Digital Commons Network^™

Comparison Of Low Carbohydrate Diets On Renal And Glucose Function In Subjects With Type 2 Diabetes: A Systematic Review And Meta-Analysis, Garrett A. Couch

Honors Undergraduate Theses

Background - Type 2 Diabetes Mellitus (T2DM) is a growing crisis that can lead to more problems if left untreated. One of these problems includes diabetic nephropathy or Chronic Kidney Disease (CKD). While there have been many advances in the field of treating CKD with medication, there are currently no medications with the capability of stopping the progression of or reversing diabetic nephropathy; however, recent studies have shown that diabetic nephropathy can be stopped and even reversed through dietary interventions. One of these studies went through the effects of a low protein diet on diabetic nephropathy and found very promising …

The Relationship Between Upstream Variables And Diabetes In Ohio, Brenna Lammers

Scholarship in Medicine - All Papers

Chronic illness is a significant contributor to disease burden in the US. Among these chronic conditions, diabetes is one of the most prevalent. Knowing the relationships between various factors and the prevalence of diabetes would be beneficial to creating targeted approaches to address this major public health problem. Therefore, the objective of this project was to elucidate the relationship between social determinants of health (unemployment, food environment index, and access to exercise opportunities) and access to care variables (ratio of population to primary care physicians and percent uninsured) with prevalence of diabetes by county in Ohio. This was done through …

Health Literacy, Social Support, And Diabetes Self Care Among Individuals Of Arab Descent, Abeer Aseeri

Wayne State University Dissertations

HEALTH LITERACY, SOCIAL SUPPORT, AND DIABETES SELF-CARE AMONG INDIVUDALS OF ARAB DESCENT

BY ABEER ASEERI

August 2020 Advisor: Dr. Joan Visger & Dr. Nancy Hauff

Major: Nursing

Degree: Doctor of Philosophy

Introduction/Objectives: Individuals of Arabic descent who live in the United States are at increased risk of diabetes because the Middle Eastern and North African regions have the second highest global rate of the disease which, is also projected to increase by over 95% by 2035. Diabetes self-care involves seven essential behaviors, including: (1) eating a healthy diet, (2) being physically active, (3) being compliant with medication, (4) monitoring blood …

Effects Of Depression And Health Habits On Diabetes Outcomes, Yvonne Marie Chapa

Walden Dissertations and Doctoral Studies

Diabetes mellitus outcomes are intensified by the lack of screening and awareness for depressive symptoms, alcohol consumption, cigarette use, and gender difference. The purpose of this quantitative survey study, grounded in biopsychosocial theory, was to investigate the best predictor (alcohol consumption, cigarette use, and the exploratory variable gender) of diabetes outcome in a Mexican American population. Data were collected using the Patient Health Questionnaire-9 with 120 Mexican American patients from a diabetic clinic in Southern Texas. Results from a multiple regression analysis indicated that gender was the best predictor. A series of Pearson correlations revealed a significant positive relationship between …

Functional, Motivational And Emotional Support: A Qualitative Study Of Social Influences On Diabetes Management Among Low-Income Adults, Emily Helen Miron

Public Health Theses

Objective To understand how low-income adults living with type 2 diabetes conceptualize and utilize social support in their diabetes management.

Methods The data for this paper came from a larger qualitative study, conducted by the advisor and last author, exploring the intersection of housing access and diabetes management among 40 low-income adults diagnosed with type 2 diabetes in New Haven, Connecticut. This qualitative study utilized 58 of the previously collected semi-structured interviews (some participants were interviewed more than once). Excerpts from two broad parent codes from the original study were analyzed using a flexible and iterative coding process.

Results Participants …

Treatment Plans For Diabetes Management During Hurricane Maria In Puerto Rico, Joel De La Cruz Oller

Walden Dissertations and Doctoral Studies

The purpose of this study was to evaluate the health outcomes of diabetic patients in Puerto Rico, before, during, and after Hurricane Maria, in 2017. The Department of Health in Puerto Rico provided the secondary data for the variables low-density lipoproteins (LDL) cholesterol, hemoglobin A1C (HbA1c), mortality, and consumer price index (CPI). The inclusion criteria were participants for whom electronic data were available before, during, and after Hurricane Maria; the sample size was 450. The theoretical framework for this investigation was the health outcomes and impact assessment. The data were analyzed by univariate and analysis of variance (ANOVA) to compare …

Evaluation Of Attendance, Patient Satisfaction, Knowledge, And Clinical Outcomes Following Participation In A Group Diabetes Self-Management Education And Support Program In A Primary Care Clinic Setting, Jordan Rauh

Undergraduate Honors Thesis Collection

Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted.

