Effects of a Technology-Assisted Integrated Diabetes Care Program on Cardiometabolic Risk Factors Among Patients With Type 2 Diabetes in the Asia-Pacific Region

Lim, Lee‐Ling; Lau, Eric S.H.; Fu, Amy W. C.; Ray, Subir K.; Hung, Yi‐Jen; Tan, Alexander Tong Boon; Chamnan, Parinya; Sheu, Wayne H‐H; Chawla, Manoj; Chia, Yook Chin; Chuang, Lee‐Ming; Cong, Nguyen Duc; Sosale, Aravind; Saboo, Banshi; Phadke, Uday; Kesavadev, Jothydev; Goh, Su-Yen; Gera, Neeru; Vũ, Thị Thanh Huyền; Ronald, C.; Lau, Vanessa; Luk, Andrea; Kong, Alice Pik Shan; Chan, Juliana C.N.

doi:10.1001/jamanetworkopen.2021.7557

Cited by 22 publications

(24 citation statements)

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“…The built-in protocols provide guidance to nurses for systematic data collection and for generating a simple-to-read personalized report that includes risk categories, trends for modifiable risk factors (BP, lipids, HbA 1c , and body weight), future risks for major events, and tailored decision support. 31 …”

Section: Discussionmentioning

confidence: 99%

“…In a previous JADE RCT of 20 834 patients with type 2 diabetes in 8 countries or regions, the JADE technology–assisted intervention group was more likely to attain at least 2 treatment targets (HbA 1c level <7.0% [53 mmol/mol], BP <130/80 mm Hg, or LDL-cholesterol level <2.6 mmol/L) after 12 months, with larger effects (odds ratios) in low- and middle-income countries compared with high-income countries (50% vs 20%). 31 …”

Section: Discussionmentioning

confidence: 99%

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Effect of a Web-Based Management Guide on Risk Factors in Patients With Type 2 Diabetes and Diabetic Kidney Disease

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of a Web-Based Management Guide on Risk Factors in Patients With Type 2 Diabetes and Diabetic Kidney Disease

et al. 2022

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“…For the DKD patients in the ERSD, renal replacement therapy is an effective means to prolong the survival time, for which MHD is considered the primary renal replacement therapy method. Clinical research suggested that favorable hemodialysis requires patients to precisely control their fluid intake and diet, which greatly changes the patients' previous living habits [7][8][9][10][11][12][13][14][15][16][17][18]. Most patients refuse to receive the long-term hemodialysis treatment psychologically and therefore they tend to generate some negative moods (including depression and anxiety) [19].…”

Section: Discussionmentioning

confidence: 99%

The application effect of the trans-theoretical model of behavior change in diabetic kidney disease patients treated with maintenance hemodialysis

Wang

Liu

Wan

et al. 2022

Diabetic Nephropathy

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Objectives The application effect of the trans-theoretical model (TTM) of behavior change in diabetic kidney disease (DKD) patients treated with maintenance hemodialysis (MHD) was discussed. Methods According to the random number table method, 80 patients with DKD on MHD were divided into control group and observation group, 40 patients in each group. Results After the intervention for 6 months, the self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores of patients in the observation group were all lower than those before the intervention and those in the control group (P < 0.05); the compliance of patients to fluid intake in the observation group was higher than that in the control group while the total incidence rate of associated acute complications of the former was lower than that of the latter (P < 0.05). The fasting blood glucose (FBG) and 2-h postprandial blood glucose (2hPBG) indexes of the observation group were lower than those of the control group (P < 0.05), and the laboratory test indexes of serum creatinine (SCr), blood urea nitrogen (BUN), glomerular filtration rate (GFR) were lower than those before the intervention and lower than those of the control group (P < 0.05). Conclusions The nursing combined with TTM of behavior change can effectively strengthen the compliance of DKD patients subjected to MHD to fluid intake, reduce patients’ negative moods (such as depression and anxiety), and lower the incidence rate of complications, and improve the life quality.

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“…The negative associations between healthy lifestyle and age at diagnosis might be confounded by behavioral changes after diagnosis although results were consistent in newly diagnosed patients. The JADE Register uses a pragmatic design to implement data-driven integrated care in a real-world setting [ 38 , 39 ]. Thus, instead of using complex instruments, we used simple questionnaires based on available evidence to assess behavioral factors.…”

Section: Discussionmentioning

confidence: 99%

Combined associations of family history and self-management with age at diagnosis and cardiometabolic risk in 86,931 patients with type 2 diabetes: Joint Asia Diabetes Evaluation (JADE) Register from 11 countries

Cheung

Lau

Tsui

et al. 2022

BMC Med

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Background Family history (FamH) of type 2 diabetes might indicate shared genotypes, environments, and/or behaviors. We hypothesize that FamH interacts with unhealthy behaviors to increase the risk of early onset of diabetes and poor cardiometabolic control. Methods In a cross-sectional analysis of the prospective Joint Asia Diabetes Evaluation Register including patients from 427 clinics in 11 Asian countries/regions in 2007–2021, we defined positive FamH as affected parents/siblings and self-management as (1) healthy lifestyles (balanced diet, non-use of alcohol and tobacco, regular physical activity) and (2) regular self-monitoring of blood glucose (SMBG). Results Among 86,931 patients with type 2 diabetes (mean±SD age: 56.6±11.6 years; age at diagnosis of diabetes: 49.8±10.5 years), the prevalence of FamH ranged from 39.1% to 85.3% in different areas with FamH affecting mother being most common (32.5%). The FamH group (n=51,705; 59.5%) was diagnosed 4.6 years earlier than the non-FamH group [mean (95% CI): 47.9 (47.8–48.0) vs. 52.5 (52.4–52.6), logrank p<0.001]. In the FamH group, patients with both parents affected had the earliest age at diagnosis [44.6 (44.5–44.8)], followed by affected single parent [47.7 (47.6–47.8)] and affected siblings only [51.5 (51.3–51.7), logrank p<0.001]. The FamH plus ≥2 healthy lifestyle group had similar age at diagnosis [48.2 (48.1–48.3)] as the non-FamH plus <2 healthy lifestyle group [50.1 (49.8–50.5)]. The FamH group with affected parents had higher odds of hyperglycemia, hypertension, and dyslipidemia than the FamH group with affected siblings, with the lowest odds in the non-FamH group. Self-management (healthy lifestyles plus SMBG) was associated with higher odds of attaining HbA1c<7%, blood pressure<130/80mmHg, and LDL-C<2.6 mmol/L especially in the FamH group (FamH×self-management, pinteraction=0.050–0.001). Conclusions In Asia, FamH was common and associated with young age of diagnosis which might be delayed by healthy lifestyle while self management was associated with better control of cardiometabolic risk factors especially in those with FamH.

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Effects of a Technology-Assisted Integrated Diabetes Care Program on Cardiometabolic Risk Factors Among Patients With Type 2 Diabetes in the Asia-Pacific Region

Cited by 22 publications

References 35 publications

Effect of a Web-Based Management Guide on Risk Factors in Patients With Type 2 Diabetes and Diabetic Kidney Disease

Effect of a Web-Based Management Guide on Risk Factors in Patients With Type 2 Diabetes and Diabetic Kidney Disease

The application effect of the trans-theoretical model of behavior change in diabetic kidney disease patients treated with maintenance hemodialysis

Combined associations of family history and self-management with age at diagnosis and cardiometabolic risk in 86,931 patients with type 2 diabetes: Joint Asia Diabetes Evaluation (JADE) Register from 11 countries

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