EBookClubs

Read Books & Download eBooks Full Online

EBookClubs

Read Books & Download eBooks Full Online

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

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?

Book Self monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus

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.

Book Does Daily Self monitoring of Blood Sugar Levels Improve Blood Sugar Control and Quality of Life for Patients with Type 2 Diabetes who Do Not Use Insulin

Download or read book Does Daily Self monitoring of Blood Sugar Levels Improve Blood Sugar Control and Quality of Life for Patients with Type 2 Diabetes who Do Not Use Insulin written by Laura A. Young and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the nearly 75% of patients living with type 2 diabetes mellitus (T2DM) who do not use insulin, decisions regarding self-monitoring of blood glucose (SMBG) can be especially problematic. While in theory SMBG holds great promise for sparking favorable behavior change, it is a resource-intensive activity without firmly established patient benefits.OBJECTIVES: The overarching goal was to assess the impact of 3 different SMBG testing approaches on patient-centered outcomes in patients with non-insulin-treated T2DM within the real-world clinic setting.OBJECTIVE 1: Assess SMBG effectiveness on 2 primary patient-centered outcomes, glycemic control (A1c) and health-related quality of life (HRQOL), over 1 year in 450 participants with non-insulin-treated diabetes mellitus (DM) in the following 3 groups: (1) no SMBG testing, (2) once-daily SMBG testing with standard patient feedback consisting of glucose values immediately reported to the patient through the glucometer, and (3) once-daily SMBG testing with enhanced patient feedback consisting of glucose values immediately reported to the patient plus automated, tailored messaging also delivered via the glucometer. OBJECTIVE 2: Evaluate the impact of SMBG on secondary patient-centered outcomes including (1) DM-related quality of life, (2) DM self-care, (3) DM treatment satisfaction, (4) DM self-efficacy, (5) patient-provider communication, (6) hypoglycemia frequency, and (7) health care utilization. OBJECTIVE 3: Conduct qualitative assessments of the patient participant and provider experience for all 3 intervention groups. This objective supports efficient translation of study findings to real-world clinic settings by exploring such issues as patient-provider communications, use of the glucometer and accompanying reports, utility of the treatment algorithm given to providers, and practice burden. METHODS: Using a stakeholder engagement approach, we developed and implemented a pragmatic trial. We randomly assigned 450 patients with non-insulin-treated T2DM in 15 North Carolina primary care practices to 3 arms without masking of treatment assignment: (1) no SMBG, (2) once-daily testing with standard feedback consisting of glucose values being immediately reported to the patient through the glucometer, and (3) once-daily SMBG with enhanced patient feedback consisting of glucose values being immediately reported to the patient plus automated, tailored feedback messaging delivered to the patient through the glucometer following each testing. Coprimary outcomes included glycemic control (A1c) and HRQOL at 52 weeks. RESULTS: A total of 450 patients were randomized and 92.9% completed the final visit. There were no significant differences in glycemic control across all 3 groups (P = 0.74; estimated adjusted mean A1c difference: SMBG with messaging vs no SMBG −0.09% [95% CI, −0.31% to 0.14%]; SMBG vs No SMBG −0.05% [95% CI, −0.27% to 0.17%]). There were also no significant differences found in HRQOL. There were no notable differences in key adverse events, including hypoglycemia frequency, health care utilization, or insulin initiation. CONCLUSIONS: In patients with non-insulin-treated type 2 diabetes, at 1 year we observed no clinically or statistically significant differences in glycemic control or HRQOL between patients who performed SMBG compared with those who did not perform SMBG. The addition of tailored feedback provided through messaging via a meter did not provide any advantage in glycemic control.

Book Self monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus

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:

Book Exercise and Diabetes

    Book Details:
  • Author : Sheri R. Colberg
  • Publisher : American Diabetes Association
  • Release : 2013-05-30
  • ISBN : 158040507X
  • Pages : 554 pages

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.

