Journal articles on the topic 'Diabetic management'
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Bratton, Susan L., and Elliot J. Krane. "Diabetic Ketoacidosis: Pathophysiology, Management and Complications." Journal of Intensive Care Medicine 7, no. 4 (July 1992): 199–211. http://dx.doi.org/10.1177/088506669200700407.
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Diabetic ketoacidosis (DKA) is a common and potentially life-threatening complication of diabetes mellitus, the second most common chronic childhood disease [1]. Prior to the introduction of insulin to clinical medicine by Banting and Best in 1922, DKA had a mortality rate greater than 60% [2]. As insulin was introduced into clinical practice, there was a gradual decrease in mortality associated with DKA over the subsequent 30 years. Recent epidemiological data reveal current mortality varies from 0 to 19% [3,4]. DKA continues to be the most common cause of death in patients younger than 24 years of age; it accounts for as many as 50% of deaths of young diabetic patients [5–7]. In elderly diabetics who have coexisting diseases, DKA carries a high mortality [8]. Despite many advances in the care of diabetic patients, the prevalence of DKA is not declining; it accounts for 14% of all diabetes-related hospital admissions [3, 4, 9]. The incidence of insulin-dependent diabetes mellitus continues to increase worldwide and has roughly doubled in each recent decade [10–13]. Because insulin-dependent diabetes mellitus is increasing, and preventative measures to avoid DKA in diabetic patients have not been successful, the incidence of DKA can also be expected to increase in coming years. Prevention of DKA is the ultimate goal (80% of hospital admissions for DKA occur in treated diabetics) [3,8]. It is necessary for clinicians to understand the pathophysiology and treatment of DKA to care for this increasing diabetic population. We discuss the pathophysiology of diabetic ketoacidosis, its management, and its complications.
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Fatmasari, Diyah, Rastia Ningsih, and Tri Johan Agus Yuswanto. "Terapi Kombinasi Diabetic Self Management Education (DSME) Dengan Senam Kaki Diabetik Terhadap Ankle Brachial Index (ABI) Pada Penderita Diabetes Tipe II." Medica Hospitalia : Journal of Clinical Medicine 6, no. 2 (November 25, 2019): 92–99. http://dx.doi.org/10.36408/mhjcm.v6i2.389.
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Latar belakang: Diabetes melitus tipe II merupakan salah satu penyakit tidak menular yang dapat menyebabkan kematian dan memiliki risiko tinggi terjadi komplikasi. Penatalaksanaan empat pilar diabetes tipe II meliputi edukasi, terapi gizi medis, latihan jasmani dan intervensi non farmakologi. Salah satu penanganan non-farmakologi yang sering dilakukan adalah Diabetic Self Management Education (DSME) dan senam kaki diabetik, tetapi kombinasi keduanya belum pernah di teliti. Gabungan beberapa terapi disebut terapi kombinasi. Penelitian ini bertujuan untuk mengetahui pengaruh terapi kombinasi DSME dan senam kaki terhadap Ankle Brachial Index (ABI) pada penderita diabetes tipe II.
Metode: Desain penelitian adalah penelitian Experimental dengan rancangan pretest-posttest control group design. Kelompok intervensi di beri terapi kombinasi DSME dengan senam kaki dan kelompok kontrol dengan pemberian Range of Motion (ROM). Teknik sampling non-probability dengan metode consecutive sampling dengan 48 responden yang terbagi dalam 2 kelompok.
Hasil Rerata ABI kelompok Intervensi dan Kontrol sebelum perlakuan adalah 0,84 mmHg dan 0,82 mmHg, sedangkan setelah perlakuan adalah 1,09 mmHg dan 0,89 mmHg. Uji independent t test menunjukkan nilai p value 0,000 berarti ada perbedaan rerata selisih ABI kedua kelompok.
Kesimpulan kombinasi Diabetic Self Management Education (DSME) dengan senam kaki efektif dalam peningkatan Ankle Brachial Index (ABI) pada penderita diabetes tipe II.
Kata kunci : Diabetes Melitus, Diabetic Self Management Education (DSME), senam kaki diabetik, Ankle Brachial Index.
COMBINATION THERAPY OF DIABETIC SELF MANAGEMENT EDUCATION (DSME) WITH DIABETIC FOOT EXERCISE TOWARDS ANKLE BRACHIAL INDEX (ABI) ON PATIENTS DIABETIC TYPE II
Background: Type II diabetes mellitus is a non-infectious disease which cause death and have a high risk complications. Management of 4 pillars of type II diabetes includes education, medical nutrition therapy, physical exercise and non pharmacological interventions. One of the non-pharmacological treatments is the combination of Diabetic Self Management Education (DSME) and diabetic foot exercises. Study aims is to determine effect of a combination of Diabetic Self Management Education (DSME) with diabetic foot exercises on Ankle Brachial Index (ABI) in type II diabetics patients.
Method: Research design was Quasy Experimental with pretest-posttest control group design. Intervention group was 24 patients type II diabetic with therapy combination of DSME and foot exercises, the control group was given Range of Motion (ROM) as therapy.
Results: Mean of ABI intervention and control group before treatment are 0.84 mmHg and 0.82 mmHg, while after treatment are 1.09 mmHg and 0,89 mmHg Independent t test shows p value 0.000, that there is a differences of mean of ABI both group. It can be concluded that combination of DSME with foot exercises is effective to increase Ankle Brachial Index (ABI) at patients type II diabetics.
Keywords: Diabetes Melitus, Diabetic Self Management Education (DSME), diabetic foot exercises, Ankle Brachial Index.
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SHAIKH, ZULFIQAR ALI, MUHAMMAD ZAMAN SHAIKH, and GHULAM ALI. "DIABETIC PATIENTS." Professional Medical Journal 18, no. 02 (June 10, 2011): 265–68. http://dx.doi.org/10.29309/tpmj/2011.18.02.2073.
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Objective: To assess awareness about the role of lifestyle changes in the management of diabetes among diabetics. Patients and Methods: Settings: Diabetic clinics of Jinnah Postgraduate Medical Centre and Kidney Centre. Karachi. Study Period: From April 7, 2008 to August 31, 2008. Study Design: Cross Sectional. Sampling Technique: Convenient. Sample Size: 200 diabetic patients. Results: A total of 200 diabetics were interviewed. Their mean age was 48.8 years. Of these 92 (46%) were males and 108 (54%) were females. Diabetes was under control of 38% and 57% were taking regular treatment. Education sessions were attended by only 11%, counseling for lifestyle modification was done with 16%, 30% followed diet chart and 18% of the study participants were doing regular / irregular exercise. Majority of them (68%) needed social and family support to cop up the disease. Conclusions: There was a lack of awareness about the role of lifestyle changes in the management of diabetes among these diabetic patients. There is a need of health education programs for diabetics and general public.
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Damayantie, Netha, Rusmimpong Rusmimpong, and Debbie Nomiko. "DIABETES SELF MANAGEMENT EDUCATION SEBAGAI UPAYA MENINGKATKAN KUALITAS HIDUP PENDERITA DIABETES MELLITUS." Jurnal BINAKES 2, no. 1 (November 30, 2021): 6–12. http://dx.doi.org/10.35910/binakes.v2i1.433.
