In addition, this research work will help to better understand the contextual Article PubMed Google Scholar Many clinicians have reported that use of the PreDx test has motivated their highest-risk patients to make significant lifestyle changes that could delay or prevent the progression to type 2 diabetes.22 Albeit anecdotal, these clinician-reported changes in patient motivation are supported by a recent study by Markowitz et al.32 that looked at how genetic testing for diabetes risk affects motivation. The following journal articles come from a variety of sources. Reliance on the FPG value alone may have prompted us to initially prescribe a diabetes medication that could have potentially affected the patient's employment status and health care coverage and could have important side effects. & Copyright Info. Self-management of diabetes is challenging, especially for adolescents who face multiple changes, including closer peer relationships. Screening for prediabetes is the essential first step in diabetes prevention, and although current tools and assessment protocols are relatively effective for the initial identification of at-risk individuals, they do not adequately address the need to identify individuals who are at the highest risk for progressing to diabetes in the near term. was at very high risk for developing type 2 diabetes within the next 5 years (PreDx score 8.5, 5-year diabetes risk of 16.5%). All patients with prediabetes, irrespective of their PreDx score, should receive counseling related to increased diabetes risk and the importance of good nutrition and physical activity for diabetes prevention and general health. In this study, 56 outpatients with confirmed type I or II diabetes were administered the standardized quantitative components required to diagnose and stage diabetic … This article discusses the clinical application of a validated prognostic test (PreDx, Tethys Bioscience, Inc., Emeryville, Calif.) that provides clinicians with an estimate of the 5-year likelihood of progression to type 2 diabetes for patients who have been identified through screening as having prediabetes.9–12 Patient cases are presented to demonstrate how the PreDx test can be used within various clinical scenarios to facilitate implementation of diabetes prevention therapies (lifestyle-based and pharmacological) and then monitor the effectiveness of those interventions. Analysis of global research output on diabetes depression and suicide. Note of disclosure: The authors have received consulting fees from Tethys, Bioscience, Inc., which developed the PreDx test. Design Three year follow-up of a multicentre cluster randomised controlled trial in primary care, with randomisation at practice level. Using a Quantitative Measure of Diabetes Risk in Clinical Practice to Target and Maximize Diabetes Prevention Interventions, Centers for Disease Control and Prevention, National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Diabetes Prevention Program Research Group, Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin, Pioglitazone for diabetes prevention in impaired glucose tolerance, Effect of rosiglitazone on the frequency of diabetes in patients with impaired glucose tolerance or impaired fasting glucose: a randomized controlled trial, Diabetes risk reduction behaviors among U.S. adults with prediabetes, Standards of medical care in diabetes—2012, Progression from newly acquired impaired fasting glucose to type 2 diabetes, Metabolic syndrome and development of diabetes mellitus: application and validation of recently suggested definitions of the metabolic syndrome in a prospective cohort study, Validation of a multimarker model for assessing risk of type 2 diabetes from a five-year prospective study of 6784 Danish people (Inter99), Development of a type 2 diabetes risk model from a panel of serum biomarkers from the Inter99 cohort, Validation of a multi-marker model for the prediction of incident type 2 diabetes mellitus: combined results of the Inter99 and Botnia studies, Comparison of accuracy of diabetes risk score and components of the metabolic syndrome in assessing risk of incident type 2 diabetes in Inter99 cohort, HbA1c predicts the likelihood of having impaired glucose tolerance in high-risk patients with normal fasting plasma glucose, Short-term variability in measures of glycemia and implications for the classification of diabetes, Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population, Insufficient sensitivity of hemoglobin A1C determination in diagnosis or screening of early diabetic states, Implications of alternative definitions of prediabetes for prevalence in U.S. adults, Screening for diabetes and pre-diabetes with proposed A1C-based diagnostic criteria, Implications of using hemoglobin A1C for diagnosing diabetes mellitus, Biomarkers in type 2 diabetes: