Effectiveness of Diabetes Self-Management Education (Dsme) in Type 2 Diabetes Mellitus (T2Dm) Patients: Systematic Literature Review

Ernawati, Ucik; Wihastuti, Titin Andri; Utami, Yulian Wiji

doi:10.4081/jphr.2021.2240

Cited by 59 publications

(38 citation statements)

References 24 publications

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“…As a result, DSME is recognized as an essential part of diabetes treatment [8]. To emphasize the need to teach self-management behaviors, it can be said that DSME is effective in improving the quality of life and reducing costs by preventing early and late complications of the disease and ensuring long life for the patient [8,11].…”

Section: Introductionmentioning

confidence: 99%

“…However, several studies have confirmed the effectiveness of self-management education [ 12 – 14 ], but there are few studies about factors affecting on the attendance of patients with diabetes in the DSME programs [ 15 , 16 ]. People that quit the DSME programs have worse health consequences and control of blood sugar than people who attend in these programs [ 11 ]. Currently, inconsistent and little information is available on the factors associated with attendance or non-attendance in DSME programs in people with diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Javan‐Noughabi

Tabatabaee

Vahedi

et al. 2022

BMC Health Serv Res

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Background Diabetes self-management education is an effective factor for improving outcomes and quality of life in patients with diabetes. However, little information is available on the factors associated with participation or non-participation in self-management education programs in people with diabetes. The aim of this study was to explore the factors affecting on the attendance of patients with diabetes in the diabetes self-management education program. Methods A cross-sectional study was conducted in 2019 on 384 patients with diabetes referred to the main comprehensive health centers of Mashhad, Iran. All patients were linked with a diabetes self-management education program that lasted three months and involved 12 sessions. We explore the factors affecting on attending in diabetes self-management education program using Andersen’s behavioral model. Data for independent variables (predisposing, enabling, and need factors) were gathered at the beginning of the training program using registration forms. Dependent variable (attendance of patients with diabetes in the training program) was checked at the end of the program. Univariate and multivariate analysis were done with SPSS v.25. Results The results of this study showed that women were less likely to participate in the self-management education program than men (OR=0.414; P<0.05). Also, age, travel time, health status and years with diabetes have negative significantly correlated with participation in the education program (P<0.05). The study showed that patients with diabetes aged≥65 were less participated in the training program than those ≤40 (OR=0.159; P<0.05). Also, patients who lived farther than 40 min away from training center were less likely to participate for this program than patients that live in an area<20 min away from training center (OR=0.196; P<0.05). Odds of attending in training program for patients with poor health status was less than patients with excellent health status (OR=0.282; P<0.05). Participation in training program were low in patients with more than 5-year diabetes duration compared to less than 1 year (OR=0.176; P<0.05). Conclusion The implementation of the classes at the right time and online, Reduce the distance between people and the place of the class, providing facilities and providing infrastructure may be appropriate to involve women and the elderly.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Javan‐Noughabi

Tabatabaee

Vahedi

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Diabetes mellitus (DM), as one of the most common metabolic disorders, is characterized by hyperglycemia and comes from defects in the insulin secretion by the pancreas and insulin resistance in the end-organ tissues or both. 1 The prevalence of DM is growing in the world and it is estimated to reach up to 693 million by 2045. 2 Chronic hyperglycemia results in damage and disrupted functions of multiple organs especially, eyes, kidneys, nervous and cardiovascular systems.…”

Section: Introductionmentioning

confidence: 99%

Effects of curcumin and metformin on oxidative stress and apoptosis in heart tissue of type 1 diabetic rats