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ABSTRAKLatar Belakang: Diabetes Self Management Education (DSME) merupakan suatu proses berkelanjutan yang dilakukan untuk memfasilitasi pengetahuan, keterampilan, dan kemampuan pasien diabetes mellitus (DM) untuk melakukan perawatan mandiri.Metode: Pengabdian masyarakat ini bermitra dengan Puskesmas Simpang Kawat dengan responden pasien DM yang berjumlah 80 orang. edukasi diberikan berisi tentang penyakit Diabetes Mellitus, gizi, perawatan diri diabetik, home visit ke rumah penderita DM Hasil: Terjadi peningkatan pengetahuan penderita DM tentang selfcare diabetik meningkat dari 40% menjadi 77,5%Kesimpulan: Ada peningkatan pengetahuan pasien dalam penanganan self care Diabetik
ABSTRACTBackground: Diabetes Self Management Education (DSME) is an ongoing process carried out to facilitate the knowledge, skills, and abilities of patients with diabetes mellitus (DM) to perform self-care.Method: This community service partnered with Simpang Kawat Health Center with 80 DM patient respondents. The education provided contains about Diabetes Mellitus, nutrition, diabetic self-care, home visits to DM sufferers' homesResults: There was an increase in the knowledge of DM patients about diabetic self-care, increasing from 40% to 77.5%Conclusion: There was an increase in patient knowledge in the management of self-care Diabetic
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Sarkar Gupta, Shampa, and Uma Rani Adhikar. "Prevalence of Depression and its Impact in Diabetes Management – A Pilot Study." International Journal of Nursing Research 08, no. 01 (2022): 17–22. http://dx.doi.org/10.31690/ijnr.2022.v08i01.004.
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Introduction: Global prevalence of diabetes and depression is increasing remarkably. Depression is 2–3 times more in diabetic population than non-diabetic people. Appropriate management mainly – diet, physical activity, medication, and regular screening and treatment can control, prevent, and delay diabetic complications. Aim: This study aims to assess the prevalence and impact of depression in diabetes self-management. Materials and Methods: This cross-sectional descriptive survey included 50 diabetic patients in the endocrinology outpatient department at selected medical college and hospital, Kolkata, from February 2021 to March2021. Depression and diabetic self-management were assessed through Patient Health Questionnaire-9 (PHQ-9) and Diabetes Self-Management Questionnaire (DSMQ), respectively. Based on the WHO’s five dimension of adherence, patients’ background information were collected. Results: PHQ-9 score indicates that 62% of the diabetics patients were having varied degree of depression mild (34%), minor (18%), and major depression (10%). DSMQ score indicates mean adherence in glucose management – 7.186, dietary control – 4.992, physical activity – 4.814, health-care use – 7.106, and sum scale – 6.12. About 60% of diabetic patients were having suboptimal adherence in diabetes self-management. There is a significant negative correlation (r = –0.382) between depression (PHQ-9) score and DSMQ score (P = 0.006). Conclusion: Depression is highly prevalent in diabetic population. Negative correlation between depression and diabetes self-management adherence indicates more the depression less the diabetes self-management.
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Prihati, Dyah Restuning, and Endang Supriyanti. "Promkes Manajemen Diabetik Untuk Pencegahan Luka Diabetik Pada Kelompok Kader Kesehatan Semarang Barat." JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) 5, no. 9 (September 4, 2022): 3118–25. http://dx.doi.org/10.33024/jkpm.v5i9.6892.
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ABSTRAK Self care diabetes merupakan tindakan yang dilakukan seseorang untuk mengontrol diabetes yang meliputi tindakan terapi obat dan pencegahan terhadap komplikasi. Pengukuran aktifitas self care diabetes meliputi pengaturan diet (pola makan), latihan fisik, monitor gula darah, dan terapi obat. Dalam upaya meningkatkan kemandirian merawat kaki perlu dilakukan secara bertahap mulai dari pemberian edukasi secara berkala dan dikenalkan sejak dini pada pasien diabetes mellitus sebagai salah satu upaya pencegahan ulkus diabetik. Kasus DM menempati posisi ke empat dalam 10 besar kasus penyakit di kota Semarang. Tujuan Kegiatan pengabdian masyarakat diberikan kepada kelompok kader keehatan di wilayah Semarang Barat, diharapkan dengan mereka mengetahui dan bisa mengaplikasikan tentang managemen diabetik sebagai upaya pencegahan dini luka diabetik. Pemberian materi tentang penatalakasanaan DM, foot care, demonstrasi senam kaki dan pendampingan. Evaluasi diawali dari pre test dan post test tentang pengetahuan tentang perawatan kaki. Terjadi peningkatan pengetahuan sebanyak 90% peserta setelah dilakukan promosi kesehatan manajemen diabetik tentang penatalakasanaan DM dan foot care. Peserta kooperatif selama mengikuti kegiatan PKM dan pemberian booklet promosi kesehatan perawatan luka diabetik. Promosi Kesehatan tentang managemen diabetik dilakukan untuk menambah pengetahuan kader kesehatan dan mampu mengaplikasikan pencegahan dini luka diabetik salah satunya dengan senam kaki diabetik. Kata kunci: Promkes, Pencegahan Luka Diabetik, Kader Kesehatan ABSTRACT Introduction: Diabetes self-care is an action taken by a person to control diabetes which includes drug therapy and complications. Measurement of diabetes care activity includes diet (diet), physical exercise, blood sugar monitoring, and drug therapy. In an effort to increase the independence of taking care of the feet, it is necessary to do it gradually by providing regular education and introducing it from an early age to people with diabetes mellitus as an effort to prevent the occurrence of diabetic ulcers. DM cases are in the fourth position in the top 10 causes of disease in the city of Semarang. Objective: Community service activities provided by a group of health cadres in the West Semarang area are expected to know and be able to apply diabetes management as an effort to prevent diabetic wounds from an early age. Research Methods: Providing material on DM management, foot care, foot exercise, and mentoring. The evaluation begins with a pre-test and post-test of knowledge about foot care. Results: there was an increase in knowledge of 90% of participants after health promotion of diabetes management about DM management and foot care was carried out. Participants actively participate in activities and receive health promotion booklets. Conclusion: Health promotion on diabetes management is carried out to increase the knowledge of health cadres and be able to implement early prevention of diabetic wounds, one of which is diabetic foot exercises. Keywords: Health Promotion, Prevention of Diabetic Wounds, Health Cadre
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Shah, Rajiv, and Shivam R. Shah. "Diabetic Ankle Fractures: Does Management Differ? A Case-based Presentation." Journal of Foot and Ankle Surgery (Asia Pacific) 4, no. 2 (2017): 77–83. http://dx.doi.org/10.5005/jp-journals-10040-1075.
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ABSTRACT Fractures in diabetics pose a great management challenge as diabetes mellitus affects fracture healing at the cellular level. With a steep rise in the number of diabetics the world over, there also is a rise in the incidences of ankle fractures. Nonoperative as well as operative management of ankle fractures in diabetics is fraught with a high rate of complications. With the help of history and clinical examination, the clinician must classify the case as either a complicated or an uncomplicated diabetes presentation. Case-based discussion for both these types of diabetic ankle fractures is offered in this article, and we propose a lucid management algorithm. How to cite this article Shah R, Shah SR. Diabetic Ankle Fractures: Does Management Differ? A Case-based Presentation. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):77-83.
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Liaqat, Aisha, Sanan Arshad, Saddiqa Gul, Ulfat Sultana, Fatima Liaqat, Adnan Liaqat, and Saim Arshad. "Comparison of Social determinants and Evaluation of Disease Management of diabetic patients attending Rahman Medical Institute and Nahaki Emergency Satellite Hospital, Peshawar." Pakistan Journal of Public Health 11, no. 1 (May 31, 2021): 30–34. http://dx.doi.org/10.32413/pjph.v11i1.635.
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Background: Diabetes mainly depends on social determinants of health. Addressing the social determinants, and attitude toward disease management is an important step toward the prognosis, and control of diabetes. The objective of the study was to determine the contributing role of social Determinants in diabetes development and evaluation of diabetes parameters affecting the prognosis and management among the diabetic patients of NESH and RMI. Methods: This was comparative hospital based case control study carried out from the duration of March to December 2016. A total 174 patients, 87 diabetics and 87 non diabetics were included in the study. After taking written consent, a predesigned questionnaire was filled from each patient. Data were collected and analyzed by using SPSS version 16. Results: A total 174 study subjects, 87 diabetic (Cases) and non-diabetic (control) each from two different hospitals with equal distribution were included in the study. Out of 174 study subjects 59 (34%) were male and 115 (66%) were female. A significant difference was observed in weight and BMI p<0.05 of these two groups case and control. There found no significant difference among diabetics and non-diabetes in reference to their social determinants like gender p=0.1683, education p=0.4358 and income p= 0.4672, however a significant difference between these two groups were observed in marital status p=0.0001. It was found that significant difference was observed in decrease of vision (p=<0.001) and Ischemic necrosis of toes and finger (p=0.007) among diabetics patients of both hospital. Conclusion: The social determinants (age, gender, area, profession etc), carbohydrate and fat intake were not significantly different between diabetics and non-diabetics group. The significantly higher proportion of diabetic’s patients of rural hospital were found with decrease of vision and ischemic necrosis of toes and fingers educational intervention regarding diabetes management is needed in rural areas of Khyber Pakhtunkhwa.
