndrome. The authors observed three such patients in Endocrinology research centre, the article presents one of these cases.

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