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- Clinical Care/Education
- Diabetes Camp as Continuing Education for Diabetes Self-Management in Middle-Aged and Elderly People with Type 2 Diabetes Mellitus
- So Young Park, Sun Young Kim, Hye Mi Lee, Kyu Yeon Hur, Jae Hyeon Kim, Moon-Kyu Lee, Kang-Hee Sim, Sang-Man Jin
- Diabetes Metab J. 2017;41(2):99-112. Published online March 3, 2017
- DOI: https://doi.org/10.4093/dmj.2017.41.2.99
- 4,189 View
- 43 Download
- 3 Web of Science
- 2 Crossref
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Abstract
PDF
Supplementary Material
PubReader Background Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability.
Methods The 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (
n =57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]). Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n =93).Results The levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (
P =0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P =0.010 andP =0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease. The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n =40) and those with a duration of diabetes less than 15 years (n =32).Conclusion The 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes.
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Citations
Citations to this article as recorded by
- Older adults’ experiences of being at a senior summer camp—A phenomenographic study
Veronika Wallroth, Kjerstin Larsson, Agneta Schröder
Qualitative Social Work.2022; 21(5): 956. CrossRef - Pushing for miracles, pulling away from risk: An ethnographic analysis of the force dynamics at Senior Summer Camps in Sweden
Gabriella Nilsson, Lisa Ekstam, Janicke Andersson
Journal of Aging Studies.2018; 47: 96. CrossRef
- Older adults’ experiences of being at a senior summer camp—A phenomenographic study
- Erratum: Corrected Sentence. The Appropriateness of the Length of Insulin Needles Based on Determination of Skin and Subcutaneous Fat Thickness in the Abdomen and Upper Arm in Patients with Type 2 Diabetes
- Kang Hee Sim, Moon Sook Hwang, Sun Young Kim, Hye Mi Lee, Ji Yeun Chang, Moon Kyu Lee
- Diabetes Metab J. 2014;38(3):244-244. Published online June 17, 2014
- DOI: https://doi.org/10.4093/dmj.2014.38.3.244
- 2,793 View
- 40 Download
- The Appropriateness of the Length of Insulin Needles Based on Determination of Skin and Subcutaneous Fat Thickness in the Abdomen and Upper Arm in Patients with Type 2 Diabetes
- Kang Hee Sim, Moon Sook Hwang, Sun Young Kim, Hye Mi Lee, Ji Yeun Chang, Moon Kyu Lee
- Diabetes Metab J. 2014;38(2):120-133. Published online April 18, 2014
- DOI: https://doi.org/10.4093/dmj.2014.38.2.120
- 5,136 View
- 114 Download
- 20 Web of Science
- 22 Crossref
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Abstract
PDFPubReader
Background Longer needle and complicated insulin injection technique such as injecting at a 45-degree angle and making skinfolds may decrease patient compliance to insulin injection therapy. In this light, shorter insulin needles have been recently developed. However, it is necessary to ascertain that such shorter needles are appropriate for Korean patients with diabetes as well.
Methods First, the diverse demographic and diabetic features of 156 Korean adults with diabetes were collected by a questionnaire and a device unit of body fat measurement. The skin and subcutaneous fat thicknesses of each subject were measured by Ultrasound device with a 7- to 12-MHz probe. Data were analyzed using analysis of variance and multiple linear regression.
Results The mean skin thickness was 2.29±0.37 mm in the abdomen and 2.00±0.34 mm in the upper arms, and the mean subcutaneous fat thickness was to 10.15±6.54 mm in the abdomen and 5.50±2.68 mm in the upper arms. Our analysis showed that the factors affecting the skin thickness of the abdomen and upper arms were gender and body mass index (BMI), whereas the factors influencing the subcutaneous fat thickness in the abdomen were gender and BMI, and the factors influencing the subcutaneous fat thickness in the upper arms were gender, BMI, and age. Insulin fluids may not appear to be intradermally injected into the abdomen and upper arms at any needle lengths. The risk of intramuscular injection is likely to increase with longer insulin needles and lower BMI.
