Download or read book Effectiveness of a Single Individual Diabetes Education Session Versus Completion of a Program of Group Classes on Hemoglobin A1c HbA1c and Lipids in Type 2 Diabetes Mellitus written by Devon Marie Hoster and published by . This book was released on 2015 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Diabetes self-management education/training (DSME/DSMT) is a tool for managing diabetes mellitus; however, a research gap exists regarding the clinical effectiveness of completing versus failing to complete a DSME/DSMT program. Objective: This study determined the difference in effectiveness between a single initial individual DSMT session and completion of the full DSMT program via group classes by people with type 2 diabetes. Methods: A retrospective study compared HbA1c and lipid values between the “individual education” and “group education” groups from pre- to post-program from the Presence St. Joseph Medical Center’s DSMT program. Results: Statistically significant differences were not found between groups for HbA1c or lipids (p = 0.612). However, clinically significant differences were noted from pre- to post-program in HbA1c and all lipid values in favor of the program-completing group. Conclusions: This study supports the efficacy of program completion in guiding HbA1c and lipid levels toward clinical targets when compared to the same laboratory values for non-completion.
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 Mastering Diabetes written by Cyrus Khambatta, PhD and published by Penguin. This book was released on 2020-02-18 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: The instant New York Times bestseller. A groundbreaking method to master all types of diabetes by reversing insulin resistance. Current medical wisdom advises that anyone suffering from diabetes or prediabetes should eat a low-carbohydrate, high-fat diet. But in this revolutionary book, Cyrus Khambatta, PhD, and Robby Barbaro, MPH, rely on a century of research to show that advice is misguided. While it may improve short-term blood glucose control, such a diet also increases the long-term risk for chronic diseases like cancer, high blood pressure, high cholesterol, chronic kidney disease, and fatty liver disease. The revolutionary solution is to eat a low-fat plant-based whole-food diet, the most powerful way to reverse insulin resistance in all types of diabetes: type 1, type 1.5, type 2, prediabetes, and gestational diabetes. As the creators of the extraordinary and effective Mastering Diabetes Method, Khambatta and Barbaro lay out a step-by-step plan proven to reverse insulin resistance-the root cause of blood glucose variability- while improving overall health and maximizing life expectancy. Armed with more than 800 scientific references and drawing on more than 36 years of personal experience living with type 1 diabetes themselves, the authors show how to eat large quantities of carbohydrate-rich whole foods like bananas, potatoes, and quinoa while decreasing blood glucose, oral medication, and insulin requirements. They also provide life-changing advice on intermittent fasting and daily exercise and offer tips on eating in tricky situations, such as restaurant meals and family dinners. Perhaps best of all: On the Mastering Diabetes Method, you will never go hungry. With more than 30 delicious, filling, and nutrient-dense recipes and backed by cutting-edge nutritional science, Mastering Diabetes will help you maximize your insulin sensitivity, attain your ideal body weight, improve your digestive health, gain energy, live an active life, and feel the best you've felt in years.
Download or read book Compliance in Health Care written by R. Brian Haynes and published by . This book was released on 1979 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dietary Guidelines for Americans 2015 2020 written by HHS, Office of Disease Prevention and Health Promotion (U.S.) and published by Government Printing Office. This book was released on 2015-12-31 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn more about how health nutrition experts can help you make the correct food choices for a healthy lifestyle The eighth edition of the Dietary Guidelines is designed for professionals to help all individuals, ages 2 years-old and above, and their families to consume a healthy, nutritionally adequate diet. The 2015-2020 edition provides five overarching Guidelines that encourage: healthy eating patterns recognize that individuals will need to make shifts in their food and beverage choices to achieve a healthy pattern acknowledge that all segments of our society have a role to play in supporting healthy choices provides a healthy framework in which individuals can enjoy foods that meet their personal, cultural and traditional preferences within their food budget This guidance can help you choose a healthy diet and focus on preventing the diet-related chronic diseases that continue to impact American populations. It is also intended to help you to improve and maintain overall health for disease prevention. **NOTE: This printed edition contains a minor typographical error within the Appendix. The Errata Sheet describing the errors can be found by clicking here. This same errata sheet can be used for the digital formats of this product available for free. Health professionals, including physicians, nutritionists, dietary counselors, nurses, hospitality meal planners, health policymakers, and beneficiaries of the USDA National School Lunch and School Breakfast program and their administrators may find these guidelines most useful. American consumers can also use this information to help make helathy food choices for themselves and their families.