Objectives: The primary objectives of this study were to evaluate attendance, patient satisfaction and change in disease state knowledge following participation in six sessions of a group DSMES program led by a multidisciplinary team. The secondary objective was to evaluate clinical outcomes.

Methods: This retrospective, observational study focused on process improvement evaluating a standardized approach to a group DSMES program beginning in August 2017 within Community Health Network. Eleven courses ran six sessions lasting approximately …

All-Cause And Cause-Specific Mortality Among Medicaid-Insured Women With Preexisting Type 2 Diabetes Mellitus Diagnosed With Breast Cancer : An Epidemiological Analysis Of Linked New York State Medicaid And Cancer Registry Data, Wayne Rashaan Lawrence

Legacy Theses & Dissertations (2009 - 2024)

Background: The present study investigated the influence preexisting type 2 diabetes mellitus (T2DM) and antidiabetic drugs have on all-cause and cause-specific mortality among Medicaid-insured women diagnosed with breast cancer by menopausal status.

The Impact Of Food Insecurity On Diabetes Prevalence In The Us: A Look At The Northeast And The Midwest, Richard Mensah

Scholarship in Medicine - All Papers

Diabetes is one of the most common chronic conditions globally. Various risk factors have been found to be associated with the incidence of diabetes. These include genetic predispositions, physical activity and diet. However, less attention has been given to the potential risk of food insecurity to diabetes prevalence. Therefore, the goal of this study was to look at the prevalence of food insecurity and diabetes in New York and Ohio, and try to see if a correlation exists between food insecurity and diabetes prevalence in these states.

In our methods, we used the 2019 data from County Health Rankings (CHR) …

The Burden Of Urinary Incontinence Among African Diabetic And Non-Diabetic Women Seeking Care At The Aga Khan University Hospital, Nairobi, Martin Kimemia Mbuthia

Master of Medicine in Obstetrics and Gynecology

Introduction: Female urinary incontinence is a common and chronic condition with devastating psychosocial effects. It can occur at any age and is specifically more common in older women. It has a prevalence of up to 55% depending on the age-group and the target population studied. About 9% of adults globally have diabetes and a greater number live in LMICs. Diabetes is twice as prevalent in blacks and three to four times higher in South-Asian populations compared to Caucasian populations. In women with Type 2 DM, urinary incontinence is 30% to 70% more common than among women with normal glucose levels. …

Exercise And Physical Activity In Individuals With Type 1 Diabetes, Shelby Fisher

Williams Honors College, Honors Research Projects

This paper will investigate, describe, and discuss the challenges that youth and adult athletes with Type 1 Diabetes face in order to successfully perform in sports while maintaining their health treatment goals. This paper will also describe how these challenges are overcome and this paper will share individual experiences from both adults and youth who have Type 1 Diabetes. This paper will describe meal management with sport, blood glucose monitoring with sport, medication management with sport, and interaction with the healthcare team and the athlete. This paper will also investigate the school personnel’s involvement in regard to assisting the athlete …

Mobile Apps For Type 2 Diabetes In A Low Socioeconomic Status Population, Kaitland Rae Woelky

Graduate Research Theses & Dissertations

Background: Individuals of low socioeconomic status (SES) are disproportionately at risk for developing type 2 diabetes (T2DM) compared to their higher SES counterparts. Smartphone apps are increasingly used as a tool to compliment current diabetes education and have the ability to increase prevention and diabetes education in health disparate communities. The objective of this study was to identify the quality of nutrition and health related apps frequently recommended by diabetes educators to compliment current T2DM education programs for patient of low SES.

