Skip Navigation
Skip to contents

Diabetes Metab J : Diabetes & Metabolism Journal

Search
OPEN ACCESS

Search

Page Path
HOME > Search
26 "Education"
Filter
Filter
Article category
Keywords
Publication year
Authors
Funded articles
Review
Technology/Device
Article image
Present and Future of Digital Health in Diabetes and Metabolic Disease
Sang Youl Rhee, Chiweon Kim, Dong Wook Shin, Steven R. Steinhubl
Diabetes Metab J. 2020;44(6):819-827.   Published online December 23, 2020
DOI: https://doi.org/10.4093/dmj.2020.0088
  • 9,744 View
  • 277 Download
  • 21 Web of Science
  • 21 Crossref
AbstractAbstract PDFPubReader   ePub   
The use of information and communication technology (ICT) in medical and healthcare services goes beyond everyday life. Expectations of a new medical environment, not previously experienced by ICT, exist in the near future. In particular, chronic metabolic diseases such as diabetes and obesity, have a high prevalence and high social and economic burden. In addition, the continuous evaluation and monitoring of daily life is important for effective treatment and management. Therefore, the wide use of ICTbased digital health systems is required for the treatment and management of these diseases. In this article, we compiled a variety of digital health technologies introduced to date in the field of diabetes and metabolic diseases.

Citations

Citations to this article as recorded by  
  • Digital Health in Diabetes and Cardiovascular Disease
    Dorothy Avoke, Abdallah Elshafeey, Robert Weinstein, Chang H. Kim, Seth S. Martin
    Endocrine Research.2024; 49(3): 124.     CrossRef
  • Weight Management Health Note, a Mobile Health Platform for Obesity Management Developed by the Korean Society for the Study of Obesity
    Yujung Lee, Hyunji Sang, Sunyoung Kim, Doo Ah Choi, Sang Youl Rhee
    Journal of Obesity & Metabolic Syndrome.2024; 33(1): 1.     CrossRef
  • Effectiveness of a Social Networking Site Based Automatic Mobile Message Providing System on Glycemic Control in Patients with Type 2 Diabetes Mellitus
    Kyuho Kim, Jae-Seung Yun, Joonyub Lee, Yeoree Yang, Minhan Lee, Yu-Bae Ahn, Jae Hyoung Cho, Seung-Hyun Ko
    Endocrinology and Metabolism.2024; 39(2): 344.     CrossRef
  • A data-driven approach to manage type 2 diabetes mellitus through digital health: The Klivo Intervention Program protocol (KIPDM)
    Camila Maciel de Oliveira, Luiza Borcony Bolognese, Mercedes Balcells, Davi Casale Aragon, Roberto Luis Zagury, Clemente Nobrega, Chunyu Liu, Dured Dardari
    PLOS ONE.2023; 18(2): e0281844.     CrossRef
  • Public Health Framework for Smart Cities within the Comprehensive Approach to Sustainability in Europe: Case Study of Diabetes
    Luís Velez Lapão, Jorge César Correia, Marija Jevtic
    Sustainability.2023; 15(5): 4269.     CrossRef
  • Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review
    Leona Kosowicz, Kham Tran, Toan Tran Khanh, Thu Ha Dang, Van An Pham, Hue Ta Thi Kim, Hoang Thi Bach Duong, Tran Dong Nguyen, Anh Tuyet Phuong, Trong Hieu Le, Van Anh Ta, Nilmini Wickramasinghe, Penelope Schofield, John Zelcer, Tuan Pham Le, Tuan Anh Nguy
    Journal of Medical Internet Research.2023; 25: e43224.     CrossRef
  • Digital health, cardiometabolic disease and ethnicity: an analysis of United Kingdom government policies from 2010 to 2022
    Zareen Thorlu-Bangura, Lydia Poole, Harpreet Sood, Nushrat Khan, Fiona Stevenson, Kamlesh Khunti, Paramjit Gill, Madiha Sajid, Wasim Hanif, Neeraj Bhala, Shivali Modha, Kiran Patel, Ann Blandford, Amitava Banerjee, Mel Ramasawmy
    Journal of Public Health Policy.2023; 44(2): 179.     CrossRef
  • Digital Behavior Change Interventions to Reduce Sedentary Behavior and Promote Physical Activity in Adults with Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Xiaoyan Zhang, Xue Qiao, Ke Peng, Shan Gao, Yufang Hao
    International Journal of Behavioral Medicine.2023;[Epub]     CrossRef
  • Exploring the underlying mechanisms of obesity and diabetes and the potential of Traditional Chinese Medicine: an overview of the literature
    Yan-kun Chen, Ting-ting Liu, Farah Khameis Farag Teia, Meng-zhou Xie
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
  • Stakeholders’ Perceptions Regarding Digital Therapeutics Reimbursement in South Korea: Qualitative Study
    Boram Sim, Jin Han Ju, Byungsoo Kim, Jin Yong Lee
    JMIR mHealth and uHealth.2023; 11: e47407.     CrossRef
  • Research Trends in Motivation and Weight Loss: A Bibliometric-Based Review
    Uroš Železnik, Peter Kokol, Jasmina Starc, Danica Železnik, Jernej Završnik, Helena Blažun Vošner
    Healthcare.2023; 11(23): 3086.     CrossRef
  • Analysis of the management and therapeutic performance of diabetes mellitus employing special target
    Hong-Yan Sun, Xiao-Yan Lin
    World Journal of Diabetes.2023; 14(12): 1721.     CrossRef
  • Psychoeducational Interventions in Children and Adolescents with Type-1 Diabetes: A Systematic Review
    Bárbara Luque, Joaquín Villaécija, Rosario Castillo-Mayén, Esther Cuadrado, Sebastián Rubio, Carmen Tabernero
    Clínica y Salud.2022; 33(1): 35.     CrossRef
  • Prevalence of Hyperuricemia Among Chinese Adults: Findings From Two Nationally Representative Cross-Sectional Surveys in 2015–16 and 2018–19
    Mei Zhang, Xiaoxia Zhu, Jing Wu, Zhengjing Huang, Zhenping Zhao, Xiao Zhang, Yu Xue, Weiguo Wan, Chun Li, Wenrong Zhang, Linhong Wang, Maigeng Zhou, Hejian Zou, Limin Wang
    Frontiers in Immunology.2022;[Epub]     CrossRef
  • Blood Pressure Monitoring as a Digital Health Tool for Improving Diabetes Clinical Outcomes: Retrospective Real-world Study
    ‪Yifat Fundoiano-Hershcovitz, Dror Bacher, Marilyn D Ritholz, David L Horwitz, Omar Manejwala, Pavel Goldstein
    Journal of Medical Internet Research.2022; 24(2): e32923.     CrossRef
  • The effectiveness of a structured group education programme for people with established type 2 diabetes in a multi-ethnic population in primary care: A cluster randomised trial
    Helen Dallosso, Panna Mandalia, Laura J. Gray, Yogini V. Chudasama, Sopna Choudhury, Shahrad Taheri, Naina Patel, Kamlesh Khunti, Melanie J. Davies
    Nutrition, Metabolism and Cardiovascular Diseases.2022; 32(6): 1549.     CrossRef
  • Efficacy of Personalized Diabetes Self-care Using an Electronic Medical Record–Integrated Mobile App in Patients With Type 2 Diabetes: 6-Month Randomized Controlled Trial
    Eun Young Lee, Seon-Ah Cha, Jae-Seung Yun, Sun-Young Lim, Jin-Hee Lee, Yu-Bae Ahn, Kun-Ho Yoon, Min Kyung Hyun, Seung-Hyun Ko
    Journal of Medical Internet Research.2022; 24(7): e37430.     CrossRef
  • Qatar Diabetes Mobile Application Trial (QDMAT): an open-label randomised controlled trial to examine the impact of using a mobile application to improve diabetes care in type 2 diabetes mellitus—a study protocol
    Noor Suleiman, Meis Alkasem, Zaina Al Amer, Obada Salameh, Noora Al-Thani, Mohammad Khair Hamad, Khaled Baagar, Ibrahem Abdalhakam, Manal Othman, Ragae Dughmosh, Dabia Al-Mohanadi, Ali Al Sanousi, Mohammed Bashir, Odette Chagoury, Shahrad Taheri, Abdul-Ba
    Trials.2022;[Epub]     CrossRef
  • Digital environment: An evolutionary component in environmental health
    Afiqah Syamimi Masrani, Nik Rosmawati Nik Husain
    Journal of Public Health Research.2022; 11(2): 227990362211031.     CrossRef
  • Innovations in Cardio-oncology Resulting from the COVID-19 Pandemic
    Lavanya Kondapalli, Garima Arora, Riem Hawi, Efstathia Andrikopoulou, Courtney Estes, Nirav Patel, Carrie G. Lenneman
    Current Treatment Options in Oncology.2022; 23(9): 1288.     CrossRef
  • Effects of peer support and mobile application-based walking programme on physical activity and physical function in rural older adults: a cluster randomized controlled trial
    Xue Cai, Shanhu Qiu, Dan Luo, Ruxue Li, Chengyu Liu, Yanhui Lu, Cuirong Xu, Mingzi Li
    European Geriatric Medicine.2022; 13(5): 1187.     CrossRef
Original Articles
Clinical Diabetes and Therapeutics
Hospital-Based Korean Diabetes Prevention Study: A Prospective, Multi-Center, Randomized, Open-Label Controlled Study
Sang Youl Rhee, Suk Chon, Kyu Jeung Ahn, Jeong-Taek Woo
Diabetes Metab J. 2019;43(1):49-58.   Published online November 2, 2018
DOI: https://doi.org/10.4093/dmj.2018.0033
  • 5,681 View
  • 138 Download
  • 11 Web of Science
  • 13 Crossref
AbstractAbstract PDFPubReader   
Background

The prevalence of diabetes mellitus (DM) continues to increase, and the disease burden is the highest of any medical condition in Korea. However, large-scale clinical studies have not yet conducted to establish the basis for diabetes prevention in Korea.

Methods

The hospital-based Korean Diabetes Prevention Study (H-KDPS) is a prospective, multi-center, randomized, open-label controlled study conducted at university hospitals for the purpose of gathering data to help in efforts to prevent type 2 DM. Ten university hospitals are participating, and 744 subjects will be recruited. The subjects are randomly assigned to the standard care group, lifestyle modification group, or metformin group, and their clinical course will be observed for 36 months.

