Premarriage counseling in Type 1 diabetes

Priya, Gagan; Kalra, Bharti; Grewal, Emmy; Dardi, Inderpreet Kaur

doi:10.4103/ijem.ijem_550_17

Cited by 7 publications

(9 citation statements)

References 36 publications

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“…To our knowledge and consistent with the present study, no relationship has been established between marital union and the onset of type 1 diabetes among the male and female adults. However, adult-onset type 1 diabetes is purported to impact negatively on the social, psychological, and medicals aspects of marital union as reviewed recently by Priya and colleagues [21,22], adding more distress to the disease burden. In contrast, a recent population-based study documented in Brazil reported a significant association between marital union and diabetes mellitus among the general diabetes subjects [23].…”

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

Pattern, Trend and Predictors of Adult-Onset Type 1 Diabetes in Uyo, Nigeria

Amadi

Ayoade

Onung

et al. 2020

Dubai Diabetes Endocrinol J

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Background: Unlike what obtains in childhood-onset type 1 diabetes, there remains a paucity of data on adult-onset type 1 diabetes in Nigeria. Hence, the current study aimed to determine the general characteristics of adult-onset type 1 diabetes among subjects (aged ≥18 years) presenting at the University of Uyo Teaching Hospital (UUTH) in Akwa Ibom State, South-south Nigeria. Methods: A 5-year (2014–2018) retrospective records review of subjects with type 1 diabetes was undertaken, using hospital medical records retrieved from the Department of Health Information Management of UUTH. Diagnosed adult cases of type 1 diabetes were meticulously identified and the relevant data at the point of initial diagnosis were acquired on a specially designed data acquisition template. Results: A total of 47,357 medical cases were identified of which 362 adults were diagnosed with type I diabetes (mean age 33.12 ± 4.40, range 20–51 years) and the females (n = 204; 56.4%) predominated among those diagnosed. The overall, male gender, and female gender prevalence was 7.4/1,000 (95% confidence interval [CI]: 6.89–7.98), 3.3/1,000 (95% CI: 2.52–4.08), and 4.3/1,000 (95% CI: 3.61–4.99), respectively. The females exhibited the highest trough, peak, annual, and overall prevalence during the study period. The female gender (OR: 2.334; 95% CI: 1.407–3.478; p = 0.010), age ≤30 years (OR: 1.976; 95% CI: 0.875–3.211; p < 0.001), urban-dwelling (OR: 3.243; 95% CI: 2.3407.780; <0.001), diabetes family history (OR: 1.365; 95% CI: 0.678–2.010; p = 0.033), and the rainy season (OR: 1.129; 95% CI: 0.401–1.910; p < 0.001) were independent predictors among the overall adult type 1 diabetics. On gender-segregated analyses, age ≤30 years, urban-dwelling, diabetes family history, and the rainy season remained independent predictors among the male and female adult type 1 diabetics (p < 0.05). Conclusion: The study demonstrated a high burden of type 1 diabetes among adult residents of Uyo, Akwa Ibom State, South-South Nigeria. The predictors of adult type 1 diabetes, identified in the present study, are valuable epidemiologic evidence for the design of type 1 diabetes-targeted preventive programs by various concerned stakeholders.

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Section: Sociodemographic Characteristicsmentioning

confidence: 99%

Pattern, Trend and Predictors of Adult-Onset Type 1 Diabetes in Uyo, Nigeria

Amadi

Ayoade

Onung

et al. 2020

Dubai Diabetes Endocrinol J

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“…The topic of marriage is often neglected in diabetes management, and marital counseling is typically not offered by most diabetes clinics. Given that marriage quality is often associated with diabetes-related outcomes, offering premarital and marital counseling can be a critical component of long-term diabetic outcomes (Priya et al, 2018). Among couples dealing with chronic illness, those with divergent communication styles are more likely to report conflict and distress about the illness and their overall relationship (Rolland, 1994).…”

Section: Interpersonal and Cultural Considerationsmentioning

confidence: 99%

The psychological burden of diabetes: Using evidence-based treatment to support clients in psychotherapy.

