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    Wyświetlanie 1-6 z 6
    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
    Artykuł
    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
    Artykuł
    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
    Artykuł
    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
    Artykuł
    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
    Artykuł
    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
    Artykuł
      Wyświetlanie 1-6 z 6

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