Wszystkie pola: insulin therapy - Katalog OPAC zbiorów

Skocz do pozycji: 1.

Tytuł:: Association between insulin therapy and quality of life in diabetes
Autorzy:: Dąbrowski, Mariusz
Filip, Wioleta
Huc, Beata
Powiązania:: https://bibliotekanauki.pl/articles/972727.pdf
Data publikacji:: 2017
Wydawca:: Instytut Medycyny Wsi
Tematy:: diabetes
insulin therapy
quality of life
SF-36 v.2 questionnaire
WHOQOL-BREF questionnaire
Opis:: Introduction. Diabetes is associated with a lower quality of life (QoL). Insulin therapy is perceived as an additional factor affecting QoL. The objective of this study, using standardized tools, was to evaluate to what extent insulin treatment has an effect on QoL in diabetes. Materials and method. 60 diabetic patients treated with insulin and 90 with oral drugs, all aged over 30, were included into the study. To assess the QoL of patients, SF-36 v.2 and WHOQOL-BREF questionnaires were used. In addition, demographic data were collected. Results. Insulin treated patients had a significantly lower Mental Component Score in SF-36 v.2 questionnaire. No significant differences between the two groups were found in the components of physical domain of SF-36 v.2 and in four domains of WHOQOL-BREF questionnaires. Insulin therapy was significantly associated with lower educational level. The strongest association with QoL in both questionnaires was found for professional activity and age. Conclusions. The results of this study indicate the need for psychological support for patients with diabetes treated with insulin to improve their mental coping. Diabetic patients should also be advised to continue their professional activity for as long as possible due to its important role in maintaining QoL.
Źródło:: Journal of Pre-Clinical and Clinical Research; 2017, 11, 1; 10-14
1898-2395
Pojawia się w:: Journal of Pre-Clinical and Clinical Research
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 2.

Tytuł:: Mining clinical pathways for daily insulin therapy of diabetic children
Autorzy:: Deja, Rafal
Froelich, Wojciech
Deja, Grazyna
Powiązania:: https://bibliotekanauki.pl/articles/1838183.pdf
Data publikacji:: 2021
Wydawca:: Uniwersytet Zielonogórski. Oficyna Wydawnicza
Tematy:: decision support systems
modeling clinical pathways
diabetes mellitus
systemy wspomagania decyzji
modelowanie ścieżek klinicznych
cukrzyca
Opis:: We propose a decision support framework (DSF) assisting insulin therapy of diabetic children. Our DSF relies on a medical treatment graph (MTG), which models and graphically represents clinical pathways. Using the MTG, it is possible to plan and adapt medical decisions dependent upon the current health state of a patient and the progress of the treatment. Our MTG fits well with the requirements of clinical practice. The presented work is a cooperative effort of researchers in computer science and medicine. The MTG model has been thoroughly tested and validated using real-world clinical data. The usefulness of the approach has been confirmed by physicians.
Źródło:: International Journal of Applied Mathematics and Computer Science; 2021, 31, 1; 107-121
1641-876X
2083-8492
Pojawia się w:: International Journal of Applied Mathematics and Computer Science
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 3.

Tytuł:: Heterogeneity of change in state affect following insulin therapy initiation in type 2 diabetic patients
Autorzy:: Kroemeke, Aleksandra
Kwissa-Gajewska, Zuzanna
Gruszczyńska, Ewa
Powiązania:: https://bibliotekanauki.pl/articles/2128257.pdf
Data publikacji:: 2017
Wydawca:: Polska Akademia Nauk. Czytelnia Czasopism PAN
Tematy:: latent class growth modeling
type 2 diabetes
affect
Opis:: The aim of the study was to explore heterogeneity of change in state affect following the introduction of insulin therapy in patients with type 2 diabetes. State affect was assessed twice among 305 patients: just before the introduction of insulin therapy and at 1-month follow-up. Latent class growth modeling showed that negative affect (NA) increased in 78% of the sample, whereas positive affect (PA) improved in only 17% of the participants. On the basis of cross-tabulation of these changes a 4-class model of emotional response to the new treatment was obtained. The largest subgroup of participants (57%) manifested “threat response”, i.e. moderate-stable PA with increase in NA. Participants in the “challenge response” subgroup (11.8%) showed increases in both NA and PA. The third class (10.2%) characterized by “no response”, had low-stable NA and moderate-stable PA. The smallest “stress response” subgroup (9.8%) showed increase in NA and high-stable PA. Gender, age and education level were significant covariates of group membership. Thus, the findings revealed heterogeneous emotional response to the new treatment, which may be of clinical relevance for improving diabetic patients’ adjustment through a more individual, person-centered approach.
Źródło:: Polish Psychological Bulletin; 2017, 3; 338-346
0079-2993
Pojawia się w:: Polish Psychological Bulletin
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 4.