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Kamel, N. M., Y. A. Badawy, N. A. El Zeiny, and I. A. Merdan. "Sociodemographic determinants of management behaviour of diabetic patients. Part II. Diabetics’ knowledge of the disease and their management behaviour." Eastern Mediterranean Health Journal 5, no. 5 (October 15, 1999): 974–83. http://dx.doi.org/10.26719/1999.5.5.974.
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We aimed to: describe the level of knowledge of diabetic patients about the disease, show the relationship between demographic variables [age, sex and education]and level of knowledge and reveal the relationship between knowledge and management-related behaviour of diabetics. We found that a majority of diabetic patients [90.0%]had poor knowledge about the disease, 83.7% had poor knowledge about the complications associated with diabetes and 96.3% had poor awareness of how to control the disease. The poor level of knowledge that diabetics have about their disease suggests that health care providers need to be trained in the areas of information, education and communication
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Pollock, Faith, and Donna C. Funk. "Acute Diabetes Management." AACN Advanced Critical Care 24, no. 3 (July 1, 2013): 314–24. http://dx.doi.org/10.4037/nci.0b013e31829b7d38.
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In acute diabetes conditions, management of the following 3 potential complications is required: diabetic ketoacidosis, hyperosmolar hyperglycemic state, and iatrogenic hypoglycemia. The hyperglycemic crises diabetic ketoacidosis and hyperosmolar hyperglycemic state are the 2 most serious metabolic complications of diabetes. Hypoglycemia, specifically iatrogenic hypoglycemia, results from treatments that raise circulating insulin levels and thus lower plasma glucose concentrations to an abnormally low level, which exposes the patient to potential harm. This article reviews the pathogenesis, precipitating or risk factors, diagnosis or identification, and treatment of these critical complications of diabetes. In addition, a case study on diabetic ketoacidosis is provided.
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Kreutz, Reinhold, A. John Camm, and Peter Rossing. "Concomitant diabetes with atrial fibrillation and anticoagulation management considerations." European Heart Journal Supplements 22, Supplement_O (December 2020): O78—O86. http://dx.doi.org/10.1093/eurheartj/suaa182.
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Abstract Atrial fibrillation is a highly prevalent cardiac arrhythmia. It is associated with numerous co mobilities. Approximately 30% of diabetic patients have atrial fibrillation and 15% of atrial fibrillation regulation patients have diabetes mellitus. Diabetes increases the likelihood of the development of atrial fibrillation and contributes to the high risk of thromboembolism seen in patients with both diabetes and atrial fibrillation. Chronic kidney disease is often a consequence of diabetes and presents an additional challenge to the management of patients with both atrial fibrillation and diabetes. All non-vitamin K oral anticoagulants are partially eliminated via the kidney and must be carefully prescribed according to strict dosing schedules to avoid anticoagulation overdose. However, NOACs have the advantage of being associated with less progressive impairment of renal function compared with vitamin K antagonist therapy in both diabetics and non-diabetics. Otherwise, diabetic patients benefit from NOAC therapy as opposed to vitamin K antagonists to a similar extent as patients without diabetes. This review deals with anticoagulation treatment in patients with fibrillation and diabetes mellitus, often complicated by progressive renal impairment.
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Antoine-Frank, Chrystal D., Kaydeonne T. Ellis, Malcolm R. Antoine, Pars Daniel Annan, and Rimanatou Seyni-Boureima. "Diabetic peripheral neuropathy: pain management." International Journal of Advances in Medicine 8, no. 3 (February 23, 2021): 466. http://dx.doi.org/10.18203/2349-3933.ijam20210610.
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As diabetes mellitus continues to be a global health issue, more and more cases of macro-vascular and micro-vascular complications are being commonly observed amongst this category of patients. One micro-vascular complication often seen in diabetic patients is diabetic neuropathy as at least 50% of diabetic patients will experience some form of neuropathy following a diagnosis of diabetes for about 25 years. Even though diabetic patients are at risk for developing various types of neuropathies, polyneuropathies are most commonly observed and develop mainly develop due to hyperglycaemia, dyslipidemia and abnormal insulin signaling. Polyneuropathies are commonly accompanied by bilateral sensory loss in the distal limbs. Varying degrees of pain are also observed with this complication and pain management may serve to be very complicated. Therefore, this review discusses neuropathy focusing specifically on the effective management of the pain that commonly accompanies this diabetic complication.
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Venkatesh, G., A. Deepa, and N. Mohammed Niyamathullah. "Diabetic Foot: Angiographic Assesment and Management." New Indian Journal of Surgery 10, no. 1 (2019): 91–99. http://dx.doi.org/10.21088/nijs.0976.4747.10119.15.
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Gotzaridis, Eustratios, Athina Markou, and Zdenek Gregor. "Management of Diabetic Retinopathy. An Overview." HORMONES 3, no. 2 (April 15, 2004): 92–99. http://dx.doi.org/10.14310/horm.2002.11117.
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K, Arar, Ghouini A, Gharbi A, and Immoudache H. "Herbal Supplementation to Improve Management of Diabetes Mellitus Patient Care: Current Progress." Endocrinology and Disorders 6, no. 2 (May 30, 2022): 01–03. http://dx.doi.org/10.31579/2640-1045/120.
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Diabetes affects millions of patients round the world, with dancing complications, inclusion, cardiovascular diseases, neuropathie and rétinopathie. Howe ver, the progression of type 2 diabetes mellites might be slowed down and its health impact limited. Nevetheless, current anti-diabetic treatments have limitations and is not Enugu to significantly improve the cardiovascular prognosis of diabetic patients. This work focus on herbal supplement and nutrition as potentiel thérapies for type 2 diabètes mellitus. Actually, Herbal and nutritional supplémentation is required in the management of diabétiques patients, a binding shared unanimously by scientists. Récent diabetologists have come to the évidence that a therapeutic supplement consisting of nutrients and herbal is necessary to optimize the treatment of diabetes. The treatment of Type 2 diabetes mellitus, winch is very often Associate with overweight, is based on hygiene and dietetic measures and, where appropriate, on taking oral antidiabetics. This review describes the therapeutic arsenal of conventionnel oral antidiabetic drugs and emphasizes on innovative therapeutic option introduction herba medicine and nutrition to the management of diabetic patients. Recent studies showed interesting potential in the reduction of blood sugar for many herbal for example Cinnamon, also berberine has been linked to the reduction of blood glucose levels, insulin levels and showed to be as effective as metformin, the most commonly prescribed drug for diabetics, at controlling blood sugar levels in diabetics. Moreover, a medicinal plant or herbal mixture can provide multi-targeted therapeutic action due to its complex chemical composition with hundreds of active ingredients such as oligosaccharides, alkaloids, polyphenols, flavonoids, tannins and at the same time ensure safety for the patients. We conclude by the fact that herbal and nutritional supplementation can bring major and promising progress in order to improve the patient care, by slowing the progression of type 2 diabetes and limiting its complications.
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Ansari, Prawej, J. M. A. Hannan, Shofiul Azam, and Md Jakaria. "Challenges in Diabetic Micro-Complication Management: Focus on Diabetic Neuropathy." International Journal of Translational Medicine 1, no. 3 (October 6, 2021): 175–86. http://dx.doi.org/10.3390/ijtm1030013.
