Download or read book Clinical Dilemmas in Diabetes written by Adrian Vella and published by Wiley-Blackwell. This book was released on 2011-04-18 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Dilemmas in Diabetes provides evidence-based clinical guidance on the most common and problematic areas of concern encountered in diagnosing, treating and managing patients with diabetes. Each chapter is highly topical and has been selected due to current interest, specific recent developments, and areas of controversy. This valuable guide provides assistance in managing the life-long treatment of diabetes and the complications that often develop in patients. Clinical Dilemmas in Diabetes guides the medical team in their decision-making, particularly when there are conflicts in the treatment for the disease and the complications. Part of the Clinical Dilemmas series, the well-focused chapter structure allows for quick retrieval of information, and each opens with a “Learning Points” box to aid easy assimilation of the main issues. With a leading team of contributors and editors, Professor Robert A. Rizza is the immediate Past-President of the American Diabetes Association. This book is perfect for use on the wards and clinics as well as for self-study by diabetologists, diabetes specialist nurses, endocrinologists, GPs and cardiologists.

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?

Download or read book Self monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus written by United States. Department of Veterans Affairs. Health Services Research and Development Service and published by . This book was released on 2007 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Diabetes is a prevalent and costly disease in Veterans. Control of blood glucose is an important VA objective. Self-monitoring of blood glucose (SMBG) is advocated as a method to better achieve control. The Key Questions were: Key Question 1. Is regular SMBG effective in achieving target A1c levels for patients with type 2 diabetes? Key Question 2. Is regular SMBG effective in maintaining target A1c levels for patients with type 2 diabetes? Key Question 3. Does regular SMBG reduce the frequency of hypoglycemia in patients with type 2 diabetes? Key Question 4. Is there evidence that different frequencies of testing result in differences in improvements in A1c? METHODS: We searched PubMed from 2004-2006 using standard search terms. We performed an update search in July 2007. Titles, abstracts, and articles were reviewed in duplicate by physicians trained in the critical analysis of literature. Data were extracted by quantitative analysts. Pooled analyses were performed for trials with A1c outcomes at six months and 12 months or greater of follow-up. All other data were narratively summarized. RESULTS: We screened 52 titles, 14 were rejected, and we performed a more detailed review on 38 articles. From this, we identified 14 randomized controlled trials (RCTs) that measured the effect of SMBG compared to a group not receiving SMBG and monitored A1c levels with at least three months of follow-up. Four trials were excluded; one because it presented duplicate data and three because they evaluated SMBG in both the control and intervention groups, leaving 10 trials contributing to the efficacy analysis. We identified five observational studies assessing effectiveness in diabetic Veterans.

Download or read book Compliance with Therapeutic Regimens written by R. Brian Haynes and published by Baltimore : Johns Hopkins University Press. This book was released on 1976 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Hypoglycemia in Diabetes written by Philip Cryer and published by American Diabetes Association. This book was released on 2016-07-12 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intended for diabetes researchers and medical professionals who work closely with patients with diabetes, this newly updated and expanded edition provides new perspectives and direct insight into the causes and consequences of this serious medical condition from one of the foremost experts in the field. Using the latest scientific and medical developments and trends, readers will learn how to identify, prevent, and treat this challenging phenomenon within the parameters of the diabetes care regimen.

Download or read book Practical CGM written by Gary Scheiner and published by American Diabetes Association. This book was released on 2015-05-06 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use of real-time continuous glucose monitors among people with type 1 and type 2 diabetes is growing rapidly and should continue to grow until an artificial pancreas is brought to market. Likewise, use of professional systems in healthcare practices is expanding. But, other than manufacturer instructional manuals and some book chapters on CGMs, there are no standalone publications available with concise, non-commercial instructions on CGM prescription and use. Additionally, continuous glucose monitors are too often not used to their full and proper potential. This leaves users with suboptimal glucose control and can result in system abandonment. To address this, diabetes educator and author Gary Scheiner has created Practical CGM: Improving Patient Outcomes through Continuous Glucose Monitoring to give healthcare providers the skill to make more effective use of the data generated by continuous glucose monitors, in both real-time and on a retrospective analytic basis. Using a plain-language approach and distilling content to concise, practical tips and techniques, Scheiner has created a guide that will help practitioners optimize patient use of CGM systems and, ultimately, improve glucose control and patient health outcomes.

Download or read book Exercise and Diabetes written by Sheri R. Colberg and published by American Diabetes Association. This book was released on 2013-05-30 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical movement has a positive effect on physical fitness, morbidity, and mortality in individuals with diabetes. Although exercise has long been considered a cornerstone of diabetes management, many health care providers fail to prescribe it. In addition, many fitness professionals may be unaware of the complexities of including physical activity in the management of diabetes. Giving patients or clients a full exercise prescription that take other chronic conditions commonly accompanying diabetes into account may be too time-consuming for or beyond the expertise of many health care and fitness professionals. The purpose of this book is to cover the recommended types and quantities of physical activities that can and should be undertaken by all individuals with any type of diabetes, along with precautions related to medication use and diabetes-related health complications. Medications used to control diabetes should augment lifestyle improvements like increased daily physical activity rather than replace them. Up until now, professional books with exercise information and prescriptions were not timely or interactive enough to easily provide busy professionals with access to the latest recommendations for each unique patient. However, simply instructing patients to “exercise more” is frequently not motivating or informative enough to get them regularly or safely active. This book is changing all that with its up-to-date and easy-to-prescribe exercise and physical activity recommendations and relevant case studies. Read and learn to quickly prescribe effective and appropriate exercise to everyone.

