The impact of living with type 2 diabetes: a descriptive qualitative case study with four Pacific participants

2018 ◽  
Vol 21 (2) ◽  
pp. 96-102
Author(s):  
Darlene Pupi ◽  
Trudy Sullivan ◽  
Kirsten J Coppell

Introduction: Diabetes is a common among Pacific peoples. The personal cost of diabetes is substantial with the indirect costs shown to outweigh the direct costs in some instances.  The aim of this case study was to identify and describe the personal cost to four Pacific people living with type 2 diabetes in New Zealand. Methods: Two Pacific men and two Pacific women with type 2 diabetes were recruited with the assistance of the Pacific Island Centre and the Pacific Research Student Support Unit, University of Otago, Dunedin, New Zealand. The participants were interviewed (three in Samoan and one in English) using an open question approach. Appropriate cultural protocols were observed, and interviews were audio-recorded and transcribed. Samoan interviews were translated into English. A thematic analysis was undertaken using an inductive approach. Findings: Participants’ ages ranged from the mid-30s to 75 years. The two retired participants had difficulty paying their prescription fees and three participants considered healthy food expensive. Other costs included time off work and family members moving towns to take care of participants and their diabetes. Pacific community members provided time, gifts and money at times when participants were less well. At the same time, participants considered they had a role in educating their community about diabetes prevention. A diagnosis of diabetes triggered healthful lifestyle changes for one participant. Conclusions: The personal cost associated with diabetes is broad and complex, with particular implications for roles and responsibilities among Pacific communities.

2015 ◽  
Vol 6 (10) ◽  
Author(s):  
Dharini Krishnan Raj Gururajan ◽  
Abdul Hafez-Baig Srinivas Kondalasamy

Author(s):  
Coralene Quimby-Worrell

In this qualitative instrumental single case study, I explored how patients living with Type 2 diabetes (T2D) in Barbados manage the disease and what role health literacy might play. Purposeful sampling aided in selecting the sample for the study. The sample was 23 participants who were 40 years and older, diagnosed with T2D, living in Barbados, and attending the Endocrine Center for treatment. Participants responded to 13 open ended questions used to answer the research questions. Information was coded using NVivo 10 software and the software provided the themes based on the participants’ responses to the interview questions. The themes provided were understanding T2D, lifestyle changes made post diagnosis, self-care after T2D, and support systems. The interpretation of the findings was that patients in Barbados had a moderate understanding on how to manage T2D and managed the disease with moderate effectiveness. The findings also revealed that health literacy might have a meaningful impact on how to manage T2D, but other factors might be involved. Recommended strategies are to improve communication between patient and providers and to provide initiatives to improve patients’ self-efficacy. The findings might provide health care leaders and policy makers with insight on how patients living in Barbados with T2D manage the disease and the role that health literacy might play.


2020 ◽  
Vol 5 (3) ◽  

This paper is based on big data collected from a period of 1,420daysfrom 6/1/2015 to 4/21/2019 with a total of 4,260 data, including highest ambient temperature (weather) of each day in degree Fahrenheit (°F), fasting plasma glucose (FPG) and postprandial plasma glucose (PPG) in mg/dL. The dataset is provided by the author, who uses his own type 2 diabetes metabolic conditions control, as a case study via the “math-physical medicine” approach of a non-traditional methodology in medical research.


2020 ◽  
Vol 5 (3) ◽  

Introduction The data-set is provided by the author, who uses his own type 2 diabetes (T2D) metabolic conditions control, as a case study via the “math-physical medicine” approach of a non-traditional methodology in medical research.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1612-P
Author(s):  
NADIRA SULTANA KAKOLY ◽  
ARUL EARNEST ◽  
HELENA TEEDE ◽  
LISA MORAN ◽  
DEBORAH LOXTON ◽  
...  

Author(s):  
Larisa Dmitrievna Popovich ◽  
Svetlana Valentinovna Svetlichnaya ◽  
Aleksandr Alekseevich Moiseev

Diabetes – a disease in which the effect of the treatment substantially depends on the patient. Known a study showed that the use of glucometers with the technology of three-color display of test results facilitates self-monitoring of blood sugar and leads to a decrease in glycated hemoglobin (HbAlc). Purpose of the study: to modeling the impact of using of a glucometer with a color-coded display on the clinical outcomes of diabetes mellitus and calculating, the potential economic benefits of reducing the hospitalization rate of patients with diabetes. Material and methods. Based on data from two studies (O. Schnell et al. and M. Baxter et al.) simulation of the reduction in the number of complications with the use of a glucometer with a color indication. In a study by O. Schnell et al. a decrease of HbA1c by 0.69 percent is shown when using the considered type of glucometers, which was the basis of the model. Results. In the model, the use of a glucometer with a color-coded display for type 1 diabetes led to a decrease in the total number of complications by 9.2 thousand over 5 years per a cohort of 40 thousand patients with different initial levels of HbA1c. In a cohort of 40 thousand patients with type 2 diabetes, the simulated number of prevented complications was 1.7 thousand over 5 years. When extrapolating these data to all patients with diabetes included in the federal register of diabetes mellitus (FRD), the number of prevented complications was 55.4 thousand cases for type 1 diabetes and 67.1 thousand cases for type 2 diabetes. The possible economic effect from the use of the device by all patients with a diagnosis of diabetes, which are included in the FRD, estimated at 1.5 billion rubles for a cohort of patients with type 1 diabetes and 5.3 billion rubles for patients with type 2 diabetes. Conclusion. Improving the effectiveness of self-monitoring, which is the result of the use of glucometers with color indicators, can potentially significantly reduce the incidence of complications in diabetes and thereby provide significant economic benefits to society.


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