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The progression of diabetes leads to macro and microvascular complications, including diabetic neuropathy, which is the most prevalent microvascular complication with diabetes. Clinical manifestations of diabetic neuropathy begin with the loss of distal sensory function, pain, and substantial morbidity. It has been evident that ~50% of diabetic patients develop neuropathy at a certain stage in their lifetime. Interestingly, two major subtypes (type I and II) of diabetes do not share the same epidemiology and pathophysiology of diabetic neuropathy; thus, their management or treatment strategies may vary from each other. The past few decades of research suggest that many etiological features, diagnosis, and management complexities depend on the type of diabetes. However, the underlying mechanism of neuropathy in type I and type II diabetes remains unclear. This review provides the current knowledge on successful assessment, management, and pharmacological biomarkers to explore the treatment and surpass current challenges in diabetic neuropathy.
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Nabi, Golam, Khan Abul Kalam Azad, NM Wahidur Rahman, Rukshana Rabbani, and Thresika Islam Chowdhury. "Life Style Modification Among Diabetic Patients." Journal of Dhaka Medical College 25, no. 1 (September 11, 2017): 46–52. http://dx.doi.org/10.3329/jdmc.v25i1.33954.
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Lifestyle modifications have key role in the management of diabetes. Awareness about the changes in lifestyle can play a vital role in the management of diabetes. There is a need of health education programs for diabetics and general population. As the diabetes is a slow progressive disease which causes target organ damage if not control. Study shows that controlled diabetics has also risk of target organ damage. Managing a diabetic patient needs to be combination of diet, discipline and drugs. Only drugs is given by the physician but the other two control parameter like diet and discipline is done by the patient himself. Life style modification can bring this two factor under control. Here we have studied 100 diabetic patient with following results.J Dhaka Medical College, Vol. 25, No.1, April, 2016, Page 46-52
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Usman Miyan, Atif. "TREATMENT GOALS AND MANAGEMENT OF DIABETIC KETOACIDOSIS (DKA); TIMELY ACTION NEEDED FOR DKA." Canadian Journal of Applied Sciences 2 (2012): 111–23. http://dx.doi.org/10.21065/19257430.111.2.
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Diabetic ketoacidosis (DKA) is an acute, well recognized and well studied complication of diabetes mellitus (DM). Its main characteristics are hyperglycemia, ketosis, acidosis and dehydration in case of profound insulin deficiency in diabetics. Earlier it was known to be a complication of patients with type I diabetes but now it occurs predominantly in type II diabetics.
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Jannah, Nurul, and Ayudiah Uprianingsih. "OPTIMALISASI DIABETES SELF MANAGEMENT EDUCATION (DSME) DENGAN DUKUNGAN KELUARGA TERHADAP PENCEGAHAN KAKI DIABETES DI KOTA BIMA." Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 15, no. 3 (December 31, 2020): 410–14. http://dx.doi.org/10.36911/pannmed.v15i3.801.
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Failure to manage diabetes occurs due to patient non-compliance in implementing therapy, controlling risk factors, low knowledge and family involvement in caring for diabetes sufferers. Patient diabetics are risk for diabetic foot ulcers. Diabetic foot ulcer problems are a chronic complication and can lead to physical disabilities. This study was a quasi-experimental study with a non-equivalent control group design where the study used pre-post-test and cluster sampling. Data were collected through questionnaires and observation sheets. The results showed p value = 0.000 (p <0.05) means diabetes self management education with family centered care could prevent the occurrence of diabetic foot ulcers. Improving the quality of life of diabetics can be done with good self-management to avoid complications that can worsen the condition. There is no best educational program if it is not accompanied by compliance, commitment and family support in carrying out treatment.
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Khan, Muhammad Imran Hassan, Junaid Mushtaq, Ibtesaam Amjad, Israr ul Haque Toor, and Ghias un Nabi Tayyab. "DIABETIC KETOACIDOSIS." Professional Medical Journal 25, no. 08 (August 9, 2018): 1235–39. http://dx.doi.org/10.29309/tpmj/18.4744.
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Rafiq,, Muhammad Kashif, Haider Kamran, Asif Ayub, and Fouzia Jameel. "Diabetic Foot Ulcers: Insights into Management and Prevention." Pakistan Journal of Medical and Health Sciences 16, no. 9 (September 30, 2022): 633–36. http://dx.doi.org/10.53350/pjmhs22169633.
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Diabetic foot ulcer (DFU) is one of the greatest thoughtful difficulties of diabetes, negatively affecting the patient's health and socioeconomic status. Around the world, diabetes prevalence is increasing in both developing and developed countries. There are several measures in place in most countries to limit diabetes complications. This review summarizes the pathogenic mechanisms that lead to diabetic foot and focuses on prevention and management. It may be possible to prevent diabetic foot ulcers and thus amputation risk by increasing physicians' awareness and ability to identify risky feet. Diabetes neuropathy, peripheral artery disease, and immune dysfunction are the three major contributing factors. In order to treat diabetic foot disease, a detailed history and physical examination are necessary. Diabetic neuropathy and peripheral arterial disease manifestations, such as diabetic foot ulcers and infections, should be examined during this examination. Prevention approaches should integrate a multidisciplinary method centered on patient education. Preventive efforts must, however, be sustained for a long time for them to be effective. Keywords: Diabetic foot; Ulceration; Neuropathy; Pathogenesis; Peripheral arterial disease
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Sulistyo, Angger Anugerah Hadi. "MANAGEMENT OF DIABETIC FOOT ULCER: A LITERATURE REVIEW." Jurnal Keperawatan Indonesia 21, no. 2 (August 18, 2018): 84–93. http://dx.doi.org/10.7454/jki.v21i2.634.
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This article explores the effective management of diabetic foot ulcer. A literature review was conducted by analyzing scholar papers including systematic review, clinical and a randomized control trial published between 2000 to 2016 in the English language. Data were searched through CINAHL, PubMed, Proquest and Google Scholar. The keywords used were diabetic foot ulcer or diabetic foot ulcers or diabetic foot or neuropathic foot ulcer combined with assessment and treatment. There were two kinds of assessment used in diabetic foot ulcer which are risk assessment and wound assessment. The treatments that frequently used in diabetic foot ulcer are systemic treatment and local treatment. This literature review can be used as a guideline and literature for further experimental studies. Keywords: diabetic foot ulcer, management of foot ulcer, assessment of foot ulcer, treatment of foot ulcer Abstrak Artikel ini dibuat dengan mencari sumber literatur dari manajemen luka kaki diabetes. Tujuan studi literatur ini adalah untuk mencari manajemen luka diabetes yang paling efektif. Studi literatur ini dibuat dengan melakukan analisis artikel-artikel ilmiah meliputi systematic review, clinical and a randomized control trial dalam bahasa inggris yang dipublikasikan pada tahun 2000 sampai 2016. Data didapatkan dengan mencari di beberapa database meliputi CINAHL, PubMed, Proquest and Google Scholar. Kata kunci pencarian data yaitu dengan menggunakan kata kunci diabetic foot ulcer or diabetic foot ulcers or diabetic foot or neuropathic foot ulcer combined with assessment and treatment. Pada studi literatur ini didapatkan 14 artikel yang sesuai dengan kriteria penelitian. Hasil pencarian artikel ditemukan 2 jenis pengkajian luka diabetes yaitu pengkajian resiko dan pengkajian luka diabetes. Sedangkan penanganan yang sering digunakan dalam luka diabetes adalah penanganan sistemik dan penaganan local. Studi literatur ini dapat dijadikan petunjuk dan tambahan referensi untuk penelitian experiment. Kata Kunci: luka kaki diabetes, manajemen luka kaki, pengkajian luka kaki, penanganan luka kaki
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Santillan, Roberto Medina. "Management of Diabetic Peripheral Neuropathic Pain." US Endocrinology 00, no. 01 (2005): 55. http://dx.doi.org/10.17925/use.2005.00.01.55.
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Diabetes remains the most common cause of neuropathy in the US, and neuropathy is the most common complication and greatest source of morbidity and mortality in diabetic patients. Additionally, emerging studies suggest that impaired glucose tolerance may lead to polyneuropathy, particularly painful small-fiber neuropathy. It is estimated from epidemiological studies that the prevalence of neuropathy in diabetic patients is approximately 30% in hospitalized patients and 20% in community-dwelling diabetic patients.