Naghdi

Goodarzi

Karimi

et al. 2022

J Cardiovasc Thorac Res

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Introduction: Hyperglycemia enhances oxidative stress and apoptosis and induces damages in heart tissue. Based on antioxidant properties of curcumin and metformin, we hypothesized that these agents may exhibit cardioprotective effects by attenuating oxidative stress and modulating expression of the genes involved in apoptosis in type-1 diabetes. Methods: Thirty-six male rats were randomly divided into six groups; (N): control; (D): streptozotocin-induced diabetic rats; (D+Cur50) and (D+Cur150): diabetic rats treated with 50 and 150 milligram of curcumin per kilogram of body weight (mg/kg.bw), respectively; (D+Met300) and (D+Met500): diabetic rats received 300 and 500 mg/kg.bw of metformin, respectively. Heart tissues were dissected and gene expression levels of Bax, Bcl-2, and caspase-3 were analyzed. Total anti-oxidant capacity (TAC), total oxidant status (TOS), and malondialdehyde (MDA) level, and activities of catalase (CAT), superoxide dismutase (SOD) and glutathione peroxidase (GPx) were measured. Results: Enhancement in TOS, OSI, and MDA levels as well as increased in the activity of CAT and reduction in SOD and GPx activities were observed in diabetic group (D) compared with control rats. Treatment of diabetic animals with either curcumin or metformin normalized TOS, OSI, and MDA levels and restored CAT, SOD, and GPx activities. Diabetes caused extensive damages in heart tissue of rats (group D) and increased expression of caspase-3 and Bax genes and enhanced ratio of Bax/Bcl-2 expression compared with controls. Treatment with curcumin or metformin mitigated histopathological changes and dampened apoptosis by normalizing Bax and caspase-3 expression. Conclusion: Curcumin and metformin modulated diabetes-induced cardiac damage probably by reducing oxidative stress.

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“…In 2014, 8.5% of the world's population aged over 18 years suffered from diabetes (WHO, 2021). Countries with the highest prevalence of DM are China, India, the USA, Pakistan, Brazil, Mexico, and Indonesia (Ernawati, Wihastuti and Utami, 2021). Based on the IDF publication (2021), Indonesia is the Western Pacific country that has the highest prevalence of DM after China in 2011 and 2021 (International Diabetes Federation, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Most DM patients only seek medical treatment if the disease complications have been found (Ernawati, Wihastuti and Utami, 2021). Disease complications that occur if diabetes is not managed properly can cause macrovascular diseases (coronary heart disease, cerebrovascular disease, and peripheral vascular disease) that can contribute to cardiovascular death.…”

Section: Introductionmentioning

confidence: 99%

The Analysis of Diabetes Self-Management Implementation on Type 2 Diabetes Mellitus Patients: A Protocol for Systematic Review and Meta-Analysis

Salsabila

Sjaaf²

2022

jurnaleki

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Diabetes is the fourth leading cause of death in the world. Ninety percent of the world's DM cases are dominated by type 2. International Diabetes Federation predicted the incidence and mortality rate of diabetes are increasing by 2045. Diabetes causes macrovascular complications that contribute to cardiovascular death, and microvascular which a risk factor for blindness, lower-extremity amputation, kidney failure, and death. One of the efforts to control complications from diabetes is done through diabetes self-management consists of education, medical nutrition therapy, pharmacological therapy, and physical exercise. The main purpose of implementing DSM is that patients can prevent or slow the onset of complications from diabetes itself. This study aims to summarize and systematically synthesize the clinical and non-clinical effectiveness and resume the cost-analysis of DSM implementation. Several electronic databases will be used: Medline via PubMed, and Embase. The complete evidence will be summarized and critically appraised using Cochrane guidelines and JBI Critical Appraisal Checklist for RCT and cohort studies. In terms of analysis, we will qualitative-quantitatively appraise and present the studies that meet our inclusion criteria. We are expected to summarize the quality and capture the valuable insights related to the study of effectiveness in implementing diabetes self-management of T2DM.

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Effectiveness of Diabetes Self-Management Education (Dsme) in Type 2 Diabetes Mellitus (T2Dm) Patients: Systematic Literature Review

Cited by 59 publications

References 24 publications

Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Effects of curcumin and metformin on oxidative stress and apoptosis in heart tissue of type 1 diabetic rats

The Analysis of Diabetes Self-Management Implementation on Type 2 Diabetes Mellitus Patients: A Protocol for Systematic Review and Meta-Analysis

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