The relationship between HbA<sub>1c</sub>level, symptoms and self-rated health in type 2 diabetic patients

Nielsen, Anni Brit Sternhagen; Gannik, Dorte; Siersma, Volkert; Olivarius, Niels de Fine

doi:10.3109/02813432.2011.585542

Cited by 44 publications

(54 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Persons with diabetes who reported poor SRH consistently over a 4-year interval were more likely to have comorbidities as compared with those whose SRH decreased from good to poor over the same interval (Schmitz et al, 2013). Diabetes complications may be a confounder for SRH and glycemic control (Nielsen et al, 2011). Higher SRH measured by a visual analog scale was associated with lower risk of diabetes complications for a large New Zealand/Australian cohort (Hayes et al, 2008).…”

Section: Discussionmentioning

confidence: 97%

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

2016

View full text Add to dashboard Cite

Men, particularly minorities, have higher rates of diabetes as compared with their counterparts. Ongoing diabetes self-management education and support by specialists are essential components to prevent the risk of complications such as kidney disease, cardiovascular diseases, and neurological impairments. Diabetes self-management behaviors, in particular, as diet and physical activity, have been associated with glycemic control in the literature. Recommended medical care for diabetes may differ by race/ethnicity. This study examined data from the National Health and Nutrition Examination Surveys, 2007 to 2010 for men with diabetes ( N = 646) from four racial/ethnic groups: Mexican Americans, other Hispanics, non-Hispanic Blacks, and non-Hispanic Whites. Men with adequate dietary fiber intake had higher odds of glycemic control (odds ratio = 4.31, confidence interval [1.82, 10.20]), independent of race/ethnicity. There were racial/ethnic differences in reporting seeing a diabetes specialist. Non-Hispanic Blacks had the highest odds of reporting ever seeing a diabetes specialist (84.9%) followed by White non-Hispanics (74.7%), whereas Hispanics reported the lowest proportions (55.2% Mexican Americans and 62.1% other Hispanics). Men seeing a diabetes specialist had the lowest odds of glycemic control (odds ratio = 0.54, confidence interval [0.30, 0.96]). The results of this study suggest that diabetes education counseling may be selectively given to patients who are not in glycemic control. These findings indicate the need for examining referral systems and quality of diabetes care. Future studies should assess the effectiveness of patient-centered medical care provided by a diabetes specialist with consideration of sociodemographics, in particular, race/ethnicity and gender.

show abstract

Section: Discussionmentioning

confidence: 97%

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

2016

View full text Add to dashboard Cite

show abstract

“…8 In general, few data support a relationship between chronic hyperglycemia and fatigue. Nielsen and colleagues found no relationship between fatigue and A1C 4 ; while Van der Does reported slight but statistically significant correlations between A1C and fatigue in patients with T2DM, 9 suggesting that further data are needed to support the relationship between poor glucose control and fatigue.…”

mentioning

confidence: 98%

“…Fatigue is a widespread clinical complaint among adults with type 2 diabetes (T2DM), 1–3 has been directly related to poor self-reported health, 4 and is likely a key barrier to successful self-management of diabetes. 5 Despite this, there are few data describing the magnitude, severity, or etiology of diabetes-related fatigue.…”