Results

All intervention methodologies were developed, validated, and approved by Korean Diabetes Association (KDA) multi-disciplinary team members. The standard control group will engage in individual education based on the current KDA guidelines, and the lifestyle modification group will participate in a professionally guided healthcare intervention aiming for ≥5% weight loss. The metformin group will begin dosing at 250 mg/day, increasing to a maximum of 1,000 mg/day. The primary endpoint of this study is the cumulative incidence of DM during the 3 years after randomization.

Conclusion

The H-KDPS study is the first large-scale clinical study to establish evidence-based interventions for the prevention of type 2 DM in Koreans. The evidence gathered by this study will be useful for enhancing the health of Koreans and improving the stability of the Korean healthcare system (Trial registration: CRIS KCT0002260, NCT02981121).

Citations

Citations to this article as recorded by  
  • Estimating insulin sensitivity and β-cell function from the oral glucose tolerance test: validation of a new insulin sensitivity and secretion (ISS) model
    Joon Ha, Stephanie T. Chung, Max Springer, Joon Young Kim, Phil Chen, Aaryan Chhabra, Melanie G. Cree, Cecilia Diniz Behn, Anne E. Sumner, Silva A. Arslanian, Arthur S. Sherman
    American Journal of Physiology-Endocrinology and Metabolism.2024; 326(4): E454.     CrossRef
  • Development and Adaptability of Smartphone-based Dietary Coaching Program for Patients Undergoing Diabetes and Prediabetes with Continuous Glucose Monitoring Device
    Myoung Soo Kim, Jung Mi Ryu, Minkyeong Kang, Jiwon Park, Yeh Chan Ahn, Yang Seok Kim
    Journal of Health Informatics and Statistics.2023; 48(1): 36.     CrossRef
  • Improving Machine Learning Diabetes Prediction Models for the Utmost Clinical Effectiveness
    Juyoung Shin, Joonyub Lee, Taehoon Ko, Kanghyuck Lee, Yera Choi, Hun-Sung Kim
    Journal of Personalized Medicine.2022; 12(11): 1899.     CrossRef
  • Impaired fasting glucose levels in overweight or obese subjects for screening of type 2 diabetes in Korea
    Jin-Hee Lee, Suk Chon, Seon-Ah Cha, Sun-Young Lim, Kook-Rye Kim, Jae-Seung Yun, Sang Youl Rhee, Kun-Ho Yoon, Yu-Bae Ahn, Jeong-Taek Woo, Seung-Hyun Ko
    The Korean Journal of Internal Medicine.2021; 36(2): 382.     CrossRef
  • Development and Validation of a Deep Learning Based Diabetes Prediction System Using a Nationwide Population-Based Cohort
    Sang Youl Rhee, Ji Min Sung, Sunhee Kim, In-Jeong Cho, Sang-Eun Lee, Hyuk-Jae Chang
    Diabetes & Metabolism Journal.2021; 45(4): 515.     CrossRef
  • 2021 Clinical Practice Guidelines for Diabetes Mellitus of the Korean Diabetes Association
    Kyu Yeon Hur, Min Kyong Moon, Jong Suk Park, Soo-Kyung Kim, Seung-Hwan Lee, Jae-Seung Yun, Jong Ha Baek, Junghyun Noh, Byung-Wan Lee, Tae Jung Oh, Suk Chon, Ye Seul Yang, Jang Won Son, Jong Han Choi, Kee Ho Song, Nam Hoon Kim, Sang Yong Kim, Jin Wha Kim,
    Diabetes & Metabolism Journal.2021; 45(4): 461.     CrossRef
  • Short-Term Effects of the Internet-Based Korea Diabetes Prevention Study: 6-Month Results of a Community-Based Randomized Controlled Trial
    Jin-Hee Lee, Sun-Young Lim, Seon-Ah Cha, Chan-Jung Han, Ah Reum Jung, Kook-Rye Kim, Kun-Ho Yoon, Seung-Hyun Ko
    Diabetes & Metabolism Journal.2021; 45(6): 960.     CrossRef
  • 2021 Clinical Practice Guidelines for Diabetes Mellitus in Korea
    Seung-Hyun Ko
    The Journal of Korean Diabetes.2021; 22(4): 244.     CrossRef
  • Optimal fasting plasma glucose and haemoglobin A1c levels for screening of prediabetes and diabetes according to 2‐hour plasma glucose in a high‐risk population: The Korean Diabetes Prevention Study
    Seon‐Ah Cha, Suk Chon, Jae‐Seung Yun, Sang Youl Rhee, Sun‐Young Lim, Kun‐Ho Yoon, Yu‐Bae Ahn, Seung‐Hyun Ko, Jeong‐Taek Woo, Jin‐Hee Lee
    Diabetes/Metabolism Research and Reviews.2020;[Epub]     CrossRef
  • How was the Diabetes Metabolism Journal added to MEDLINE?
    Hye Jin Yoo
    Science Editing.2020; 7(2): 201.     CrossRef
  • Commercial Postural Devices: A Review
    Nicole Kah Mun Yoong, Jordan Perring, Ralph Jasper Mobbs
    Sensors.2019; 19(23): 5128.     CrossRef
  • Changes in Metabolic Profile Over Time: Impact on the Risk of Diabetes
    Yunjung Cho, Seung-Hwan Lee
    Diabetes & Metabolism Journal.2019; 43(4): 407.     CrossRef
  • Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at increased risk for the development of type 2 diabetes mellitus
    Kasper S Madsen, Yuan Chi, Maria-Inti Metzendorf, Bernd Richter, Bianca Hemmingsen
    Cochrane Database of Systematic Reviews.2019;[Epub]     CrossRef
Clinical Care/Education
Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus
So Hun Kim, Seung Youn Lee, Chei Won Kim, Young Ju Suh, Seongbin Hong, Seong Hee Ahn, Da Hae Seo, Moon-Suk Nam, Suk Chon, Jeong-Taek Woo, Sei Hyun Baik, Yongsoo Park, Kwan Woo Lee, Young Seol Kim
Diabetes Metab J. 2018;42(5):380-393.   Published online June 29, 2018
DOI: https://doi.org/10.4093/dmj.2017.0102
  • 5,242 View
  • 73 Download
  • 14 Web of Science
  • 16 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   
Background

The aim of the study was to assess the impact of socioeconomic status (SES) on health behaviors, metabolic control, and chronic complications in people with type 2 diabetes mellitus (T2DM) from South Korea, a country with universal health insurance coverage and that has experienced rapid economic and social transition.

Methods

A total of 3,294 Korean men and women with T2DM aged 30 to 65 years, participating in the Korean National Diabetes Program (KNDP) cohort who reported their SES and had baseline clinical evaluation were included in the current cross-sectional analysis. SES included the level of education and monthly household income.

Results

Lower education level and lower income level were closely related, and both were associated with older age in men and women. Women and men with lower income and education level had higher carbohydrate and lower fat intake. After adjustment for possible confounding factors, higher education in men significantly lowered the odds of having uncontrolled hyperglycemia (glycosylated hemoglobin ≥7.5%) (odds ratio [OR], 0.63; 95% confidence interval [CI], 0.43 to 0.91 for highest education; Ptrend=0.048), while higher household income in men significantly lowered the odds of having diabetic retinopathy (OR, 0.59; 95% CI, 0.37 to 0.95 for highest income level; Ptrend=0.048). In women, lower income was associated with a higher stress level.

Conclusion

Men with lower SES had higher odds of having diabetic retinopathy and uncontrolled hyperglycemia, showing the need to improve care targeted to this population.