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Alsanawi, Yousif, Hassan Alismail, Mustafa AlabdRabalnabi, Hattan Alturki, Abdullah Alsuhaibani, Mamdouh Mahbub, Abdullah Junayd, Abdulraheem Alamri, Mujahid Jawahraji, and Mohammed Aldaghmani. "Pathogenesis and management of diabetic foot ulcers." International Journal Of Community Medicine And Public Health 5, no. 11 (October 25, 2018): 4953. http://dx.doi.org/10.18203/2394-6040.ijcmph20184249.
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Diabetes mellitus is a major healthcare issue worldwide, and the trends keep rising. Diabetic foot ulcer is a morbidity associated with the disease process and causes significant impairment in quality of life due to its severe complications including infection, gangrene, and amputation. In this study, we aim to understand the pathogenesis of diabetic foot ulcer, its complications, and management strategies. We conducted this review using a comprehensive search of MEDLINE, PubMed and EMBASE from January 1970 to March 2017. The following search terms were used: diabetic foot ulcer, complications of diabetes mellitus, foot gangrene, surgical debridement of foot ulcer, osteomyelitis. Diabetic foot ulcer is a common morbidity in patients with diabetes mellitus, which can lead to lower limb amputation unless a prompt, rational, multidisciplinary approach to therapy is taken. Proper management can ensure successful and fast healing which includes patient education, blood glucose control, wound debridement, advanced dressing, offloading, and surgery.
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Lakhani, Darshan J., Jignesh P. Dave, Jignesh K. Ramani, Kartik K. Agrawal, Chirag R. Makadiya, and Pradip V. Solanki. "Diabetic foot ulcer and its surgical management." International Journal of Research in Medical Sciences 8, no. 1 (December 25, 2019): 25. http://dx.doi.org/10.18203/2320-6012.ijrms20195644.
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Background: Almost 80% population of diabetic foot are from low to middle income countries like India, a country with second largest number of diabetic populations. Prevalence of diabetes mellitus in India is 9.3%. Lower extremity diseases, including peripheral neuropathy, peripheral arterial disease, and foot ulceration, is twice common in diabetic subjects. the most feared consequence of diabetic foot ulcer is limb amputation, which is seen 10 to 30 times more often in person with diabetes. The objective of this study concentrates on surgical management of diabetic foot ulcer.Methods: This is an observational prospective study of 100 cases for evaluation of diabetic foot ulcer and its surgical management at P.D.U. Hospital, Rajkot from January 2017 to November 2018.Results: The average age of presentation is 55.70 year. The male to female ratio was 1.27:1. Most of the patients are from lower middle class and upper lower class according to modified kuppuswamy socioeconomic classification. Most of the patients have duration of diabetes more than 5 years. Most common microorganism grown from culture was Staphylococcus aureus. This study has higher rate of amputations of 74% due to late presentation and neglected disease due to peripheral neuropathy causes decreased pain sensation. There was no mortality in this study.Conclusions: Management of diabetic foot ulcer is by multimodal approach with conservative and surgical approaches. Preventive measures, early diagnosis and timely surgical intervention prevents limb amputations in diabetic foot ulcer.
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Akbaba, Gulhan, and Yusuf Aydın. "Intraoperative Management of Diabetes in Diabetic Adults." Acta Medica Anatolia 2, no. 2 (February 27, 2014): 69. http://dx.doi.org/10.15824/actamedica.71162.
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Khan, Muhamamd, Saima Mohsin, Sarmad Pirzada, Shamsul Arfin Qasmi, and Muhamamd Adnan Kanpurwala. "Frequency of Anemia Among the Patients of Type 2 Diabetes Attending Outpatient Clinic of Mirpurkhas, Sindh." RADS Journal of Biological Research & Applied Sciences 11, no. 2 (December 30, 2020): 89–95. http://dx.doi.org/10.37962/jbas.v11i2.298.
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Background: Anemia is the most common blood disorder in patients with Type 2 diabetes. The hematological profile of diabetic patients is often missed clinically until to start the manifestation of clinical features of anemia. Anemia increases the hindrances and financial burden on the patient by frequent hospitalization. It increases the risk of microvascular complications, heart diseases, morbidity and death in diabetes mellitus. Therefore, it is imperative to recognize and treat anemia for the sake of patient care.
Objectives: To evaluate the frequency of anemia in Type 2 Diabetic patients attending diabetic outpatients clinics of Mirpurkhas, Sindh.
Methodology: A case-control study has been done to compare the hemoglobin level of Type 2 diabetics and non-diabetics. The data was collected over a period of three months from the patients who were visiting the diabetes clinic for their regular checkup. Data for controls were collected from the patient’s attendants. Diabetics and non-diabetics were under observations throughout the period. There were 206 subjects’ including 106 diabetics (52 females and 54 males) and 100 non-diabetics (50 females and 50 males). Research concerns included the duration of the disease, family history & presence of hypertension. Methods such as cyan methemoglobin were used to estimate hemoglobin & random blood glucose by glucose oxidase as recommended by the World Health Organization (WHO) and then read through Micro-lab 300 chemistry analyzer.
Results: The frequency of occurrence of anemia in diabetics was 33.3% in males and 48.1% in females. Whereas in controls, 16.0% males and 32.0% females were anemic. The family history of diabetes and hypertension was also found higher among diabetic individuals as compare to healthy counterparts.
Conclusion: The study has shown that anemia is twice as common in diabetics as compared with non-diabetics. Early diagnosis of anemia in a diabetic patient, and to treat so, will improve the quality of life and delay the complications to be developed in these patients.
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Saucier, Ashley N., Benjamin Ansa, Janis Coffin, Mariam Akhtar, Andre Miller, Holly Mahoney, Denise M. Hodo, et al. "Patient perspectives of an individualized diabetes care management plan." European Journal for Person Centered Healthcare 5, no. 2 (July 6, 2017): 213. http://dx.doi.org/10.5750/ejpch.v5i2.1292.
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Purpose: This cross sectional study examines patients’ knowledge, attitudes and beliefs about a diabetic care management plan (DCMP) that was developed to provide patient education on diabetes guidelines and display individual diabetic core measures. Secondary objectives included a comparison of diabetic core measures [hemoglobin A1C (HbA1C), systolic and diastolic blood pressure (SBP, DBP), low-density lipoprotein (LDL) and urine microalbumin (Um)] before and after DCMP implementation. We hypothesize this tool will contribute to patients’ awareness of current disease status, diabetes knowledge and diabetic core value improvement over time.Methods: A consecutive sample of 102 adult patients with diabetes mellitus type 2 in a primary care setting participated. Patients’ perspectives on the care plan and knowledge about diabetes was collected via survey after care plan implementation. A comparison of selected diabetic core measures was conducted at baseline and post-DCMP. Descriptive statistics summarized survey response and diabetic core measures. A repeated measures ANOVA was used to assess change in diabetic core measures over time. Results: Participants understood the DCMP (96%), found it important because it explained their laboratory results and medications (89%) and believed it would help them to have better diabetic control (99%). There was a significant interaction between time and being at goal pre-DCMP for HbA1c, SBP and LDL. Patients not at goal pre-DCMP for the above measures decreased significantly over time (P = <0.01 for HbA1c, SBP and LDL). Participants at goal for all diabetic core measures increased pre- to post-DCMP from 13% to 20% (P = 0.28).Conclusion: Patients perceived the diabetic care management plan favorably and their diabetic core measurements improved over time. This simple and reproducible self-management intervention can enhance self-management in a patient population with diabetes mellitus type 2.
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Rekha, Punchappady-Devasya, Sneha S. Rao, Talanjeri Gopalakrishna Sahana, and Ashwini Prabhu. "Diabetic wound management." British Journal of Community Nursing 23, Sup9 (September 2018): S16—S22. http://dx.doi.org/10.12968/bjcn.2018.23.sup9.s16.
