Adhesive capsulitis of the shoulder joint (?frozen shoulder?) in patients with diabetes mellitus

Adhesive capsulitis (АС) has an incidence of 20% in diabetic patients. The tightening of the shoulder capsule ("freezing") can cause gradually increasing limitation in active and passive range of motion (ROM) of shoulder. Consequences of the increasing limitations are reduced quality of life and patient disability. It is thought that AC is a self-limiting disorder that resolves in 1?2.5 years in most cases. However, new clinical data indicate both long-term persistent pain and residual loss of motion in 10% of patients without diabetes and in 85% of patients with diabetes. In this review, we summarize the results from different clinical trials in which risk factors and pathogenesis of AC in diabetic patients as well as the diagnosis and efficacy of various methods for the treatment of AC were examined.

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Effectiveness of mobile applications on healthy lifestyles aimed at diabetic patients: review of systematic reviews. (Preprint)

10.2196/preprints.16098 ◽

2019 ◽

Author(s):

Francisco Jesús Represas Carrera Sr ◽

Ángel Alfredo Martínez Ques Sr ◽

Ana Clavería Fontán Sr

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Systematic Reviews ◽

Mobile Applications ◽

Control Group ◽

Diabetic Patients ◽

Healthy Lifestyles ◽

Major Public Health Problem

BACKGROUND Diabetes mellitus is currently a major public health problem worldwide. It is traditionally approached in a clinical inpatient relationship between the patient and the healthcare professional. However, the rise of new technologies, particularly mobile applications, is revolutionizing the traditional healthcare model through the introduction of telehealthcare. OBJECTIVE (1) To assess the effects of mobile applications for improving healthy lifestyles on the quality of life and metabolic control of diabetes mellitus in adult patients. (2) To describe the characteristics of the mobile applications used, identify the healthy lifestyles they target, and describe any adverse effects their use may have. METHODS Review of systematic reviews and meta-analysis, following the guidelines of the Cochrane Collaboration and the Joanna Briggs Institute. We included studies that used any mobile application aimed at helping patients improve self-management of diabetes mellitus by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care without the use of mobile devices. In May 2018, a search was conducted in Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct, updated in May 2019. The methodological quality of the studies was assessed using the Amstar-2 tool. RESULTS Seven systematic reviews of 798 articles were initially selected for analysis. The interventions had a duration of between 1 and 12 months. Mobile applications focused singly or simultaneously on different lifestyles aspects (diet, physical exercise, motivation, blood glucose levels, etc.). There are significant changes in HbA1c values, body weight and BMI, although in others, such as lipid profile, quality of life, or blood pressure, there is no clear improvement. CONCLUSIONS There is clear evidence that the use of mobile applications improves glycemic control in diabetic patients in the short term. There is a lack of evidence in its long-term benefits. It is thus necessary to carry out further studies to learn about the long-term effectiveness of mobile applications aimed at promoting the healthy lifestyles of diabetic patients. CLINICALTRIAL PROSPERO Register: CRD42019133685

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Immediate Effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Pain in Diabetic Patients with Periarthritis of Shoulder

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i42a32758 ◽

2021 ◽

pp. 220-228

Author(s):

Kamya Somaiya ◽

G. D. Vishnu Vardhan ◽

Ashish Bele

Keyword(s):

Quality Of Life ◽

Adhesive Capsulitis ◽

Frozen Shoulder ◽

Diabetic Patients ◽

Tissue Degeneration ◽

Muscle Energy Technique ◽

Group A ◽

Muscle Energy ◽

Group B

Background: Periarthritis Shoulder, also known as adhesive capsulitis, is a condition that results in tissue degeneration, thickening of the joint capsule, and a narrowing of the glenoid cavity. Diabetes mellitus is linked to many debilitating musculoskeletal disorders of the hand and shoulder. Prevalence of adhesive capsulitis or frozen shoulder is estimated to be 11-30 percent in people with diabetes. Various interventions have already been used to prevent pain and improve quality of life. Both Muscle Energy Technique and Kalternborn Mobilization Technique are thought to have a pain-relieving effect. Aim & Objective: The study's aim is to compare the effects of both techniques on pain in diabetic patients. Methods/Design: In this study experimental study, the participants will be divided into two groups: Kalternborn Mobilization Technique Group (A) and Muscle Energy Technique Group (B) based on inclusion and exclusion criteria. Both interventions include 30-45 min session which will be carried out for duration of four days. Outcome will be Pain and Quality of Life and outcome measures will be evaluated at beginning and at the end of intervention period. Result: Successful Completion of trial of Muscle Energy Technique and Kalternborn Mobilisation Technique will provide evidence for best strategy targeting Pain and quality of life in diabetic patients with Periarthritis of Shoulder. Conclusion: The study will be concluded with the significant effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Periarthritis shoulder of diabetic patients.

