Evaluation Of A Telehealth Intervention Combining Structured Self Monitoring Of Blood Glucose And Nurse Care Coordination Among People With Type 2 Diabetes Noninsulin Treated

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Evaluation of a Telehealth Intervention Combining Structured Self-monitoring of Blood Glucose and Nurse Care Coordination Among People with Type 2 Diabetes Noninsulin-treated

Author : Deborah Ann Greenwood
Publisher :
ISBN 13 : 9781321211382
Total Pages : pages
Book Rating : 4.2/5 (113 download)

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Book Synopsis Evaluation of a Telehealth Intervention Combining Structured Self-monitoring of Blood Glucose and Nurse Care Coordination Among People with Type 2 Diabetes Noninsulin-treated by : Deborah Ann Greenwood

Download or read book Evaluation of a Telehealth Intervention Combining Structured Self-monitoring of Blood Glucose and Nurse Care Coordination Among People with Type 2 Diabetes Noninsulin-treated written by Deborah Ann Greenwood and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation evaluates the effectiveness of a telehealth remote patient monitoring (RPM) intervention that combines structured self-monitoring of blood glucose (SMBG) and nurse care coordination (NCC) to improve outcomes in persons with type 2 diabetes. The primary aims were to compare differences between glycated hemoglobin (A1C), self-management, self-efficacy, and knowledge compared to usual care after 12 weeks. A two-group randomized clinical trial comparing usual care and RPM--with structured SMBG called paired testing--enrolled 90 people with type 2 diabetes, aged 30-70 years, not taking insulin, in NCC for 12 months with A1C between 7.5%-10.9%. The RPM system includes a computer connected to the Internet to transmit glucose data. Participants received education in paired glucose testing, glucose goals, and problem-solving. Paired testing--checking glucose before and two hours after a meal or physical activity for one week--created action plans for behavioral changes. Glucose data were analyzed weekly using pattern analysis software summarized by premeal, postmeal, and change values, with feedback via electronic health record for asynchronous communication. Nurses telephoned participants monthly to discuss goal achievement. Glucose patterns not reflecting improvement after four weeks required shared decision-making medication options. Separate mixed-effects models were used to determine if intervention or control improved over time, and if intervention showed greater improvement. Data (n = 87) included mean (SD) age 55.7 ± 10.6, mean years with diabetes 8.2 ± 5.4, body mass index 34.1 ± 6.7, and mean A1C 8.3 ± 1.1. There was a significant difference in linear rate of change in A1C indicating the treatment group had on average a faster rate of decline and a faster mean rate of improvement. The treatment group showed greater improvement in summary of diabetes self-care activities subscales of carbohydrate spacing, monitoring blood glucose, and foot care. Neither group improved knowledge or self-efficacy. This intervention shows promise for implementing a complete feedback loop to engage participants in gathering actionable data, using RPM to transmit and analyze structured data, and providing a mechanism for clinicians to virtually communicate to support timely behavior and treatment changes.

Health Sciences Literature Review Made Easy

Author : Judith Garrard
Publisher : Jones & Bartlett Publishers
ISBN 13 : 144969490X
Total Pages : 230 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Health Sciences Literature Review Made Easy by : Judith Garrard

Download or read book Health Sciences Literature Review Made Easy written by Judith Garrard and published by Jones & Bartlett Publishers. This book was released on 2013-05-20 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: This fourth edition is a text for your nursing research course and provides students with a solid foundation and the tools they need to evaluate articles and research effectively. The fourth edition builds on the digital updates made to the previous edition and highlights the Matrix Method and the skills necessary to critically evaluate articles. The text also covers Method Maps, which teach students how to effectively construct a research study. The author leads students through the process of how to manage a quality literature review in the context of evidence-based practice. A case study highlighting a typical graduate student is woven throughout the text to illustrate the importance of literature reviews and evidence-based practice. Health sciences literature review made easy, fourth edition is appropriate for graduate level nursing courses as well as undergraduate Nursing Research courses that require literature reviews.

