scholarly journals Internet Usage May Improve Quality of Life (QoL) in Type 1 Diabetes Mellitus Patients

Author(s):  
Ravindra Shukla ◽  
Ravindra Shukla ◽  
Divyangi Mishra

Objective: To delineate the effect of self-gained information through internet on glycemic control and overall QoL in type 1 diabetes patient. Methodology: 35 type 1 diabetes patients, who had reasonably good glycemic control were classified by a single clinician into net- savvy and ordinary based on their behaviour towards use of internet to gather information regarding health queries and their glycemic control and QoL analysed.WHO-5 questionnaire which is used in clinical practise was applied. Result: Of net savvy group (n=18), 14 (82%) had WHO-5 score greater than 13 while among ordinary (n=17) only 7 had WHO5 of same range. Thus, those who surfed internet were in general likely to have better QoL. Among net savvy group all had individual smart phones and used google as search engine. Among ordinary, 40% (9/17) had smart phones. The mean HbA1c of net savvy group was 7.2 which was lower than that of ordinary group mean HbA1c of 7.6. Those of net savvy group were more likely to agree to increase in number of s.c. insulin injections (12/18) as compared to ordinary group (4/17). The self-reported hypoglycemia episodes were also more in net savvy group (6/ person-week) as compared to ordinary (2/ person- week). Conclusion: Use of smart search engines like google (with strong in-built Artificial Intelligence (AI) systems), even if unsupervised, should be encouraged as part of DSME in type 1 Diabetes patients for optimizing glycemic control and detecting hypoglycemic episodes.

Author(s):  
Sujana Reddy ◽  
Steven E. Reinert ◽  
Geetha Gopalakrishnan ◽  
Wendy Plante ◽  
Charlotte M. Boney ◽  
...  

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 102-LB
Author(s):  
ADRIAN E. PROIETTI ◽  
MARCIAL A. ANGÓS ◽  
ALEJANDRO DAIN ◽  
MARIELA I. ECHENIQUE ◽  
MARÍA L. KABAKIAN ◽  
...  

2018 ◽  
Vol 42 (3) ◽  
pp. 302-307.e1
Author(s):  
Elizabeth Rosolowsky ◽  
Maryna Yaskina ◽  
Robert Couch

2007 ◽  
Vol 125 (2) ◽  
pp. 96-101 ◽  
Author(s):  
Daniela Alves Gastal ◽  
Ricardo Tavares Pinheiro ◽  
Débora Potter Vazquez

CONTEXT AND OBJECTIVE: Diabetes is a public health problem and good glycemic control is able to prevent or contain its complications. Self-efficacy is a key factor in successfully achieving behavior goals. The aim of this study was to analyze the psychometric properties of the insulin management diabetes self-efficacy scale (IMDSES) on type 1 diabetes patients from southern Brazil. DESIGN AND SETTING: Validation study in two cities in southern Brazil. METHODS: The psychometric properties of IMDSES were evaluated in a population of type 1 diabetes patients (n = 213), from September to December 2004, who were attended within the Brazilian public healthcare system. Principal component analysis was conducted to develop the subscales. Cronbach’s alpha was used as the reliability coefficient. RESULTS: The analysis of psychometric properties resulted in an IMDSES consisting of 20 items and three subscales: diet (alpha: 0.83), insulin (alpha: 0.92) and general management (alpha: 0.78) and accounted for 53% of the variance. Criteria validity was investigated through two parameters: glycohemoglobin, which showed significant association with self-efficacy on the insulin subscale (p = 0.04), and the variable "adherence", which was significantly associated with self-efficacy on two subscales (p < 0.05). CONCLUSIONS: This study shows that the IMDSES is valid and reliable, and can be used to measure results from diabetes educational programs and to measure self-efficacy relating to diabetes management, for possible interventions.


Author(s):  
Li-Chen Hung ◽  
Chu-Yu Huang ◽  
Fu-Sung Lo ◽  
Su-Fen Cheng

Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi’s method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. In Taiwan, the heavy emphasis of academic achievement and changes of schedules during breaks tended to disrupt the regimen for glycemic control. Healthcare professionals are encouraged to provide individualized education focusing on the adolescents’ misconceptions regarding self-management of diabetes.


Endocrine ◽  
2014 ◽  
Vol 48 (1) ◽  
pp. 164-169 ◽  
Author(s):  
Bartłomiej Matejko ◽  
Jan Skupien ◽  
Sandra Mrozińska ◽  
Małgorzata Grzanka ◽  
Katarzyna Cyganek ◽  
...  

2014 ◽  
Vol 99 (3) ◽  
pp. 800-807 ◽  
Author(s):  
Danielle A. J. M. Schoenaker ◽  
Dominique Simon ◽  
Nish Chaturvedi ◽  
John H. Fuller ◽  
Sabita S. Soedamah-Muthu ◽  
...  

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