Citations

Citations to this article as recorded by  
  • A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus
    Laleh Gharacheh, Mostafa Amini-Rarani, Amin Torabipour, Saeed Karimi
    International Journal of Preventive Medicine.2024;[Epub]     CrossRef
  • Socioeconomic status and the effect of prolonged pandemic confinement on anthropometric and glycaemic outcomes in adults with type 2 diabetes mellitus
    Chandana Wijeweera, Ummul Muhfaza, Reginald V. Lord, Peter Petocz, Juliana Chen, Veronica Preda
    Primary Care Diabetes.2024; 18(3): 308.     CrossRef
  • Income variability and incident cardiovascular disease in diabetes: a population-based cohort study
    Yong-Moon Mark Park, Jong-Ha Baek, Hong Seok Lee, Tali Elfassy, Clare C Brown, Mario Schootman, Marie-Rachelle Narcisse, Seung-Hyun Ko, Pearl A McElfish, Michael R Thomsen, Benjamin C Amick, Seong-Su Lee, Kyungdo Han
    European Heart Journal.2024; 45(21): 1920.     CrossRef
  • Temporal trends in the visual impairment burden attributable to high fasting plasma glucose levels: a population-based study
    Jianqi Chen, Xiaohong Chen, Zhidong Li, Xuhao Chen, Shaofen Huang, Guitong Ye, Rui Xie, Ruiyu Luo, Yuan Zhang, Xinyue Shen, Yehong Zhuo, Shengsong Huang, Yiqing Li, Yingting Zhu
    Acta Diabetologica.2024;[Epub]     CrossRef
  • Association of diet quality with glycemia, insulinemia, and insulin resistance in families at high risk for type 2 diabetes mellitus in Europe: Feel4 Diabetes Study
    Botsi E, Karatzi K, Mavrogianni C, Kaloyan Tsochev, Esther M González-Gil, Radó S, Kivelä J, Wikström K, Cardon G, Rurik I, Liatis S, Tsvetalina Tankova, Violeta Iotova, Luis A. Moreno, Makrillakis K, Manios Y, Tsigos C
    Nutrition.2023; 105: 111805.     CrossRef
  • Sustained Low Income, Income Changes, and Risk of All-Cause Mortality in Individuals With Type 2 Diabetes: A Nationwide Population-Based Cohort Study
    Hong Seok Lee, Jimin Clara Park, Inkwan Chung, Junxiu Liu, Seong-Su Lee, Kyungdo Han
    Diabetes Care.2023; 46(1): 92.     CrossRef
  • Association of birth weight with risk of diabetes mellitus in adolescence and early adulthood: analysis of the Indonesian Family Life Survey
    Ratu Ayu Dewi Sartika, Fathimah Sulistyowati Sigit, Edy Purwanto, Norliyana Aris, Avliya Quratul Marjan, Wahyu Kurnia Yusrin Putra, Sutanto Priyo Hastono
    Annals of Pediatric Endocrinology & Metabolism.2023; 28(4): 267.     CrossRef
  • Effects of Diabetes Quality Assessment on Diabetes Management Behaviors Based on a Nationwide Survey
    Chang Kyun Choi, Jungho Yang, Ji-An Jeong, Min-Ho Shin
    International Journal of Environmental Research and Public Health.2022; 19(23): 15781.     CrossRef
  • FOLLOW-UP ADHERENCE IN PATIENTS WITH NONPROLIFERATIVE DIABETIC RETINOPATHY PRESENTING TO AN OPHTHALMIC EMERGENCY DEPARTMENT
    Arjun Watane, Meghana Kalavar, Elizabeth A. Vanner, Kara Cavuoto, Jayanth Sridhar
    Retina.2021; 41(6): 1293.     CrossRef
  • Socioeconomic disparity in global vision loss burden due to diabetic retinopathy: an analysis on time trends from 1990 to 2017
    Yi Shan, Yufeng Xu, Lingxia Ye, Xiling Lin, Yaoyao Chen, Qi Miao, Juan Ye
    Endocrine.2021; 73(2): 316.     CrossRef
  • Tip 2 Diyabetli Bireylerin Hastalık Yönetiminde Karşılaştıkları Engellerin Değerlendirilmesi
    Şuheda ÜSTÜNDAĞ, Nuray DAYAPOĞLU
    Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi.2021; 5(3): 514.     CrossRef
  • Socioeconomic inequalities in type 2 diabetes in employed individuals, nonworking spouses and pensioners
    Batoul Safieddine, Stefanie Sperlich, Johannes Beller, Karin Lange, Jelena Epping, Juliane Tetzlaff, Fabian Tetzlaff, Siegfried Geyer
    SSM - Population Health.2020; 11: 100596.     CrossRef
  • Thirteen-year trends in the prevalence of diabetes according to socioeconomic condition and cardiovascular risk factors in a Swiss population
    Carlos de Mestral, Silvia Stringhini, Idris Guessous, François R Jornayvaz
    BMJ Open Diabetes Research & Care.2020; 8(1): e001273.     CrossRef
  • Dietary Habits and Dietary Antioxidant Intake Are Related to Socioeconomic Status in Polish Adults: A Nationwide Study
    Małgorzata Elżbieta Zujko, Anna Waśkiewicz, Wojciech Drygas, Alicja Cicha-Mikołajczyk, Kinga Zujko, Danuta Szcześniewska, Krystyna Kozakiewicz, Anna Maria Witkowska
    Nutrients.2020; 12(2): 518.     CrossRef
  • Diabetes Fact Sheets in Korea, 2018: An Appraisal of Current Status
    Bo-Yeon Kim, Jong Chul Won, Jae Hyuk Lee, Hun-Sung Kim, Jung Hwan Park, Kyoung Hwa Ha, Kyu Chang Won, Dae Jung Kim, Kyong Soo Park
    Diabetes & Metabolism Journal.2019; 43(4): 487.     CrossRef
  • Gender in Endocrine Diseases: Role of Sex Gonadal Hormones
    R. Lauretta, M. Sansone, A. Sansone, F. Romanelli, M. Appetecchia
    International Journal of Endocrinology.2018; 2018: 1.     CrossRef
Clinical Care/Education
Patient Understanding of Hypoglycemia in Tertiary Referral Centers
Nan Hee Cho, Nam Kyung Kim, Eugene Han, Jun Hwa Hong, Eon Ju Jeon, Jun Sung Moon, Mi Hae Seo, Ji Eun Lee, Hyun-Ae Seo, Mi-Kyung Kim, Hye Soon Kim
Diabetes Metab J. 2018;42(1):43-52.   Published online February 23, 2018
DOI: https://doi.org/10.4093/dmj.2018.42.1.43
  • 4,963 View
  • 59 Download
  • 5 Web of Science
  • 5 Crossref
AbstractAbstract PDFPubReader   
Background

Hypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia.

Methods

A survey of patients with diabetes, who had visited seven tertiary referral centers in Daegu or Gyeongsangbuk-do, Korea, between June 2014 and June 2015, was conducted. The survey contained questions about personal history, symptoms, educational experience, self-management, and attitudes about hypoglycemia.

Results

Of 758 participants, 471 (62.1%) had experienced hypoglycemia, and 250 (32.9%) had experienced hypoglycemia at least once in the month immediately preceding the study. Two hundred and forty-two (31.8%) of the participants had received hypoglycemia education at least once, but only 148 (19.4%) knew the exact definition of hypoglycemia. Hypoglycemic symptoms identified by the participants were dizziness (55.0%), sweating (53.8%), and tremor (40.8%). They mostly chose candy (62.1%), chocolate (37.7%), or juice (36.8%) as food for recovering hypoglycemia. Participants who had experienced hypoglycemia had longer duration of diabetes and a higher proportion of insulin usage. The mean scores for hypoglycemia avoidance behavior and worry about hypoglycemia were 21.2±10.71 and 23.38±13.19, respectively. These scores tended to be higher for participants with higher than 8% of glycosylated hemoglobin, insulin use, and experience of emergency room visits.

Conclusion

Many patients had experienced hypoglycemia and worried about it. We recommend identifying patients that are anxious about hypoglycemia and educating them about what to do when they develop hypoglycemic symptoms, especially those who have a high risk of hypoglycemia.

Citations

Citations to this article as recorded by  
  • Severe Hypoglycemia Increases Dementia Risk and Related Mortality: A Nationwide, Population-based Cohort Study
    Eugene Han, Kyung-do Han, Byung-Wan Lee, Eun Seok Kang, Bong-Soo Cha, Seung-Hyun Ko, Yong-ho Lee
    The Journal of Clinical Endocrinology & Metabolism.2022; 107(5): e1976.     CrossRef
  • Severe hypoglycemia as a preventable risk factor for cardiovascular disease in patients with type 2 diabetes mellitus
    Soo-Yeon Choi, Seung-Hyun Ko
    The Korean Journal of Internal Medicine.2021; 36(2): 263.     CrossRef
  • Severe hypoglycemia and the risk of end stage renal disease in type 2 diabetes
    Jae-Seung Yun, Yong-Moon Park, Kyungdo Han, Hyung-Wook Kim, Seon-Ah Cha, Yu-Bae Ahn, Seung-Hyun Ko
    Scientific Reports.2021;[Epub]     CrossRef
  • Response: Patient Understanding of Hypoglycemia in Tertiary Referral Centers (Diabetes Metab J 2018;42:43-52)
    Nan Hee Cho, Hye Soon Kim
    Diabetes & Metabolism Journal.2018; 42(2): 175.     CrossRef
  • Letter: Patient Understanding of Hypoglycemia in Tertiary Referral Centers (Diabetes Metab J 2018;42:43-52)
    Jae-Han Jeon
    Diabetes & Metabolism Journal.2018; 42(2): 173.     CrossRef
Review
Clinical Diabetes & Therapeutics
Recent Updates on Type 1 Diabetes Mellitus Management for Clinicians
Ahmed Iqbal, Peter Novodvorsky, Simon R. Heller
Diabetes Metab J. 2018;42(1):3-18.   Published online February 23, 2018
DOI: https://doi.org/10.4093/dmj.2018.42.1.3
  • 7,236 View
  • 94 Download
  • 18 Web of Science
  • 20 Crossref
AbstractAbstract PDFPubReader   

Type 1 diabetes mellitus (T1DM) is a chronic autoimmune condition that requires life-long administration of insulin. Optimal management of T1DM entails a good knowledge and understanding of this condition both by the physician and the patient. Recent introduction of novel insulin preparations, technological advances in insulin delivery and glucose monitoring, such as continuous subcutaneous insulin infusion (CSII) and continuous glucose monitoring and improved understanding of the detrimental effects of hypoglycaemia and hyperglycaemia offer new opportunities and perspectives in T1DM management. Evidence from clinical trials suggests an important role of structured patient education. Our efforts should be aimed at improved metabolic control with concomitant reduction of hypoglycaemia. Despite recent advances, these goals are not easy to achieve and can put significant pressure on people with T1DM. The approach of physicians should therefore be maximally supportive. In this review, we provide an overview of the recent advances in T1DM management focusing on novel insulin preparations, ways of insulin administration and glucose monitoring and the role of metformin or sodium-glucose co-transporter 2 inhibitors in T1DM management. We then discuss our current understanding of the effects of hypoglycaemia on human body and strategies aimed at mitigating the risks associated with hypoglycaemia.