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Impact on the Quality of Life and Physiological Parameters in Patients with Diabetes Mellitus

Applied Sciences ◽

10.3390/app11156829 ◽

2021 ◽

Vol 11 (15) ◽

pp. 6829

Author(s):

María Reina-Bueno ◽

Inmaculada C. Palomo-Toucedo ◽

Manuel Ángel Medina-Núñez ◽

Pedro V. Munuera-Martínez ◽

Aurora Castro-Méndez ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Diabetic Foot ◽

Physiological Parameters ◽

Physical Parameters ◽

Diabetic Patients ◽

Life Questionnaire ◽

Adult Women ◽

Patients With Diabetes

The co-existence of complications and diabetes mellitus is related to a worsening in quality of life compared to not presenting comorbidities. This study aimed to investigate whether there is a different impact on quality of life according to gender and to establish the physiological parameters that these patients have in relation to diabetes-related complications. The sampling was continuous non-probabilistic, involving legal age patients with diabetes mellitus. All of the participants were administered the generic SF-36 quality of life questionnaire. The presence of peripheral artery disease was considered from an ankle brachial index <0.9 and grade II to grade IV of the Leriche–Fontaine classification. Nerve dysfunction was detected from a neurotensiometer test, and the presence of diabetic foot was detected from a dermal examination and co-existence with arteriopathy and/or neuropathy. Men presented significantly better quality of life values on the mental health, emotional role and health transition scales. Despite this, in the presence of complications such as vasculopathy, neuropathy or diabetic foot, the perception of well-being changes, showing that men and women face the disease in different ways. Despite the fact that the physical parameters of diabetic patients are similar according to the complications that they present, the adult women in our environment have lower levels of quality of life than men in most cases. This may be related not only to pathophysiological differences but also to sociocultural factors.

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ROLE OF VARMAM THERAPY IN KUMBAVATHAM MANAGEMENT

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2016.v9s2.12783 ◽

2016 ◽

pp. 298

Author(s):

Maanickha Chelvi ◽

Rajesh Kumar ◽

Rajendra Kumar A

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Old Age ◽

Adhesive Capsulitis ◽

Neurological Deficits ◽

Age Group ◽

Medical Systems

ABSTRACT Introduction: Siddha medicine, one among the ancient indigenous medical systems of India, has a repository of classical formulations as internal medication and various other unique techniques/therapies as external usage. Varmam is one among such therapies used to treat multiple ailments, especially related to musculoskeletal and neurological deficits. Sometimes, varmam therapy is used along with internal medications and external applications as well. Objective: Adhesive capsulitis or periarthritis may be correlated with kumbavatham which is one of the vatha diseases mentioned in the Siddha literature Yugi Vaithya Chinthamani. Kumbavatham is one of the most common rheumatological problems in old age group, especially those in diabetic participants. It is the most common long-term complication next to osteoarthritis in diabetes mellitus patients. Methods: The present intervention was done in kumbavatham patients who volunteered to undergo the varmam therapy with regular outpatient department medications, and the results were presented. The effect of varmam therapy on kumbavatham was assessed in accordance with shoulder pain and disability index. Result and Conclusion: The result of the current study concludes that the varmam therapy might be useful in the management of kumbavatham diseases and thus improves the quality of life of the patients. Keywords: Kumbavatham, Adhesive capsulitis, Varmam therapy, Diabetes mellitus, Siddha.

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Prevalence and Associated Factors of Depression among Patients with Diabetes at Jazan Province, Saudi Arabia: A Cross-Sectional Study

Psychiatry Journal ◽

10.1155/2019/6160927 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Jnadi M. Madkhali ◽

Ammar A. Hakami ◽

Ali H. Dallak ◽

Ramzi M. Hakami ◽

Abdullah A. Yatimi ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Associated Factors ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Patients With Diabetes