Tytuł:: Quality of life of patients with type 2 diabetes in relation to method of treatment
Autorzy:: Dudzińska, M.
Tarach, J.S.
Zwolak, A.
Malicka, J.
Kowalczyk, M.
Daniluk, J.
Powiązania:: https://bibliotekanauki.pl/articles/2052362.pdf
Data publikacji:: 2015
Wydawca:: Akademia Bialska Nauk Stosowanych im. Jana Pawła II w Białej Podlaskiej
Tematy:: type 2 diabetes
quality of life
insulin therapy
Opis:: Inappropriate glycaemic control in type 2 diabetes leads to long-term complication and affects length of life. Intensification of treatment, involving insulin therapy is often delayed because of fear of negative influence on quality of life (QoL). Aims: evaluation of differences on QoL with type 2 diabetes patients in relation to method of current antidiabetic treatment, especially patients who are on the threshold of insulin therapy introduction. Methods: study involved 274 patients (mean 62.2years, 55.8%F) who were divided into 3 groups: patients treated with oral anti-diabetic agents (OAD group, n=111), patients, for whom insulin was introduced (Intensification group, n=68) and patients treated with insulin (Insulin group, n=95). QoL was measured with questionnaires: EQ-5D, DQL-BCI and DSC-R. Results: There were no statistically significant differences in EQ-5D indices among studied patients (OAD group-0.82, Intensification group–0.78, Insulin group–0.75). EQ-VAS among patients switched to insulin therapy was lower than in OAD group (52.7 and 59.3, respectively, p=0.004). The differences in DQL-BCI scores among all groups of patients were statistically insignificant (scores: OAD group-56.7, Intensification group-54.8, Insulin group-51.7). DSC-R score in Intensification group was higher than among OAD group (30.9 and 25.3, respectively, p=0,08). Patients switched to insulin therapy manifested the highest level of hyperglycemia-related burden and the lowest treatment satisfaction. Conclusions: patients whose treatment was intensified reported their QoL as lower than the patients treated with OAD, however there was no significant difference found in respect of QoL between patients from the latter group and patients already treated with insulin.
Źródło:: Health Problems of Civilization; 2015, 09, 4; 26-31
2353-6942
2354-0265
Pojawia się w:: Health Problems of Civilization
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 5.