mentioning

confidence: 99%

Fatigue in Women With Type 2 Diabetes

et al. 2012

View full text Add to dashboard Cite

Purpose The purpose of this study was to explore the relationship between fatigue and physiological, psychological, and lifestyle phenomena in women with type 2 diabetes (T2DM) in order to establish the magnitude and correlates of fatigue in women with T2DM and explore the interrelationships between fatigue and specific diabetes-related factors that may be associated with increased levels of fatigue. These factors included physiological factors (glucose control, diabetes symptoms), psychological factors (diabetes emotional distress, depressive symptoms in general), and lifestyle factors (body mass index, physical activity). Methods A cross-sectional, descriptive design was used. Women who reported conditions known to cause fatigue were excluded. Physiological measures included fasting blood glucose (FBG), hemoglobin A1C (A1C), glucose variability, and body mass index (BMI). Women completed questionnaires about health, fatigue levels, diabetes symptoms, diabetes emotional distress, depressive symptoms, physical activity, and current diabetes self-care practices. A subset of the women wore a Medtronic Gold CGM sensor for 3 days for assessment of glucose variability. Results Eighty-three women aged 40 to 65 years with T2DM completed the study. Fatigue was significantly related to diabetes symptoms, diabetes emotional distress, depressive symptoms, higher BMI, and reduced physical activity. There was no relationship between fatigue and FBG or A1C. The strongest explanatory factors for fatigue were diabetes symptoms, depressive symptoms, and BMI, which accounted for 48% of the variance in fatigue scores. Glucose variability was not significantly associated with fatigue in these women. Conclusions Fatigue is a persistent clinical complaint among women with T2DM and may signal the presence of physiological, psychological, and lifestyle-related phenomena that could undermine diabetes health outcomes.

show abstract

“…The response would be a composite of known medical diagnoses or conditions, cultural concepts of health, prescribed drugs, awareness of bodily sensations and symptoms, age, functional ability and positive or negative dispositions, among other traits (14–16). …”

mentioning

confidence: 99%

Poor self-reported health and its association with biomarkers among Canadian Inuit

Saudny

Cao

Egeland

2012

International Journal of Circumpolar Health

View full text Add to dashboard Cite

ObjectivesTo determine the extent to which demographic characteristics, clinical measurements and biomarkers were associated with poor self-reported health (SRH) among Inuit adults in the Canadian Arctic.Study designCross-sectional survey was adopted as the study design.MethodsThe International Polar Year Inuit Health Survey carried out in 36 Canadian Arctic communities in 2007 and 2008 included Inuit men and women, aged 18 years or older, recruited from randomly selected households. The main outcome measure was SRH, which was dichotomized into good health (excellent, very good and good responses) and poor health (fair and poor responses).ResultsOf the 2,796 eligible households, 1,901 (68%) households and 2,595 participants took part in the survey. The weighted prevalence of poor SRH was 27.8%. Increasing age was significantly associated with poor SRH. The relative risk ratios for poor SRH was 2.0 (95% confidence interval [CI] 1.3–3.1) for men aged 50 years or older and 2.3 (95% CI 1.7–3.0) for women aged 50 years or older, compared with men and women aged 29 years or younger. After adjusting for age, gender and body mass index, poor SRH was significantly associated with smoking status (odds ratio [OR]=1.5; CI 1.1–2.0), at-risk fasting glucose levels (≥6.1 mmol/L) (OR=2.5; 95%; CI 1.5–4.2) and elevated hs C-reactive protein levels (>3–≤10 mg/L) (OR=2.1; 95% CI 1.4–3.1). Poor SRH was also significantly associated with a hypertriglyceridemic waist phenotype (high-risk waist circumference ≥102 cm for men and ≥88 cm for women with high triglyceride levels, ≥1.7 mmol/L), adjusted for age and gender, OR=1.6; 95% CI 1.1–2.3.ConclusionsClinically relevant indicators of chronic disease risk were related to subjective assessment of SRH among Inuit.

show abstract

The relationship between HbA_1clevel, symptoms and self-rated health in type 2 diabetic patients

Cited by 44 publications

References 27 publications

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

Fatigue in Women With Type 2 Diabetes

Poor self-reported health and its association with biomarkers among Canadian Inuit

Contact Info

Product

Resources

About

The relationship between HbA1clevel, symptoms and self-rated health in type 2 diabetic patients

Cited by 44 publications

References 27 publications

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

Diabetes Self-Management Behaviors, Medical Care, Glycemic Control, and Self-Rated Health in U.S. Men by Race/Ethnicity

Fatigue in Women With Type 2 Diabetes

Poor self-reported health and its association with biomarkers among Canadian Inuit

Contact Info

Product

Resources

About

The relationship between HbA_1clevel, symptoms and self-rated health in type 2 diabetic patients