Objective: to investigate factors associated with glycemic control in individuals with diabetes mellitus (DM).
Methods: this was a cross-sectional study, with participants in the Longitudinal Study of Adult Health with self-reported DM; binomial logistic regression was used.
Results: 1,242 individuals were included; 54.2% had glycated hemoglobin ≥6.5%, showing inadequate glycemic control; factors associated with inadequate glycemic control were male sex (OR=1.39 - 95%CI 1.05;1.85), black skin color (OR=1.74 - 95%CI 1.22;2.48) or brown skin color (OR=1,57 - 95%CI 1.14;2.16), average occupation level (OR=1.63 - 95%CI 1.02;2.58), not having health insurance (OR=1.47 - 95%CI 1.09;1.96), use of insulin (OR=7.34 - 95%CI 3.56;15.15), increased waist-to-hip ratio (OR=1.87 - 95%CI 1.19;2.93), smoking (OR=1.73 - 95%CI 1.09;2.74), and poor or very poor self-rated health (OR=2.37 - 95%CI 1.17;4.83).
Conclusion: the results reinforce the multicausal context in glycemic control, which was associated with sociodemographic factors, lifestyles and health conditions.
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http://dx.doi.org/10.5123/S1679-49742020000300017 | DOI Listing |
Open Med (Wars)
January 2025
Endocrine Department, 920th Hospital of Joint Logistics Support Force, PLA, No. 212 Daguan Road, Xishan District, Kunming, 650000, Yunnan, China.
Background: Diabetes-related cognitive impairment is increasingly recognized as a significant complication, profoundly impacting patients' quality of life. This review aims to examine the pathophysiological mechanisms, clinical manifestations, risk factors, assessment and diagnosis, management strategies, and future research directions of cognitive impairment in diabetes.
Methodology: A comprehensive literature search was conducted using PubMed, Medline, and other medical databases to identify, review, and evaluate published articles on cognitive impairment in diabetes.
Am J Transl Res
December 2024
Department of Anesthesiology, Perioperative and Pain Medicine, Nanjing First Hospital, Nanjing Medical University Nanjing, Jiangsu, China.
Objectives: To retrospectively investigate the effect of a mobile app-based self-care diary, a nursing management method, on post-heart transplantation diabetes.
Methods: A retrospective analysis was conducted on the general data of 87 patients who underwent heart transplantation in the Cardiac and Thoracic Vascular Surgery Department of Nanjing First Hospital between January 2018 and December 2023. Based on the nursing method, the patients were divided into a control group that received routine nursing measures (n=47 cases) and an observation group that implemented a mobile APP-based self-care diary combined with nursing (n=40 cases).
J Clin Endocrinol Metab
January 2025
College of Nursing, Department of Biobehavioral Nursing Science, University of Illinois Chicago, Chicago, Illinois.
Context: Sleep health is multidimensional. While studies have shown associations between certain sleep dimensions and health in type 1 diabetes (T1D), global sleep health has rarely been considered.
Objective: To examine the associations between individual sleep dimensions and multidimensional sleep health (MSH) on glycemic control and self-reported outcomes in T1D.
Curr Vasc Pharmacol
January 2025
1st Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Introduction: Sodium-glucose cotransporter 2 (SGLT2) inhibitors have emerged as a groundbreaking class of antidiabetic medications renowned for their glucose-lowering effects and cardiovascular benefits. Recent studies have suggested that SGLT2 inhibitors may extend their influence beyond glycemic control to impact adipose tissue physiology, particularly within the epicardial adipose depot. Epicardial adipose tissue (EAT), an actively secretory organ surrounding the heart, has been implicated in the modulation of cardiovascular risk.
View Article and Find Full Text PDFJ Diabetes Sci Technol
January 2025
Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.
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