Methods: Clinicians (n=120) were recruited through two diabetes and dietetic professional groups to complete an online App Identification …

“Get Back On The Horse And Start Over Again”: Long-Term Effects Of A Diabetes Self-Management Education (Dsme) Program In An Underserved Population, William Lonneman, Bethanne Brown, Chalee Engelhard, Kimihiro Noguchi, Grace Mcfarlane, Diane Warner, Akino Kishigawa

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this retrospective, mixed methods study is to examine the relationship between participation in an interdisciplinary diabetes self-management education (DSME) program at an urban primary health care center and patients’ perceived knowledge and skills, as well as clinical markers, on four cohorts of patients over a two-year period. Methods: Participants, mainly African-American females, responded to survey questions including self-care behaviors, perceived knowledge, and self-efficacy. The researchers also reviewed the participants’ clinical records for glycosylated hemoglobin (HbA _1c) and body mass index (BMI) data and compared these to similar patients in the health center who had …

Prevalence, Awareness And Control Of Hypertension And Diabetes Among Hiv Positive And Negative Patients At The Military Hospital Of Douala, Cameroon, Duane Killian Madziva

Public Health Theses

Background: With anti-retroviral therapy (ART) prolonging the survival of people of living with HIV/ AIDS, other chronic co-morbidities such as hypertension, and diabetes are becoming an increasing problem. Studies on hypertension and diabetes in Sub-Saharan Africa are still limited, even with the growing concern of Africa’s dual burden of chronic and infectious diseases. As such, we aimed to determine the prevalence, awareness and control of hypertension and diabetes among people living with and without HIV/ AIDS in Cameroon. Methods: This was a hospital-based cross-sectional study conducted at the Military Hospital of Douala, Cameroon. Participants aged 21 – 65 years were …

Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton

Walden Dissertations and Doctoral Studies

Diabetes (DM) is the 7th leading cause of death in the United States. Minorities like Hispanics and African Americans (AA) are at greater risk of developing DM. The prevalence and outcomes affecting diabetes are attributed to socioeconomic status, sex differences, ethnic, cultural, and religious status. Diabetes-related mortality is a major health problem in AA in rural America. The focus for this project was to identify the best evidence regarding educational counseling on lifestyle modifications that positively impact adult AA women with diabetes living in Rural America. The social-ecological theory and health belief model informed this project because these models incorporate …

Microvascular Disease And Chronic Kidney Disease In Persons With Diabetes In Grenada, Jennifer Elizabeth Lewis

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) is a set of pathophysiological reactions that impact the functionality of the kidney. The association between microvascular disease (MVD) and CKD as it relates to diabetes is important to the evaluation of organizational effectiveness in-hospital services planning as well as improving health outcomes. The purpose of this quantitative, cross-sectional study was to determine if there is an association between MVD and CKD severity in persons with diabetes. Using the socioecological model, the association between gender, age group, cigarette smoke, cigarette smoke frequency, alcoholic drink, alcoholic drink frequency, hypertension, albumin-to-creatinine ratio (ACR) severity, cholesterol, sickling (i.e. persons …

Cognitive Performance In Midlife Type 2 Diabetes: Results Form The Enbind Study, A. H. Dyer, L. Mckenna, G. Gamage, N. M. Bourke, Isabelle Killane, M. Widdowson, C. P. Woods, J. Gibney, R. Reilly, D. O'Neill, S. P. Kennelly

Articles

Aims: To establish the impact of uncomplicated type 2 diabetes on cognitive and neuropsychological performance in midlife. Methods: We performed a cross-sectional study of middle-aged adults with uncomplicated type 2 diabetes and a cohort of healthy control participants. General cognition was assessed using the Montreal Cognitive Assessment test and neuropsychological assessment was undertaken using a detailed neuropsychological assessment battery. Results: A total of 152 participants (102 with type 2 diabetes and 50 controls) were recruited (mean age 52 ± 8 years, 51% women). Participants with midlife type 2 diabetes were more than twice as likely to make an error on …

Doctor-Patient Communication: The Experiences Of Black Caribbean Women Patients With Diabetes, Rosanne Paul-Bruno

Theses and Dissertations

This applied dissertation was designed to examine the verbal and non-verbal communication experiences of Black Caribbean diabetic women patients with their doctors, in order to provide a better understanding of the essential aspects of doctor- patient communication and their experiences as they managed their condition. Black Caribbean women have been disproportionately impacted by medical conditions such as diabetes. It has been a documented fact that minorities experience disparities in the health care system at different levels and doctor-patient communication is no exception. Poor doctor-patient communication has been known to hinder patients’ health outcomes, and therefore warrants such studies to increase …

E4an Ultrastructural Study By Transmission Electron Microscope Of Exocrine Pancreatic Cells In Diabetic Rats Treated With Herbal Combination, Maysaa Adil Hadi