Context. Patients with diabetes mellitus (DM) have a poorer quality of life when compared with patients without DM. In fact, one in every five diabetic patients suffers from comorbid depression, which can lead to poor management, poor compliance with treatment, and low quality of life. Therefore, we assessed the prevalence of depression and identified its associated factors among diabetic patients at Jazan Province, KSA. Methods and Materials. A cross-sectional study was conducted among 500 diabetic patients attending a diabetic center in addition to four primary healthcare centers. We used a simple Arabic translation of the Beck Depression Inventory (BDI II) tool to evaluate the depression level among the subjects. We also evaluated the frequencies of certain sociodemographic characteristics and clinical information. Moreover, we performed univariate and multivariate analyses to identify the potential risk factors using adjusted odds ratios (AORs). Results. The prevalence of depression among DM patients was 20.6%. The majority of patients showed no depression (N = 285, 59.4%), one-fifth had mild depression (N = 96, 20.0%), some (N = 55, 11.4%) had moderate depression, and some had severe depression (N = 44, 9.2%). Depression was significantly more prevalent among uneducated patients (N = 27, 31.8%) (X2 = 17.627, P = 0.001) and patients with low monthly income (< 2500 SR/month) (N = 33, 22.8%) (X2 = 9.920, P = 0.019). Hypertension (AOR = 2.531, 95% CI [1.454, 4.406]) and ischemic heart diseases (AOR = 3.892, 95% CI [1.995, 7.593]) were considered as risk factors for depression among diabetic patients. Conclusions. Almost one in every five patients with DM is affected by depression coexisting with cardiovascular diseases. Therefore, screening for psychological problems, proper treatment, and educating patients with diabetes about DM self-management should be routine components of DM care.

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Research Progress of Diabetes Mellitus Complicated with Cardiovascular Disease

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v5i4.2258 ◽

2021 ◽

Vol 5 (4) ◽

pp. 17-21

Author(s):

Yuting Liu

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Risk Factors ◽

Cardiovascular Disease ◽

Treatment Plan ◽

Cardiovascular Complications ◽

World Health ◽

Research Progress ◽

Diabetic Patients

Diabetes is a chronic disease recognized by the World Health Organization, which is harmful to human life and health. With the improvement of people’s quality of life, people’s diet structure has changed greatly, and the primary “three high” prevalence rate has risen sharply. The main reason for the impaired life expectancy of a large number of diabetic patients is the threat of a series of cardiovascular complications. According to statistics, the risk of cardiovascular disease in diabetic patients are 2-4 times higher than that in non-diabetic patients. More than 80% of patients with type 2 diabetes die of cardiovascular disease every year, and 75% of them have ischemic heart disease [1]. All kinds of data show that diabetes mellitus complicated with cardiovascular diseases have become a worldwide public health problem. We must try our best to find a cure mechanism and give patients a healthy life. In order to effectively curb the threat of diabetes complicated with cardiovascular disease patients, we should strengthen the research in this field. Through the analysis of the risk factors of diabetic cardiovascular disease, we can let the majority of medical workers understand the superficial and potential risk factors, to formulate scientific and reasonable treatment plan, for further improving the quality of life of patients. In the following, the author first introduces the basic situation of diabetes and cardiovascular complications, then introduces the main risk factors of diabetic cardiovascular disease one by one, hoping that this study can help to improve the cure rate of diabetes complicated with cardiovascular disease.

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Long term quality of life amongst pancreatectomy patients with diabetes mellitus

Pancreatology ◽

10.1016/j.pan.2021.01.012 ◽

2021 ◽

Author(s):

Kaitlin Shaw ◽

Alexander S. Thomas ◽

Vilma Rosario ◽

Wooil Kwon ◽

Beth A. Schrope ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Patients With Diabetes

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Impact of socio-demographic characteristics and long-term complications on quality of life in patients with diabetes mellitus

Central European Journal of Public Health ◽

10.21101/cejph.a5022 ◽

2018 ◽

Vol 26 (2) ◽

pp. 104-110 ◽

Cited By ~ 3

Author(s):

Miodrag Stojanović ◽

Goran Cvetanović ◽

Marija Anđelković Apostolović ◽

Dijana Stojanović ◽

Nataša Rančić

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Demographic Characteristics ◽

Patients With Diabetes

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Qualidade de vida na percepção da gravidade da doença em portadores de Diabetes Mellitus

Enfermagem em Foco ◽

10.21675/2357-707x.2012.v3.n3.302 ◽

2012 ◽

Vol 3 (3) ◽

pp. 143-146

Author(s):