Download or read book Managing Diabetes and Hyperglycemia in the Hospital Setting written by Boris Draznin and published by American Diabetes Association. This book was released on 2016-05-20 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the number of patients with diabetes increases annually, it is not surprising that the number of patients with diabetes who are admitted to the hospital also increases. Once in the hospital, patients with diabetes or hyperglycemia may be admitted to the Intensive Care Unit, require urgent or elective surgery, enteral or parenteral nutrition, intravenous insulin infusion, or therapies that significantly impact glycemic control (e.g., steroids). Because many clinical outcomes are influenced by the degree of glycemic control, knowledge of the best practices in inpatient diabetes management is extremely important. The field of inpatient management of diabetes and hyperglycemia has grown substantially in the last several years. This body of knowledge is summarized in this book, so it can reach the audience of hospitalists, endocrinologists, nurses and other team members who take care of hospitalized patients with diabetes and hyperglycemia.
Download or read book Behavioral Programs for Diabetes Mellitus written by Jennifer Pillay and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: To conduct a systematic review focusing on the effectiveness of behavioral programs for type 1 diabetes (T1DM) and identifying factors contributing to program effectiveness for type 2 diabetes (T2DM). DATA SOURCES: MEDLINE(r), Cochrane Central Register of Controlled Trials, Embase(r), CINAHL, PsycINFO(r) (January 1, 1993, to January 2015), and PubMed(r) (2015); ClinicalTrials.gov, World Health Organization International Clinical Trials Registry Platform, conference proceedings (2011-14); reference lists of relevant studies. METHODS: Two reviewers independently assessed studies for fit with predetermined selection criteria and assessed risk of bias. We included prospective controlled studies and randomized controlled trials (RCTs) for T1DM and RCTs for T2DM, evaluating behavioral programs compared with usual care, active controls (e.g., didactic education), or other behavioral programs. One reviewer extracted data, with verification by a second reviewer. For T1DM, we conducted pairwise meta-analysis to assess program effectiveness; subgroup analyses to examine patient variables (e.g., age, race/ethnicity, glycemic control); and metaregressions to assess potential moderators of effectiveness, such as program components (i.e., diabetes self-management education [DSME], DSME plus support, lifestyle), intensity, delivery format, and personnel. For T2DM, we conducted network meta-analysis (incorporating direct and indirect comparisons) to assess potential moderation of program effectiveness, and subgroup analyses to assess the impact of patient variables. Strength of evidence (SOE) for key outcomes in T1DM was assessed to determine our confidence in the results. RESULTS: The searches identified 47,149 citations, of which we included 34 studies for T1DM and 132 RCTs for T2DM. All trials had a medium or high overall risk of bias. For T1DM, there was moderate SOE showing greater reductions in percent hemoglobin A1c (HbA1c) levels at 6-month postintervention followup for individuals receiving a behavioral program compared with usual care (0.31) or an active control (0.44); both were statistically significant, and the latter was considered clinically important based on our prespecified threshold of e0.4 unit change in percent HbA1c. There was low SOE showing no difference in HbA1c at end of intervention and at 12-month or longer followup. Generic health-related quality of life was no different at end of intervention in comparisons with usual care (moderate SOE). There was either low SOE or insufficient SOE for all other outcomes, including self-management and lifestyle behaviors, body composition, diabetes-specific quality of life, diabetes distress, and complications. From the subgroup analysis for percent HbA1c by age in comparison with usual care, the effect for the adult subgroup appeared to be greater (0.28) than the effect for the youth subgroup (0.00) at end of intervention, although neither result reached statistical significance. In comparisons with active controls, the SOE of the findings for youths and adults was insufficient. Program intensity (duration, contact hours, frequency of contacts) appeared not to influence program effectiveness for T1DM; individual delivery (vs. group) may be beneficial. For T2DM, relative to usual care, the effect sizes for all minimally intensive (d10 contact hours) DSME programs were not considered clinically important based on our prespecified threshold of e0.4 unit change in percent HbA1c for glycemic control. Programs having greater benefit for HbA1c reduction were more often delivered in person. For body mass index, lifestyle programs (usually combining structured diet and exercise) provided the most benefit. In subgroup analyses, results for reduced HbA1c favored participants with suboptimal baseline glycemic control (e7% HbA1c), adults
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.