Citations

Citations to this article as recorded by  
  • Health-Related Quality of Life of Adolescents and Children With Type 1 Diabetes in the Jazan Region of Saudi Arabia
    Gassem A Gohal, Aqilah Majhali, Esaam Moafa, Sarah H Talebi, Bushra I Maashi, Amani Mutaen, Walaa J Alhamdan, Ibrahim M Dighriri
    Cureus.2024;[Epub]     CrossRef
  • An automatic deep reinforcement learning bolus calculator for automated insulin delivery systems
    Sayyar Ahmad, Aleix Beneyto, Taiyu Zhu, Ivan Contreras, Pantelis Georgiou, Josep Vehi
    Scientific Reports.2024;[Epub]     CrossRef
  • Nose-to-brain delivery of insulin nanoparticles for diabetes management: A review
    Manoj Kumbhare, Ajaykumar Surana, Pravin Morankar
    Baghdad Journal of Biochemistry and Applied Biological Sciences.2023; 4(02): 39.     CrossRef
  • Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study
    Sejeong Lee, KyungYi Kim, Ji Eun Kim, Yura Hyun, Minyoung Lee, Myung-Il Hahm, Sang Gyu Lee, Eun Seok Kang
    Diabetes & Metabolism Journal.2023; 47(5): 693.     CrossRef
  • Impact of an Acceptance and Commitment Therapy programme on HbA1c, self-management and psychosocial factors in adults with type 1 diabetes and elevated HbA1c levels: a randomised controlled trial
    Ingrid Wijk, Susanne Amsberg, Unn-Britt Johansson, Fredrik Livheim, Eva Toft, Therese Anderbro
    BMJ Open.2023; 13(12): e072061.     CrossRef
  • Role of sirtuin-1 (SIRT1) in hypoxic injury in pancreatic β-cells
    Ye-Jee Lee, Esder Lee, Young-Hye You, Yu-Bae Ahn, Ki-Ho Song, Ji-Won Kim, Seung-Hyun Ko
    Journal of Drug Targeting.2021; 29(1): 88.     CrossRef
  • Age at Diagnosis and the Risk of Diabetic Nephropathy in Young Patients with Type 1 Diabetes Mellitus
    Jong Ha Baek, Woo Je Lee, Byung-Wan Lee, Soo Kyoung Kim, Gyuri Kim, Sang-Man Jin, Jae Hyeon Kim
    Diabetes & Metabolism Journal.2021; 45(1): 46.     CrossRef
  • The impact of chemical engineering and technological advances on managing diabetes: present and future concepts
    Sabine Szunerits, Sorin Melinte, Alexandre Barras, Quentin Pagneux, Anna Voronova, Amar Abderrahmani, Rabah Boukherroub
    Chemical Society Reviews.2021; 50(3): 2102.     CrossRef
  • Surrogate markers and predictors of endogenous insulin secretion in children and adolescents with type 1 diabetes
    Jin-Na Yuan, Jian-Wei Zhang, Wayne S. Cutfield, Guan-Ping Dong, You-Jun Jiang, Wei Wu, Ke Huang, Xiao-Chun Chen, Yan Zheng, Bi-Hong Liu, José G. B. Derraik, Jun-Fen Fu
    World Journal of Pediatrics.2021; 17(1): 99.     CrossRef
  • Nano-based drug delivery systems used as vehicles to enhance polyphenols therapeutic effect for diabetes mellitus treatment
    Sónia Rocha, Mariana Lucas, Daniela Ribeiro, M. Luísa Corvo, Eduarda Fernandes, Marisa Freitas
    Pharmacological Research.2021; 169: 105604.     CrossRef
  • Dapagliflozin: an effective adjunctive treatment in type 1 diabetes
    Ghasem Yadegarfar, Mark Livingston, Gabriela Cortes, Ramadan Alshames, Kate Leivesley, Ann Metters, Linda Horne, Tom Steele, Adrian H. Heald
    Cardiovascular Endocrinology & Metabolism.2021; 10(2): 132.     CrossRef
  • Association between reduced serum levels of magnesium and the presence of poor glycemic control and complications in type 1 diabetes mellitus: A systematic review and meta-analysis
    Ana Kelen Rodrigues, Ana Elisa Melo, Caroline Pereira Domingueti
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2020; 14(2): 127.     CrossRef
  • Insulin-Producing Cell Transplantation Platform for Veterinary Practice
    Suryo Kuncorojakti, Sayamon Srisuwatanasagul, Krishaporn Kradangnga, Chenphop Sawangmake
    Frontiers in Veterinary Science.2020;[Epub]     CrossRef
  • Type 1 Diabetes Home Care Project and Educational Consultation
    Eun Chong Shin
    The Journal of Korean Diabetes.2020; 21(2): 88.     CrossRef
  • Decision-Making in Artificial Intelligence: Is It Always Correct?
    Hun-Sung Kim
    Journal of Korean Medical Science.2020;[Epub]     CrossRef
  • The FreeStyle Libre flash glucose monitoring system: how it has improved glycaemic control for people with type 1 diabetes in Eastern Cheshire, UK
    Ghasem Yadegarfar, Simon G. Anderson, Zohaib Khawaja, Gabriela Cortes, Kathryn Leivesley, Ann Metters, Linda Horne, Tom Steele, Adrian H. Heald
    Cardiovascular Endocrinology & Metabolism.2020; 9(4): 171.     CrossRef
  • Dose-dependent effects of necrostatin-1 supplementation to tissue culture media of young porcine islets
    Hien Lau, Nicole Corrales, Samuel Rodriguez, Colleen Luong, Mohammadreza Mohammadi, Veria Khosrawipour, Shiri Li, Michael Alexander, Paul de Vos, Jonathan R. T. Lakey, Zoltán Rakonczay
    PLOS ONE.2020; 15(12): e0243506.     CrossRef
  • New Insulin Pumps and Open Source Artificial Pancreas System in Korea
    Jae Hyeon Kim
    The Journal of Korean Diabetes.2020; 21(4): 197.     CrossRef
  • Perspective and general approach of diabetes in palliative care
    Díaz Rodríguez Juan Javier
    Hospice and Palliative Medicine International Journal.2018;[Epub]     CrossRef
  • The effects of safranal, a constitute of saffron, and metformin on spatial learning and memory impairments in type-1 diabetic rats: behavioral and hippocampal histopathological and biochemical evaluations
    Fatemeh Delkhosh-Kasmaie, Amir Abbas Farshid, Esmaeal Tamaddonfard, Mehdi Imani
    Biomedicine & Pharmacotherapy.2018; 107: 203.     CrossRef
Sulwon Lecture 2016
Clinical Care/Education
Comprehensive Approach for Managing the Older Person with Diabetes Mellitus
Hyung Joon Yoo
Diabetes Metab J. 2017;41(3):155-159.   Published online May 18, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.155
  • 3,812 View
  • 43 Download
  • 2 Web of Science
  • 4 Crossref
AbstractAbstract PDFPubReader   

Care of the elderly population with diabetes may not be restricted to the management of hyperglycemia, associated risk factors, and specific diabetic complications. An integrated approach should also include the assessment and management of gerontological problems. Both diabetes mellitus and aging interact toward the direction of the increased incidence of geriatric syndromes. Education is a common element of both diabetes control and geriatric syndrome care. However, it has been perceived that conventional education programs for diabetics are not as effective for the elderly. We have designed geriatric reinforced education (GRE) for application in older diabetics with geriatric syndromes. We observed that the application of GRE improved the glucose control and the status of geriatric syndromes in older adults with diabetes. In summary, in terms of integrating the care of coexisting diabetes and geriatric problems, GRE may be a beneficial tool for the management of older adults with diabetes.

Citations

Citations to this article as recorded by  
  • The Relationship Between Diabetes Knowledge Level, Physical Activity, and Quality of Life in Older Adults
    Burçin AKÇAY, Tuğba KURU ÇOLAK, Sultan İĞREK, Bahar ÖZGÜL, Adnan APTI
    Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi.2023; 5(2): 162.     CrossRef
  • Evaluation of diabetes self-management education in geriatrics with type 2 diabetes in Turkey
    Emre S. SAYGILI, Ersen KARAKILIÇ, Serap YASA, Emine ŞEN
    Minerva Endocrinology.2022;[Epub]     CrossRef
  • Treatment Goals for Glycemia in Older Patients with Diabetes Mellitus
    Jung Ah Lim
    The Journal of Korean Diabetes.2019; 20(4): 220.     CrossRef
  • Circular RNA and its mechanisms in disease: From the bench to the clinic
    Bing Han, Jie Chao, Honghong Yao
    Pharmacology & Therapeutics.2018; 187: 31.     CrossRef
Original Articles
Clinical Care/Education
Physician-Directed Diabetes Education without a Medication Change and Associated Patient Outcomes
Hun-Sung Kim, Hyunah Kim, Hae-Kyung Yang, Eun Young Lee, Yoo Jin Jeong, Tong Min Kim, So Jung Yang, Seo Yeon Baik, Seung-Hwan Lee, Jae Hyoung Cho, In Young Choi, Hyeon Woo Yim, Bong-Yun Cha
Diabetes Metab J. 2017;41(3):187-194.   Published online May 12, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.187
  • 4,595 View
  • 38 Download
  • 1 Web of Science
  • 3 Crossref
AbstractAbstract PDFPubReader   
Background

When patients with diabetes mellitus (DM) are first referred to a hospital from primary health care clinics, physicians have to decide whether to administer an oral hypoglycemic agent (OHA) immediately or postpone a medication change in favor of diabetes education regarding diet or exercise. The aim of this study was to determine the effect of diabetes education alone (without alterations in diabetes medication) on blood glucose levels.

Methods

The study was conducted between January 2009 and December 2013 and included patients with DM. The glycosylated hemoglobin (HbA1c) levels were evaluated at the first visit and after 3 months. During the first medical examination, a designated doctor also conducted a diabetes education session that mainly covered dietary management.

Results

Patients were divided into those who received no diabetic medications (n=66) and those who received an OHA (n=124). Education resulted in a marked decrease in HbA1c levels in the OHA group among patients who had DM for <1 year (from 7.0%±1.3% to 6.6%±0.9%, P=0.0092) and for 1 to 5 years (from 7.5%±1.8% to 6.9%±1.1%, P=0.0091). Those with DM >10 years showed a slightly lower HbA1c target achievement rate of <6.5% (odds ratio, 0.089; P=0.0024).

Conclusion

For patients who had DM for more than 5 years, higher doses or changes in medication were more effective than intensive active education. Therefore, individualized and customized education are needed for these patients. For patients with a shorter duration of DM, it may be more effective to provide initial intensive education for diabetes before prescribing medicines, such as OHAs.

Citations

Citations to this article as recorded by  
  • Management Status of Patients with Type 2 Diabetes Mellitus at General Hospitals in Korea: A 5-Year Follow-Up Study
    Jin Hee Jung, Jung Hwa Lee, Hyang Mi Jang, Young Na, Hee Sun Choi, Yeon Hee Lee, Yang Gyo Kang, Na Rae Kim, Jeong Rim Lee, Bok Rye Song, Kang Hee Sim
    The Journal of Korean Diabetes.2022; 23(1): 64.     CrossRef
  • Effect of Voluntary Participation on Mobile Health Care in Diabetes Management: Randomized Controlled Open-Label Trial
    Da Young Lee, Seung-Hyun Yoo, Kyong Pil Min, Cheol-Young Park
    JMIR mHealth and uHealth.2020; 8(9): e19153.     CrossRef
  • Developing a multi-center clinical data mart of ACEI and ARB for real-world evidence (RWE)
    Hun-Sung Kim, Sue Hyun Lee, Tong Min Kim, Ju Han Kim
    Clinical Hypertension.2018;[Epub]     CrossRef
Clinical Care/Education
Factors Associated with Participation in Diabetes Education: The Korea National Health and Nutrition Examination Survey 2007 to 2009
Jung Min Kim, Jae Won Hong, Jung Hyun Noh, Dong-Jun Kim
Diabetes Metab J. 2016;40(6):447-453.   Published online September 20, 2016
DOI: https://doi.org/10.4093/dmj.2016.40.6.447
  • 4,355 View
  • 34 Download
  • 8 Web of Science
  • 9 Crossref
AbstractAbstract PDFPubReader   
Background

A recent study revealed that the participation rate in diabetes education among diabetic patients was only about 50% in Korea. We investigated the factors associated with participation in diabetes education.

Methods

The study included 1,255 patients (≥19 years old) diagnosed with diabetes drawn from the total Korea National Health and Nutrition Examination Survey 2007 to 2009 population comprising 30,705 individuals. We compared age, sex, and age- and sex-adjusted clinical characteristics in patients who had received diabetes education versus those who had not.

