RSSDI Textbook of Diabetes Mellitus (Vols 1 and 2)

Ak, Das; Rao, P V; Madhu, SV; Mohan, V.

doi:10.5005/jp/books/11487

Cited by 19 publications

(10 citation statements)

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“…This result is not surprising, as denialrelated defenses aimed at lessening one's sense of loss are demonstrated to contribute to diabetes adaption to some extent (Marchini et al, 2018), as a way of contrasting the process of somatic disruption (Caputo, 2019a). Several authors have stated that denial may serve as an emotion-focused coping strategy, allowing the reduction of distress perception in patients with diabetes in the short term (Gois et al, 2012;Tripathy et al, 2012;Marchini et al, 2018). However, it should be noted that such a defensive strategy does not necessarily lead to effective self-care behaviors (Hyphantis et al, 2005;Marchini et al, 2018;Caputo, 2019b), as also suggested by the lack of association with physical well-being in the present study.…”

Section: Discussionmentioning

confidence: 99%

Going Beyond the Visible in Type 2 Diabetes Mellitus: Defense Mechanisms and Their Associations With Depression and Health-Related Quality of Life

et al. 2020

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Introduction: Clinical psychological features may impact a person's aptitude to deal with chronic diseases, leading to emotional distress, suffering, and a worse perceived quality of life (QoL). Chronic diseases are largely represented, and their incidence is constantly increasing all over the world. Type 2 Diabetes Mellitus (T2DM) is one of the most common chronic diseases and it is very difficult to manage, demanding long term self-management, which improves the perceived QoL. The aim of this study was to explore defense mechanisms, depression, QoL, time since diagnosis, and metabolic control in T2DM patients. Methods: 51 patients with T2DM were assessed through a psychodiagnostic battery: Beck Depression Inventory-II, the 36-Item Short Form Health Survey, including indexes of Physical and Mental Component Summary and the Defense Mechanisms Inventory. Times since DM diagnosis and glycated hemoglobin values were detected. Results: Participants were mainly female (62.74%), with a mean age of 66.1 years. T2DM time since diagnosis was 11.77 years (SD = 7.1). Mild depression was detected (with an overall score between 13 and 19). Projection was significantly associated with higher depression and with lower physical well-being; Principalization was negatively associated with depression and positively with both physical and mental well-being. Turning Against Self correlated positively with physical well-being and negatively with mental well-being. Reversal was associated with lower depression and higher mental well-being. A negative high correlation emerged between depression and mental wellbeing. Finally, a significant relationship was found between Projection and higher time since diagnosis (r = 0.31, p < 0.05).

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Section: Discussionmentioning

confidence: 99%

Going Beyond the Visible in Type 2 Diabetes Mellitus: Defense Mechanisms and Their Associations With Depression and Health-Related Quality of Life

et al. 2020

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“…• Those who are willing to participate in the study after consent • For the admission, to the protocol, patient had following criteria-Hypergycemia->200mg /dl, Urine positive for ketones, Serum bicarbonate level-<15mEq/L and Acidosis with blood pH -<7. 3 • The diagnostic criteria for diabetic ketoacidosis are: 4 • Ketonemia 3 mmol/l and over or significant ketonuria (more than 2 + on standard urine sticks); On admission a careful and detail history recorded and thorough clinical examination was conducted. All the points mentioned in the proforma were recorded and the following investigations will be carried out at the time of admission.…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…By now several carefully conducted, prospective, randomized clinical studies like Diabetes complications and control trial (DCCT), United Kingdom Prospective Diabetes study (UKPDS) and the Kumamoto study have clearly shown that strict control of glycemia prevent complications in both Type 1 and 2 diabetes. 3 Three essential components of Diabetic Ketoacidosis are hyperglycemia, ketosis, and resultant metabolic acidosis. 4% of all patients with diabetes and 20% of those with Type 1 Diabetes are admitted to hospital with manifestations of ketoacidosis.…”

mentioning

confidence: 99%

Clinical features and risk factors for diabetic ketoacidosis in type 1 diabetes mellitus at tertiary care centre, Maharashtra, India