Tytuł:: Edukacja w zakresie insulinoterapii i samokontroli pacjentów z cukrzycą w podstawowej opiece zdrowotnej – doniesienie wstępne
Education in insulin therapy and self-monitoring in diabetic patients in family practice setting – a preliminary report
Autorzy:: Mizik-Łukowska, Małgorzata
Gacka, Małgorzata
Adamiec, Rajmund
Powiązania:: https://bibliotekanauki.pl/articles/1030533.pdf
Data publikacji:: 2015
Wydawca:: Medical Communications
Tematy:: cukrzyca
insulinoterapia
samokontrola
edukacja
lekarz rodzinny
diabetes
insulin therapy
self-monitoring
education
family practitioner
Opis:: The aim of this paper was to assess the compliance with the basic principles of insulin self-administration and the selfmonitoring of blood glucose levels. Materials and methods: The study was conducted using author’s anonymous questionnaire to be completed by patients receiving insulin therapy. The questionnaires were completed by 73 patients (72% with type 2 diabetes, 18% with type 1 diabetes) who visited their family physician during the period of 3 months in 2013. Results: A total of 22 patients did not comply with the recommended interval between the administration of premeal insulin and a meal, 24 patients never measured their blood glucose levels after a meal, and as many as 57 respondents did not practice periodic self-measurements of night-time blood glucose levels. Most patients (42 respondents) reported the hospital as a place of insulin therapy training, whereas regional outpatient clinics (physicians and nurses) came second. Only 6 respondents reported diabetes clinics as the place of training. Also, 6 respondents stored their currently used insulin in a refrigerator. Conclusions: Patients receiving insulin therapy require a continuous re-education as well as periodic verification of the basic principles for the use of insulin therapy and the self-monitoring of blood glucose levels.
Celem pracy była ocena przestrzegania podstawowych zasad podawania insuliny i samokontroli glikemii u pacjentów z cukrzycą. Materiał i metody: Badanie przeprowadzono za pomocą autorskiej anonimowej ankiety wypełnianej przez pacjentów stosujących insulinoterapię. Ankietę wypełniły 73 osoby (72% z cukrzycą typu 2, 18% z cukrzycą typu 1), które zgłosiły się do lekarza rodzinnego w ciągu 3 miesięcy w 2013 roku. Wyniki: Zaleconego przedziału czasowego pomiędzy podaniem insuliny doposiłkowej a posiłkiem nie przestrzegało 22 pacjentów, 24 nigdy nie oznaczało glikemii po posiłku, a aż 57 nie prowadziło okresowych pomiarów glikemii nocnych. Najwięcej chorych podawało szpital jako miejsce szkolenia z zakresu insulinoterapii (42 osoby), w drugiej kolejności wymieniano przychodnię rejonową (lekarz i pielęgniarki). Tylko 6 osób wskazało jako miejsce szkolenia poradnie diabetologiczne. Również 6 osób przechowywało aktualnie stosowaną insulinę w lodówce. Wnioski: Pacjenci przyjmujący insulinę wymagają ciągłej reedukacji i okresowej weryfikacji podstawowych zasad stosowania insulinoterapii i samokontroli glikemii.
Źródło:: Pediatria i Medycyna Rodzinna; 2015, 11, 2; 177-185
1734-1531
2451-0742
Pojawia się w:: Pediatria i Medycyna Rodzinna
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 6.

Tytuł:: Are we helping or harming our insulin-treated diabetic patients during ambulatory treatment?
Autorzy:: Szczesniak, G.
Dziemidok, P.
Paprzycki, P.
Powiązania:: https://bibliotekanauki.pl/articles/50293.pdf
Data publikacji:: 2013
Wydawca:: Instytut Medycyny Wsi
Tematy:: helping
harming
insulin-treated patient
diabetic patient
ambulatory treatment
diabetes mellitus
insulin therapy
body weight
hemoglobin
knowledge
behaviour
Opis:: Introduction. Correctness of insulin treatment depends on both the experience and skills of the doctor and knowledge and behaviour of the patient. Objective. Evaluation the adequacy of insulin doses administered to diabetes patients in ambulatory conditions. Material and methods. The treatment of 59 patients hospitalized in the Diabetology Ward was evaluated at admission, discharge and 3 months after hospitalization. Results. The mean daily doses of insulin significantly differed at times of evaluation and were: 53.90, 39.31 and 43.34 units, respectively (p≈0.000001). A significant reduction of body weight, 90.86 vs. 88.25 kg (p≈0.000001), was obtained only during hospitalization, and was maintained 3 months after discharge (87.86 kg). Significant differences were also noted in the body mass index (33.44 vs. 32.48 vs. 32.37 kg/m2, p≈0.000001). The change in waist circumference was not statistically significant (107.87 vs. 104.89 cm; p≈0.06). A decrease in the number of hypoglycaemia episodes was observed, but were statistically insignificant (25 vs. 23; p≈0.7). Three months after hospitalization an insignificant decrease of HbA1c level was noted (8.41% vs. 8.03%; p≈0.07). Conclusions. During treatment in the Diabetology Ward the procedure of choice was more frequently a reduction than an increase in insulin doses. This management led to the reduction of the patients’ body weight, improvement of glycaemia, without any significant effect on the diabetes control determined by the HbA1c level.
Źródło:: Annals of Agricultural and Environmental Medicine; 2013, 20, 2
1232-1966
Pojawia się w:: Annals of Agricultural and Environmental Medicine
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 7.