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

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:

Book Systematic Review and Meta analysis of Self monitoring of Blood Glucose on Glycemic Control in Type 2 Diabetic Patients

Download or read book Systematic Review and Meta analysis of Self monitoring of Blood Glucose on Glycemic Control in Type 2 Diabetic Patients written by Warisara Jiamsathit and published by . This book was released on 2007 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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

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

Book Efficacy of Self Monitoring of Blood Glucose with and Without Behavior Modification for Control of Type II Diabetes Mellitus

Download or read book Efficacy of Self Monitoring of Blood Glucose with and Without Behavior Modification for Control of Type II Diabetes Mellitus written by Margaret Elizabeth Forys and published by . This book was released on 1989 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Compliance with Therapeutic Regimens

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:

Book Medical Management of Type 2 Diabetes

Download or read book Medical Management of Type 2 Diabetes written by Luigi F. Meneghini and published by American Diabetes Association. This book was released on 2023-03-29 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical Management of Type 2 Diabetes provides health care providers with all of the answers to their questions about implementing scientifically proven clinical care for their patients with type 2 diabetes. As type 2 diabetes continues its disturbing rise in prevalence worldwide, there is an increasing need to study the disease and describe successful treatment regimens. There are several options for treatment, including oral medications, diet and lifestyle modification, and insulin therapy. Knowing which treatment method to select for a patient and how to apply it relies on several clinical guidelines that are updated every year by the American Diabetes Association. This new edition features: Details on the newest agents for the treatment of type 2 diabetes Expanded information on pharmacological intervention Updated data on chronic and acute complications The latest standards of medical care from the American Diabetes Association This essential resource will enhance the clinical knowledge of type 2 diabetes and bolster the skills necessary to care for patients with diabetes.

Book Medifocus Guidebook On  Type 2 Diabetes Mellitus

Download or read book Medifocus Guidebook On Type 2 Diabetes Mellitus written by Medifocus.com, Inc. Staff and published by Medifocus_com Inc. This book was released on 2012-01-13 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: The MediFocus Guidebook on Type 2 Diabetes Mellitus is the most comprehensive, up-to-date source of information available. You will get answers to your questions, including risk factors of Type 2 Diabetes Mellitus, standard and alternative treatment options, leading doctors, hospitals and medical centers that specialize in Type 2 Diabetes Mellitus, results of the latest clinical trials, support groups and additional resources, and promising new treatments on the horizon. This one of a kind Guidebook offers answers to your critical health questions including the latest treatments, clinical trials, and expert research; high quality, professional level information you can trust and understand culled from the latest peer-reviewed journals; and a unique resource to find leading experts, institutions, and support organizations including contact information and hyperlinks. This Guidebook was updated on January 13, 2012.

Book Diagnosis and Management of Type 2 Diabetes

Download or read book Diagnosis and Management of Type 2 Diabetes written by Steven V. Edelman and published by Professional Communications. This book was released on 2011-07 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis and Management of Type 2 Diabetes discusses the practical management of type 2 diabetes, from nonpharmacolgic techniques to all available pharmacologic therapies. Current data and clinical trial results for oral agents are included, along with information on the available insulin an incretin hormone reimens. Guidance is provided on analyzing home glucose monitoring results.

Book The Influence of Blood Glucose Self monitoring on the Long term Control of Type II Diabetes Mellitus

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:

Book The Effectiveness of Diet and Exercise in Preventing Type 2 Diabetes among Individuals with Impaired Glucose Tolerance in the UK

Download or read book The Effectiveness of Diet and Exercise in Preventing Type 2 Diabetes among Individuals with Impaired Glucose Tolerance in the UK written by Muflaha Jafar and published by GRIN Verlag. This book was released on 2024-01-31 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Academic Paper from the year 2023 in the subject Health - Public Health, , language: English, abstract: The purpose of this systematic review is to assess how well diet and exercise work in the UK for those who have impaired glucose tolerance in order to prevent type 2 diabetes mellitus. The data was collected using a number of search engines, including Ovid, MEDLINE, PubMed, and Scopus. Research was done using PRISMA criteria. A total of 1200 studies were extracted based on the titles and articles. Upon deeper inspection, only nine, nevertheless, match the necessary data on the acceptability, efficacy, and effectiveness of diet and exercise intervention therapy in IGT patients. The main finding that unites all studies is how successful lifestyle changes are at postponing or averting the onset of Type 2 Diabetes (T2D). Every study shows how crucial it is to alter one's lifestyle, whether it be through dietary changes, regular exercise, or culturally relevant therapies, in order to reduce the risk of diabetes. The results of multiple studies have come together to show how effective lifestyle changes are in preventing and treating Type 2 Diabetes (T2D). The consistently beneficial effects on glucose tolerance, which also highlight the therapies' potential to postpone the onset of type 2 diabetes due to impaired glucose tolerance, attest to their efficacy.