Download or read book A Comparison of Two Diabetic Education Programs Designed to Treat Adult Onset Diabetes Mellitus written by Katelyn D. O'Rear and published by . This book was released on 2015 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to compare the diabetic education programs of two certified diabetic dietitians, one with heavy focus on diet and the other with focus on exercise, over 6 months to determine which program was more successful in the treatment of type 2 diabetes. A total of 40 randomly selected subjects that met the criteria for having type 2 diabetes mellitus were separated into 2 groups (exercise and diet). Participants in each group had an initial evaluation of their body mass index, hemoglobin A1c, morning fasting blood sugar, waist circumference, weight, and blood pressure. These measures were repeated again after three and six months of treatment for analysis. A 2 x 3 repeated measures ANOVA with one between subjects factor group (diet & exercise) and one within subjects factor time (pre, 3 months, 6 months) was used to determine the effects of diabetic education program on the following dependent variables: BMI, hemoglobin A1c, morning fasting blood sugar, waist circumference, weight, diastolic blood pressure, and systolic blood pressure. After 6 months of either an intensive exercise regimen or diet regimen, there were significant decreases seen for all dependent variables (BMI, hemoglobin A1c, fasting blood sugar, waist circumference, weight, systolic blood pressure, and diastolic blood pressure). It was further indicated that the exercise group was associated with accelerated decreases in these variables as compared to the diet group by a significant margin. Individualized exercise programs appear to be the most effective at controlling type 2 diabetes as well as decreasing the risk of other comorbidities.
Download or read book Health Program Planning An Educational and Ecological Approach written by Lawrence Green and published by McGraw-Hill Humanities/Social Sciences/Languages. This book was released on 2005 with total page 610 pages. Available in PDF, EPUB and Kindle. Book excerpt: This classic text by the creators of the PRECEDE-PROCEED model provides a comprehensive overview of the principles and processes of health promotion planning. It is an invaluable up-to-date resource for students and practitioners in any discipline whose programs will include a significant health education or health promotion component. Each chapter includes references and extensive endnotes from the most current literature and is backed by the authors’ reputations as leading researchers and practitioners in the field.
Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
Download or read book The American Diabetes Association JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.
Download or read book The Impact of Education on Self management and Glycemic Control in Patients with Type 2 Diabetes Mellitus written by Jenifer Brewer and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 Diabetes Mellitus (T2DM) currently affects approximately 1 in 9 individuals in the United States. Access to education, transportation to appointments, and other social determinants of health can reflect poor self-management, adverse outcomes, and increased morbidity and mortality. The purpose of this quality improvement (QI) project was to evaluate the effectiveness of implementing a series of expert-led, educational classes with a toolkit for patients diagnosed with prediabetes or T2DM. The Health Belief Model was the framework used to develop and implement educational intervention through a 4-month period. This project was conducted at two sites in Northeast Kansas: one which provides primary care services to an underserved population, while the other is a satellite clinic located within a housing authority. The PDSA cycle was used to develop and evaluate program implementation throughout the project. A toolkit was developed and provided to individuals who attended the sessions. Educational sessions focused on T2DM overview, risk factors, comorbidities, medication, diet, exercise, stress, and self-management. Expert specialists were recruited for two of the educational sessions. A diabetes self-management questionnaire (DSMQ) score and glycated hemoglobin (A1c) value were obtained prior to the first educational session. A final DSMQ score and A1c value were obtained at the conclusion of the last educational session. Qualitative measurement revealed improved perceived self-management of T2DM as well as an overall improvement of A1c control after a 4-month period.
