فهرست مقالات Type 2 Diabetes Mellitus

• دسترسی آزاد مقاله
  • صفحه چکیده
  • متن کامل
  
  1 - Effect of selenium supplementation on glycemic control and lipid profile in patients with type 2 diabetes: A review on current evidence
  Raheleh Kamalzadeh Yazdi Ghazaleh Shakeri Motahareh Hatami Marbini Behnood Abbasi
  Diabetes is a progressive chronic disease and is considered as an important health problem, which has increased in recent years. The prevalence of diabetes in the Middle East in 2015 was 35.4 million, which more than 4.6 million people were in Iran. In this review, we s چکیده کامل

  Diabetes is a progressive chronic disease and is considered as an important health problem, which has increased in recent years. The prevalence of diabetes in the Middle East in 2015 was 35.4 million, which more than 4.6 million people were in Iran. In this review, we specifically tried to summarize the results of clinical trials on the effects of selenium supplementation on glycemic control and lipid profile and inflammatory factors in type 2 diabetic patients. In this review, three interventional studies were included to evaluate the effect of Selenium supplementation on metabolic parameters. Serum insulin concentration and insulin resistance index were significantly reduced in two of the studies. Fasting plasma glucose and HDL cholesterol concentrations significantly increased in one study while in other studies no significant changes were observed. One of the studies showed a significant reduction in inflammatory Indicators and antioxidant capacity, one study also showed a significant decrease in lipid profiles. Selenium supplementation in patients with type 2 diabetes may have adverse effects on blood glucose homeostasis. However, it may improve lipid profile and antioxidant capacity and reduces inflammatory mediators in these patients. Therefore, in spite of the negative effects of glucose homeostasis with regard to the positive effects seen, further investigations are needed to evaluate the final effect of selenium supplementation in patients with type 2 diabetes. پرونده مقاله
• دسترسی آزاد مقاله
  • صفحه چکیده
  • متن کامل
  
  2 - Knowledge and Barriers to Insulin Therapy among Type 2 Diabetes Mellitus Patients from their Perspective
  Helen Williams Srinivasan Ranganathan
  10.22034/jchr.2024.1999998.1849
  Due to the progressive nature of type 2 diabetes mellitus (T2DM), insulin therapy will almost always be needed to maintain appropriate glycemic control in the majority of patients. Insulin therapy is unfortunately not implemented right away. Beginning insulin therapy is چکیده کامل

  Due to the progressive nature of type 2 diabetes mellitus (T2DM), insulin therapy will almost always be needed to maintain appropriate glycemic control in the majority of patients. Insulin therapy is unfortunately not implemented right away. Beginning insulin therapy is made more difficult by a number of patient misconceptions and erroneous ideas. To study the barriers and perceptions to insulin therapy in type 2 diabetes patients from their perspective. A descriptive cross-sectional study was conducted from March – September 2023 among 220 type 2 diabetes mellitus patients presenting in the endocrine outpatient department (OPD) at a tertiary healthcare center. A questionnaire inquiring about demographic characteristics, the status of insulin therapy, barriers to insulin therapy, and knowledge about insulin therapy for T2DM was administered during face-to-face interviews. Results: The study included 220 participants; the majority were from the age group 45–60 years (62.72%), females (50.90%), illiterate (20.90%), employed (58.18%), monthly income above 5000 (89.09%), duration of treatment with 2 or more drugs above 5 years (80.90%), and less than 10 years of insulin added to the treatment regimen (67.72%). The commonest barrier to insulin therapy is that it can cause blindness, cardiac arrest, and amputation, followed by a negative impact on working efficiency (70%). Seventy percent thought that insulin had a negative impact on social relationships and a fear of injection. Regarding the use of insulin, patients have a variety of worries and attitudes. Lack of knowledge about the benefits and adverse effects of using insulin, as well as misconceptions about these topics, appear to be important deterrents for diabetes patients from initiating this therapy. پرونده مقاله