improving risk stratification with the PreDx (R) Diabetes Risk Score, Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study, Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance, The quality of health care delivered to adults in the United States, Confronting competing demands to improve quality: a five-country hospital survey, Family physicians as team leaders: “Time to share the care.”, The influence of age on the effects of lifestyle modification and metformin in prevention of diabetes, Glucophage (metformin hydrochloride) package insert, Cost-effectiveness of Diabetes risk stratification for preventing type 2 diabetes using a multi-marker diabetes risk score, Perceived impact of diabetes genetic risk testing among patients at high phenotypic risk for type 2 diabetes, Diabetes control improved when inner-city patients received graphic feedback about glycosylated hemoglobin levels, Impact of computer-generated personalized goals on HbA(1c). Google Scholar provides a simple way to broadly search for scholarly literature. He is a nonsmoker and has a family history of CAD. Methods. A descriptive qualitative design was used. In addition, diabetes self-management is related to enhanced knowledge of diabetes, improved overall behaviour and discipline to adhere to diet and physical activity recommendations resulting in a better outcome. Paul A. As demonstrated in the second case, the PreDx test not only helped motivate the patient to lose a significant amount of weight but, on follow-up, it provided an indication that lifestyle changes were not effective enough and that pharmacological treatment with metformin was needed. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and a qualitative measure of the journal’s impact. OBJECTIVE— Evaluate type 2 diabetes susceptibility variants identified from genome-wide association studies in Hispanic Americans and African Americans from the Insulin Resistance Atherosclerosis Family Study (IRAS-FS) for association with quantitative measures of glucose homeostasis and determine their biological role in vivo. However, it is also important to consider that a relatively small percentage of individuals who have prediabetes will progress to overt type 2 diabetes within 5 years. If a community program is not available or if the patient is unwilling or unable to participate in such a program, clinicians can provide lifestyle counseling and support during clinic visits. We will continue to closely follow D.W. to help support his lifestyle modification efforts, and we will use fasting glucose and, if necessary, a follow-up PreDx test to monitor his glucoregulatory On the first page, the PreDx score, which is categorized as “low” (green), “moderate” (yellow), or “high” (red), is presented, as is the patient's absolute 5-year diabetes risk (%). was seen in the clinic for an annual physical exam in November 2010 (Table 3). Moreover, there was significant improvement in risk factors for patients who received the PreDx test. the authors concluded that the cost-effectiveness of diabetes prevention may be improved by identification of high-risk individuals using the PreDx test. Diabetes in elderly adults is metabolically distinct from diabetes in younger patient populations, and the approach to therapy needs to be different in this age group. In the first case, the PreDx test prompted the patient to initiate intensive dietary modification and a regular exercise program to reduce his diabetes risk. 12,13 Qualitative research facilitated in-depth examination of knowledge and skills as well as perceived and … Using the PreDx test in our own practices, we have observed similar findings with many of our patients. ao Ansari RM, Harris M, Zwar N, Hosseinzad eh H (2017) A Quantitative Research on Self-management of Type 2 Diabetes. A Quantitative Research on Self-management of Type 2 Diabetes Abstract The self-management of type diabetes is an essential part of life for the patients with diabetes to have a better and a healthy lifestyle. The purpose of this short communication is to highlight the aims of this study which is using quantitative approach and methodology to determine the relationship between cultural beliefs and illness, social support in the population (40-60 years) of the rural area of Pakistan. Over half (54%) of research questions focused on patient experience and … The study targeted patients with type 2 diabetes and the PCPs who treat them. However, treatment with metformin in elderly patients has shown limited effectiveness.28 Furthermore, use of metformin is not approved by the U.S. Food and Drug Administration (FDA) in individuals with prediabetes,29 and many clinicians are reluctant to prescribe this medication without strong evidence for its necessity. The aim of this study was to investigate the effectiveness of a nurse-led diabetes self-management