Conclusion It is recommended to fully inform the patients about the lengths of needles for insulin injections. As for the recommended needle length, the findings of this study indicate that needles as short as 4 mm are sufficient to deliver insulin for Korean patients with diabetes.
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Citations
Citations to this article as recorded by- Inadvertent intramuscular injection risk with subcutaneous insulin injections and risk predictors in adults: a cross-sectional sonographic study
U. A. Liyanage, Y. Mathangasinghe, C. K. Liyanage, E. S. Wijewickrama, D. Mahathanthila, A. J. Dharmawansa, S. Jeyerajesingham, D. S. Warapitiya, M. D. M. S. Wijayabandara, B. C. T. A. N. W. M. R. C. S. Kempitiya, A. Aravinthan, L. M. D. T. Jayasekara, N.
International Journal of Diabetes in Developing Countries.2023; 43(5): 731. CrossRef - COVID-19 vaccination and the skin to deltoid muscle distance in adults with diabetes
Marjan Doppen, Ali Mirjalili, Matire Harwood, Allie Eathorne, Irene Braithwaite, Jonathan Bong, Louis Kirton, Ruth Semprini, Mark Weatherall, Alex Semprini, Ciléin Kearns, Melissa Black, Stacey Kung, Michaela Walton, Richard Beasley, Thomas Hills
Vaccine: X.2023; 13: 100248. CrossRef - Integration of capillaric strain sensors toward recognition of human movements
Hudson Gasvoda, Nick Cmager, Rana Altay, Ju Young Lee, I. Emre Araci
Sensors & Diagnostics.2023; 2(1): 212. CrossRef - What variables should inform needle length choice for deltoid intramuscular injection? A systematic review
Ciléin Kearns, Claire Houghton, Emily Dickinson, Lee Hatter, Pepa Bruce, Srinidhi Krishnamoorthy, Mark Weatherall, Thomas Hills, Marjan Doppen, Seyed Ali Mirjalili, Richard Beasley
BMJ Open.2023; 13(1): e063530. CrossRef - Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients
Aya Torii-Goto, Kana Hirai, Yuri Inukai, Yoshimi Hoshina, Kazumi Shiomi, Junko Ito, Masae Yoshikawa
Journal of Pharmaceutical Health Care and Sciences.2023;[Epub] CrossRef - Machine Learning-Based Prediction of Abdominal Subcutaneous Fat Thickness During Pregnancy
Moon Sook Hwang, Eunjeong Song, Jeonghee Ahn, Seungmi Park
Metabolic Syndrome and Related Disorders.2023; 21(9): 479. CrossRef - Human continuous glucose monitors for measurement of glucose in dairy cows
M.K.H. Byrd, A.G. Arneson, D.R. Soffa, J.W. Stewart, M.L. Rhoads
JDS Communications.2022; 3(1): 78. CrossRef - A finite element model of abdominal human tissue for improving the accuracy in insulin absorption assessment: A feasibility study
Pasquale Arpaia, Davide Cuneo, Sabrina Grassini, Francesca Mancino, Simone Minucci, Nicola Moccaldi, Isabella Sannino
Measurement: Sensors.2021; 18: 100218. CrossRef - Abdominal skin subcutaneous fat thickness over the gestational period in Korean pregnant women: a descriptive observational study
Moon Sook Hwang
Korean Journal of Women Health Nursing.2021; 27(4): 318. CrossRef - User experience for manual injection of 2 mL viscous solutions is enhanced by a new prefillable syringe with a staked 8 mm ultra-thin wall needle
Aurélie Pager, Anne Combedazou, Karen Guerrero, Tzvetelina Tzvetkova-Chevolleau, Didier Morel, Cécile Frolet, Stanislav Glezer