Results

Of the 1,255 patients, 19.8% (n=248) had received diabetes education. Patients in the group who received diabetes education were younger, diagnosed at an earlier age, had a longer diabetes duration and were more likely to be using insulin therapy compared with the group who did not receive diabetes education (P<0.001). The group who received diabetes education included fewer manual workers (P<0.001) but more college graduates (P=0.004) compared with the group who did not receive diabetes education. Logistic regression analysis revealed that longer diabetes duration increased the likelihood of receiving diabetes education (odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01 to 1.06; P=0.004). Junior high school (OR, 0.47; 95% CI, 0.24 to 0.91; P=0.026) and elementary school education levels (OR, 0.34; 95% CI, 0.17 to 0.65; P=0.001) versus college graduation were inversely correlated with participation in diabetes self-management education. Non-insulin therapy reduced the likelihood of receiving diabetes education (OR, 0.37; 95% CI, 0.21 to 0.64; P<0.001).

Conclusion

Longer diabetes duration, insulin therapy, and higher education level were positively associated with the completion of diabetes education.

Citations

Citations to this article as recorded by  
  • Management Status of Patients with Type 2 Diabetes Mellitus at General Hospitals in Korea: A 5-Year Follow-Up Study
    Jin Hee Jung, Jung Hwa Lee, Hyang Mi Jang, Young Na, Hee Sun Choi, Yeon Hee Lee, Yang Gyo Kang, Na Rae Kim, Jeong Rim Lee, Bok Rye Song, Kang Hee Sim
    The Journal of Korean Diabetes.2022; 23(1): 64.     CrossRef
  • Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design
    Lee-Ling Lim, Eric S.H. Lau, Risa Ozaki, Tammy T.Y. So, Rebecca Y.M. Wong, Elaine Y.K. Chow, Ronald C.W. Ma, Andrea O.Y. Luk, Juliana C.N. Chan, Alice P.S. Kong
    Diabetes Research and Clinical Practice.2022; 194: 110138.     CrossRef
  • Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model
    Javad Javan-Noughabi, Seyed Saeed Tabatabaee, Sajad Vahedi, Tahere Sharifi
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Sociodemographic Factors Associated with Participation in Diabetes Education among Community-Dwelling Adults with Diabetes
    Young-Hoon Lee
    Yonsei Medical Journal.2020; 61(2): 169.     CrossRef
  • Influence of health education on clinical parameters in type 2 diabetic subjects with and without hypertension: A longitudinal, comparative analysis in routine primary care settings
    Xiu-Jing Hu, Hua-Feng Wu, Yu-Ting Li, Yi Wang, Hui Cheng, Jia-Ji Wang, Bedru H. Mohammed, Isabella Tan, Harry H.X. Wang
    Diabetes Research and Clinical Practice.2020; 170: 108539.     CrossRef
  • Disparities in Diabetes Education Program Use by Disability Status Among People with Diabetes: Findings from Behavioral Risk Factor Surveillance System 2015
    Junrong Shi, Yong Li
    American Journal of Health Education.2019; 50(1): 6.     CrossRef
  • Factors Influencing Preferences of Adults With Type 2 Diabetes for Diabetes Self-Management Education Interventions
    Lifeng Fan, Souraya Sidani
    Canadian Journal of Diabetes.2018; 42(6): 645.     CrossRef
  • Antihyperglycemic agent therapy for adult patients with type 2 diabetes mellitus 2017: a position statement of the Korean Diabetes Association
    Seung-Hyun Ko, Kyu-Yeon Hur, Sang Youl Rhee, Nan-Hee Kim, Min Kyong Moon, Seok-O Park, Byung-Wan Lee, Hyun Jin Kim, Kyung Mook Choi, Jin Hwa Kim
    The Korean Journal of Internal Medicine.2017; 32(6): 947.     CrossRef
  • Antihyperglycemic Agent Therapy for Adult Patients with Type 2 Diabetes Mellitus 2017: A Position Statement of the Korean Diabetes Association
    Seung-Hyun Ko, Kyu-Yeon Hur, Sang Youl Rhee, Nan-Hee Kim, Min Kyong Moon, Seok-O Park, Byung-Wan Lee, Hyun Jin Kim, Kyung Mook Choi, Jin Hwa Kim
    Diabetes & Metabolism Journal.2017; 41(5): 337.     CrossRef
Clinical Care/Education
Clinical Evaluation of OneTouch Diabetes Management Software System in Patients with Type 2 Diabetes Mellitus
Jung Min Kim, Hey Jean Lee, Keum Ok Kim, Jong Chul Won, Kyung Soo Ko, Byung Doo Rhee
Diabetes Metab J. 2016;40(2):129-139.   Published online April 5, 2016
DOI: https://doi.org/10.4093/dmj.2016.40.2.129
  • 4,522 View
  • 35 Download
  • 5 Web of Science
  • 5 Crossref
AbstractAbstract PDFPubReader   
Background

OneTouch Diabetes Management Software (OTDMS) is an efficient way to track and monitor the blood glucose level. It is possible to download data from the OneTouch Ultra via the meter's data port, and to transform the numbers of the blood glucose level into a graph, a chart, or statistics. The objectives of this study were to evaluate whether the use of OTDMS in consultation hours would improve patients' knowledge of diabetes mellitus (DM), compliance, satisfaction with doctor and medical treatment, doctor-patient reliability, and glucose control.

Methods

All patients were randomized into either the OTDMS group using OneTouch Ultra or the control groups not using it. Both groups had conventional DM education and only the OTDMS group used data from OTDMS as explanation materials during consultation hours. At enrollment and after 6 months, we performed a questionnaire survey consisting of the diabetes knowledge test, items for compliance of treatment, patient's satisfaction, doctor-patient reliability, and glycosylated hemoglobin (HbA1c).

Results

We analyzed 6-month follow-up data from 92 patients (OTDMS 42 vs. control 50). Both groups showed significant improvements in HbA1c, diabetes knowledge, compliance, reliability, and satisfaction after 6 months. However, there were no significant differences between OTDMS and control groups overall. Only "weekly frequency of checking blood glucose level" of compliance and "trying to follow doctor's order" of reliability showed better results in the OTDMS group.

Conclusion

Using the OTDMS system for explanation during consultation hours seems to be more helpful to improve patient's compliance and reliability, especially for checking blood glucose level and trying to follow the doctor's order.

Citations

Citations to this article as recorded by  
  • Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes
    Kristin J Konnyu, Sharlini Yogasingam, Johanie Lépine, Katrina Sullivan, Mostafa Alabousi, Alun Edwards, Michael Hillmer, Sathya Karunananthan, John N Lavis, Stefanie Linklater, Braden J Manns, David Moher, Sameh Mortazhejri, Samir Nazarali, P. Alison Pap
    Cochrane Database of Systematic Reviews.2023;[Epub]     CrossRef
  • Emerging technologies for the management of type 2 diabetes mellitus
    Nirali A. Shah, Carol J. Levy
    Journal of Diabetes.2021; 13(9): 713.     CrossRef
  • Peripartum Management of Gestational Diabetes Using a Digital Health Care Service: A Pilot, Randomized Controlled Study
    Ji-Hee Sung, Da Young Lee, Kyoung Pil Min, Cheol-Young Park
    Clinical Therapeutics.2019; 41(11): 2426.     CrossRef
  • Impact of initial active engagement in self-monitoring with a telemonitoring device on glycemic control among patients with type 2 diabetes
    Min-Kyung Lee, Kwang-Hyeon Lee, Seung-Hyun Yoo, Cheol-Young Park
    Scientific Reports.2017;[Epub]     CrossRef
  • Potential of OneTouch Diabetes Management Software System in Real Field for Korean Type 2 Diabetes Patients
    Borami Kang, Jae Hyoung Cho
    Diabetes & Metabolism Journal.2016; 40(2): 115.     CrossRef
Intensive Individualized Reinforcement Education Is Important for the Prevention of Hypoglycemia in Patients with Type 2 Diabetes
Yun-Mi Yong, Kyung-Mi Shin, Kang-Min Lee, Jae-Young Cho, Sun-Hye Ko, Min-Hyang Yoon, Tae-Won Kim, Jong-Hyun Jeong, Yong-Moon Park, Seung-Hyun Ko, Yu-Bae Ahn
Diabetes Metab J. 2015;39(2):154-163.   Published online March 10, 2015
DOI: https://doi.org/10.4093/dmj.2015.39.2.154
  • 4,286 View
  • 40 Download
  • 17 Web of Science
  • 20 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   
Background

We investigated whether an intensive individualized reinforcement education program could influence the prevention of hypoglycemic events in patients with type 2 diabetes.

Methods

From March 2013 to September 2013, patients aged 35 to 75 years with type 2 diabetes who had not previously participated in diabetes education, and treated with insulin or a sulfonylurea-containing regimen were included in the study. After structured group education, the patients assigned to the intensive individualized education group (IT) were requested to visit for reinforcement. All subjects in the IT were encouraged to self-manage dose adjustments. Participants in both groups (control group [CG, group education only; n=22] and IT [n=24]) attended follow-up visits at 2, 8, 12, and 24 weeks. At each visit, all patients were asked whether they had experienced hypoglycemia.

Results

The total study population consisted of 20 men (43.5%; mean age and diabetic duration of 55.9±11.0 and 5.1±7.3 years, respectively). At 24 weeks, there were no significant differences in hemoglobin A1c values between the CG and IT. The total number of hypoglycemic events per patient was 5.26±6.5 in the CG and 2.58±2.3 times in the IT (P=0.004). Adherence to lifestyle modification including frequency of exercise, self-monitoring of blood glucose, or dietary habit was not significantly different between the groups. However, adherence to hypoglycemia management, especially the dose adjustment of medication, was significantly higher in the IT compared with the CG.

Conclusion

Compared with the structured group education, additional IT resulted in additional benefits in terms of avoidance of hypoglycemia and treating hypoglycemia in patients with type 2 diabetes.