Effectiveness of Telemedicine Technologies for Improving Glucose Control in Patients with Type 2 Diabetes Mellitus

Author : Katherine St. Jacques
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (133 download)

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Book Synopsis Effectiveness of Telemedicine Technologies for Improving Glucose Control in Patients with Type 2 Diabetes Mellitus by : Katherine St. Jacques

Download or read book Effectiveness of Telemedicine Technologies for Improving Glucose Control in Patients with Type 2 Diabetes Mellitus written by Katherine St. Jacques and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Uncontrolled diabetes mellitus is the seventh leading cause of mortality and the leading cause of blindness, kidney failure, and non-traumatic amputations in the United States. A high prevalence of type 2 diabetes mellitus (T2D) has placed a strain on health care systems due to costs associated with anti-diabetic medications as well as diabetes-associated morbidities and disabilities. Traditionally, medical care providers have prescribed lifestyle and medication changes during clinical face-to-face visits, however these visits are costly and are often not effective for producing desired changes in self-management techniques. Evidence shows that the current standard of care often fails to deliver on achieving evidence-based recommendations for glycemic control for patients with diabetes. Recent advancements in telemedicine technologies have emerged as promising platforms which can deliver diabetes management services while reducing unnecessary use of health care resources. Different technological approaches may vary with regard to patient glycemic control outcomes, and cost differences should be taken into consideration when selecting the technology that may provide the greatest overall benefit for the patient. Many newer glucometers have transmission capabilities, allowing these meters to link to smartphone Apps or websites. Patients can measure their glucose levels, share results with their healthcare team in real time, and talk over the phone or through video visits for medication or lifestyle interventions, all in a more expedient manner compared to traditional face-to-face visits. Remote monitoring of blood glucose levels by clinicians has been shown to be feasible and acceptable for patients with both type 1 diabetes mellitus (T1D) and T2D. With this background in mind, the aim of the current review was to evaluate the effectiveness of remote blood glucose monitoring compared to continuous glucose monitoring (CGM) for lowering HbA1c in adult patients with T2D. PubMed was searched for randomized controlled trials, clinical trials, and systematic reviews that included either remote blood glucose monitoring, CGM, or both, and individual interventions had to be longer than six weeks in duration. Studies also had to include adult patients with T2D and had to examine the outcome of change in HbA1c as the primary or secondary outcome of interest. Inclusion and exclusion criteria were determined a priori, and searches included a variety of search terms yielding 92 records, of which 27 articles met the inclusion criteria. Study findings suggested that both remote blood glucose monitoring and CGM are effective for reducing HbA1c in patients with T2D compared to controls. Both the absolute treatment means, and the average treatment mean differences suggest larger reductions in HbA1c in the remote blood glucose monitoring interventions as compared to the CGM interventions. In agreement with previous research, side by side comparisons of the included studies revealed a trend toward greater absolute reductions in HbA1c among all studies where patients had higher baseline HbA1c levels, frequent engagement with the clinical team for more timely and responsive management, as well as algorithm-based treatment plans. Future studies should include a comparison of feasibility, cost of care to implement the interventions, and cost savings to inform clinical decision making, thereby identifying the technology with the greatest overall benefit for patients with diabetes.

Systematic Review on Self-Monitoring of Blood Glucose for Non-Insulin-Using Type 2 Diabetes Patients

Author : Shan Xiao
Publisher :
ISBN 13 : 9781361300565
Total Pages : pages
Book Rating : 4.3/5 (5 download)

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Book Synopsis Systematic Review on Self-Monitoring of Blood Glucose for Non-Insulin-Using Type 2 Diabetes Patients by : Shan Xiao

