diabetes   10124

« earlier    

Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study. - PubMed - NCBI
Psychological distress is linked with impaired glycemic control among diabetics.

OBJECTIVE:
Estimate changes in glycemic control, weight, blood pressure, and stress-related psychological symptoms in patients with type 2 diabetes participating in a standard Mindfulness Based Stress Reduction (MBSR) program.

DESIGN:
Prospective, observational study.

SETTING:
Academic health center.

PATIENTS:
Adult patients with type 2 diabetes mellitus.

INTERVENTIONS:
Participation in MBSR program for heterogeneous patient population. Diet and exercise regimens held constant.

MAIN OUTCOME MEASURES:
Glycosylated hemoglobin A1c (HA1c), blood pressure, body weight, and Symptom Checklist 90-Revised (anxiety, depression, somatization, and general psychological distress scores).

RESULTS:
Eleven of 14 patients completed the intervention. At 1 month follow-up, HA1c was reduced by 0.48% (P = .03), and mean arterial pressure was reduced by 6 mmHg (P = .009). Body weight did not change. A decrease in measures of depression, anxiety, and general psychological distress was observed.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  care  correlation  peer-reviewed  research  stress  distress  reduction  mindfulness  based 
2 days ago by Michael.Massing
Self-monitoring blood glucose improves glycemic control in type 2 diabetes without intensive treatment: A systematic review and meta-analysis. - PubMed - NCBI
SMBG was associated with a reduction of HbA1c at 12 weeks (-0.31%; 95% CI: -0.57 to -0.05) and 24 weeks (-0.34%; 95%CI: -0.52 to -0.17), but no difference was found for 1 year. Subgroup analysis including studies with baseline HbA1c greater than 8% showed a higher reduction of HbA1c: -0.83% (95% CI: -1.55 to -0.11) at 12 weeks, and -0.48% (95% CI: -0.77 to -0.19) at 24 weeks, with no difference for 1 year nor for the stratification for number the tests.
CONCLUSION:
SMBG seems to lead to a slightly better glycemic control in the short term in patients with T2D. Patients decompensated at baseline appear to have the greatest benefit.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  tight  frequency 
2 days ago by Michael.Massing
Meta-analysis of the benefits of self-monitoring of blood glucose on glycemic control in type 2 diabetes patients: an update. - PubMed - NCBI
SMBG was effective in reducing HbA(1c) in non-insulin-treated type 2 diabetes (pooled mean difference, -0.24%; 95% confidence interval, -0.34% to -0.14%; P < 0.00001). Glycemic control significantly improved among the subgroup of patients whose baseline HbA(1c) was >or=8%. In contrast, no significant effect of SMBG was detected in patients who had HbA(1c) <8%.
CONCLUSIONS:
The available evidence suggests the usefulness of SMBG in improving glycemic control in non-insulin-treated type 2 diabetes as demonstrated by the reduction of HbA(1c) levels. In particular, SMBG proved to be useful in the subgroup of patients whose baseline HbA(1c) was >or=8%.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  tight  frequency 
2 days ago by Michael.Massing
Using the Common Sense Model of Self-regulation to review the effects of self-monitoring of blood glucose on glycemic control for non-insulin-treat... - PubMed - NCBI
Results from the longitudinal studies and randomized control trials suggested that SMBG may improve glycemic control. The few studies investigating mediators or moderators reported mixed results. Few studies effectively measured the CSM.
CONCLUSION:
Data suggested that SMBG may help improve glycemic control. Future trials must be designed to test hypotheses and improve our understanding of when, how, and for whom SMBG can enhance glycemic control. Rigorously controlled repetitions of current 2-arm trials will yield little new knowledge of theoretical or practical value.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  tight  frequency 
2 days ago by Michael.Massing
Intensified blood glucose monitoring improves glycemic control in stable, insulin-treated veterans with type 2 diabetes: the Diabetes Outcomes in V... - PubMed - NCBI
A total of 201 subjects completed the monitoring period. The baseline HbA(1c) (8.10 +/- 1.67%) decreased during the monitoring period by 0.30 +/- 0.68% (P < 0.001) at 4 weeks and by 0.36 +/- 0.88% (P < 0.001) at 8 weeks. Although entry HbA(1c) and compliance independently predicted the week 8 HbA(1c) (r = 0.862, P < 0.001), standardized regression analysis found that compliance with the SMBG protocol influenced the week 8 HbA(1c) more than age, sex, BMI, exercise level, carbohydrate consumption, or treatment intensity at baseline. However, SMBG benefited only subjects whose testing compliance exceeded 75% or with an entry HbA(1c) >8.0%. Decreases in HbA(1c) (-0.31 +/- 1.17%, P = 0.001) persisted in the 159 subjects followed for 52 weeks.
CONCLUSIONS:
Intensified blood glucose monitoring improved glycemic control in a large cohort of stable, insulin-treated veterans with type 2 diabetes. SMBG provided a strong stimulus for improved self-care resulting in clinically important and sustained reductions in HbA(1c).
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  insurance  tight  frequency 
2 days ago by Michael.Massing
Effects of health maintenance organization coverage of self-monitoring devices on diabetes self-care and glycemic control. - PubMed - NCBI
est strip consumption increased during the first 6 months after the policy by 17.9 strips per cohort member (75% relative increase by 6 months; 95% CI, 50% to 101%). Compared with noninitiators of SMBG, initiators (n = 593) showed sudden, significant improvements in regularity of medication use by 6 months after initiation (-19.5 days between dispensings among those with low refill regularity [95% CI, -27.7 to -11.3]; -9.7 days among those with moderate regularity [95% CI, -12.3 to -7.1]), and in glucose control (-0.63% mean HbA(1c) level [as percentage of total hemoglobin] among those with poor baseline glycemic control [HbA(1c) >10%; 95% CI, -1.14% to -0.12%]).
CONCLUSIONS:
Providing free glucose monitors improved rates of self-monitoring in this health maintenance organization population, possibly by offering an initial incentive for patients to engage in more desirable patterns of care. Initiating SMBG was associated with increased regularity of medication use and a reduction in high blood glucose levels.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  insurance  tight  frequency 
2 days ago by Michael.Massing
Lack of insurance coverage for testing supplies is associated with poorer glycemic control in patients with type 2 diabetes
Patients with insurance had significantly lower hemoglobin A1c concentrations than those without insurance coverage (7.1% v. 7.4%, p = 0.03). Patients with insurance were younger, had a higher income, were less likely to have a high school education and were less likely to be married or living with a partner. In multivariate analyses that controlled for these and other potential confounders, lack of insurance coverage for self-monitoring testing supplies was still significantly associated with higher hemoglobin A1c concentrations (adjusted difference 0.5%, p = 0.006).