Expert Opinion on Drug Delivery.2020; 17(10): 1485. CrossRef - Evaluating the Impact of Human Factors and Pen Needle Design on Insulin Pen Injection
Christopher Rini, Bruce C. Roberts, Didier Morel, Rick Klug, Benjamin Selvage, Ronald J. Pettis
Journal of Diabetes Science and Technology.2019; 13(3): 533. CrossRef - Subcutaneous Injection of Drugs: Literature Review of Factors Influencing Pain Sensation at the Injection Site
Iris Usach, Rafael Martinez, Teodora Festini, José-Esteban Peris
Advances in Therapy.2019; 36(11): 2986. CrossRef - The Injection Technique Factor: What You Don’t Know or Teach Can Make a Difference
Laurence J. Hirsch, Kenneth W. Strauss
Clinical Diabetes.2019; 37(3): 227. CrossRef - Factors associated with removal difficulties of etonogestrel-containing contraceptive implants (Nexplanon ® )
Julien Chevreau, David Krief, Osama Abou Arab, Mickaël Zitoun, Arthur Foulon, Fabrice Sergent, Jean Gondry
European Journal of Obstetrics & Gynecology and Reproductive Biology.2018; 224: 81. CrossRef - Insulin Injection Technique in China Compared with the Rest of the World
Zhenqiang Song, Xiaohui Guo, Linong Ji, Xiao Huang, Laurence J. Hirsch, Kenneth W. Strauss
Diabetes Therapy.2018; 9(6): 2357. CrossRef - Ultrasound-guided measurement of skin and subcutaneous tissue thickness in children with diabetes and recommendations for giving insulin injections
Soo Ting Joyce Lim, Yuen Ching Angela Hui, Pei Kwee Lim, Chin Choo Evelyn Lim, Yen Yen Chia, Rashida Farhad Vasanwala
Journal of Clinical & Translational Endocrinology.2018; 12: 26. CrossRef - Comment on the New Indian Injection Technique Recommendations: Critical Appraisal of the Real-World Implementation of the Current Guidelines
Felice Strollo, Sandro Gentile
Diabetes Therapy.2017; 8(3): 507. CrossRef - Worldwide Injection Technique Questionnaire Study
Anders H. Frid, Laurence J. Hirsch, Astrid R. Menchior, Didier R. Morel, Kenneth W. Strauss
Mayo Clinic Proceedings.2016; 91(9): 1212. CrossRef - Skin and subcutaneous tissue thickness at insulin injection sites in Chinese diabetes patients: Clinical implications
W. Wang, X. Guo, G. Shen, G. Bai, Z. Wei, J. Liu, L. Hirsch, K. Strauss
Diabetes & Metabolism.2016; 42(5): 374. CrossRef - New Insulin Delivery Recommendations
Anders H. Frid, Gillian Kreugel, Giorgio Grassi, Serge Halimi, Debbie Hicks, Laurence J. Hirsch, Mike J. Smith, Regine Wellhoener, Bruce W. Bode, Irl B. Hirsch, Sanjay Kalra, Linong Ji, Kenneth W. Strauss
Mayo Clinic Proceedings.2016; 91(9): 1231. CrossRef - Le tissu sous-cutané et l’insuline : Une cohabitation délicate Revue de la littérature
K. Strauss, S. Halimi
Médecine des Maladies Métaboliques.2015; 9(5): 504. CrossRef - Subcutaneous Injection Depth Does Not Affect the Pharmacokinetics or Glucodynamics of Insulin Lispro in Normal Weight or Healthy Obese Subjects
Amparo de la Peña, Kwee P. Yeo, Helle Linnebjerg, Edward Catton, Shobha Reddy, Patricia Brown-Augsburger, Linda Morrow, Debra A. Ignaut
Journal of Diabetes Science and Technology.2015; 9(4): 824. CrossRef
- Inadvertent intramuscular injection risk with subcutaneous insulin injections and risk predictors in adults: a cross-sectional sonographic study
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