Download or read book Systematic Review on Self-Monitoring of Blood Glucose for Non-Insulin-Using Type 2 Diabetes Patients written by Shan Xiao and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Systematic Review on Self-monitoring of Blood Glucose for Non-insulin-using Type 2 Diabetes Patients" by Shan, Xiao, 肖珊, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: The increasing prevalence causes great burden to global health. Although there is not yet an agreement on the effect of SMBG for non-insulin-treating type 2 DM patients in comprehensive management, some guidelines recommended all diabetes patients should conduct SMBG. This literature review of 5 meta-analyses and 13 randomized controlled clinical trials assessed the effectiveness of SMBG in glucose control (HbA1c), detection of hypoglycemia, non-glycemic outcomes and potential influence factors(duration of diabetes, baseline HaB1c level, SMBG frequency, SMBG duration, co-interventions) of SMBG efficacy on type 2 diabetes patients not using insulin. The method of this literature review is through a comprehensive electronic literature search of Ovid MEDLINE, EMBASE, the Cochrane Library and China Journals Full-text Database. Both English and Chinese language literatures were reviewed. All meta-analysis and randomized controlled trials of type 2 diabetes non-insulin-using patients taking SMBG to improve the glycemic control and other outcomes were included. In these studies, absolute HbA1c reduction, recognized episodes of hypoglycemia, wellbeing, QALY, DALY, complication morbidity, mortality were used as outcome measures if available. A score list based on the PRISMA Statement was used to evaluate the quality of meta-analyses. 5 meta-analysis all reported a statistical significant but clinical modest-moderate difference in HbA1c reduction between SMBG and non-SMBG group, a new published randomized controlled trial with small cohort enrolled in none of the meta- analyses did not support this conclusion. Evidence showed frequency of SMBG did not influence the efficacy of SMBG, co-interventions as education/consultation, regimen change played a positive roll on SMBG efficacy. Whether baseline HbA1c, duration of diabetes or SMBG itself have an effect on SMBG efficacy was still unknown. There is inadequate evidence of SMBG efficacy of detection of hypoglycemia of patient-oriented outcomes. No eligible Chinese article was defined to enroll in this review. This review did not support to suggest all type 2 diabetes patients not using insulin to conduct SMBG at the frequency the guidelines recommended. Carefully designed and longer-term trials are needed to obtain evidence that is more robust. Further investigation would provide more evidence of the characteristics of potential influence factors, which may help to define the specific population or optimal mode that guarantee the greatest efficacy of SMBG. DOI: 10.5353/th_b4842673 Subjects: Blood sugar monitoring Non-insulin-dependent diabetes

Evidence: Helping people help themselves

Author : Debra de Silva
Publisher : The Health Foundation
ISBN 13 : 1906461260
Total Pages : 52 pages
Book Rating : 4.9/5 (64 download)

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Book Synopsis Evidence: Helping people help themselves by : Debra de Silva

Download or read book Evidence: Helping people help themselves written by Debra de Silva and published by The Health Foundation. This book was released on 2011 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Mobile Health Technologies

Author : Wilfred Bonney
Publisher : BoD – Books on Demand
ISBN 13 : 9535126342
Total Pages : 154 pages
Book Rating : 4.5/5 (351 download)

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Book Synopsis Mobile Health Technologies by : Wilfred Bonney

Download or read book Mobile Health Technologies written by Wilfred Bonney and published by BoD – Books on Demand. This book was released on 2016-08-31 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mobile Health Technologies, also known as mHealth technologies, have emerged, amongst healthcare providers, as the ultimate Technologies-of-Choice for the 21st century in delivering not only transformative change in healthcare delivery, but also critical health information to different communities of practice in integrated healthcare information systems. mHealth technologies nurture seamless platforms and pragmatic tools for managing pertinent health information across the continuum of different healthcare providers. mHealth technologies commonly utilize mobile medical devices, monitoring and wireless devices, and/or telemedicine in healthcare delivery and health research. Today, mHealth technologies provide opportunities to record and monitor conditions of patients with chronic diseases such as asthma, Chronic Obstructive Pulmonary Diseases (COPD) and diabetes mellitus. The intent of this book is to enlighten readers about the theories and applications of mHealth technologies in the healthcare domain.

The Effect of Blood Glucose Self-monitoring in Patients with Non-insulin Treated Type 2 Diabetes

Author : Alisha N. Wade
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (357 download)

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Book Synopsis The Effect of Blood Glucose Self-monitoring in Patients with Non-insulin Treated Type 2 Diabetes by : Alisha N. Wade

Download or read book The Effect of Blood Glucose Self-monitoring in Patients with Non-insulin Treated Type 2 Diabetes written by Alisha N. Wade and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Effect of Blood Glucose Self-monitoring in Patients with Non-insulin Treated Type 2 Diabetes

Author : Alisha N. Wade
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (357 download)

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Book Synopsis The Effect of Blood Glucose Self-monitoring in Patients with Non-insulin Treated Type 2 Diabetes by : Alisha N. Wade