Download or read book The Effectiveness of Diabetes Mellitus Education for Managing Hemoglobin A1c Levels in Adults written by Amy Rebekah Farnsworth and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Hemoglobin A1c (HbA1c) levels are indicators for managing Diabetes Mellitus. This study investigated the effectiveness of Diabetes Mellitus education classes based on participants' HbA1c levels. The HbA1c and body mass index (BMI) values were analyzed using t-tests to determine significant (P [_]0.05) differences between baseline (N = 46) levels compared to three months, six months, and 12 months after class participation and reported as means [_]+ standard deviations. The study was not able to track all participants as some did not attend all follow-up sessions. Mean HbA1c levels were lower at three months (8.1% [_]+ 2.1, P = 0.002, n = 31), six months (8.11% [_]+ 2.6, P + 0.001, n = 39), and 12 months (8.7% [_]+ 2.3, P = 0.050, n = 29) compared to baseline (9.5% [_]+ 2.4). The baseline BMI was 36.7kg/m2 [_]+ 9.7 with similar (P 0.05) values after class attendance.
Download or read book RSSDI Diabetes Update 2020 written by Banshi Saboo and published by Jaypee Brothers Medical Publishers. This book was released on 2021-03-31 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes mellitus is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. The latest edition of this reference provides endocrinologists with the latest advances in the diagnosis and management of diabetes. Beginning with an overview of epidemiology, pathophysiology and metabolism, the next sections discuss presentations of diabetes, therapeutic management, complications, and comorbidities. The following chapters cover diabetes in certain population groups, education and technology, nutrition, glucose monitoring, and research. The book concludes with a section dedicated to Type 1 diabetes, and a selection of journal reviews. Flow diagrams, tables and figures further enhance the comprehensive text. Key points Latest edition of comprehensive reference detailing latest advances in diagnosis and management of diabetes Covers numerous therapeutic methods Complete sections dedicated to Type 1 diabetes and journal reviews Highly illustrated with flow diagrams, tables and figures
Download or read book Nutrition Guide for Clinicians written by Neal D. Barnard and published by Pcrm. This book was released on 2009 with total page 745 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed by medical professionals, this manual is a comprehensive, portable medical reference that covers nearly one hundred diseases and conditions, including risk factors, diagnoses, and typical treatments. Most importantly, it provides the latest evidence-based information on nutrition's role in prevention and treatment.
Download or read book Cognitive Aging written by Institute of Medicine and published by National Academies Press. This book was released on 2015-07-21 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: For most Americans, staying "mentally sharp" as they age is a very high priority. Declines in memory and decision-making abilities may trigger fears of Alzheimer's disease or other neurodegenerative diseases. However, cognitive aging is a natural process that can have both positive and negative effects on cognitive function in older adults - effects that vary widely among individuals. At this point in time, when the older population is rapidly growing in the United States and across the globe, it is important to examine what is known about cognitive aging and to identify and promote actions that individuals, organizations, communities, and society can take to help older adults maintain and improve their cognitive health. Cognitive Aging assesses the public health dimensions of cognitive aging with an emphasis on definitions and terminology, epidemiology and surveillance, prevention and intervention, education of health professionals, and public awareness and education. This report makes specific recommendations for individuals to reduce the risks of cognitive decline with aging. Aging is inevitable, but there are actions that can be taken by individuals, families, communities, and society that may help to prevent or ameliorate the impact of aging on the brain, understand more about its impact, and help older adults live more fully and independent lives. Cognitive aging is not just an individual or a family or a health care system challenge. It is an issue that affects the fabric of society and requires actions by many and varied stakeholders. Cognitive Aging offers clear steps that individuals, families, communities, health care providers and systems, financial organizations, community groups, public health agencies, and others can take to promote cognitive health and to help older adults live fuller and more independent lives. Ultimately, this report calls for a societal commitment to cognitive aging as a public health issue that requires prompt action across many sectors.