Download or read book Blood Glucose Self monitoring in Type 2 Diabetes written by Andrew J. Farmer and published by . This book was released on 2009 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Diabetes Textbook written by Joel Rodriguez-Saldana and published by Springer. This book was released on 2019-06-27 with total page 1040 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical and economic outcomes is required. The purpose of this textbook is multiple: to offer a comprehensive resource covering all aspects of outpatient management; to address diabetes as a health problem from an epidemiological, economic and clinical perspective; to discuss the role of social determinants of health on the worldwide increase in diabetes; to highlight the challenges and obstacles in providing adequate care; and to outline a multidisciplinary approach to management in which medical visits retain their importance as part of a team comprising the patient, his or her family and a multidisciplinary group of health professionals who are able to move beyond the traditional approach of diabetes as a disease and greatly improve outcomes.

Download or read book Diabetes written by Christopher D. Saudek and published by Johns Hopkins Health. This book was released on 2007 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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

Download or read book The Utility of Self monitoring of Blood Glucose in the Management of Type II Diabetes written by Margaret Sue Muldoon and published by . This book was released on 1994 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Practical Insulin written by American Diabetes Association and published by American Diabetes Association. This book was released on 2015-07-14 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fourth edition of Practical Insulin: A Handbook for Prescribing Providers is a completely revised version of the popular ADA pocket reference. With information on all the currently FDA-approved insulins, this handy pocket guide gives you fast, reliable information and helps you overcome the challenges all clinicians face—choosing an insulin regimen to effectively manage blood glucose and patient resistance. It includes data on all types of insulin, mixing insulins, absorption rates, and more.

Download or read book Self monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus written by United States. Department of Veterans Affairs. Health Services Research and Development Service and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Influence of Blood Glucose Self monitoring on the Long term Control of Type II Diabetes Mellitus written by Susan Diane Plumley and published by . This book was released on 1988 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Nutritional Management of Diabetes Mellitus written by Gary Frost and published by John Wiley & Sons. This book was released on 2003-11-04 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes mellitus is a common disorder where the body is no longer able to regulate blood glucose levels correctly owing to defects in insulin secretion or action. While some people require treatment with insulin, many are able to control their diabetes through management of diet, e.g. by decreasing the fat intake and increasing the amount of fibre. This book provides an up-to-date review of the dietary management of diabetes looking at general topics, such as the metabolic principles of nutrition, as well as more specific topics, such as nutritional management of diabetic children, pregnant women and the elderly. A specialist text on the nutritional management of diabetes A practical book, useful in clinical practice Written by well respected clinicians within the field

Download or read book Effectiveness of Bright Guidelines in Self monitoring of Blood Glucose Among People with Type 1 and Type 2 Diabetes written by Ghafoor Erum and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Title: Effectiveness of BRIGHT guidelines in self-monitoring of blood glucose among people with type 1 and type 2 diabetes.BackgroundThe burden of Diabetes is continuously increasing rapidly due to lack of healthcare infrastructure, insurance policies and coverage, the high cost of health care and non-existence of locally affordable guidelines. 'Advisory Board for the Care of Diabetes (ABCD) of Pakistanu201d has taken the initiative and established BRIGHT guidelines for the self-monitoring of blood glucose levels for people with Diabetes. These guidelines recommend four patterns of SMBGs in form of tables (Low- intensity, moderate intensity, medium intensity and high intensity). Each table recommends the different frequency of self-monitoring of blood glucose as per individualu2019s specific educational, behavioral or clinical requirements in order to identify, prevent and manage acute hyper- and hypoglycemia.Aims:- To evaluate the efficacy of bright guidelines in the monitoring of blood glucose levels among people with type1 and type 2 Diabetes at Karachi, Pakistan.- To access the overall impact of structured monitoring of Blood glucose on metabolic control in people with type1 and type 2 DiabetesMethodPeople with Diabetes who were registered Baqai Institute of Diabetology and Endocrinology and had been given direction to use specific SMBG protocols from Bright guidelines at least 3 months back were invited to participate in this study. A pre-designed questionnaire was administered after three months on the follow-up visit to collect the data regarding the self-report of the implementation of suggested SMBG protocols from Bright guidelines and patients written records were collected to assess the degree of implementation in terms of percentage of suggested tests done. Clinical Data and HbA1c values were retrieved from hospital records and also collected on the follow-up visit to compare the metabolic status. Subjects were categorized Good fair and poor followers of Bright guidelines on the basis of their verbal reports and submitted SMBG records. The difference in HBA1c on the day of data collection and 3-5 months before the data collection was calculated. Association between the implementation of bright guidelines and improvement in glycemic control was explored by comparing mean difference in hba1c in good and poor followers. Data was recorded and analyzed in SPSS version 19.0.ResultsPercentage of compliance to Bright Guidelines ranged from 20 to 100 %. Subjectsu2019 self-reports had the significant positive association with diabetes educatoru2019s records based assessment of implementation. Out of those who claimed implementation only 7.1% were categorized as poor followers while among those who did not claim implementation 87% categorized as poor followers. For good followers mean HbA1C had declined by 1.4% whereas it was raised by .6% for poor followers and this difference was statistically significant (P=0.004).There was no significant difference between type 1 and type 2 diabetics in terms of degree of implementation of Bright Guidelines. Fear (45%) was the most frequently mentioned reason for not following the guidelines followed by lack of time (36%), cost (11%) and forgetting (4%).DiscussionBright guidelines have potential to have a positive impact on glycemic control of both type 1 and type 2 people with Diabetes. Strategies to increase subjectsu2019 motivation are required to improve the degree of implementation.