Citations

Citations to this article as recorded by  
  • Effectiveness of the SUGAR intervention on hypoglycaemia in elderly patients with type 2 diabetes: A pragmatic randomised controlled trial
    Huda Y. Almomani, Carlos Rodriguez Pascual, Paul Grassby, Keivan Ahmadi
    Research in Social and Administrative Pharmacy.2023; 19(2): 322.     CrossRef
  • A Cross-Sectional study on risk factors for severe hypoglycemia among Insulin-Treated elderly type 2 diabetes Mellitus (T2DM) patients in Singapore
    Michelle Shi Min Ko, Wai Kit Lee, Li Chang Ang, Su-Yen Goh, Yong Mong Bee, Ming Ming Teh
    Diabetes Research and Clinical Practice.2022; 185: 109236.     CrossRef
  • Management Status of Patients with Type 2 Diabetes Mellitus at General Hospitals in Korea: A 5-Year Follow-Up Study
    Jin Hee Jung, Jung Hwa Lee, Hyang Mi Jang, Young Na, Hee Sun Choi, Yeon Hee Lee, Yang Gyo Kang, Na Rae Kim, Jeong Rim Lee, Bok Rye Song, Kang Hee Sim
    The Journal of Korean Diabetes.2022; 23(1): 64.     CrossRef
  • Anti-hyperglycemic Medication Compliance: A Quality Assurance Project
    Rayan Mamoon, Md Y Mamoon, Debbie Hermanstyne, Issac Sachmechi
    Cureus.2022;[Epub]     CrossRef
  • Randomised controlled trial of pharmacist-led patient counselling in controlling hypoglycaemic attacks in older adults with type 2 diabetes mellitus (ROSE-ADAM): A study protocol of the SUGAR intervention
    Huda Y. Almomani, Carlos Rodriguez Pascual, Sayer I. Al-Azzam, Keivan Ahmadi
    Research in Social and Administrative Pharmacy.2021; 17(5): 885.     CrossRef
  • Severe hypoglycemia as a preventable risk factor for cardiovascular disease in patients with type 2 diabetes mellitus
    Soo-Yeon Choi, Seung-Hyun Ko
    The Korean Journal of Internal Medicine.2021; 36(2): 263.     CrossRef
  • Type 2 diabetes patients’ views on prevention of hypoglycaemia – a mixed methods study investigating self-management issues and self-identified causes of hypoglycaemia
    Stijn Crutzen, Tessa van den Born-Bondt, Petra Denig, Katja Taxis
    BMC Family Practice.2021;[Epub]     CrossRef
  • Cross‐sectional analysis of emergency hypoglycaemia and outcome predictors among people with diabetes in an urban population
    Chukwuma Uduku, Valentina Pendolino, Ian Godsland, Nick Oliver, Monika Reddy, Rachael T. Fothergill
    Diabetic Medicine.2021;[Epub]     CrossRef
  • Short-term efficacy of high intensity group and individual education in patients with type 2 diabetes: a randomized single-center trial
    R. Reale, A. Tumminia, L. Romeo, N. La Spina, R. Baratta, G. Padova, L. Tomaselli, L. Frittitta
    Journal of Endocrinological Investigation.2019; 42(4): 403.     CrossRef
  • The role of structured education in the management of hypoglycaemia
    Ahmed Iqbal, Simon R. Heller
    Diabetologia.2018; 61(4): 751.     CrossRef
  • Association of diabetes therapy-related quality of life and physical activity levels in patients with type 2 diabetes receiving medication therapy: the Diabetes Distress and Care Registry at Tenri (DDCRT 17)
    Yasuaki Hayashino, Satoru Tsujii, Hitoshi Ishii
    Acta Diabetologica.2018; 55(2): 165.     CrossRef
  • Insulin Therapy for Adult Patients with Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association, 2017
    Byung-Wan Lee, Jin Hwa Kim, Seung-Hyun Ko, Kyu-Yeon Hur, Nan-Hee Kim, Sang Youl Rhee, Hyun Jin Kim, Min Kyong Moon, Seok-O Park, Kyung Mook Choi
    Diabetes & Metabolism Journal.2017; 41(5): 367.     CrossRef
  • Antihyperglycemic Agent Therapy for Adult Patients with Type 2 Diabetes Mellitus 2017: A Position Statement of the Korean Diabetes Association
    Seung-Hyun Ko, Kyu-Yeon Hur, Sang Youl Rhee, Nan-Hee Kim, Min Kyong Moon, Seok-O Park, Byung-Wan Lee, Hyun Jin Kim, Kyung Mook Choi, Jin Hwa Kim
    Diabetes & Metabolism Journal.2017; 41(5): 337.     CrossRef
  • Insulin therapy for adult patients with type 2 diabetes mellitus: a position statement of the Korean Diabetes Association, 2017
    Byung-Wan Lee, Jin Hwa Kim, Seung-Hyun Ko, Kyu Yeon Hur, Nan-Hee Kim, Sang Youl Rhee, Hyun Jin Kim, Min Kyong Moon, Seok-O Park, Kyung Mook Choi
    The Korean Journal of Internal Medicine.2017; 32(6): 967.     CrossRef
  • Physician-Directed Diabetes Education without a Medication Change and Associated Patient Outcomes
    Hun-Sung Kim, Hyunah Kim, Hae-Kyung Yang, Eun Young Lee, Yoo Jin Jeong, Tong Min Kim, So Jung Yang, Seo Yeon Baik, Seung-Hwan Lee, Jae Hyoung Cho, In Young Choi, Hyeon Woo Yim, Bong-Yun Cha
    Diabetes & Metabolism Journal.2017; 41(3): 187.     CrossRef
  • Antihyperglycemic agent therapy for adult patients with type 2 diabetes mellitus 2017: a position statement of the Korean Diabetes Association
    Seung-Hyun Ko, Kyu-Yeon Hur, Sang Youl Rhee, Nan-Hee Kim, Min Kyong Moon, Seok-O Park, Byung-Wan Lee, Hyun Jin Kim, Kyung Mook Choi, Jin Hwa Kim
    The Korean Journal of Internal Medicine.2017; 32(6): 947.     CrossRef
  • Hypoglycemia and Health Costs
    Yong-ho Lee, Gyuri Kim, Eun Seok Kang
    The Journal of Korean Diabetes.2016; 17(1): 11.     CrossRef
  • Association between estimated blood glucose levels and glycated hemoglobin levels
    Seon-Ah Cha, Seung-Hyun Ko
    The Korean Journal of Internal Medicine.2016; 31(3): 457.     CrossRef
  • Characteristics of Hypoglycemia Pateints Visiting the Emergency Department of a University Hospital
    Sang-Hyeon Choi, Deok-Ki Youn, Moon-Gi Choi, Ohk-Hyun Ryu
    The Journal of Korean Diabetes.2016; 17(3): 202.     CrossRef
  • Experiences of Diabetes Education among Educators of Diabetes : a content analysis approach
    Soo Jin Kang, Soo Jung Chang
    Journal of Korean Public Health Nursing.2016; 30(2): 221.     CrossRef
Education as Prescription for Patients with Type 2 Diabetes Mellitus: Compliance and Efficacy in Clinical Practice
Mi Yeon Kim, Sunghwan Suh, Sang-Man Jin, Se Won Kim, Ji Cheol Bae, Kyu Yeon Hur, Sung Hye Kim, Mi Yong Rha, Young Yun Cho, Myung-Shik Lee, Moon Kyu Lee, Kwang-Won Kim, Jae Hyeon Kim
Diabetes Metab J. 2012;36(6):452-459.   Published online December 12, 2012
DOI: https://doi.org/10.4093/dmj.2012.36.6.452
  • 4,686 View
  • 33 Download
  • 12 Crossref
AbstractAbstract PDFPubReader   
Background

Diabetes self-management education has an important role in diabetes management. The efficacy of education has been proven in several randomized trials. However, the status of diabetes education programs in real Korean clinical practice has not yet been evaluated in terms of patient compliance with the education prescription.

Methods

We retrospectively analyzed clinical and laboratory data from all patients who were ordered to undergo diabetes education during 2009 at Samsung Medical Center, Seoul, Korea (n=2,291). After excluding ineligible subjects, 588 patients were included in the analysis.

Results

Among the 588 patients, 433 received education. The overall compliance rate was 73.6%, which was significantly higher in the subjects with a short duration or living in a rural area compared to those with a long duration (85.0% vs. 65.1%, respectively; P<0.001) or living in an urban area (78.2% vs. 70.4%, respectively; P=0.037). The hemoglobin A1c decreased greater in the compliant group (from 7.84±1.54 at baseline to 6.79±1.06 at 3 months and 6.97±1.20 at 12 months after prescription in the compliant group vs. from 7.74±1.25 to 7.14±1.02 and 7.24±1.24 in the non-compliant group; P=0.001). The decrease in hemoglobin A1c was greater in the subjects with a short duration (P=0.032).

Conclusion

In our study a large percent of patients refuse to get education despite having a prescription from their physician. This refusal rate was higher in the patients with long-standing diabetes or in urban residence. Furthermore, education was more effective in patients with a short duration of diabetes in clinical practice.

