Association between erectile dysfunction and echocardiographic variables of ventricular hypertrophy and diastolic function in hypertensive patients with type 2 diabetes mellitus: A cross‐sectional study 在合并2型糖尿病的高血压患者中勃起功能障碍与心室肥厚以及舒张功能超声心动图变量之间的关系：一项横断面研究

Severo, Mateus Dornelles; Leiria, Liana Farias; Ledur, Priscila dos Santos; Becker, Alexandre Dalpiaz; Aguiar, Fernanda Musa; Massierer, Daniela; Gus, Miguel; Schaan, Beatriz D.

doi:10.1111/1753-0407.12133

Cited by 11 publications

(12 citation statements)

References 42 publications

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“…Likewise, the prevalence of erectile dysfunction is higher among Brazilians than Western Europeans, with up to 74.6% of men with T2DM being affected, as assessed by international index of erectile function (IIEF-5) score [21]. In our study, the potential impact of diabetes on sexual health and fertility was given substantially less time in Brazil, with only 49% of physicians including it in their overview of potential complications compared to 64.6% in the other countries surveyed.…”

Section: Discussionmentioning

confidence: 99%

Understanding the barriers and improving care in type 2 diabetes: Brazilian perspective in time to do more in diabetes

Vencio

Paldánius

Blüher

et al. 2017

Diabetol Metab Syndr

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BackgroundType 2 diabetes mellitus (T2DM) is a complex disease, particularly in a continental country like Brazil. We attempted to understand and evaluate the perceptions and routines of Brazilians with T2DM and physicians, compared with other countries.MethodsWe compared the results from a 20-min online survey in Brazil with simultaneously collated data from India, Japan, Spain, UK and USA.ResultsIn total, 652 adults with T2DM and 337 treating physicians were enrolled, of whom 100 patients and 55 physicians were from Brazil. The numbers of primary care physicians from the five countries were 221 versus 43 in Brazil, diabetes specialists were 61 versus 12. There was disconnect between the opinions of physicians and people with diabetes globally. Further, there were differences between clinical practices in Brazil versus the rest of the world, in many areas Brazilians were performing better.ConclusionsCommunication between patients and physicians should be clearer. There is an urgent need to identify the deficits in education, in order to address the clinical inertia within the diabetes management team. There is a necessity to understand the specific requirements of the Brazilian population in order to contextualise international guidelines and implement local changes in practice.

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Section: Discussionmentioning

confidence: 99%

Understanding the barriers and improving care in type 2 diabetes: Brazilian perspective in time to do more in diabetes

Vencio

Paldánius

Blüher

et al. 2017

Diabetol Metab Syndr

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“…The presence of cardiovascular autonomic neuropathy will be evaluated using digital electrocardiography (VNS-Rhythm Neurosoft, Ivanovo, Russia) as previously described [ 33 ] and the five noninvasive cardiovascular tests proposed by Ewing [ 34 ], as standardized in our institution [ 35 ]. The heart rate, electrocardiographically monitored, will be evaluated after 5 min of resting and before and after deep breathing, the Valsalva maneuver, and standing.…”

Section: Methodsmentioning

confidence: 99%

Are glucose levels, glucose variability and autonomic control influenced by inspiratory muscle exercise in patients with type 2 diabetes? Study protocol for a randomized controlled trial

Schein

Corrêa

Casali

et al. 2016

Trials

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BackgroundPhysical exercise reduces glucose levels and glucose variability in patients with type 2 diabetes. Acute inspiratory muscle exercise has been shown to reduce these parameters in a small group of patients with type 2 diabetes, but these results have yet to be confirmed in a well-designed study. The aim of this study is to investigate the effect of acute inspiratory muscle exercise on glucose levels, glucose variability, and cardiovascular autonomic function in patients with type 2 diabetes.Methods/designThis study will use a randomized clinical trial crossover design. A total of 14 subjects will be recruited and randomly allocated to two groups to perform acute inspiratory muscle loading at 2 % of maximal inspiratory pressure (PImax, placebo load) or 60 % of PImax (experimental load).DiscussionInspiratory muscle training could be a novel exercise modality to be used to decrease glucose levels and glucose variability.Trial registrationClinicalTrials.gov NCT02292810.

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“…Details of the protocol are published. 17 High 24 h-ABPM levels were defined as BP ≥130/80 mmHg. 7 Echocardiography was performed by a single investigator, usually on the same day of the ABPM.…”

Section: Methodsmentioning

confidence: 99%

White coat effect and masked uncontrolled hypertension in treated hypertensive‐diabetic patients: Prevalence and target organ damage

Leiria

Severo

Ledur

et al. 2015

Journal of Diabetes

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Abstract: In high cardiovascular risk hypertensive individuals with type 2 diabetes, ED is highly prevalent as expected, but its presence is associated with neither echocardiographic variables, nor other cardiovascular risk factors.

Cited by 11 publications

References 42 publications

Understanding the barriers and improving care in type 2 diabetes: Brazilian perspective in time to do more in diabetes

Understanding the barriers and improving care in type 2 diabetes: Brazilian perspective in time to do more in diabetes

Are glucose levels, glucose variability and autonomic control influenced by inspiratory muscle exercise in patients with type 2 diabetes? Study protocol for a randomized controlled trial

White coat effect and masked uncontrolled hypertension in treated hypertensive‐diabetic patients: Prevalence and target organ damage

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