Download or read book The Effect of Blood Glucose Self-monitoring in Patients with Non-insulin Treated Type 2 Diabetes written by Alisha N. Wade and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Self-Monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus: Meta Analysis of Effectiveness

Author : U. S. Department of Veterans Affairs
Publisher : Createspace Independent Pub
ISBN 13 : 9781490477008
Total Pages : 52 pages
Book Rating : 4.4/5 (77 download)

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Book Synopsis Self-Monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus: Meta Analysis of Effectiveness by : U. S. Department of Veterans Affairs

Download or read book Self-Monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus: Meta Analysis of Effectiveness written by U. S. Department of Veterans Affairs and published by Createspace Independent Pub. This book was released on 2013-06-18 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the World Health Organization, at least 180 million people worldwide suffer from diabetes. Though prevalent throughout the world, diabetes is more common (especially type 2) in more developed countries like the United States. The National Diabetes Information Clearinghouse estimates that diabetes costs $132 billion in the United States alone every year. Given these estimates along with the projection that the worldwide incidence of diabetes will double in the next 20 years, 1 intensified research into better management of this chronic disease is paramount. Tighter control of blood glucose is advocated as a means to reduce microvascular and macrovascular complications. VA has performance measures assessing the proportion of patients meeting certain A1c goals, currently 7% and 9%. Theoretically, self-monitoring of blood glucose (SMBG) can improve compliance with recommendations on diet and exercise and medication regimens. The American Diabetes Association has recommended that the optimal frequency of SMBG for patients with type 2 diabetes should be adequate to facilitate reaching glucose goals. This hypothesis is based on the expectation that life style changes are facilitated by SMBG. Under these conditions, we should expect an improvement of glycemic control SMBG may decrease patient management costs, and because of the high prevalence of type 2 diabetes, efforts to establish the efficacy of SMBG in type 2 diabetes mellitus are of greater relevance. Methods to achieve improved glycemic control, and therefore a higher proportion of patients meeting target A1c levels, include diet, exercise, and medication. However, evidence supporting the use of SMBG for diabetics not requiring insulin is not as clear. The purpose of this review is to analyze the literature to answer four key questions given to us by VA: 1) Is regular self-monitoring of blood glucose effective in achieving target A1c levels for patients with type 2 diabetes?; 2) Is regular self-monitoring of blood glucose effective in maintaining target A1c levels for patients with type 2 diabetes?; 3) Does regular self-monitoring of blood glucose reduce the frequency of hypoglycemia in patients with type 2 diabetes?; 4) Is there evidence that different frequencies of testing result in differences in improvements in A1c?

Self-monitoring of Blood Glucose in Noninsulin-treated Diabetes

Author :
Publisher :
ISBN 13 :
Total Pages : 18 pages
Book Rating : 4.:/5 (111 download)

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Book Synopsis Self-monitoring of Blood Glucose in Noninsulin-treated Diabetes by :

Download or read book Self-monitoring of Blood Glucose in Noninsulin-treated Diabetes written by and published by . This book was released on 2009 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes use test strips as a means to check their blood glucose levels. Systematic self-monitoring of blood glucose is necessary for successful insultin therapy aimed at controlling glucose. However, in patients with noninsulin-treated type 2 diabetes, the benefit of systematic self-monitoring has been called into question. This report reviews the scientific evidence for systematic self-monitoring of blood glucose with test sticks in patients with type 2 diabetes, but who are not receiving insulin therapy. The Swedish National Board of Health and Welfare commissioned the report to use as a basis for their national guidelines on diabetes care. SBU is producing three additional reports within the framework of the National Board of Health and Welfare's guidelines on diabetes -- patient education in managing diabetes, intensive glucose lowering therapy in diabetes, and dietary treatment of diabetes. Conclusions The scientific evidence does not show any benefits from systematic self-monitoring of blood glucose (SMBG) with test sticks in people with noninsulin-treated type 2 diabetes. Examples of specific situations where people with noninsulin-treated type 2 diabetes may have reason to use test sticks include symptoms of hypoglycemia, particularly in patients being treated with sulfonylurea agents and meglitinides. Self-monitoring may also be needed for other purposes, e.g., educational purposes in conjunction with changes in therapy or acute disease. A more restrictive use of test sticks in this patient group would reduce costs and would not increase medical risks.