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Oyenihi, Ayodeji Babatunde, Ademola Olabode Ayeleso, Emmanuel Mukwevho, and Bubuya Masola. "Antioxidant Strategies in the Management of Diabetic Neuropathy." BioMed Research International 2015 (2015): 1–15. http://dx.doi.org/10.1155/2015/515042.
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Chronic hyperglycaemia (an abnormally high glucose concentration in the blood) resulting from defects in insulin secretion/action, or both, is the major hallmark of diabetes in which it is known to be involved in the progression of the condition to different complications that include diabetic neuropathy. Diabetic neuropathy (diabetes-induced nerve damage) is the most common diabetic complication and can be devastating because it can lead to disability. There is an increasing body of evidence associating diabetic neuropathy with oxidative stress. Oxidative stress results from the production of oxygen free radicals in the body in excess of its ability to eliminate them by antioxidant activity. Antioxidants have different mechanisms and sites of actions by which they exert their biochemical effects and ameliorate nerve dysfunction in diabetes by acting directly against oxidative damage. This review will examine different strategies for managing diabetic neuropathy which rely on exogenous antioxidants.
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Kumar, Pojala, Ravi Shankar K., Krishnakanth K., and Jagadeesh Alla. "Study of awareness of diabetes mellitus among diabetics and non-diabetics and drug utilisation pattern in diabetics attending tertiary care general hospital in India." International Journal of Basic & Clinical Pharmacology 7, no. 5 (April 23, 2018): 824. http://dx.doi.org/10.18203/2319-2003.ijbcp20181490.
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Background: Diabetes Mellitus (DM) is one of the most challenging public health problems. It is important to know about the awareness level of a disease condition in a population, which plays a vital role in future development, early detection and prevention of disease.Methods: A total of 200 subjects were interviewed and their details were noted in a specially designed data collection form. The questionnaire contained a series of questions related to demographic characteristics and awareness of DM including general knowledge, risk factors and complications of diabetic and non-diabetic patients.Results: Among 150 subjects were diabetic and 50 were non-diabetic. 60 (40%), 14(28%) of diabetics and non- diabetics were between the age of 41-50. 101 (67.3%) were male, 49 (32.6%) were female. 101 (67.3%) of the study participant had family history of diabetes in diabetic. 45 (44.5%) diabetic, 20 (40.81%) non-diabetic male knows the risk factor for diabetes mellitus and 35 (34.6%), 21 (42.8%) were aware of symptoms, 09(8.9%), 03(6.1%) awareness on complication of diabetes. 21 (20.7%), 06 (12.2%) doesn’t know about Risk factors.Conclusions: The present study conclude a current situation of knowledge and awareness of diabetes mellitus and also emphasizes the need for improvement in knowledge and awareness on diabetes mellitus among the diabetic as well as non-diabetic subjects in order to achieve prevention and better control of diabetes risk factors, complications and its management.
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Andhika, Cakra. "Clinical Profile of Diabetic Foot Amputation in Hasan Sadikin Hospital, Bandung, Indonesia." Journal of Endocrinology, Tropical Medicine, and Infectiouse Disease (JETROMI) 2, no. 2 (May 12, 2020): 57–62. http://dx.doi.org/10.32734/jetromi.v2i2.3734.
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Diabetes mellitus related to foot ulcers is common. Most studies use amputation rates as a measure of foot management in diabetics. The aim of this study was to determine the description of diabetic foot clinical profile at Hasan Sadikin Hospital, Bandung, Indonesia. The study was conducted on diabetic foot who came to Hasan Sadikin Hospital, Bandung from January 2014 to December 2018, retrospectively. There are 243 diabetic foot patients at Hasan Sadikin Hospital in this study. There are 112 males (46.1%) and 131 females (53.9%). There are more patients with the duration of diabetes was more than 10 years than the shorter duration of diabetes. The 51-60 year age group is the group with the largest percentage (41.6%). Based on the Wagner classification group, patients with grade 2 Wagner diabetic foot became the most group (28.4%). Total amputations were 91 patients (37.5%). The most diabetic foot management is debridement, which is 110 patients (45.3%). The most common type of amputation is below knee amputation, which is 45 patients (49.5%).
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Ponchillia, S. V., K. Richardson, and M. M. Turner-Barry. "The Effectiveness of Six Insulin Management Devices for Blind Diabetic Persons." Journal of Visual Impairment & Blindness 84, no. 7 (September 1990): 364–70. http://dx.doi.org/10.1177/0145482x9008400704.
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Insulin measurement is a task all insulin dependent persons with diabetes must undertake one or more times daily. Diabetes is the leading cause of new blindness in the United States and as a result, there are many diabetics who have difficulty accomplishing safe, accurate insulin measurement independently. A variety of adaptive techniques and products are available to assist visually impaired persons with insulin measurement, but there are virtually no data available to support recommendation of any one device over another. A single-subject, alternating-treatment study was conducted with functionally blind diabetic persons to determine safety and accuracy of six leading commercial insulin measurement devices.
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Raza, Mohammed, and Basavarajendra S. Anurshetru. "Clinical study of coexistence of fungal infections in diabetic foot ulcers and its management." International Surgery Journal 4, no. 12 (November 25, 2017): 3943. http://dx.doi.org/10.18203/2349-2902.isj20175157.
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Background: Presently 62 million Indians are diabetics and these numbers are on the rise. Amongst chronic complications of uncontrolled diabetes, foot ulcer is one. Diabetes is the leading cause of non-traumatic lower extremity amputation in developing countries with risk being 15 to 46 times higher. Infections are predominantly polymicrobial, predominantly Aerobic Gram-Positive cocci with higher incidence of anaerobic species and fungal infections. Treatment of fungal infections in diabetic foot ulcers might reduce the disability, morbidity and mortality in diabetic patients.Methods: A total of 100 diabetic foot ulcer patients admitted or who visited to JSS Hospital over a period of 2 years, meeting the inclusion/exclusion criteria of the study, formed the study population. Detailed history, clinical evaluation & necessary investigations were done. Fungal isolation from the ulcer done by 10% KOH study, Gram stain, SDA culture and slide culture methods. Positive patients were treated with antifungal agents. Outcome of the disease studied based on ulcer progression, wound healing and tissue amputations.Results: Polymicrobial flora in diabetic foot ulcers was seen (137 organisms in 100 subjects), predominantly Enterobacteriaceae and Pseudomonas. Prevalence of fungal infections in present study was 19%, of which Candida species was the commonest.Conclusions: Present study signifies the need of mycological evaluation of nonhealing diabetic ulcer, with poor progression despite antibacterial therapy & foot care, introduction of antifungal treatment for proved fungal infections in diabetic foot ulcers, considering fungal infection as significant risk factor.
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P., Jijomon P., Teena Sharon, Ruby Xavier, and Malathi G. Nayak. "HEALTH BELIEFS ON MANAGEMENT OF DIABETES MELLITUS." Journal of Health and Allied Sciences NU 03, no. 02 (June 2013): 038–43. http://dx.doi.org/10.1055/s-0040-1703651.
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AbstractPrevalence of type 2 diabetes is increasing globally, more so in developing countries like India due to rapid urbanization. Health-related behavior is important in maintaining health and which is determined by individual beliefs and practice about health and illness.The objectives of the study were to assess the health beliefs among diabetic adults on management of diabetes mellitus and to find the association between the health beliefs and study variable.A descriptive cross sectional survey conducted among 125 diabetic adults, data collected by using structured questionnaire.The study finding reveals that out of 125 diabetic adults, the majorities 49.6% were in the age group of 46-55 years, 51.2% were believed that diabetes caused by eating more sugar and 81.6% disagree that it's God's curse, 30% of diabetic adults agree with the statement that diabetes is because of past sin, 28% of subjects believe that it's a communicable disease. There was significant association between health beliefs and selected demographic variables such as age, religion, duration of illness and education.Beliefs about health and illness that may affect self-care practice and health care seeking behavior in persons diagnosed with Diabetes mellitus
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Patil, Sandeep. "Management of Diabetic Foot at Tertiary Care Hospital." New Indian Journal of Surgery 8, no. 1 (2017): 75–80. http://dx.doi.org/10.21088/nijs.0976.4747.8117.15.