Geisa Mara Cardoso ◽

Luciana Mendonça de Arruda Valoes ◽

Onislene Alves Evangelista De Almeida ◽

Carlos Kusano Bucalen Ferrari

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Family Health ◽

Diabetic Patients ◽

Life Questionnaire ◽

Calidad De Vida ◽

Sf 36 ◽

Patients With Diabetes ◽

Disease Perception

Objetivo: avaliar a qualidade de vida (QV) e a percepção da doença em pacientes com Diabetes Mellitus (DM) atendidos na Estratégia de Saúde da Família (ESF) em Aragarças-GO. Metodologia: entrevistas para aplicação do questionário sobre qualidade de vida (SF-36) e questões sobre a percepção da doença em 45 pacientes das unidades da ESF em Aragarças-GO. Resultados: a frequência da associação diabetes-hipertensão arterial foi elevada, bem como todos os domínios da QV foram afetados pela doença, especialmente nos pacientes diabéticos com pior percepção da doença. Conclusão: a percepção de gravidade do DM esteve relacionada ao comprometimento da QV.Descritores: Qualidade de Vida, Diabetes Mellitus, Percepção.Quality of life in the perception of disease severity in patients with Diabetes MellitusObjectives: to evaluate the quality of life (QOL) and disease perception in diabetes mellitus (DM) patients attending at the Family Health Strategy in Aragarças-GO. Methodology: interviews for application of the SF-36 quality of life questionnaire and questions regarding disease perception in 45 patients from FHS unities in Aragarças-GO. Results: Beyond the higher frequency of the DM-hypertension association, all QOL domains were affected by disease, especially among diabetic patients with worst disease perception. Conclusion: the perception of seriousness of DM was related to worsening QOLDescriptors: Quality of Life, Diabetes Mellitus, Perception.Calidad de vida en la percepción de la gravedad de la enfermedad en pacientes con Diabetes MellitusObjetivo: evaluar la calidad de vida (CV) y la percepción de la enfermedad en pacientes con diabetes mellitus (DM) tratados en la Estrategia de Salud Familiar (ESF) en Aragarças-GO. Metodología: entrevistas para la aplicación del cuestionario sobre la calidad de vida (SF-36) y preguntas acerca de la percepción de la enfermedad en 45 pacientes de las unidades de la ESF en Aragarças-GO. Resultados: la frecuencia de la asociación diabetes-hipertensión arterial fue alta, así como todos los dominios de la CV se vieron afectadas por la enfermedad, especialmente en los pacientes diabéticos con mala percepción de la enfermedad. Conclusión: la percepción de la gravedad de la DM se relacionó con baja CV.Descriptores: Calidad de Vida, Diabetes Mellitus, Percepción.

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Depression, anxiety, and associated factors in patients with diabetes: evidence from the Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study

10.21203/rs.2.20390/v2 ◽

2020 ◽

Author(s):

Sy-Cherng Luke Woon ◽

Hatta Sidi ◽

Arun Ravindran ◽

Paula Junggar Gosse ◽

Roslyn Laurie Mainland ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Personality Traits ◽

Associated Factors ◽

Diabetic Patients ◽

Depression And Anxiety ◽

Prevalence Of Depression ◽

Patients With Diabetes ◽

Anxiety Depression

Abstract Background: Depression and anxiety are common psychiatric complications affecting patients with diabetes mellitus. However, data on the prevalence of depression, anxiety, and associated factors among Malaysian diabetic patients is scarce. The Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study aimed to determine the prevalence of depression and anxiety, and their associated factors in the Malaysian diabetic population. Methods: This cross-sectional study recruited 300 diabetic patients via convenience sampling from the Endocrine outpatient clinic of Universiti Kebangsaan Malaysia Medical Centre, a tertiary referral healthcare facility in Kuala Lumpur. Socio-demographic characteristics and clinical history were obtained from each participant. The Generalised Anxiety Disorder-7 (GAD-7) was administered to assess anxiety symptoms, the Beck Depression Inventory (BDI) to assess depressive symptoms, the Big Five Inventory (BFI) to evaluate personality traits, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) to measure quality of life (QOL). Stepwise multiple logistic regression analyses were performed to determine the association between various factors, and depression and anxiety. Results: The prevalence of depression was 20% (n = 60) while anxiety was 9% (n = 27). Co-morbid depression (adjusted odds ratio [OR] = 9.89, 95% confidence interval [CI] = 2.63- 37.14, p = 0.001) and neuroticism (adjusted OR = 11.66, 95% CI= 2.69-50.47, p = 0.001) increased the odds of developing anxiety, while conscientiousness (adjusted OR = 0.45, 95% CI= 0.23-0.80, p = 0.004) and greater psychological-related QOL (adjusted OR = 0.47, 95% CI= 0.29-0.75, p = 0.002) were protective. Co-morbid anxiety (adjusted OR = 19.83, 95% CI = 5.63- 69.92, p < 0.001) increased the odds of depression, while older age (adjusted OR = 0.96, 95% CI = 0.93–0.98, p = 0.002), social relationship-related QOL (adjusted OR= 0.84, 95% CI = 0.71- .0.99, p= 0.047), and physical health-related QOL (adjusted OR = 0.69, 95% CI = 0.58-0.83, p < 0.001) were protective. Conclusions: The study findings signify the need to screen for co-morbid depression and anxiety, as well as personality traits and QOL, and to include psychosocial interventions when planning a multidisciplinary approach to managing diabetes.

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