Lifestyle, metabolic compensation in patients with type 2 diabetes mellitus and the risk of chronic disease complications

Kołpa, Małgorzata; Grochowska, Aneta; Kubik, Barbara; Stradomska, Katarzyna

doi:10.5603/dk.2018.0011

Cited by 6 publications

(8 citation statements)

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“…Ulmer et al (2015) observed increased cardiovascular risk associated with higher prevalence of nicotinism, increased incidence of hypertension, and elevated blood pressure in military veterans reporting problems with the initiation and maintenance of sleep [46]. In their study of 183 patients with type 2 diabetes, Kołpa et al (2018) found that more than half (57.9%) of the respondents had sleep problems or insomnia [47]. An insomnia-related problem is daytime sleepiness, which was found in the current study on rural residents suffering from diabetes, hyperthyroidism, and gastrointestinal diseases, and smoking cigarettes.…”

Section: Discussionmentioning

confidence: 99%

Sleep problems and related factors in rural and urban populations in Western Pomerania, Poland

Wolińska¹,

Mroczek²

2022

Ann Agric Environ Med.

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Introduction.Insomnia is considered the most common sleep disorder. Sleep deprivation, regardless of its causes, leads to deterioration in the quality of life (QoL), poorer daytime functioning, and reduced professional productivity. It also contributes to an increase in the number of occupational and road accidents. Most research on sleep problems has been conducted on samples of urban residents, with few studies among people living in rural areas, where high rates of sleep problems have also been recorded.Objective. The aim of the study was to determine sleep problems and their impact on the QoL of rural and urban residents of the West Pomeranian Province of Poland. Materials and method. The study involved 597 people: 187 (31.32%) rural and 410 (68.68%) urban residents. The research instruments used in the study were standardized questionnaires, namely the Athens Insomnia Scale (AIS), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), and the Short Form 36 Health Survey (SF-36), and the author's questionnaire concerning socio-demographic data.Results. There was a statistically significant relationship between insomnia and gender, both among rural (p < 0.050) and urban (p < 0.005) residents. Diseases that turned out to be significantly related to insomnia in rural residents were diabetes (p < 0.045) and depression (p < 0.015). Women living in the city assessed their QoL worse than men (p < 0.0005). The lowest QoL was demonstrated in people with insomnia. Conclusions: The results suggest that insomnia is often a permanent condition in the Polish population. Bearing in mind the prevalence of insomnia among Poles, especially in the 60-79 age group, it is necessary to introduce obligatory tests of sleep disorders and QoL into the practice of a family doctor, due to the long-term adverse effects of persistent insomnia.

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Section: Discussionmentioning

confidence: 99%

Sleep problems and related factors in rural and urban populations in Western Pomerania, Poland

Wolińska¹,

Mroczek²

2022

Ann Agric Environ Med.

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“…In avoiding secondary diseases due to DM including vascular complications and amputations, diabetes compensation represents a crucial determinant. However, lifestyle modification including diet and physical activity is in most patients rarely implemented in daily life despite knowledge about the disease and awareness regarding complications 60 . Lower socioeconomic status, which can barely be altered, is associated with an elevated amputation risk in diabetics 61 .…”

Section: Discussionmentioning

confidence: 99%

“…However, lifestyle modification including diet and physical activity is in most patients rarely implemented in daily life despite knowledge about the disease and awareness regarding complications. 60 Lower socioeconomic status, which can barely be altered, is associated with an elevated amputation risk in diabetics. 61 Optimal glucose control and diabetes medication like glucagon-like peptide-1 receptor agonists have shown beneficial effects on prevention of limb amputation, 62,63 whereas sodium glucose cotransporter 2 inhibitors are suspected of increasing the risk for amputation in PAD patients.…”

Section: Discussionmentioning

confidence: 99%

Temporal trends in patients with peripheral artery disease influenced by diabetes mellitus in Germany

Schmitt

Hobohm

Vosseler

et al. 2022

Journal of Diabetes

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Introduction In patients with peripheral artery disease (PAD) the presence of diabetes mellitus (DM) is associated with higher morbidity and mortality. Because huge efforts are made to improve medical care of patients with DM including chronic disease programs, the aim of the present study was to investigate temporal trends regarding the clinical burden of DM on PAD patients within a 15‐year observational period. Methods We analyzed all patients hospitalized because of PAD between 2005 and 2019 in Germany stratified regarding DM. Results Overall, 2 654 871 hospitalizations of PAD patients (865 823 with DM) were included. Hospitalizations based on PAD inclined from 142 778 in 2005 to 190 135 in 2019 ( β 3956 per year; 95% confidence interval [CI] 3034–4878, p < .001) with simultaneous increase of hospitalizations of PAD patients with DM (2005: 41609 (29.1%) versus 2019: 65 302 (34.3%); β 2019 per year [95% CI 1593–2446], p < .001). Amputation rates ( β −0.42 [95% CI −0.44 to −0.40]; p < .001) as well as in‐hospital case‐fatality rate (2005: 4.7%, 2019: 2.8%; β −0.64 [95% CI −0.69 to −0.59]; p < .001) decreased in diabetic PAD patients during the observational time. In spite of improved morbidity and mortality in the last years of the observational period, patients with DM still suffered from an increased risk for morbidity and mortality during the observational period compared to nondiabetic PAD patients. Conclusions Despite the progress in DM treatments, DM still was associated with an unfavorable clinical patient profile and remained a substantial risk factor for morbidity and mortality in hospitalized patients with PAD and DM in Germany between 2005 and 2019.

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“…Those changes may have been related to changes in economy, caused by the limited availability of catering services and limited earning opportunities at a time of isolation of the society [ 2 ]. Negative lifestyle changes may put individuals at risk of a number of diseases such as obesity, diabetes and other metabolic disorders [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Adults should consume 4–5 meals daily, while children should eat 5 meals with 3–4 h intervals between them [ 6 ]. This helps maintain normal blood glucose levels preventing episodes of sudden insulin secretion that could contribute to the development of type 2 diabetes in the future [ 4 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Lifestyle of Families with Children Aged 4–8 Years before and during Lockdown Due to COVID-19 Pandemic in Poland

Szczepańska

Janota

2022

IJERPH

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The aim of the study was to evaluate the lifestyle changes of families with children aged 4–8 years during lockdown compared to the time before the COVID-19 pandemic. The study was conducted among 1098 parents during the first lockdown in Poland. An originally developed questionnaire was used as the research tool. The Wilcoxon test was used to determine the frequency of differences in the lifestyle of parents and children before the pandemic and during lockdown. Differences were found in the frequency of healthy habits in the periods under investigation, both in the lifestyle of parents and children. A moderately healthy lifestyle was predominant among families with children aged 4–8 years during lockdown. The families’ lifestyle significantly changed in relation to the time before the pandemic. There is a need for lifestyle education for families with children to prevent the development of bad habits during and after the pandemic and isolation time.

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Lifestyle, metabolic compensation in patients with type 2 diabetes mellitus and the risk of chronic disease complications

Cited by 6 publications

References 0 publications

Sleep problems and related factors in rural and urban populations in Western Pomerania, Poland

Sleep problems and related factors in rural and urban populations in Western Pomerania, Poland

Temporal trends in patients with peripheral artery disease influenced by diabetes mellitus in Germany

Lifestyle of Families with Children Aged 4–8 Years before and during Lockdown Due to COVID-19 Pandemic in Poland

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