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Bupesh, G. "Role of Glucose Transporting Phytosterols in Diabetic Management." Diabetes & Obesity International Journal 7, no. 3 (2022): 1–9. http://dx.doi.org/10.23880/doij-16000261.
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An increasing number of people are developing diabetes, a worldwide health issue. Traditional diabetes treatments have a hefty price tag and a poor track record. In many nations, using herbal remedies and plant extracts to treat diabetes is becoming more popular. The Asian countries have a long tradition of treating many illnesses, including diabetes, with herbal treatment. In this study, we collated and outlined all in vivo and in vitro research projects for plants with potential antidiabetic action. The Muntingia calabura plant is being researched for its potential to treat diabetes. It is intended that this review will help provide scientific proof for the plant's traditional usage as an antidiabetic. The method of action and the substance responsible for the activity are covered in this review. Additionally, pharmacokinetic and safety aspects were described.
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Vanlalhlua, Chawngthu, and Samuel Lalruatfala Sailo. "A CLINICAL STUDY OF DIABETIC FOOT ULCERS AND MANAGEMENT." International Journal of Advanced Research 10, no. 11 (November 30, 2022): 879–85. http://dx.doi.org/10.21474/ijar01/15744.
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Introduction: Diabetic foot may be defined as a group of syndromes in which neuropathy, ischemia and infection lead to tissue breakdown, resulting in morbidity and possible amputation. Foot problem remains very common in people with diabetes throughout the world, affecting up to 15% of diabetic patients during their life time. The aim of this study is to assess the various presentations of diabetic foot ulcers and surgical management. Materials and Methods:This is a hospital based prospective observational study conducted in 50patients of diabetic foot ulcers admitted in the department of General Surgery at Zoram Medical College (ZMC), Falkawn, Mizoram during the period of November 2017 to December 2021. All patients with diabetes mellitus suffering from foot ulcers of all age groups, incidental diagnosis of diabetes with foot ulcers, patients with gangrenous foot complicated by diabetes are included.Patients with foot infections or gangrene foot without diabetes mellitus or incomplete treatment are excluded. Results: The commonest presentation in this study is ulcer followed by gangrene and abscess. The most common site of lesion is toes (42%) followed by dorsum of foot (30%) and planter of foot (16%). 72% of patients (36) had neuropathy, 14% had vasculopathy and 10% had both. 30 (60%) patients are healed by debridement and dressing alone, 11 (22%) patients need amputation or disarticulation to heal. Skin grafting is done in 9 patients. No patient dies of the ulcer. Conclusion: Diabetic foot ulcer is a complication of prolonged diabetes mellitus which increases with age and duration of the disease. The surgical management of diabetic foot ulcers should be based on the knowledge of pathophysiology of diabetes and practice of new treatment modalities.
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Gavidia Quezada, Rocio, and Hawa Edriss. "Diabetic ketoacidosis: Should current management include subcutaneous insulin injections?" Southwest Respiratory and Critical Care Chronicles 5, no. 19 (May 5, 2017): 6. http://dx.doi.org/10.12746/swrccc.v5i19.389.
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Diabetic ketoacidosis is a well-known acute complication in patients with both type 1 andtype 2 diabetes mellitus. Although mortality has decreased considerably, it remains an importantcause for admission to intensive care units. Medical management includes intravenous fluidtherapy, insulin, correction of electrolyte abnormalities, and addressing the precipitating factorwhich in most cases is infection or non-compliance with insulin therapy. Usually patients withdiabetic ketoacidosis are admitted to the intensive care unit for continuous infusion of insulin;however, the development of rapid acting insulin analogues has made it possible to treatmild to moderate diabetic ketoacidosis with subcutaneous insulin. Although studies usingsubcutaneous insulin include only a small number of patients, this approach seems as effectiveas intravenous insulin infusions in patients with mild to moderate diabetic ketoacidosis. Diabeticeducation and close follow-up for patients admitted for diabetic ketoacidosis remain essentialto avoid recurrence and readmissions.Keywords: Diabetic ketoacidosis, acute complication in diabetes, rapid acting insulinanalogues, subcutaneous insulin in diabetic ketoacidosis
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Van Assche, FA. "Management problems in the pregnant diabetic." Fetal and Maternal Medicine Review 5, no. 1 (February 1993): 29–38. http://dx.doi.org/10.1017/s096553950000070x.
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Major progress has been made in the knowledge and management of diabetes and pregnancy. However diabetes in pregnancy remains an important medical complication, with implications for mother and child in both the short and the long term. There are still controversies concerning the diagnostic criteria of gestational diabetes and concerning the best strategry for the treatment of this disorder. There is even less agreement about whether gestational diabetes is a pathological condition. The perinatal mortality in gestational diabetes has recently become as low as that in the general population. This has led to the conclusion that gestational diabetes is no more than a variant of metabolic adaptation during pregnancy. However, fetal hyperinsulinism is present in gestational diabetes, resulting in macrosomia, neonatal complications and most probably long term consequences. Improvements in the care of the preexisting insulin-dependent pregnant diabetic have been achieved but further progress in understanding the underlying mechanisms and in preventing and treating the disease are important goals for the near future.
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Parihar, Rahul, Pratyush Sharma, and Pandey A. K. "A NOBEL APPROACH OF DIABETIC NEUROPATHY & ITS MANAGEMENT THROUGH AYURVEDA." International Ayurvedic Medical Journal p5, no. 5 (July 25, 2021): 3012–21. http://dx.doi.org/10.46607/iamj09p5052021.
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Diabetes mellitus vis a vis Madhumeha is a multi-factorial metabolic disorder of the 21st century. It is caused by an absolute or a relative lack of insulin. Its manifestations include hyperglycemia, other metabolic derangements, and long-term damage to blood vessels, eyes, nerves, kidneys, and the heart. It is a leading cause of cardiac death, nonfatal MI, heart failure and stroke. It is also the most common cause of adult blindness, end-stage renal disease, non-traumatic leg amputation and neuropathy. Diabetes mellitus is one of the oldest diseases recognized since antiquity. It is amazing that 7 century B.C. Ayurvedic texts like Charaka and Sushruta Samhita have been described high caloric diet and sedentary habits as an important causative factor of Apathyanitmittaja Prameha and genetic/hereditary factors described as Sahaja Prameha. Besides this, more profound Ayurveda have been mentioned different complications of Madhumeha. These two types of diabetics have been described to be treated on two different lines of management. Its aetiopathogenesis, clinical presentation, complications as well as treatment modalities, appear well comparable to the latest knowledge of conventional medicine. Thus, the present concept will be providing a new outlook about the understanding of aetiopathogenesis and as well management of Diabetic neuropathy. Keywords: Ayurveda, Preameha, Madhumeha, Diabetes mellitus, diabetic neuropathy
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Janisse, Dennis, and Erick Janisse. "Pedorthic management of the diabetic foot." Prosthetics and Orthotics International 39, no. 1 (January 22, 2015): 40–47. http://dx.doi.org/10.1177/0309364614535233.
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Background:Conservative pedorthic management of the diabetic foot has been shown to be an effective method to prevent ulcers, amputations, and re-amputations. This article exhibits why and how pedorthics plays such an important role via modalities such as footwear, shoe modifications, custom foot orthoses, and partial foot prostheses.Objective:The objective of this article is to demonstrate how pedorthics has been shown to be an integral part of conservative diabetic foot care. The authors’ goal was to educate the reader about the different modalities that are available for use.Study designThis article is based largely on review of previously published research and scholarly articles, augmented by the more than 60 years of pedorthic and orthotic clinical experience of the authors.Methods:Approximately 60 journal articles and book chapters were reviewed by the authors. Articles were located via online resources such as PubMed as well as the authors’ own libraries.Results:It was repeatedly noted that pedorthic modalities such as shoes, foot orthoses, and shoe modifications may be utilized in the treatment and prevention of diabetic foot wounds and other complications.Conclusion:Pedorthic devices may be successfully integrated into a comprehensive treatment plan for patients with diabetes and foot ulcers.Clinical relevanceThis information is of special interest to those who treat patients with diabetes. The article demonstrates the efficacy of pedorthic intervention through the compilation and review of relevant previously published data.