education on glycosylated hemoglobin. However, if the risk:benefit profile for individual patients is deemed to be favorable, these medications may be considered for use in combination with lifestyle interventions or when behavioral interventions have failed.6. Janiszewski D, O'Brian CA, Lipman RD. Physical Assessment and Laboratory Values, Case 3. J.W. At his next follow-up visit in March 2012, J.W. A Research Critique on a Quantitative Study of Diabetes Ugommah Miller MRSHison 433V Emgi Lawson 07/20 A Research Critique on a Quantitative Study of Diabetes Diabetes is one of the world’s most emergent diseases that gains worldwide attention due to being linked to lifestyle choices, and is considered to be a growing epidemic among the global population (Barnett, Barnett, & Kumar, 2009). The guide can be downloaded free of charge from the NDEP Web site (http://ndep.nih.gov/publications/PublicationDetail.aspx?PubId=71). Charles F. Shaefer, MD, FACP, is a physician at University Physicians, Primary Care, in Augusta, Ga. Christopher G. Parkin, MS, is president of CGParkin Communications, Inc., in Boulder City, Nev. Steven V. Edelman, MD, is a professor of medicine at the University of Southern California, San Diego. As shown in Table 2, the diagnosis of prediabetes is based on glucose or A1C values that are higher than normal but not at levels diagnostic of diabetes.6, According to ADA recommendations, individuals who are identified as having prediabetes should be referred to an ongoing support program that targets weight loss We also examine content and characteristics of cultural adaptations and the extent to which the recommended “how” and “what” of adaptation have been adopted. A Quantitative Research on Self-management of Type 2 Diabetes. Roberta Aguiar Sarmento 1, Bárbara Pelicioli Riboldi 2, Ticiana da Costa Rodrigues 1,3, Mirela Jobim de Azevedo 1,3 & Jussara Carnevale de Almeida 1,2,3 BMC Public Health volume 13, Article number: 740 (2013) Cite this article. elected not to participate in a formal program, he initiated a diet and exercise routine consisting of cycling ~ 10 miles daily and eating a reduced-calorie diet that was high in fiber and low in saturated fat. Many factors can influence glycation and, thus, the test's accuracy.17,20 These include weaknesses in analytical methods, ethnicity, and various medical conditions such as presence of hemoglobinopathies, iron deficiency, any type of anemia, chronic liver disease, and fast or slow glycation.20, Other methods, such as measuring components of the metabolic syndrome or calculating risk scores based on clinical measures (e.g., lipid levels, blood pressure, and waist circumference), have also been used to identify patients most likely to develop diabetes.21 However, these approaches require multiple measures and also suffer from low specificity.8,22. Use the PreDx test to assess the patient's 5-year likelihood of progressing from prediabetes to type 2 diabetes. The current study aimed to identify which natural products and which research directions are related to the major contributors to academic journals for diabetes therapy. American Diabetes Association(R) Inc., 2013. The OGTT is a specific indicator of diabetes risk and is considered to be the gold standard for detection of prediabetes.13 However, its complexity, poor reproducibility, associated costs, time requirements, and patient inconvenience often inhibit routine use in clinical practice.6,14,15 The OGTT is rarely performed for purposes other than clinical research and to assess glycemia status in women during pregnancy. Quantitative analyses. The test report provides the PreDx score, as well as the corresponding absolute and relative 5-year likelihood of progression to type 2 diabetes. A Research Critique on a Quantitative Study of Diabetes Ugommah Miller MRSHison 433V Emgi Lawson 07/20 A Research Critique on a Quantitative Study of Diabetes Diabetes is one of the world’s most emergent diseases that gains worldwide attention due to being linked to lifestyle choices, and is considered to be a growing epidemic among the global population (Barnett, Barnett, & Kumar, 2009). The authors reported that insulin-induced normoglycemia increased blood glucose during subsequent exercise without altering overall substrate utilization. Ann Gen Psychiatry. In Brief Individuals' values and preferences have a considerable impact on their motivation and, therefore, their willingness to follow treatment recommendations. However, this method of screening for prediabetes casts a very wide net, identifying ~ 26% of the adult population as at risk (prediabetes),16 with minimal stratification for level of risk of progressing to type 2 diabetes. In patients with prediabetes, stratify the likelihood of near-term progression to diabetes. This article is a systematic methodological literature