Self-monitoring of Blood Glucose in Non-insulin Treated Patients with Type 2 Diabetes

Author : Carine Joëlle Houriet
Publisher :
ISBN 13 :
Total Pages : 11 pages
Book Rating : 4.:/5 (742 download)

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Book Synopsis Self-monitoring of Blood Glucose in Non-insulin Treated Patients with Type 2 Diabetes by : Carine Joëlle Houriet

Download or read book Self-monitoring of Blood Glucose in Non-insulin Treated Patients with Type 2 Diabetes written by Carine Joëlle Houriet and published by . This book was released on 2010 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Self Monitoring of Blood Glucose in Non-insulin-treated Type 2 Diabetes

Author : NHS Diabetes Working Group
Publisher :
ISBN 13 :
Total Pages : 16 pages
Book Rating : 4.:/5 (957 download)

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Book Synopsis Self Monitoring of Blood Glucose in Non-insulin-treated Type 2 Diabetes by : NHS Diabetes Working Group

Download or read book Self Monitoring of Blood Glucose in Non-insulin-treated Type 2 Diabetes written by NHS Diabetes Working Group and published by . This book was released on 2010 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Use of Self Monitoring of Blood Glucose in Glycaemic Control of Non-Insulin Treated Type 2 Diabetes Mellitus Patients

Author : 梁心銘
Publisher : Open Dissertation Press
ISBN 13 : 9781374680999
Total Pages : pages
Book Rating : 4.6/5 (89 download)

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Book Synopsis Use of Self Monitoring of Blood Glucose in Glycaemic Control of Non-Insulin Treated Type 2 Diabetes Mellitus Patients by : 梁心銘

Download or read book Use of Self Monitoring of Blood Glucose in Glycaemic Control of Non-Insulin Treated Type 2 Diabetes Mellitus Patients written by 梁心銘 and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Use of Self Monitoring of Blood Glucose in Glycaemic Control of Non-insulin Treated Type 2 Diabetes Mellitus Patients" by 梁心銘, Sum-ming, Leung, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. DOI: 10.5353/th_b4072112 Subjects: Blood sugar monitoring Non-insulin-dependent diabetes Diabetes Mellitus

Self-monitoring Blood Glucose in Type 2 Diabetes: a Continuous Improvement Initiative

Author : Rossi Maria Chiara
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis Self-monitoring Blood Glucose in Type 2 Diabetes: a Continuous Improvement Initiative by : Rossi Maria Chiara

Download or read book Self-monitoring Blood Glucose in Type 2 Diabetes: a Continuous Improvement Initiative written by Rossi Maria Chiara and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Self-monitoring blood glucose (SMBG) is a key tool for therapeutic decision and structured patient education. Despite there is evidence that SMBG improves metabolic control both in insulin-treated and in non insulin treated patients with type 2 diabetes (T2DM), the prescription and execution of SMBG is suboptimal and heterogeneous. AIM: AMD Annals initiative aims to improve quality of diabetes care in Italy. This analysis assessed the use of SMBG in patients with T2DM to evaluate frequency of SMBG, metabolic control, and hypoglycemia in the different therapeutic schemes including or not insulin. METHOD: A specific software has been used for the standardized extraction of the information contained in the electronic medical records. Extracted data included clinical data, therapies and all SMBG values downloaded on EMR by different glucose meters routinely used by the patients. Sample was constituted by T2DM patients with at least one HbA1c value during the years 2014 and 2015 and with at least 1 available SMBG value measured in the 90 days before the HbA1c test. RESULTS: Overall 21 centers and 27,768 observations were included in the analysis. Frequency of SMBG, levels of fasting and post-prandial blood glucose (FBG and PPG), and values below 60 mg/dl were evaluated in the following treatment schemes: metformin only (N=3188); secretagogues only (N=685); metformin + secretagogues (N=2929); metformin + DPP-IV inhibitor (N=612); metformin + secretagogues + DPP-IV (N=3132); metformin + secretagogues + acarbose (N=337); GLP1RA + metformin + secretagogue (N=375); GLP1RA + metformin (N=516); basal insulin + metformin + secretagogues (N=3486); basal + short acting insulin + metformin (N=1666); basal + short acting insulin (N=6842). SMBG was frequently recommended also to patients not treated with insulin: 45.7% of observations referred to patients not treated with insulin. Frequency of SMBG was suboptimal in all treatment schemes; even patients treated with schemes including insulin monitored their glucose less than two times per day. Furthermore, 39.5% of SMBG tests could not be univocally classified as FBG or post-prandial glucose (PPG). In all treatment schemes, of those values which could be univocally classified, over 95% of SMBG tests were FBG values and less than 5% were PPG values. Pre-breakfast FBG values represented about 50% of all available FBG values in all treatment schemes. The frequency of SMBG does not substantially differed among the most common schemes with oral agents, irrespective of the use of secretagogues. The average FBG during three months was over 130 mg/dl in 38% to 84% of the cases in the different schemes, while average PPG was over 140 mg/dl in 36% to 73% of the cases. Even when looking at the most common therapeutic approaches, it emerged that substantial proportions of cases have elevated FBG and PPG, even though average HbA1c levels were often acceptable. The use of therapeutic schemes including secretagogues was associated with a two to three-fold increased risk of glycemic values

