scholarly journals Older People With Type 2 Diabetes—Individualizing Management With a Specialized (OPTIMISE) Community Team: Protocol for a Safety and Feasibility Mixed Methods Study

10.2196/13986 ◽  
2019 ◽  
Vol 8 (6) ◽  
pp. e13986
Author(s):  
Rajna Ogrin ◽  
Sandra Neoh ◽  
Tracy Aylen ◽  
Ralph Audehm ◽  
Leonid Churilov ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Older People ◽  
Mixed Methods Study ◽  
Community Team

scholarly journals Type 2 diabetes patients’ views on prevention of hypoglycaemia – a mixed methods study investigating self-management issues and self-identified causes of hypoglycaemia

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stijn Crutzen ◽  
Tessa van den Born-Bondt ◽  
Petra Denig ◽  
Katja Taxis
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Food Intake ◽  
Mixed Methods Study ◽  
Self Management ◽  
Hypoglycaemic Event ◽  
Glucose Levels ◽  
Management Issues

Abstract Background Hypoglycaemia is a common and potentially avoidable adverse event in people with type 2 diabetes (T2D). It can reduce quality of life, increase healthcare costs, and reduce treatment success. We investigated self-management issues associated with hypoglycaemia and self-identified causes of hypoglycaemia in these patients. Methods In this mixed methods study qualitative semi-structured interviews were performed, which informed a subsequent quantitative survey in T2D patients. All interviews were audio recorded, transcribed verbatim and coded independently by two coders using directed content analysis, guided by the Theoretical Domains Framework. Descriptive statistics were used to quantify the self-management issues and causes of hypoglycaemia collected in the survey for the respondents that had experienced at least one hypoglycaemic event in the past. Results Sixteen participants were interviewed, aged 59–84 years. Participants perceived difficulties in managing deviations from routine, and they sometimes lacked procedural knowledge to adjust medication, nutrition or physical activity to manage their glucose levels. Grief and loss of support due to the loss of a partner interfered with self-management and lead to hypoglycaemic events. Work ethic lead some participant to overexerting themselves, which in turn lead to hypoglycaemic events. The participants had difficulties preventing hypoglycaemic events, because they did not know the cause, suffered from impaired hypoglycaemia awareness and/or did not want to regularly measure their blood glucose. When they did recognise a cause, they identified issues with nutrition, physical activity, stress or medication. In total, 40% of respondents reported regular stress as an issue, 24% reported that they regularly overestimated their physical abilities, and 22% indicated they did not always know how to adjust their medication. Around 16% of patients could not always remember whether they took their medication, and 42% always took their medication at regular times. Among the 83 respondents with at least one hypoglycaemic event, common causes for hypoglycaemia mentioned were related to physical activity (67%), low food intake (52%), deviations from routine (35%) and emotional burden (28%). Accidental overuse of medication was reported by 10%. Conclusion People with T2D experience various issues with self-managing their glucose levels. This study underlines the importance of daily routine and being able to adjust medication in relation to more physical activity or less food intake as well as the ability to reduce and manage stress to prevent hypoglycaemic events.

Older People With Type 2 Diabetes–Individualising Management With a Specialised Community Team (OPTIMISE): Perspectives of Participants on Care

2021 ◽  
pp. cd200129
Author(s):  
Rajna Ogrin ◽  
Tracy Aylen ◽  
Lorenna Thurgood ◽  
Sandra L. Neoh ◽  
Ralph Audehm ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older People ◽  
Community Team

scholarly journals Medication adherence among patients with Type 2 diabetes: A mixed methods study

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0207583 ◽  
Author(s):  
Nouf M. Aloudah ◽  
Neil W. Scott ◽  
Hisham S. Aljadhey ◽  
Vera Araujo-Soares ◽  
Khalid A. Alrubeaan ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Medication Adherence ◽  
Mixed Methods Study

scholarly journals Patients’ and Clinicians’ Preferences on Outcomes and Medication Attributes for Type 2 Diabetes: a Mixed-Methods Study

2020 ◽  
Author(s):  
Thomas Karagiannis ◽  
Ioannis Avgerinos ◽  
Maria Toumpalidou ◽  
Aris Liakos ◽  
Konstantinos Kitsios ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Mixed Methods Study

Identifying people with type 2 diabetes and those at risk: Lessons from the Measure Your Waist (MY-WAIST) mixed-methods study in UK primary care

2013 ◽  
Vol 7 (4) ◽  
pp. 261-267 ◽  
Author(s):  
Navneet Aujla ◽  
Margaret A. Stone ◽  
Nicholas Taub ◽  
Melanie J. Davies ◽  
Kamlesh Khunti
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
At Risk ◽  
Mixed Methods ◽  
Mixed Methods Study

scholarly journals Dietitians' practice in giving carbohydrate advice in the management of type 2 diabetes: a mixed methods study

2016 ◽  
Vol 30 (3) ◽  
pp. 385-393 ◽  
Author(s):  
P. D. McArdle ◽  
S. M. Greenfield ◽  
A. Avery ◽  
G. G. Adams ◽  
P. S. Gill
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Mixed Methods Study

scholarly journals Mixed methods study of engagement in behaviors to prevent type 2 diabetes among employees with pre-diabetes

2016 ◽  
Vol 4 (1) ◽  
pp. e000212 ◽  
Author(s):  
Jeffrey T Kullgren ◽  
Megan Knaus ◽  
Kristi Rahrig Jenkins ◽  
Michele Heisler
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Mixed Methods Study

scholarly journals Older People with Type 2 diabetes - Individualising Management wIth a SpecialisEd community team: Safety and feasibility study (OPTIMISES): protocol (Preprint)

2019 ◽  
Author(s):  
Rajna Ogrin ◽  
Sandra Neoh ◽  
Tracy Aylen ◽  
Ralph Audehm ◽  
Leonid Churilov ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older People ◽  
Diabetes Management ◽  
Home Visits ◽  
Tertiary Hospital ◽  
Community Dwelling ◽  
Current Management ◽  
Diabetes Educator ◽  
Community Team

BACKGROUND The prevalence of diabetes is rising in older people. Clinical guidelines recommend that diabetes management should be individualised, however, there is limited information regarding the current management patterns of diabetes in older people. Few individuals achieve optimal glycaemic levels in the general population which could potentially lead to adverse health outcomes and impact quality of life. OBJECTIVE To trial individualised diabetes management intervention for older people through home visits with a credentialed diabetes educator and telehealth consultations with an endocrinologist located at a tertiary hospital. METHODS This paper describes the design and methodology of a mixed methods feasibility and safety study to identify the current management of people 65 years or older with type 2 diabetes. We will implement and evaluate a personalised approach to management in the community of an Australian metropolitan city. This management approach will utilise flash glucose monitoring and home visits with the support of a community home nursing service credentialed diabetes educator and telehealth consultation with an endocrinologist located at a local tertiary hospital. RESULTS Not reported CONCLUSIONS This study is the first of its kind to explore individualised diabetes management for community dwelling older people, aimed to achieve optimal glycaemic levels. The data drawn from this project may be used to inform policy makers, service providers, clinicians and older adults living with diabetes. CLINICALTRIAL Australian Clinical Trial Registration: ACTRN12617000350325

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