Citations

Citations to this article as recorded by  
  • Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study
    Sejeong Lee, KyungYi Kim, Ji Eun Kim, Yura Hyun, Minyoung Lee, Myung-Il Hahm, Sang Gyu Lee, Eun Seok Kang
    Diabetes & Metabolism Journal.2023; 47(5): 693.     CrossRef
  • Management Status of Patients with Type 2 Diabetes Mellitus at General Hospitals in Korea: A 5-Year Follow-Up Study
    Jin Hee Jung, Jung Hwa Lee, Hyang Mi Jang, Young Na, Hee Sun Choi, Yeon Hee Lee, Yang Gyo Kang, Na Rae Kim, Jeong Rim Lee, Bok Rye Song, Kang Hee Sim
    The Journal of Korean Diabetes.2022; 23(1): 64.     CrossRef
  • The Effectiveness of Multidisciplinary Team-Based Education in the Management of Type 2 Diabetes
    Jong Ho Kim, Yun Jeong Nam, Won Jin Kim, Kyung Ah Lee, A Ran Baek, Jung Nam Park, Jin Mi Kim, Seo Young Oh, Eun Heui Kim, Min Jin Lee, Yun Kyung Jeon, Bo Hyun Kim, In Joo Kim, Yong Ki Kim, Sang Soo Kim
    The Journal of Korean Diabetes.2018; 19(2): 119.     CrossRef
  • The diabetes self-management educational programs and their integration in the usual care: A systematic literature review
    Emmanuel Kumah, Giulia Sciolli, Maria Laura Toraldo, Anna Maria Murante
    Health Policy.2018; 122(8): 866.     CrossRef
  • 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 & Metabolism Journal.2017; 41(2): 99.     CrossRef
  • Educational attainment moderates the associations of diabetes education with health outcomes
    Su Hyun Kim
    International Journal of Nursing Practice.2016; 22(5): 444.     CrossRef
  • Experiences of Diabetes Education among Educators of Diabetes : a content analysis approach
    Soo Jin Kang, Soo Jung Chang
    Journal of Korean Public Health Nursing.2016; 30(2): 221.     CrossRef
  • Barrier Factors to the Completion of Diabetes Education in Korean Diabetic Adult Patients: Korea National Health and Nutrition Examination Surveys 2007-2012
    Hee-Tae Kim, Kiheon Lee, Se Young Jung, Seung-Min Oh, Su-Min Jeong, Yoon-Jung Choi
    Korean Journal of Family Medicine.2015; 36(5): 203.     CrossRef
  • Determinants of glycaemic control in a practice setting: the role of weight loss and treatment adherence (The DELTA Study)
    C. McAdam‐Marx, B. K. Bellows, S. Unni, J. Mukherjee, G. Wygant, U. Iloeje, J. N. Liberman, X. Ye, F. J. Bloom, D. I. Brixner
    International Journal of Clinical Practice.2014; 68(11): 1309.     CrossRef
  • Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: A systematic review and meta-analysis
    Mohsen Saffari, Ghader Ghanizadeh, Harold G. Koenig
    Primary Care Diabetes.2014; 8(4): 275.     CrossRef
  • 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 & Metabolism Journal.2014; 38(2): 120.     CrossRef
  • Diabetes Attitudes, Wishes and Needs second study (DAWN2™): Cross‐national benchmarking of diabetes‐related psychosocial outcomes for people with diabetes
    A. Nicolucci, K. Kovacs Burns, R. I. G. Holt, M. Comaschi, N. Hermanns, H. Ishii, A. Kokoszka, F. Pouwer, S. E. Skovlund, H. Stuckey, I. Tarkun, M. Vallis, J. Wens, M. Peyrot
    Diabetic Medicine.2013; 30(7): 767.     CrossRef
Influence of the Duration of Diabetes on the Outcome of a Diabetes Self-Management Education Program
Seung-Hyun Ko, Sin-Ae Park, Jae-Hyoung Cho, Sun-Hye Ko, Kyung-Mi Shin, Seung-Hwan Lee, Ki-Ho Song, Yong-Moon Park, Yu-Bae Ahn
Diabetes Metab J. 2012;36(3):222-229.   Published online June 14, 2012
DOI: https://doi.org/10.4093/dmj.2012.36.3.222
  • 4,520 View
  • 41 Download
  • 34 Crossref
AbstractAbstract PDFPubReader   
Background

Diabetes education and lifestyle modification are critical components in controlling blood glucose levels of people with type 2 diabetes. Until now, available data on the effectiveness of education with respect to the duration of diabetes are limited. We investigated whether adherence to lifestyle behavior modification prompted by diabetes education was influenced by the duration of diabetes.

Methods

Two hundred and twenty-five people with type 2 diabetes were recruited for an intensive, collaborative, group-based diabetes education program with annual reinforcement. We divided the patients into two groups based on the duration of their diabetes prior to the education program (≤1 year [≤1Y] vs. ≥3 years [≥3Y]). Dietary habits, physical activity, and the frequency of blood glucose self-monitoring were evaluated with a questionnaire prior to education and at the follow-up endpoint.

Results

The mean follow-up period was 32.2 months. The mean hemoglobin A1c (A1C) value was significantly lower in the ≤1Y group. Self-care behaviors, measured by scores for dietary habits (P=0.004) and physical activity (P<0.001), were higher at the endpoint in the ≤1Y group than in the ≥3Y group. Logistic regression analysis revealed that a longer diabetes duration before education was significantly associated with mean A1C levels greater than or equal to 7.0% (53 mmol/mol).

Conclusion

Diabetes duration influenced the effectiveness of diabetes education on lifestyle behavior modification and glycemic control. More-intense, regular, and sustained reinforcement with encouragement may be required for individuals with longstanding type 2 diabetes.

Citations

Citations to this article as recorded by  
  • Prevalence of type 2 diabetes complications and its association with diet knowledge and skills and self‐care barriers in Tabriz, Iran: A cross‐sectional study
    Habib Jalilian, Elnaz Javanshir, Leila Torkzadeh, Saeedeh Fehresti, Nazanin Mir, Majid Heidari‐Jamebozorgi, Somayeh Heydari
    Health Science Reports.2023;[Epub]     CrossRef
  • Continuing the quality improvement of an electronic personal health record and interactive website for people with diabetes in Scotland (My Diabetes My Way)
    Cathy Shields, Nicholas T. Conway, Brian Allardice, Deborah J. Wake, Scott G. Cunningham
    Diabetic Medicine.2023;[Epub]     CrossRef
  • The use of nomogram for detecting mild cognitive impairment in patients with type 2 diabetes mellitus
    Rehanguli Maimaitituerxun, Wenhang Chen, Jingsha Xiang, Yu Xie, Atipatsa C. Kaminga, Xin Yin Wu, Letao Chen, Jianzhou Yang, Aizhong Liu, Wenjie Dai
    Journal of Diabetes.2023; 15(5): 448.     CrossRef
  • DENTAL IMPLANT TREATMENT IN DIABETES MELLITUS (DM) PATIENTS: REVIEW
    Hakob Khachatryan
    BULLETIN OF STOMATOLOGY AND MAXILLOFACIAL SURGERY.2023; : 121.     CrossRef
  • An association between socioeconomic status and preventive screening for diabetic eye and kidney complications among individuals with type 2 diabetes
    Changwoo Shon, Jongnam Hwang
    Korean Journal of Health Education and Promotion.2023; 40(5): 27.     CrossRef
  • Association of quality of life with medication adherence and glycemic control in patients with type 1 diabetes
    Farimah Fayyaz, Parham Mardi, Sahar Sobhani, Leily Sokoty, Fatemeh Aghamahdi, Mostafa Qorbani
    Journal of Diabetes & Metabolic Disorders.2023; 23(1): 783.     CrossRef
  • Effect of aerobic training on baroreflex sensitivity, heart rate recovery, and heart rate variability in type 2 diabetes: a systematic review
    Sarah Parveen, Muhammad Azharuddin, Majumi M. Noohu
    International Journal of Diabetes in Developing Countries.2023;[Epub]     CrossRef
  • Managing type 2 diabetes and depression with Mindfulness-integrated Cognitive Behavior Therapy (MiCBT)
    Fateh Sohrabi, Ahmad Sohrabi, Narges Shams-Alizadeh, Bruno A. Cayoun
    Discover Psychology.2022;[Epub]     CrossRef
  • Perception of benefits and barriers associated with dementia prevention behaviors among people with diabetes
    Noppamas Pipatpiboon, Nut Koonrungsesomboon, Wachira Suriyawong, Jirapas Sripetchwandee, Sue Turale
    Nursing & Health Sciences.2022; 24(1): 274.     CrossRef
  • An exploratory study on the knowledge, attitude and practice of sharp disposal among type 2 diabetes mellitus patients in Northern Peninsular Malaysia
    Jin Yi Choo, Yen Ping Ng, Ahmad Kamal Ariffin Abdul Jamil, Wei Kai Heng, Yee Mei Ng, Jing Ng, Cheng Hoon Yap
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2022; 16(4): 102479.     CrossRef
  • Efficacy of Personalized Diabetes Self-care Using an Electronic Medical Record–Integrated Mobile App in Patients With Type 2 Diabetes: 6-Month Randomized Controlled Trial
    Eun Young Lee, Seon-Ah Cha, Jae-Seung Yun, Sun-Young Lim, Jin-Hee Lee, Yu-Bae Ahn, Kun-Ho Yoon, Min Kyung Hyun, Seung-Hyun Ko
    Journal of Medical Internet Research.2022; 24(7): e37430.     CrossRef
  • Real-world Benefits of Diabetes Management App Use and Self-monitoring of Blood Glucose on Glycemic Control: Retrospective Analyses
    Ya-Ting Chang, Yu-Zhen Tu, Hung-Yi Chiou, Ken Lai, Neng Chun Yu
    JMIR mHealth and uHealth.2022; 10(6): e31764.     CrossRef
  • Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China
    Xiu-Ya Xing, Xin-Yi Wang, Xi Fang, Jing-Qiao Xu, Ye-Ji Chen, Wei Xu, Hua-Dong Wang, Zhi-Rong Liu, Sha-Sha Tao
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Time for Using Machine Learning for Dose Guidance in Titration of People With Type 2 Diabetes? A Systematic Review of Basal Insulin Dose Guidance
    Camilla Heisel Nyholm Thomsen, Stine Hangaard, Thomas Kronborg, Peter Vestergaard, Ole Hejlesen, Morten Hasselstrøm Jensen
    Journal of Diabetes Science and Technology.2022; : 193229682211459.     CrossRef
  • Adherence to Mediterranean diet and advanced glycation endproducts in patients with diabetes
    Marko Grahovac, Marko Kumric, Marino Vilovic, Dinko Martinovic, Ante Kreso, Tina Ticinovic Kurir, Josip Vrdoljak, Karlo Prizmic, Joško Božić
    World Journal of Diabetes.2021; 12(11): 1942.     CrossRef
  • Impact of Diabetes and Disease Duration on Work Status Among U.S. Older Adults
    Miriam Mutambudzi, Cesar Gonzalez Gonzalez, Rebecca Wong
    Journal of Aging and Health.2020; 32(5-6): 432.     CrossRef
  • The association of illness perceptions and God locus of health control with self-care behaviours in patients with type 2 diabetes in Saudi Arabia
    Mohsen Alyami, Anna Serlachius, Ibrahim Mokhtar, Elizabeth Broadbent
    Health Psychology and Behavioral Medicine.2020; 8(1): 329.     CrossRef
  • The Impact of a Community-Based Food Education Program on Nutrition-Related Knowledge in Middle-Aged and Older Patients with Type 2 Diabetes: Results of a Pilot Randomized Controlled Trial
    Carlos Vasconcelos, António Almeida, Maria Cabral, Elisabete Ramos, Romeu Mendes
    International Journal of Environmental Research and Public Health.2019; 16(13): 2403.     CrossRef
  • Diabetes-Related Health Care Utilization and Dietary Intake Among Food Pantry Clients
    Eric M. Bomberg, Sophie Rosenmoss, Morgan Smith, Elaine Waxman, Hilary K. Seligman
    Health Equity.2019; 3(1): 644.     CrossRef
  • Factors Contributing to Sharp Waste Disposal at Health Care Facility Among Diabetic Patients in North-East Peninsular Malaysia
    Ummu Atiyyah Hasan, Suhaily Mohd Hairon, Najib Majdi Yaacob, Aziah Daud, Anees Abdul Hamid, Norzaihan Hassan, Mohd Faiz Ariffin, Lau Yi Vun
    International Journal of Environmental Research and Public Health.2019; 16(13): 2251.     CrossRef
  • Effectiveness of Diabetes Community Sharp Disposal Education Module in Primary Care: An Experimental Study in North-East Peninsular Malaysia
    Ummu Atiyyah Hasan, Suhaily Mohd Hairon, Najib Majdi Yaacob, Aziah Daud, Anees Abdul Hamid, Norzaihan Hassan, Mohd Faiz Ariffin, Lau Yi Vun
    International Journal of Environmental Research and Public Health.2019; 16(18): 3356.     CrossRef
  • Analysis of the Relationship between the Referral and Evolution of Patients with Type 2 Diabetes Mellitus
    Camilo Alvarez, Cecilia Saint-Pierre, Valeria Herskovic, Marcos Sepúlveda
    International Journal of Environmental Research and Public Health.2018; 15(7): 1534.     CrossRef
  • Clinical characteristics of Chinese patients with duration of type 2 diabetes >40 years
    Tingting Song, Yingying Luo, Xuhui Wang, Jing Li, Qian Han, Hong Zhu, Wei Zhao, Weidong Li, Zhong Sun, Xilin Yang
    Journal of Diabetes.2017; 9(1): 45.     CrossRef
  • Impacto de intervenções educativas na redução das complicações diabéticas: revisão sistemática
    Marcela Machado Menezes, Camila Takáo Lopes, Lilia de Souza Nogueira
    Revista Brasileira de Enfermagem.2016; 69(4): 773.     CrossRef
  • The Well-Being and Treatment Satisfaction of Diabetic Patients in an Outpatient Setting at a General Hospital in Korea
    Hwa-Sun Park, Sin Na Lee, Min Young Baek, Seung Hee Yu, Young Sil Eom, Sihoon Lee, Ki Young Lee, Yeun Sun Kim, Byung Joon Kim, Kwang Won Kim, Ie Byung Park
    The Journal of Korean Diabetes.2016; 17(2): 123.     CrossRef
  • Poor glycemic control in type 2 diabetes in the South of the Sahara: The issue of limited access to an HbA1c test
    Alioune Camara, Naby M. Baldé, Joelle Sobngwi-Tambekou, André P. Kengne, Mansour M. Diallo, Alain P.K. Tchatchoua, Amadou Kaké, Ngamani Sylvie, Beverley Balkau, Fabrice Bonnet, Eugène Sobngwi
    Diabetes Research and Clinical Practice.2015; 108(1): 187.     CrossRef
  • Effect of Group Training on Glycemic Control in Patients With Diabetes Type-I
    Marjan Naseri, Shahnaz Rostami, Bahman Dashtebozorgi
    Jundishapur Journal of Chronic Disease Care.2015;[Epub]     CrossRef
  • Clinical audit of patients using DPP4 inhibitors in longstanding type 2 diabetes
    K.V.S. Hari Kumar, A.K. Gupta
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2015; 9(4): 277.     CrossRef
  • Moderate diet-induced weight loss is associated with improved insulin sensitivity in middle-aged healthy obese Korean women
    Hye-Ok Lee, Jung-Eun Yim, Young-Seol Kim, Ryowon Choue
    Nutrition Research and Practice.2014; 8(4): 469.     CrossRef
  • Inverse Association between Glycated Albumin and Insulin Secretory Function May Explain Higher Levels of Glycated Albumin in Subjects with Longer Duration of Diabetes
    Yong-ho Lee, Mi Hyang Kown, Kwang Joon Kim, Eun Young Lee, Daham Kim, Byung-Wan Lee, Eun Seok Kang, Bong Soo Cha, Hyun Chul Lee, Marià Alemany
    PLoS ONE.2014; 9(9): e108772.     CrossRef
  • Systematic review of the psychometric properties and theoretical grounding of instruments evaluating self‐care in people with type 2 Diabetes Mellitus
    Jorge Caro‐Bautista, Francisco Javier Martín‐Santos, Jose Miguel Morales‐Asencio
    Journal of Advanced Nursing.2014; 70(6): 1209.     CrossRef
  • It's Still Not Too Late to Make a Change: Current Status of Glycemic Control in Korea
    Sang Yong Kim
    Diabetes & Metabolism Journal.2014; 38(3): 194.     CrossRef
  • Efficacy of the Smartphone-Based Glucose Management Application Stratified by User Satisfaction
    Hun-Sung Kim, Wona Choi, Eun Kyoung Baek, Yun A Kim, So Jung Yang, In Young Choi, Kun-Ho Yoon, Jae-Hyoung Cho
    Diabetes & Metabolism Journal.2014; 38(3): 204.     CrossRef
  • Education as Prescription for Patients with Type 2 Diabetes Mellitus: Compliance and Efficacy in Clinical Practice
    Mi Yeon Kim, Sunghwan Suh, Sang-Man Jin, Se Won Kim, Ji Cheol Bae, Kyu Yeon Hur, Sung Hye Kim, Mi Yong Rha, Young Yun Cho, Myung-Shik Lee, Moon Kyu Lee, Kwang-Won Kim, Jae Hyeon Kim
    Diabetes & Metabolism Journal.2012; 36(6): 452.     CrossRef
Perception of Clinicians and Diabetic Patients on the Importance of Postprandial Glucose Control and Diabetes Education Status: A Cross Sectional Survey
Ji Hun Choi, Cheol Young Park, Bong Soo Cha, In Joo Kim, Tae Sun Park, Joong Yeol Park, Kyung Soo Park, Kun Ho Yoon, In Kyu Lee, Sung Woo Park
Diabetes Metab J. 2012;36(2):120-127.   Published online April 17, 2012
DOI: https://doi.org/10.4093/dmj.2012.36.2.120
  • 4,149 View
  • 35 Download
  • 6 Crossref
AbstractAbstract PDFPubReader   
Background