Baghdad Science Journal

The current study was designed to investigate the alterations in the ultrastructure of orgenelles and cellular activity of exocrine pancreatic acini of experimentally induced-diabetic rats and to assess the usefulness of herbal combination supplementation in improving the ultrastructure and cellular activity of exocrine pancreas. The number of albino male rats used were 24 which divided into equally 4 groups; group I: control group, group II: alloxan-induced diabetes mellitus (single intraperitoneal dose of alloxan 120 mg/kg for 3 days), group III: herbal combination treatment composed from the extracts of fenugreek seeds (Trigonella foenum-graecum), black cumin (Nigella sativa) seeds, rhizomes of ginger …

A Quality Improvement Project To Implement Shared Medical Appointments For The Management Of Type 2 Diabetes In Latino Patients, Denisse Maldonado

Doctor of Nursing Practice (DNP) Projects

Problem: Santa Rosa Community Health (SRCH) is one of the largest federally qualified health centers in Northern California, providing health care to more than 30,000 patients. More than half of the patients receiving care at the SRCH Lombardi site are Latino patients. Patients self-identify as Latino or other ethnicity on the initial health center registration form. SRCH serves 964 patients with diabetes. Due to limited access to appointments and resources, seeing a healthcare provider regularly can be difficult, posing a barrier to diabetes management. Patients with diabetes would greatly benefit from regular appointments with their primary care provider and resource …

Patient-Centered Education To Improve Health Outcomes Of Adult Jamaicans With Diabetes, Patricia Anderson

DNP Qualifying Manuscripts

There is a 42% prevalence of diabetes among Jamaicans (Ministry of Health, Jamaica Health and Lifestyle Survey, 2018). The survey found that Jamaicans will continue to face challenges of diabetes and its complication as approximately four out of ten Jamaicans are unaware that they have diabetes, and thus delay receiving healthcare.

Limited health literacy is predominant among the diabetic Jamaican population and negatively affects health outcomes (Singh & Aiken, 2017). Jamaicans were found to have poor knowledge of diabetes; in particular, they had difficulty identifying clinical signs of hyper/hypoglycemia, the importance of examining eyes and feet for abnormalities, normal fasting …

Nurses' Level Of Comfort, Familiarity, And Knowledge About Diabetes Management In Vinmec Central Park International Hospital, Nguyen Thi Xuan Mai

Master's Theses

Clinical nurses have a key role in supporting and management of diabetes patients during hospitalization. The purpose of this study was to evaluate nurses’ level of comfort, familiarity, and knowledge in diabetes management. In this study, 30 full-time nurses working in Vinmec Central Park International Hospital completed a 34-question assessment that included eight questions on comfort, six questions on familiarity, and 20 questions on nursing knowledge. The findings indicated the level of nursing knowledge regarding diabetes management in the hospital was low. The comfort, familiarity, and knowledge scores were not directly proportional to the age, education, and years of clinical …

Blood Glucose Predictor, Jessica Patterson

Electrical Engineering

For my senior project, I perform data analysis using statistical methods to determine body metrics that correlate with blood glucose levels. Working with Dr. Tina Smilkstein, I take repeat measurements from 6 different volunteers to establish trends in bodily metric data. The data taken includes weight, body fat, pulse rate, VO2, blood glucose, blood pressure, hours slept, and quality of sleep. Using these values, I use the program MiniTab to view results.

A few examples of correlations with blood glucose found in this project are:

• Systolic blood pressure for females had a regression line of 124.0 -0.3366*Blood Pressure. This indicates …

Understanding Diabetes Health Beliefs And Health Practices In Vietnamese Americans, Linda Sheen

Dissertations and Theses (Open Access)

Background: Diabetes related complications resulting in mortality and morbidity are higher among Vietnamese individuals living in the U.S. with diabetes. Few studies have examined the personal perceptions and cultural beliefs pertaining to disease management. An in-depth understanding of perception and cultural beliefs in regard to diabetes self-management is needed for the development of culturally appropriate interventions in this population.

