Psychosocial factors associated with poor diabetes self-care management in a specialized Center in Mexico City

Lerman, Israel; Lozano, Liliana; Villa, Antonio; Hernández-Jiménez, Sergio; Weinger, Katie; Caballero, A. Enrique; Salinas, Carlos Aguilar; Velasco, María Luisa Pro; Gómez-Pérez, Francisco J.; Rull, Juan

doi:10.1016/j.biopha.2004.09.003

Cited by 66 publications

(46 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The strategies to reduce such biases included: 1. having a non-inclusion criteria to patients with cognitive problems; 2. focusing the items of the questionnaire on self-care activities during the last month, and 3. confirming information by means of reviewing the clinical files. Thanks to these strategies, percentages of patients with low adherence to drug treatment, lack of regular physical exercise, and deficiencies in diet were similar to those found previously on diabetic patients in Mexico (Lerman et al, 2004;Krass, Schieback & Dhippayom, 2015;Faria et al, 2014;Mumu, Saleh, Ara, Afnan & Ali, 2014). On the other hand, the study sample was limited to patients in two family practice medical units of the IMSS, which prevents the study from being representative.…”

Section: Limitationssupporting

confidence: 72%

“…Unfortunately, the proportion of patients with optimal selfcare practices is very low. In Mexican patients, adherence to drug treatment is 78.4%; to regular physical exercise, 44.3%; and to eating low contents of sugar and high contents of vegetables, 58% (Lerman et al, 2004). Such figures partly account for the fact that only 29.7% of the patients reach glycemic control (Flores-Hernández et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…In Mexico, research in diabetic patients has focused on psychiatric disorders such as anxiety and depression (Lerman et al, 2004;Fabián, García & Cobo, 2010;Serrano, Zamora, Navarro & Villarreal, 2012;Castro, Tovar & Mendoza, 2009;Sánchez, Hipólito, Mugártegui & Yáñez, 2016;León, Guillen & Vergara, 2012). Distress has received little attention in this population (Lerman et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Distress and its association with self-care in people with type 2 diabetes

Martínez-Vega

Doubova

Pérez‐Cuevas³

2017

View full text Add to dashboard Cite

Introduction. Low adherence to diabetes self-care affects glycemic control and increases the risk of diabetes complications and premature deaths. Studies from the United States have found a relationship between distress and adherence to self-care in patients with diabetes; however, there is a lack of research on distress and its association with self-care in Mexican patients with diabetes. Objective. To evaluate the prevalence and association of distress with low self-care in patients with type 2 diabetes. Method. A cross-sectional study was carried out in two family medicine clinics of the Mexican Institute of Social Security in Mexico City. Four hundred eighty-nine type 2 diabetic patients ≥ 19 years of age participated. The statistical analysis incorporated a multiple Poisson regression. Results. Of the patients 18.8% had distress, 44.8% had low adherence to medication, 43.8% had low adherence to regular physical exercise, 82.4% did not consume the recommended amount of vegetables and 51.1% consumed foods with high sugar content. The distress was associated with poor adherence to medication and lack of regular physical exercise. Discussion and conclusion. The high prevalence of distress in type 2 diabetic patients in comparison with the general population reveals the importance of distress screening and health care at family practice clinics

show abstract

Section: Limitationssupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Distress and its association with self-care in people with type 2 diabetes

Martínez-Vega

Doubova

Pérez‐Cuevas³

2017

View full text Add to dashboard Cite

show abstract

“…Mean insulin adherence was 63% in a large retrospective database including both long-term and new-start insulin users, a lower adherence than seen with OHAs (73% to 86%). A number of variables have been causally correlated with poor adherence including clinical depression, 75,76 alcohol use, 76 twice daily versus once-daily OHA regimens, 77 polytherapy versus monotherapy, 78 poor comprehension of the treatment regimen, 72 poor perception of treatment benefits, 72 medication costs, 72 and fear of weight gain or other side effects. 79,80 Poor adherence has a measurably negative impact on disease control.…”

Section: Adherencementioning

confidence: 99%

Insulin Analogs: Impact on Treatment Success, Satisfaction, Quality of Life, and Adherence

Hartman

2008

Clinical Medicine & Research

115

View full text Add to dashboard Cite

Despi te 85 years of research since Banting and Best's isolation of insulin-containing extracts, 1 diabetes still remains one of the most significant causes of morbidity and mortality in the world, and its global impact is likely to accelerate over the coming decades. 2,3 Much of the medical and economic consequences of diabetes are attributable to its associated microvascular and macrovascular complications. [4][5][6] Two classic large-scale clinical studies, the Diabetes Control and Complications Trial (DCCT) 6 and the UK Prospective Diabetes Study (UKPDS), 7 demonstrated that intensive blood-glucose control policies can decrease the frequency of complications, arguing that physicians and patients should strive to mimic, as closely as possible, the serum levels of insulin produced by a healthy person. Secretion of insulin by the pancreas, however, is under complex regulation that depends on the intake of nutrients, other gastrointestinal peptides (e.g., incretins), and overall metabolic levels (i.e., exercise versus rest). 8 These physiological variables, which pose real challenges to the accurate metabolic replacement of insulin, are further complicated by the fact that diabetes requires self-management and therefore depends on the psychology, motivation, and understanding of the patient. A growing body of medical research has demonstrated that intensive control of serum glucose levels can minimize the development of diabetes-related complications. Success with insulin management ultimately depends on how closely a given regimen can mimic normal physiologic insulin release patterns.The new insulin analogs, including the rapid-acting analogs (aspart, lispro, glulisine), the long-acting basal analogs (glargine, detemir), and the premixed insulin analog formulations (75% neutral protamine lispro, 25% lispro; 50% neutral protamine lispro, 50% lispro; 70% protamine aspart, 30% aspart) have been formulated to allow for a closer replication of a normal insulin profile.The rapid-acting analogs can be administered at mealtimes and produce a rapid and short-lived insulin spike to address postprandial glucose elevations, while the long-acting analogs come close to the ideal of a smooth, relatively flat, 24-hour basal insulin supply, with less variability in action compared to NPH insulin. Despite these clear pharmacologic advantages, measurable clinical benefits in a complex disease such as diabetes can be hard to measure.To date, reviews of insulin analog studies have not found a dramatic overall improvement in glycosylated hemoglobin (HbA1c) outcomes compared to traditional human insulins, although all-analog basal-bolus regimens were associated with significantly lower HbA1c than all-human-insulin basal bolus regimens in some studies. Beyond HbA1c comparisons, however, insulin analogs have been shown in many instances to be associated with lower risks of hypoglycemia, lower levels of postprandial glucose excursions, better patient adherence, greater quality of life, and higher satisfaction with treatment.The long-act...

show abstract

“…Patients with depression or a comorbid chronic disease are three times more likely not to obey the therapeutic guidelines than the people without such disorders [26]. It is very difficult for a patient suffering from both depression and diabetes to practice sports regularly, to take medicines in compliance with the physician's orders or to stop smoking.…”

Section: Discussionmentioning

confidence: 99%