Interpretation

Patients without insurance for self-monitoring test strips had poorer glycemic control.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  insurance  tight  frequency 
2 days ago by Michael.Massing
Twitter
RT : If you live with (any type) plz consider participating. Wednesday, April 24th @ 9pm ET Twitter chat…
diabetes  DSMA  from twitter
5 days ago by Michael.Massing
Diabetes drug reduces kidney disease, but could cost $600/month | Healthline
A common diabetes drug used to help control blood sugar levels has now been found to lower the risk of kidney failure, according to a new study. Endocrinologist Lorena Wright is quoted.
!UWM  Area:Endocrinology  diabetes  Wright.Lorena 
5 days ago by UWMedicine

« earlier    

related tags

!uwm  1  2  2019  23andme  _  a1c  aaa  acc  ada  advancingthescience  alcohol  alzheimer's  ama  amyloid  api  aponoorderlaan  app  apps  area:endocrinology  azimo  based  bbc4tech  behaviour  beirut  blind  blood  brain  canada  cancer  capitalism  carbs  cardiovascular  care  cgm  chemistry  cigna  clinicalai  coaching  companion  control  correlation  corruption  dad  data  database  daylightsavingtime  dev  developer  development  diabetesjournals  diet  digital-health  digitalhealth  disease  distress  domini  drug  drugpricing  drugs  dsma  dst  ehealth  elderly  equipment  europe  examples  exercise  expressscripts  eyes  fda  finds  fisher  fonda  food  frequency  froböse_prof._dr._ingo  gegen  github  glimins  glooko  glucometer  glucose  glycemic  goodnews  greed  guidelines  harvardhealth  hba1c  health  healthcare  healthkit  healthtech  heart  helseit  helsevesen  hilfe  hn  hormon  hsk  hypoglycemia  implantationscience  index  insulin  insurance  interface  invokana  kidney  labonchip  lawrence  lebanon  leoniewatson  lifestyle  light  loop  low_carbs  management  markets  maturity  may  mayo_clinic  medical  medicine  merck  metabolism  mhealth  mindfulness  monitored  monitoring  msd  nassim  needsediting  netflix  newsletter  newyorker  nhs  noninvasive  nonprofit  obesity  omgwtf  omnipod  oncology  opensource  pandemie  paper  papers  patch  peer-reviewed  personalisedprevention  pharma  platform  polypharmacy  prediabetes  predl_prof._georg  prevent  prevention  prick  profit  pumps  ramadan  real-life  recipies  reduction  research  retina  review  rileylink  sanofi  self  sheets  sleep  slow  smartphone  smbg  socialmarketing  soka  sonu  standardtime  startup  stats  stephanie  story  stress  study  sugar  supplies  sxsw  sxsw19  t1  t2d  tau  things  tight  time  tweet  type-3  type  ucsf  ursache  us  usa  userexperience  vegetables  vulnerable  wright.lorena  zsfgh  zucker  اخبار  الانسولين  البي  العربية  المريض  المناسبين  الوقت  بي  تطبيق  جرعات  سي  عربي  في  فيديو  لأخذ  والمكان  ينبه 

Copy this bookmark:



description:


tags: