“Some say no, some say yes”: Receiving inconsistent or insufficient information from healthcare professionals and consequences for diabetes self-management: A qualitative study in patients with Type 2 Diabetes

Maneze, Della; Weaver, Roslyn; Kovai, Vilas; Salamonson, Yenna; Astorga, Cecilia; Yogendran, Daisy; Everett, Bronwyn

doi:10.1016/j.diabres.2019.107830

Cited by 31 publications

(35 citation statements)

References 32 publications

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Section: Discussionmentioning

confidence: 99%

“…Diabetes mellitus is characterized by persistent hyperglycaemia often associated with insulin resistance, which is therefore responsible for the complications of the disease such as neuropathy, artheriopathy, kidney dysfunctions, and cardiomyopathy. The therapy of diabetes mellitus has not been entirely resolved, notwithstanding the introduction of new classes of antidiabetic agents in clinical practice in recent years [34][35][36]. Therefore, extensive research is underway to investigate new possible signaling pathways involved in the pathomechanism of diabetes mellitus that may allow the development of more advanced and effective antidiabetic agents or which might prevent or slow down the progression of diabetes or ameliorate the complications of the disease [37][38][39][40].…”

Section: Discussionmentioning

confidence: 99%

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SIRT1 Activation by Equisetum arvense L. (Horsetail) Modulates Insulin Sensitivity in Streptozotocin Induced Diabetic Rats

et al. 2020

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BACKGROUND: Equisetum arvense L., commonly known as field horsetail is a perennial fern of which extracts are rich sources of phenolic compounds, flavonoids, and phenolic acids. Activation of SIRT1 that was shown to be involved in well-known signal pathways of diabetic cardiomyopathy has a protective effect against oxidative stress, inflammatory processes, and apoptosis that are the basis of diseases such as obesity, diabetes mellitus, or cardiovascular diseases. The aim of our study was to evaluate the antidiabetic and cardioprotective effects of horsetail extract in streptozotocin induced diabetic rats. METHODS: Diabetes was induced by a single intraperitoneal injection of 45 mg/kg streptozotocin. In the control groups (healthy and diabetic), rats were administered with vehicle, whilst in the treated groups, animals were administered with 50, 100, or 200 mg/kg horsetail extract, respectively, for six weeks. Blood glucose levels, glucose tolerance, and insulin sensitivity were determined, and SIRT1 levels were measured from the cardiac muscle. RESULTS: The horsetail extract showed moderate beneficial changes in blood glucose levels and exhibited a tendency to elevate SIRT1 levels in cardiomyocytes, furthermore a 100 mg/kg dose also improved insulin sensitivity. CONCLUSIONS: Altogether our results suggest that horsetail extract might have potential in ameliorating manifested cardiomyopathy acting on SIRT1.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

SIRT1 Activation by Equisetum arvense L. (Horsetail) Modulates Insulin Sensitivity in Streptozotocin Induced Diabetic Rats

et al. 2020

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“…Caregivers' accounts highlighted communication and relational problems with HCPs, which are common not just in diagnoses of dementia, but in many other long term and chronic conditions (e.g. Maneze et al, 2019).…”

Section: Subtheme 1b: Trust In Professionalsmentioning

confidence: 99%

The information trust formation process for informal caregivers of people with dementia: a qualitative study

Sbaffi

Hargreaves

2021

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PurposeThis paper provides new insights on trust formation during information-seeking processes of informal caregivers of people with dementia and identifies the sources of information deemed as trustworthy by caregivers.Design/methodology/approachThe study adopts a phenomenological qualitative approach in the form of in-depth, semi-structured interviews with a sample of 20 informal caregivers.FindingsCaregivers trust sources that are perceived as authoritative and particularly value the information and advice provided by other caregivers. Trust in information can be divided into subjective and objective, but both are important precursors to the actual use of the information. The information available to caregivers is sufficient in quantity but inadequate in terms of ease of use, clarity and usefulness. Often, some key information needs remain unsatisfied due to the lack of timeliness, relevance and personalisation of the information.Practical implicationsThis paper provides recommendations for information and healthcare providers on how to improve communication and information relevance for informal caregivers of people with dementia.Originality/valueThis paper contributes to a more comprehensive perspective on caregivers’ information trust formation processes, which takes into account both the characteristics of the information and caregivers’ individual factors.