Tytuł:: Physical activity in type 1 diabetic young and early adults treated with insulin pump therapy. A preliminary report
Autorzy:: Roszkowski, A.
Kulesza, K.
Cybulski, M.
Witkowska, A.M.
Powiązania:: https://bibliotekanauki.pl/articles/1918883.pdf
Data publikacji:: 2019-08-26
Wydawca:: Uniwersytet Medyczny w Białymstoku
Tematy:: Type 1 diabetes
insulin pump
physical activity
young adults
early adults
IPAQ
Opis:: Purpose: To determine the level of physical activity in young and early adults with type 1 diabetes in comparison with their healthy counterparts and to determine whether the use of insulin pump facilitates physical activity. Materials and methods: This study included 40 type 1 diabetes (T1D) subjects of both sexes treated with a personal insulin pump therapy, and 30 healthy controls. The diagnostic survey included questions about nutrition, knowledge about the disease and whether the patient can control diabetes through physical activity, diet and self-monitoring. The International Physical Activity Questionnaire – long form (IPAQ-L), was used to assess the level of physical activity of both diabetic and control individuals. Results: 87.5% T1D subjects believe that using an insulin pump facilitates their physical activity. The level of physical activity associated with cycling (p=0.038) and vigorous physical activity (p=0.008) was higher in T1D than in the control group. Statistically significant differences (p=0.043) were found for total physical activity. The total mean activity was higher in participants with T1D (8147.70 MET-min/week) compared to the control group (5857.55 MET-min/week). Conclusions: Young and early adults with type 1 diabetes may be more physically active than their healthy counterparts, mainly in their leisure time. The use of a personal insulin pump facilitates physical activity, but most diabetics experience episodes of hypoglycemia after physical activity.
Źródło:: Progress in Health Sciences; 2019, 1; 13-21
2083-1617
Pojawia się w:: Progress in Health Sciences
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 8.

Tytuł:: Terapia osobistą pompą insulinową u kobiet w ciąży chorujących na cukrzycę typu 1
Insulin pump therapy during pregnancy in type 1 diabetes
Autorzy:: Matejko, Bartłomiej
Powiązania:: https://bibliotekanauki.pl/articles/1194703.pdf
Data publikacji:: 2012
Wydawca:: Polskie Towarzystwo Przyrodników im. Kopernika
Opis:: Dwie główne metody terapii są używane do osiągnięcia docelowego wyrównania metabolicznego u kobiet w ciąży z cukrzycą typu 1: leczenie za pomocą osobistej pompy insulinowej lub za pomocą wielokrotnych wstrzyknięć insuliny. Podawanie insuliny za pomocą pompy jest metodą bardziej fizjologiczną i precyzyjną niż podawanie jej za pomocą strzykawki czy penów insulinowych. Celem intensywnego leczenia insuliną podczas planowania ciąży jak i w jej trakcie jest osiągnięcie normoglikemii. Osiąganie optymalnych wartości glikemii redukuje ryzyko powikłań w czasie ciąży. Terapia osobistą pompą insulinową pomaga osiągać bardzo dobre wyniki leczenia. Studia kliniczne wykazały, że leczenie osobistą pompą insulinową jest szczególnie przydatne u osób z niestabilną cukrzycą, z nieuświadomionymi hipoglikemiami, u których występuje objaw brzasku, posiadających bardzo małą dobową dawkę insuliny lub prowadzących nieregularny tryb życia. Głównymi zaletami leczenia osobistą pompą insulinową są: możliwość indywidualizacji ustawień urządzenia oraz możliwość elastycznego modyfikowanie wlewu bazalnego i bolusów, co pozwala zredukować ryzyko ciężkich hipoglikemii.
Two regimens are used to achieve excellent glycemic control during pregnancy in type 1 diabetes mellitus (T1DM): continuous subcutaneous insulin infusion (CSII) and multiple daily injections (MDI). An insulin delivery via pump is more consistent and precise than a delivery by syringe or injection pen. The purpose of intensive insulin therapy during pregnancy planning and after conception is to achieve the target level of normoglycemia. Achiving normoglicemia can decrease the risk of unfavorable pregnancy outcomes. CSII therapy model may provide excellent glycemic control. Clinical studies have proven that pump therapy was especially effective in individuals with unstable diabetes, dawn phenomenon, hypoglycemia unawareness, and small daily insulin requirement or in those who lead an irregular lifestyle. The main benefit from insulin pump therapy is customized, flexible basal and bolus dosing to meet patients' individual insulin requirements while reducing the risk of severe hypoglycemia.
Źródło:: Kosmos; 2012, 61, 4; 557-561
0023-4249
Pojawia się w:: Kosmos
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 9.