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Kim, Sun Young. "Management of Diabetes in the Elderly." Journal of Korean Diabetes 23, no. 2 (June 30, 2022): 128–32. http://dx.doi.org/10.4093/jkd.2022.23.2.128.
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As the aging population increases, the number of elderly diabetic patients continues to increase. Elderly diabetic patients are more likely to develop cardiovascular and cerebrovascular diseases than other age groups because of the increased susceptibility to other diseases caused by diabetes. As a result, the quality of life is reduced and the death rate is increasing, which is considered a social problem. Therefore, in order to manage such patients, it is necessary to understand the characteristics of the elderly and solve problems that can occur in elderly diabetic patients.
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Vega-López, Sonia, Sridevi Devaraj, and Ishwarlal Jialal. "Oxidative Stress and Antioxidant Supplementation in the Management of Diabetic Cardiovascular Disease." Journal of Investigative Medicine 52, no. 1 (January 2004): 24–32. http://dx.doi.org/10.1177/108155890405200123.
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The diabetic state confers an increased propensity to accelerated atherogenesis. In addition to the established risk factors, there is evidence for increased oxidative stress in diabetes. Increased oxidative stress is manifested by increased lipid peroxidation, increased F2-isoprostanes, increased nitrotyrosine, and increased DNA damage. Also, in diabetics, there is increased superoxide release. With regard to diabetes, antioxidants such as α-tocopherol, α-lipoate, and ascorbic acid supplementation have been shown to be beneficial. Most importantly, α-tocopherol therapy, especially at high doses, clearly shows a benefit with regard to low-density lipoprotein oxidation, isoprostanes, and monocyte superoxide release. Thus, it appears that, in diabetes, antioxidant therapy could alleviate the increased attendant oxidative stress and emerge as an additional therapeutic modality.
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Kupitz, David G., Eva Fenwick, K. H. Martin Kollmann, Frank G. Holz, and Robert P. Finger. "Diabetes and Diabetic Retinopathy Management in East Africa." Asia-Pacific Journal of Ophthalmology 3, no. 5 (2014): 271–76. http://dx.doi.org/10.1097/apo.0b013e3182a83bfa.
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Copeland, Miriam, Kelli Whitted, Felicia Renales, and Noreen Lennen. "The Impact of Diabetic Education on Diabetes Management." Journal of Christian Nursing 40, no. 1 (January 2023): 42–47. http://dx.doi.org/10.1097/cnj.0000000000001018.
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M, AlemeB, and Omeodu S. I. "Hormonal and Hematologic Profile of Pre-Diabetic and Diabetic Patients in the University of Port Harcourt Teaching Hospital." Scholars Journal of Applied Medical Sciences 10, no. 3 (March 30, 2022): 368–74. http://dx.doi.org/10.36347/sjams.2022.v10i03.016.
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This examination investigated haematologic and hormonal profile in human diabetic subjects. The assessment solidified the human diabetic subjects and took the blood analytes to screen for diabetes. 120 male and female human subjects containing forty subjects each for control, pre-diabetics, and diabetics (three sets) facilitated for age, sex, height, weight and BMI were enrolled into the assessment reliant upon decided measures. Twenty each of the three sets of human subjects were males and females independently. Every illustration of blood serum and plasma was explored using Randox and Accubind packs and an autoanalyser to test for various biochemical and hematological limits. The overall results revealed a colossal differentiation (p≤0.05) in the limits of the analytes, except for that of Na+. Contributions to Knowledge: Based on the findings, analytes are good for predicting and managing DM, by comparing the blood analytes of non-diabetics, pre-diabetics, and diabetics in order to monitor the onset of diabetes and proffer possible solutions to enhance early detection and manage diabetes.
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Siwach, Reena, Parijat Pandey, Viney Chawla, and Harish Dureja. "Role of Nanotechnology in Diabetic Management." Recent Patents on Nanotechnology 13, no. 1 (April 25, 2019): 28–37. http://dx.doi.org/10.2174/1872210513666190104122032.
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Background:Diabetes Mellitus (DM) has emerged as an epidemic that has affected millions of people worldwide in the last few decades. Nanotechnology is a discipline that is concerned with material characteristics at nanoscale and offers novel techniques for disease detection, management and prevention.Objective:Diabetes mellitus is an epidemic disease that has affected millions of people globally. Nanotechnology has greatly enhanced the health status by providing non-obtrusive techniques for the management and treatment of diabetic patients.Method:In diabetes research, the nanotechnology has encouraged the advancement of novel glucose monitoring and several modalities for insulin delivery holding possibilities to enhance the personal satisfaction and life quality for diabetic patients.Result:Nanoparticles hold a great potential in the areas of drug delivery and are explored as vehicles for orally administered insulin formulations. Glucose biosensors equipped with nanoscale materials such as Quantum Dots (QDs), Carbon Nanotubes (CNTs), Magnetic Nanoparticles (MNPs) etc. have shown greater sensitivity. Nanotechnology in diabetic research is heading towards the novel techniques which can provide continuous glucose monitoring offering accurate information and improving patient’s compliance.Conclusion:The present review addresses the different aspects of nanoparticles and recent patents related to diabetic management based on nanotechnology.
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Panayiotou, B. N. "Microalbuminuria: Pathogenesis, Prognosis and Management." Journal of International Medical Research 22, no. 4 (July 1994): 181–201. http://dx.doi.org/10.1177/030006059402200401.
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The development in recent years of sensitive assays specific for albumin has facilitated extensive investigation of the pathophysiology and clinical significance of microalbuminuria. It is now clear that the appearance of microalbuminuria represents a crucial event in the natural histories of diabetes mellitus and essential hypertension. It reflects the presence of generalized vascular damage and is strongly predictive of subsequent renal failure, cardiovascular morbidity, and death. Therapeutic interventions, including strict diabetic and blood-pressure control, can reduce microalbuminuria and improve the overall prognosis. The detection and treatment of microalbuminuria in these high-risk groups should now form an integral part of their management. Large-scale screening programmes are also recommended for insulin-dependent diabetics.
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Diyan Pratama Sari and Diana Dayaningsih. "PENERAPAN SPA KAKI DIABETIK TERHADAP SIRKULASI DARAH PERIFER PADA PASIEN DIABETES MELLITUS TIPE 2DI WILAYAH BINAAN PUSKESMAS ROWOSARI SEMARANG." JURNAL KEPERAWATAN SISTHANA 6, no. 1 (March 22, 2021): 8–14. http://dx.doi.org/10.55606/sisthana.v6i1.71.
Full textAbstract:
Diabetes mellitus type 2 is most often occurring and cause acute vascular diseases of vascular perifer and the loss of perifer blood circulation. One management of peripheral blood circulation in people with diabetes mellitus is to use diabetic feet spa therapy. The purpose of this case study is to describe the application of diabetic feet spa to peripheral blood circulation after and before therapy of diabetic feet spa. The type of the study belongs descriptive with a case study approach. The subjects of this study were two patients with type 2 diabetes mellitus, experienced mild peripheral blood circulation disorders who did not have ulcer wounds, and had the will and willing to follow a diabetic feet spa. Analysis of peripheral blood circulation was carried out descriptively and measured by the Ankle Brachial Index (ABI). The results of the case study showed that there was an increase in peripheral blood circulation subjects in both subjects, in subject I from 0.83 (mild) to 0.92 (normal) and in subject II from 0.88 (mild) to 0.95 (normal) after being done therapy for diabetic feet spa. It is suggested to Puskesmas officers need to treat spa diabetics as one of the peripheral blood circulation management in patients with type 2 diabetes mellitus.