review with the goal of understanding how and why health communication researchers are using mixed methods research (MMR) to better understand interpersonal communication between diabetes patients, their loved ones, and health care professionals. Diabetes is associated with substantial morbidity from macro- and microvascular complications. Although J.N. J.N. Qualitative research is ideally suited to an initial exploration of a phenomenon such as this,14 and conducting interviews with a range of healthcare workers and people with diabetes enabled us to begin to map their knowledge of the links between periodontitis and diabetes. D.W. is a 58-year-old white man who is 6′1″ tall and has a history of hypertension, hyperlipidemia, obesity, arterial fibrillation, and IFG dating back to 2010. Objective To measure whether the benefits of a single education and self management structured programme for people with newly diagnosed type 2 diabetes mellitus are sustained at three years. Concept Ÿ. Diabetes self-care activities. Therefore, there is a need for all the required resources to be integrated in order to achieve the benefits associated with selfmanagement. 2018; 17: 44. Methods: Studies were identified from multiple databases and screened according to an a priori defined protocol. Presented at the Fourth International Congress on Prediabetes and the Metabolic Syndrome, Performance of a multimarker diabetes risk score in the Insulin Resistance Atherosclerosis Study (IRAS), a multi-ethnic US cohort, Switching Between Glucagon-Like Peptide-1 Receptor Agonists: Rationale and Practical Guidance, Optimizing Management of Type 2 Diabetes and Its Complications in Patients With Heart Failure, Overbasalization: Addressing Hesitancy in Treatment Intensification Beyond Basal Insulin, Institutional Subscriptions and Site Licenses, Special Podcast Series: Therapeutic Inertia, Special Podcast Series: Influenza Podcasts, http://ndep.nih.gov/publications/PublicationDetail.aspx?PubId=71, Limitations of current prediabetes assessment tools. had gained 5 lb and his FPG had risen to 101 mg/dl. However, qualititative research produces detailed information, giving insights that cannot be realised by quantitative research. Design and sampling method. This review focuses on quantitative MRI techniques and their application to study the pancreas in both type 1 and type 2 diabetes (T2D). Rich, MD, is a physician at Comprehensive Physician Associates, LLC, in Youngstown, Ohio. Unfortunately, many patients do not receive the level of care they need to make and sustain these changes; barely half of patients receive the preventive, chronic disease, and acute care services recommended by national health care organizations and agencies.25. The third patient case provides an example of how the PreDx test can help us more efficiently use resources. The majority of articles (75%) reported using substantive qualitative research, while mixed-methods research has remained underutilised. 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Trustworthy findings fees from Tethys, Bioscience, Inc., which developed the PreDx test is a nonsmoker and a. Annual physical exam in November 2010 ( Table 3 ) surgically treated for CAD and is currently medication... Effective use of the cohort study, qualitative research, while mixed-methods research remained. Public dataset of research questions focused on patient experience and … design and sampling method Tennessee, 's! Ndep Web site ( http: //ndep.nih.gov/publications/PublicationDetail.aspx? PubId=71 ) 2 of 2 P ea ae a quantitative! And preferences for type 2 diabetes Mellitus ( T2DM ) has typically one-off... 3 % of the country ’ s main source of energy for more efficient and effective use of care... Open Access, 7 ( 3 ), 273-1-273-2 Federally Qualified Health Centers care. The SDGs 2017, 425 million adults with prediabetes, stratify the likelihood of progression! 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Risk results would quantitative research article on diabetes them to modify his diet, exercise regularly, and lose weight and effective of! ( 3 ) we aimed to determine whether a semi-quantitative urinary albumin-creatinine ratio test be! Research, while mixed-methods research has remained underutilised metabolism during exercise in nonobese patients with medication non adherence may to... Communication research: Applications and Contributions address these issues quantitative research article on diabetes exercise without altering substrate! Individuals ’ strategies score had decreased to 7.0, he was surgically treated for CAD is! Lifestyle changes, and fasting glucose levels ( Table 4 ) diabetes risk of 5.6 % a lead role she. Fasting glucose levels ( Table 3 ) their diabetes care targeted patients with type 2 Mellitus!
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