Tytuł:: Inteligentne polimery i ich stosowanie w kontrolowanym uwalnianiu insuliny podczas leczenia diabetologiczngo
Smart polymers and their use in controlled insulin release during diabetic therapy
Autorzy:: Fajkis, N.
Powiązania:: https://bibliotekanauki.pl/articles/172436.pdf
Data publikacji:: 2018
Wydawca:: Polskie Towarzystwo Chemiczne
Tematy:: inteligentne polimery
system przenoszenia leków
cukrzyca
insulina
smart polymers
drug delivery system
diabetes mellitus
insulin
Opis:: This overview will discuss the smart polymers as drug nanocarries, their construction and shapes showing their using for controlled insulin release. The report will focus on diabetes mellitus as a disease unit, its etiology and treatment by injection and by using smart polymers. The ingredients described in this article are: poly- (methacrylic acid-g-ethylene glycol), hyaluronic acid, G-CSF-transferrin conjugate in cultured enterocyte-like Caco-2 monolayers, poly(hydroxybutyrate-co-hydroxyhexanoate) and chitosan. Such “intelligent” polymers and their use in a controlled insulin release in diabetic therapy are immensely promising.
Źródło:: Wiadomości Chemiczne; 2018, 72, 3-4; 165-184
0043-5104
2300-0295
Pojawia się w:: Wiadomości Chemiczne
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 10.

Tytuł:: The insulin activity model based on insulin profiles
Uzyskanie modelu aktywności insuliny na podstawie profili insulinowych
Autorzy:: Nowicki, Tomasz
Powiązania:: https://bibliotekanauki.pl/articles/98226.pdf
Data publikacji:: 2019
Wydawca:: Politechnika Lubelska. Instytut Informatyki
Tematy:: insulin profiles
insulin activity
diabetes mellitus
computer therapy
krzywa insulinowa
aktywność insuliny
cukrzyca
terapia komputerowa
Opis:: The purpose of the research was to propound an insulin activity model in a human body after a subcutaneous injection. A deterministic model in the form of a mathematical function was formulated. The research was based on pharmaceutic publicly available drug information published by the manufactures. The paper presents in detail the model. The obtained results can be used in computer simulations of diabetes mellitus therapy. They suggest that activity models may be assigned to types of insulin instead of separate products.
Celem badań było opracowanie modelu aktywności insuliny w organizmie człowieka po wstrzyknięciu podskórnym. Sformułowano model deterministyczny w postaci funkcji matematycznej. Badanie oparto na publicznie dostępnych informacjach farmaceutycznych opublikowanych przez producentów. Artykuł szczegółowo przedstawia model. Uzyskane wyniki mogą być wykorzystane w komputerowych symulacjach terapii cukrzycy. Sugerują one również, że modele aktywności mogą dotyczyć grup insulin zamiast konkretnych preparatów.
Źródło:: Journal of Computer Sciences Institute; 2019, 13; 272-278
2544-0764
Pojawia się w:: Journal of Computer Sciences Institute
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 11.

Tytuł:: The Application of Negative Pressure Wound Therapy with Installation in Diabetic Foot Associated with Phlegmon
Autorzy:: Wachal, Krzysztof
Szmyt, Krzysztof
Wachal, Magda
Stanisic, Michał
Powiązania:: https://bibliotekanauki.pl/articles/1395568.pdf
Data publikacji:: 2015-03-01
Wydawca:: Index Copernicus International
Tematy:: negative pressure wound therapy with installation
V.A.C. Ulta
diabetic foot
phlegmon of the foot
insulin
Opis:: The negative pressure wound therapy in the treatment of diabetic foot ulcers was used successfully for many years. In the case of complications associated with infection by this type of wound treatment to give very good results. From many years of sustained research on a device that could combine the advantages of the negative pressure wound therapy and drainage flow. Finally, in the last year, the first V.A.C. Ulta (KCI, USA) devices were included to the Polish hospital departments. In this paper we present a case of a patient of successfully using a negative pressure wound therapy with installation via a set of V.A.C. Ulta in the ischemic diabetic foot syndrome complicated by phlegmon and tissue necrosis. The patient was treated in stages. In first stage was performed angioplasty of critically stenosis of the superficial femoral artery segment. Secondly, the resection of the necrotic bone revised fingers and forefoot was conducted, and in the third step the negative pressure wound therapy with installation was used. Finally, the wound was closed by the intermediate thickness skin graft. The total duration of treatment was 21 days. The patient in good general condition with a completely healed wound was discharged. Currently, after the supply with orthopedic equipment, patient regained full mobility.
Źródło:: Polish Journal of Surgery; 2015, 87, 3; 143-147
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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