Psychosocial Care for People with Diabetes

Author : Deborah Young-Hyman
Publisher : American Diabetes Association
ISBN 13 : 1580404391
Total Pages : 330 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes

Author : Jeehyun Y. Lim
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (126 download)

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Book Synopsis The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes by : Jeehyun Y. Lim

Download or read book The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes written by Jeehyun Y. Lim and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Submitted to the School of Nursing and Health Professions of Colorado Christian University Lakewood, Colorado in partial fulfillment of the requirements for the degree of DOCTOR OF NURSING PRACTICE Abstract Background: There is a high incidence of diabetes within the multi-ethnic migrant population. Yet, this population faces many barriers related to language, culture, and income level when accessing the healthcare system. As a result, interventions to improve glycemic control must be targeted and include a culturally competent approach. Purpose: The purpose of this project was to assess how a 3-month long culturally competent telehealth intervention, focused on mutual goal-setting and frequent patient interactions to encourage self-monitoring adherence, would impact hemoglobin A1c levels (HbA1c) in medically underserved multi-ethnic migrant patients. Methods: This project included a randomized design, with a total of 42 participants. For the intervention, the telehealth manager set mutual goals and interacted with participants every other week through individual telehealth sessions. Patients self-measured blood glucose levels using a Bluetooth glucometer that transmitted data through the central telehealth system. Results: A significant reduction in HbA1c levels occurred between the control and intervention group for individuals with a baseline HbA1c level of 9.0% or higher. Although there was a significant improvement in HbA1c levels from baseline to endpoint in participants with a baseline HbA1c level of 7.0% or higher, no statistical significance was observed between groups. Frequency of blood glucose monitoring played an important role in this project, evident by a strong correlation between the number of times blood glucose levels were self-measured by patients and the reduction they achieved in HbA1c levels between baseline and endpoint. Keywords: diabetes, telehealth, telemedicine, glycemic control, hemoglobin A1c, medically underserved, multi-ethnic, culturally diverse, migrants

National Prevention Strategy: America’s Plan for Better Health and Wellness

Author : Regina M. Benjamin
Publisher : DIANE Publishing
ISBN 13 : 1437987621
Total Pages : 125 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis National Prevention Strategy: America’s Plan for Better Health and Wellness by : Regina M. Benjamin

Download or read book National Prevention Strategy: America’s Plan for Better Health and Wellness written by Regina M. Benjamin and published by DIANE Publishing. This book was released on 2011 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Affordable Care Act, landmark health legislation passed in 2010, called for the development of the National Prevention Strategy to realize the benefits of prevention for all Americans¿ health. This Strategy builds on the law¿s efforts to lower health care costs, improve the quality of care, and provide coverage options for the uninsured. Contents: Nat. Leadership; Partners in Prevention; Healthy and Safe Community Environ.; Clinical and Community Preventive Services; Elimination of Health Disparities; Priorities: Tobacco Free Living; Preventing Drug Abuse and Excessive Alcohol Use; Healthy Eating; Active Living; Injury and Violence Free Living; Reproductive and Sexual Health; Mental and Emotional Well-being. Illus. A print on demand report.