Purpose: Two specific aims were explored: 1) To explore how Vietnamese individuals living in the U.S. with prediabetes and diabetes conceptualize diabetes self-management and; 2) to understand how Vietnamese individuals living in the U.S. with prediabetes and diabetes integrate …

Physical Activity Level And Insulin Resistance In 6,500 Nhanes Adults: The Role Of Abdominal Obesity, James R Fowler

Theses and Dissertations

OBJECTIVE: This cross-sectional study investigated insulin resistance (IR) variation across physical activity (PA) levels in U.S. adults. METHODS: MET-minutes were utilized to quantify PA using 2 methods: 4 categories were based on relative MET-minutes, and 5 were based on U.S. PA guidelines. IR was indexed using the homeostatic model assessment (HOMA). Effect modification was tested by dividing waist circumferences into sex-specific quartiles, and then evaluating the relationship between PA and HOMA-IR within each quartile separately. RESULTS: Relative PA was associated with HOMA-IR after controlling for demographic and demographic and lifestyle covariates (F = 11.5, P < 0.0001 and F = 6.0, P = 0.0012, respectively). Adjusting for demographic and demographic and lifestyle covariates also revealed relationships between guideline-based PA and HOMA-IR (F = 8.0, P < 0.0001 and F = 4.9, P = 0.0017, respectively). Controlling for waist circumference with the other covariates nullified the relationship between PA and HOMA-IR. Effect modification testing showed that when the sample was delimited to adults with extra-large waists (Quartile 4), relative (F = 5.6, P = 0.0019), and guideline-based PA (F = 3.7, P = 0.0098) and HOMA-IR were related. PA and HOMA-IR were not related within the other quartiles. CONCLUSION: High levels of PA may play a meaningful role in glucose and insulin metabolism in those with abdominal obesity, but not in adults with smaller waists.

What Are Best Strategies For Symptoms Management, Health, And Wellness Promotion Of Individuals With Diabetes?, Ogochukwu Vera Nnakwe

Biennial Convention (CONV)

The prevalence of diabetes has double within the past years.This study aims to identify the best strategies for symptoms management, health and wellness promotion of individuals with diabetes.Continuous creation of awareness and education can increase the knowledge of the people about this order so they can better manage their health.

Service Learning: Symbiosis Of Community As Classroom And Achievement Of Disease Prevention, Anne Marie Jean-Baptiste, Elmira Asongwed

Biennial Convention (CONV)

Illness can impose indirect economic burden on a country where many individuals of working age are unable to work. By using service learning pedagogy to deliver preventive care, nursing practice can lead to increase participants' trust in research studies for the discovery of effective management and cure for health issues.

Promoting Health In The Hispanic American Population Through An Educational Experience On Diabetes Mellitus, Emily Katherine Hanks, Norma Salas Maldonado, Francine B. Jensen

Biennial Convention (CONV)

Hispanic Americans (HA) have a 12.1% incidence of having diabetes (DM). A diabetes educational intervention using a pre/post design targeted community-dwelling HAs to provide knowledge and increase awareness of diabetes. Results showed gains (p=.038) in modifiable behaviors such as diet changes and increase in exercise activity.

In Vitro Investigation Of The Effect Of Camel Milkproteins And Its Fractions On Insulin Receptor Function, Arshida Ashraf

Biology Theses

Camel milk (CM) has been reported to have anti-diabetic properties in many in vitro and in vivo studies but the molecular basis of such beneficial properties are still elusive. Recently, camel milk whey proteins (CWPs) have been shown to positively affect the activity of the human insulin receptor (hIR) in cell lines. In this study, we profiled crude CWPs and their hydrolysates as well as camel milk lactoferrin (CMLF) for their pharmacological and functional effects on hIR activity and its downstream signaling in both human embryonic kidney (HEK293) and hepatocarcinoma (HepG2) cell lines. For this, bioluminescence resonance energy transfer (BRET) …

Pilot Randomized Controlled Trial Of A Complex Intervention For Diabetes Self-Management Supported By Volunteers, Technology, And Interprofessional Primary Health Care Teams, Gina Agarwal, Jessica Gaber, Julie Richardson, Dee Mangin, Jenny Ploeg, Ruta Valaitis, Graham J. Reid, Larkin Lamarche, Fiona Parascandalo, Dena Javadi, Daria O'Reilly, Lisa Dolovich

Paediatrics Publications

Background: Most health care for people with diabetes occurs in family practice, yet balancing the time and resources to help these patients can be difficult. An intervention empowering patients, leveraging community resources, and assisting self-management could benefit patients and providers. Thus, the feasibility and potential for effectiveness of "Health Teams Advancing Patient Experience, Strengthening Quality through Health Connectors for Diabetes Management" (Health TAPESTRY-HC-DM) as an approach supporting diabetes self-management was explored to inform development of a future large-scale trial. Methods: Four-month pilot randomized controlled trial (RCT), sequential explanatory qualitative component. Participants-patients of an interprofessional primary care team-were over age 18 …