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“…Un estudio prospectivo realizado en Italia [30], sobre los resultados de la diabetes dentro de los programas integrados de gestión sanitaria, describe que los reportes de mortalidad fueron más altos en el grupo de pacientes que fue atendido solo por médico general (26,1 por 1.000 personas-año), a diferencia de las cifras de mortalidad de los pacientes que recibieron atención integral desde diferente áreas (8,8 por 1.000 personas-año), evidenciándose la importancia de una atención completa y organizada [30]; de igual manera, la formación del médico y educadores debe ser un pilar fundamental para instruir y evaluar las características propias de cada paciente, determinar factores importantes como su nivel de alfabetización, rangos de edad, condiciones socioeconómicas e ingresos, los cuales influyen de manera directa en la toma de decisiones y mejoría de conductas, con el fin de afianzar habilidades que mejoren el proceso educativo (tabla 1), la recepción, comprensión y asimilación de la información, y el compromiso consciente [11,31], para evitar la confusión, incertidumbre y desconfianza en el paciente, lo que determina su actitud y la ejecución idónea de acciones relacionadas con el autocuidado [32].…”

Section: El Personal Que Brinda Educación Terapéutica Y Atención Clínicaunclassified

Factores que determinan el déficit de educación terapéutica en diabetes mellitus tipo 2

et al. 2021

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Introducción. Entre las enfermedades metabólicas crónicas de mayor prevalencia se encuentra la diabetes, con un alto impacto poblacional y hospitalario, y con tendencia a duplicar sus cifras en los próximos años. Se caracteriza por múltiples complicaciones que aceleran el deterioro de la calidad de vida cuando no hay un manejo apropiado. En los últimos años se ha evidenciado que solo la terapia farmacológica no garantiza un buen control, por lo tanto, requiere una intervención integral de las múltiples falencias, que incluya una adecuada educación al paciente sobre su enfermedad para el autocuidado, entre otros factores. El objetivo de este estudio fue determinar qué factores se relacionan con la falta de educación en pacientes con diagnóstico de diabetes mellitus tipo 2. Metodología. Se realizó una búsqueda exhaustiva por medio de la literatura disponible en PubMed, ScienceDirect, SciELO, Clinical Key, Primary Care Diabetes Europe (PCDE), estadísticas publicadas por la OMS y guías de la Asociación Americana de Diabetes (ADA). Se seleccionaron un total de 50 artículos que cumplieron con los criterios de inclusión. Resultados. Se encontraron múltiples factores que determinan el aprendizaje y autocuidado, entre ellos, la disponibilidad de tiempo en consulta, la relación médicopaciente, la inaccesibilidad del paciente a los centros de salud, aspectos económicos, y la importancia del compromiso personal, familiar y social. Conclusión. El compromiso con el proceso educativo y la estructuración del manejo integral de los pacientes con diabetes mellitus son fundamentales para disminuir el impacto de las complicaciones y la cronicidad de las mismas, al igual que resultan relevantes para mitigar los costos desproporcionados que surgen de la necesidad de atención.

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“Some say no, some say yes”: Receiving inconsistent or insufficient information from healthcare professionals and consequences for diabetes self-management: A qualitative study in patients with Type 2 Diabetes

Cited by 31 publications

References 32 publications

SIRT1 Activation by Equisetum arvense L. (Horsetail) Modulates Insulin Sensitivity in Streptozotocin Induced Diabetic Rats

SIRT1 Activation by Equisetum arvense L. (Horsetail) Modulates Insulin Sensitivity in Streptozotocin Induced Diabetic Rats

The information trust formation process for informal caregivers of people with dementia: a qualitative study

Factores que determinan el déficit de educación terapéutica en diabetes mellitus tipo 2

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