Gaikwad

Deshmukh

et al. 2020

Int J Adv Med

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Background: Diabetes Mellitus is increasing in incidence, prevalence and importance as a chronic disease throughout the world. The International Diabetes Federation projects that by 2030 there will be 438 million people with diabetes on a global scale. Three essential components of Diabetic Ketoacidosis are hyperglycemia, ketosis, and resultant metabolic acidosis. 4% of all patients with diabetes and 20% of those with Type 1 Diabetes are admitted to hospital with manifestations of ketoacidosis. Objectives was to study clinical profile of patients presenting as Diabetic Ketoacidosis.Methods: It is a descriptive observational study was conducted at Department of Medicine, Dr. Shankarrao Chavan Medical College and Hospital, Nanded. The study included 77 patients of diabetic ketoacidosis (DKA) from Male Medicine ward, Female Medicine ward, Medical Intensive Care Unit. The study was carried out during Jan 2012 to October 2013. The data was analyzed using SPSS 24.0 version.Results: Majority of the subjects were from 10-20 years age group i.e. 31(40.3%). 51.9% were males and 42.9% were females. 38(49.4%) have onset of Diabetes type 1 between 10- 20 years of age and mean±S.D.20.11±7.09yrs. Most common symptoms at the time of admission were abdominal pain in 54(70.1%), vomiting in 52(67.5%), nausea in 41(53.2%) and fatigue in 40(51.9%) patients. Most common risk factor for DKA was found to be infections in 36(46.8%) patients.Conclusions: Most common clinical features of Diabetic Ketoacidosis were abdominal pain, vomiting, nausea and fatigue. Most common risk factor for Diabetic Ketoacidosis was infection followed by omission of treatment or irregular treatment. The most common infections were due to urinary tract & respiratory tract infections.

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“…Diabetes mellitus (DM) is a metabolic disorder characterized by elevated blood glucose levels and disturbances in carbohydrates, fats, and protein metabolism. Type 2 DM (T2DM) accounts for more than 90% of the diabetic population worldwide [1,2]. Both genetic and environmental factors are important in the development of the disease.…”

Section: Introductionmentioning

confidence: 99%

“…Both genetic and environmental factors are important in the development of the disease. The International Diabetes Federation estimates showed that 194 million people had diabetes in 2003 and it is expected to reach 333 million by the year of 2025 [1]. 30 years ago, the prevalence of diabetes in India based on the Indian Council of Medical Research multicentric survey was around 2% in urban India and 1% in rural India.…”

Section: Introductionmentioning

confidence: 99%

Association of Postprandial Blood Sugar With Hypercoagulability in Comparison to Fasting Blood Sugars in Diabetic and Healthy Patients: A Cross-Sectional Study

Kadiyala

Rao

Rao³

et al. 2017

Asian J Pharm Clin Res

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Objective: The aim of this study was to find the association of postprandial blood glucose with hypercoagulability in comparison to fasting blood sugars(FBS) in diabetic and healthy patients.Methods: The present study involved a total of 156 patients, of which 78 were taken as cases (diabetics) and other 78 as controls (non-diabetics). Laboratory analysis included prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen assay done along with fasting, and postprandial sugars.Results: Platelets in diabetics and healthy controls were in normal range. Decrease in PT and partial thromboplastin time was noted in diabetics compared to non-diabetic controls. Fibrinogen levels were increased in cases compared to controls. Changes in PT values were more significant with postprandial blood sugar (PPBS) levels when compared to FBS levels, and APTT follows the same pattern with more in PPBS levels and FBS levels in diabetics. PPBS showed elevated fibrinogen when compared to FBS in diabetics as well as non-diabetics.Conclusion: Type 2 diabetes mellitus is a hypercoagulable state as proven by the following results of our study.

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RSSDI Textbook of Diabetes Mellitus (Vols 1 and 2)

Cited by 19 publications

References 0 publications

Going Beyond the Visible in Type 2 Diabetes Mellitus: Defense Mechanisms and Their Associations With Depression and Health-Related Quality of Life

Going Beyond the Visible in Type 2 Diabetes Mellitus: Defense Mechanisms and Their Associations With Depression and Health-Related Quality of Life

Clinical features and risk factors for diabetic ketoacidosis in type 1 diabetes mellitus at tertiary care centre, Maharashtra, India

Association of Postprandial Blood Sugar With Hypercoagulability in Comparison to Fasting Blood Sugars in Diabetic and Healthy Patients: A Cross-Sectional Study

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