The dirty dozen of diabetes

Kalra, Sanjay; Chawla, Rajeev; Madhu, SV

doi:10.4103/2230-8210.111593

Cited by 19 publications

(16 citation statements)

References 12 publications

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“…Each relevant aspect of history should be explored in detail. At all times, the five E’s of sexual history taking, i.e., empathy, etiquette, experience, ethnic/cultural understanding, and environment conducive for relaxation, must be followed [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…During taking the sexual history, probing questions on non-genital aspects should be considered before enquiring about genital issues. Questions directed toward the present medical history should focus on non-sexual symptoms (i.e., symptoms suggestive of skin infection or urinary tract infection) before probing sexual function-related concerns [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…Physicians/counselors must encourage patients with MSD to eat a balanced diet rich in vitamins and minerals, supplemented by nutraceuticals if necessary. Avoidance of smoking and moderation of alcohol intake are essential points for discussion [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

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Euthymia in Diabetes: Clinical Evidence and Practice-Based Opinion from an International Expert Group

Kalra

Das

Baruah³

et al. 2019

Diabetes Ther

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Aim To develop an evidence-based expert group opinion on various types of euthymia associated with diabetes mellitus (DM) and its management. Background Diabetes mellitus is a metabolic syndrome characterized by diverse biomedical and psychosocial features. Emotional health disturbances may lead to psychological and psychiatric dysfunction and may negatively influence glycemic control. Patients with DM may experience diabetes distress (DD) associated with burden of self-care, interpersonal issues, and emotional worries regarding the ability to cope with the illness. Euthymia or a state of positive mental health and psychological well-being should be considered a key outcome of diabetes care. Therefore, to achieve optimal outcomes, the consideration and measurement of psychological and psychiatric aspects along with glycemic levels are very important. A group of multidisciplinary clinical experts came together in an international meeting held in India to develop a workable concept for euthymia in diabetes care. A multidisciplinary approach was suggested to enhance the clinical outcomes and facilitate patient-centered care. During the meeting emphasis was given to the concept of a euthymia model in diabetes care. This model focuses on enhancement of self-care skills in diabetic patients and preventative health awareness among diabetes care providers. Euthymia also encompasses patient–provider communication to aid enhancement of coping skills. Results After due discussions and extensive deliberations, the expert group provided several recommendations on implementing the concept of euthymia in DM care. Conclusions Introduction of the concept of euthymia in routine clinical practice is important to improve the quality of life and coping skills in patients with DM. A timely clinical assessment of psychological and psychiatric aspects along with patient-reported outcomes of diabetes contributes to overall health and well-being of affected individuals. Funding Sanofi India.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Euthymia in Diabetes: Clinical Evidence and Practice-Based Opinion from an International Expert Group

Kalra

Das

Baruah³

et al. 2019

Diabetes Ther

Self Cite

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“…Type 2 diabetes mellitus (T2DM) constitutes the majority of adult diabetes and has become a growing contributing part to adolescent and childhood diabetes [1][2][3][4]. Pathophysiologic abnormalities in T2DM vary greatly among different clinical phenotypes as well as along different stages of the disease [5][6][7]. It's ideal to make anti-diabetes pharmacotherapy pathophysiologically personalized in T2DM but difficult to realize [8].…”

Section: Introductionmentioning

confidence: 99%

Discharge pharmacotherapy for Type 2 diabetic inpatients at two hospitals of different tiers in Zhejiang Province, China

Zhang

et al. 2020

PLoS ONE

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ObjectsTo look into the discharge pharmacotherapy for type 2 diabetics admitted to two general hospitals of different ranks and inspect current real-world management of discharge pharmacology and its related factors. MethodsType 2 diabetics admitted to a tertiary general hospital (Ningbo Medical Treatment Centre Lihuili Hospital, LHLH) or a secondary general hospital (Simen Hospital, SMH) for intensification of their anti-diabetics were included for retrospective analysis. Patients' demographics, clinical characteristics, admission diabetes therapy and discharge diabetes pharmacology were analyzed and compared among patients in each hospital as well as between two hospitals. Results391 patients from LHLH and 164 patients from SMH were included for analyzing. Compared with patients from LHLH, patients from SMH were older, more illiterate and had higher HbA1c concentrations. While there was a nearly equal split of oral anti-diabetes drugs (OADs)-only and Insulin treatment in LHLH's discharge pharmacotherapy, insulin treatment dominated SMH's. Basal-and-bolus insulin assumed the majority of SMH's insulin regimens but only accounted for less than 20% of LHLH's. The principal discrepancy in OADs-only treatment existed in the utilization of newer classes of OADs. Cost and body mass index (BMI) were the main differentiating factors among OADs-only treatments while duration, BMI and HbA1c differ among insulin treatments at LHLH. Clinical characteristics didn't significantly differ among OADs-only treatments and HbA1c was the only differentiating factor among insulin treatments at SMH. Overall, hospital, duration, HbA1c, and vascular diseases were main factors that affect discharge pharmacology.

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“…[1] The underlying etiopathogenesis of type 2 diabetes is expanding from the triumvirate to octet and dirty dozen. [2] The management of diabetes leaves a lot to be achieved despite the existence of various guidelines on the subject from national and international academic bodies. In a chronic life style disease like diabetes with varied etiology, there is a need to look beyond the boundaries of biological model and understand the new models of health care.…”

Section: Introductionmentioning

confidence: 99%

Research productivity regarding psychosocial aspects of diabetes from India

Varadarajulu

Konidena²,

Kumar

2013

Journal of Social Health and Diabetes

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Introduction: psychosocial factors play an important role in chronic ailments like diabetes. Unfortunately, there is limited research in the area of diabetes and the published literature is scanty from India. In this study, we assessed the research productivity on psychosocial aspects of diabetes from India. Materials and Methods: the online database of PUBMED was searched using the search terms ‘psychosocial′, ‘diabetes’ in any field and ‘India’ in the author affiliation field. The available articles were studied further for analyzing the research productivity. Results: the number of available articles dealing with the psychosocial aspect of diabetes are 16 that constitute only 0.08% of the total papers in PUBMED. The articles were mostly in the form of original articles (13 out of 16) and the remaining three constituted a case report, review, and medical hypothesis. The majority of the articles originated from Delhi, Chennai, and Visakhapatnam. Conclusion: the research productivity from India is lacking in the psychosocial aspects of diabetes. The imbalance is marked as we have the highest disease burden and urgent measures are required to cover the gaps in the research.

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The dirty dozen of diabetes

Cited by 19 publications

References 12 publications

Euthymia in Diabetes: Clinical Evidence and Practice-Based Opinion from an International Expert Group

Euthymia in Diabetes: Clinical Evidence and Practice-Based Opinion from an International Expert Group

Discharge pharmacotherapy for Type 2 diabetic inpatients at two hospitals of different tiers in Zhejiang Province, China

Research productivity regarding psychosocial aspects of diabetes from India

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