Adams¹,

Tran²,

Lofgren³

et al. 2022

Practice Innovations

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Psychologists who treat many of the most common individual and family mental health concerns, including anxiety and depression, have likely encountered clients whose mental health effects and is affected by physical health conditions. Diabetes management is multifaceted and requires self-care, self-monitoring, adherence to medications and social supports. This article provides psychologists with a deeper level of understanding about the impact of diabetes in the emotional and psychological well-being of individuals and families. Anxiety and depression will be discussed as they negatively influence diabetes management and quality of life. Evidence-based psychological interventions that have been shown to support diabetes management will also be discussed and applied to clients of various ages. Clinical Impact StatementGiven the prevalence of diabetes in the U.S., psychologists will encounter clients who have comorbid diabetes and mental health concerns. This article provides a review of evidence-based psychological interventions that can be used to support clients with diabetes.

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“…Optimal glycemic and metabolic control at this time is not only important to reduce the risk of severe COVID-19 infection, it also ensures optimal metabolic control. [ 58 ] This can be planned through scheduled telemedicine or physical visits, as necessary. [ 4 14 ] Additionally, periodic screening to assess any complications or comorbidities is strongly recommended.…”

Section: Pre-pregnancy Planning In Women With Pre-existing Diabetes D...mentioning

confidence: 99%

“…[ 4 14 ] Additionally, periodic screening to assess any complications or comorbidities is strongly recommended. [ 58 ] Folic acid supplementation should also be started. [ 3 4 ]…”

Section: Pre-pregnancy Planning In Women With Pre-existing Diabetes D...mentioning

confidence: 99%

Clinical practice recommendations for the detection and management of hyperglycemia in pregnancy from South Asia, Africa and Mexico during COVID-19 pandemic

Priya

Bajaj

Kalra³

et al. 2021

Journal of Family Medicine and Primary Care

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The human coronavirus disease 2019 (COVID-19) pandemic has affected overall healthcare delivery, including prenatal, antenatal and postnatal care. Hyperglycemia in pregnancy (HIP) is the most common medical condition encountered during pregnancy. There is little guidance for primary care physicians for providing delivery of optimal perinatal care while minimizing the risk of COVID-19 infection in pregnant women. This review aims to describe pragmatic modifications in the screening, detection and management of HIP during the COVID- 19 pandemic. In this review, articles published up to June 2021 were searched on multiple databases, including PubMed, Medline, EMBASE and ScienceDirect. Direct online searches were conducted to identify national and international guidelines. Search criteria included terms to extract articles describing HIP with and/or without COVID-19 between 1 st March 2020 and 15 th June 2021. Fasting plasma glucose, glycosylated hemoglobin (HbA1c) and random plasma glucose could be alternative screening strategies for gestational diabetes mellitus screening (at 24–28 weeks of gestation), instead of the traditional 2 h oral glucose tolerance test. The use of telemedicine for the management of HIP is recommended. Hospital visits should be scheduled to coincide with obstetric and ultrasound visits. COVID-19 infected pregnant women with HIP need enhanced maternal and fetal vigilance, optimal diabetes care and psychological support in addition to supportive measures. This article presents pragmatic options and approaches for primary care physicians, diabetes care providers and obstetricians for GDM screening, diagnosis and management during the pandemic, to be used in conjunction with routine antenatal care.

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Premarriage counseling in Type 1 diabetes

Cited by 7 publications

References 36 publications

Pattern, Trend and Predictors of Adult-Onset Type 1 Diabetes in Uyo, Nigeria

Pattern, Trend and Predictors of Adult-Onset Type 1 Diabetes in Uyo, Nigeria

The psychological burden of diabetes: Using evidence-based treatment to support clients in psychotherapy.

Clinical practice recommendations for the detection and management of hyperglycemia in pregnancy from South Asia, Africa and Mexico during COVID-19 pandemic

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