Recent studies have shown the importance of postprandial glucose (PPG) in the development of diabetes complications. This study was conducted in order to survey the perceptions of clinicians and diabetic patients with respect to PPG management and the current status of diabetes education.

Methods

This was a cross-sectional study involving face-to-face interviews and an open questionnaire survey conducted in Korea. A total of 300 patients and 130 clinicians completed questionnaires, which included current education status, self monitoring of blood glucose (SMBG), criteria of diagnosis and management, and perceptions relating to PPG management.

Results

While there was a significantly higher perceived need for diabetes education, the sufficiency of the current education was considered to be severely lacking. Fasting plasma glucose (FPG), PPG, and glycosylated hemoglobin (HbA1c) were all important considerations for clinicians when making a diagnosis of diabetes, although PPG was considered less important than FPG or HbA1c in the treatment of diabetes. Most clinicians and patients were aware of the importance of PPG, but actual education on the importance of PPG was not actively being delivered.

Conclusion

Our study showed that the current status of diabetes education is insufficient to meet the needs of the Korean population. A considerable gap was found to exist between awareness and what was actually taught in the current education program in regard to the importance of PPG. These results suggest that clinicians need to be more active in patient education, especially in regard to the importance of PPG.

Citations

Citations to this article as recorded by  
  • Addressing Overbasalization to Achieve Glycemic Targets
    Kevin Cowart, Rachel Franks, Olivia Pane, Ellen Murphy, Kelly Oldziej
    ADCES in Practice.2022; 10(2): 30.     CrossRef
  • Post hoc efficacy and safety analysis of insulin glargine/lixisenatide fixed- ratio combination in North American patients compared with the rest of world
    George Dailey, Harpreet S Bajaj, Terry Dex, Melanie Groleau, William Stager, Aaron Vinik
    BMJ Open Diabetes Research & Care.2019; 7(1): e000581.     CrossRef
  • Experiences of Diabetes Education among Educators of Diabetes : a content analysis approach
    Soo Jin Kang, Soo Jung Chang
    Journal of Korean Public Health Nursing.2016; 30(2): 221.     CrossRef
  • BeAM value: an indicator of the need to initiate and intensify prandial therapy in patients with type 2 diabetes mellitus receiving basal insulin
    Ariel Zisman, Francienid Morales, John Stewart, Andreas Stuhr, Aleksandra Vlajnic, Rong Zhou
    BMJ Open Diabetes Research & Care.2016; 4(1): e000171.     CrossRef
  • Does Availability of Reliable Home Blood Glucose Data at Diabetes Appointments Improve Glycemia?
    Gillian S. Boyd-Woschinko, David L. Kaiser, Michael Diefenbach, Ronald Tamler
    Endocrine Practice.2014; 20(4): 299.     CrossRef
  • Safety and effectiveness of insulin aspart in type 2 diabetic patients: Results from the ASEAN cohort of the A1chieve study
    Wan Mohamad Wan Bebakar, Mary Anne Lim-Abrahan, Ananá B. Jain, Darren Seah, Pradana Soewondo
    Diabetes Research and Clinical Practice.2013; 100: S17.     CrossRef
Review
Improving Patients' Adherence to Physical Activity in Diabetes Mellitus: A Review
Shan-hu Qiu, Zi-lin Sun, Xue Cai, Lili Liu, Bingquan Yang
Diabetes Metab J. 2012;36(1):1-5.   Published online February 17, 2012
DOI: https://doi.org/10.4093/dmj.2012.36.1.1
  • 4,657 View
  • 56 Download
  • 46 Crossref
AbstractAbstract PDFPubReader   

Regular physical activity (PA) is a key element in the prevention and management of type 2 diabetes mellitus (T2DM). Participation in regular PA improves blood glucose control and can prevent or delay T2DM and its complications, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life. However, most people with T2DM are not active and show poor adherence. This paper reviews the possible barriers to PA and strategies to improve the adherence to PA. Based on the currently available literature, it is concluded that self-efficacy and social support from family, friends, and health care providers play the important role in adoption and maintenance of regular PA. Here we also highlight some new modern and innovative interventions that facilitate exercise participation and improve the adherence.

Citations

Citations to this article as recorded by  
  • Factors associated with diabetes mellitus among adults: Findings from the Indonesian Family Life Survey-5
    Mohammed Alfaqeeh, Sofa D. Alfian, Rizky Abdulah
    Endocrine and Metabolic Science.2024; 14: 100161.     CrossRef
  • Barriers and Enablers for Physical Activity Engagement Among Individuals From India With Type 2 Diabetes Mellitus: A Mixed-Method Study
    Prabhath Matpady, Arun G. Maiya, Pallavi P. Saraswat, Chythra R. Rao, Mamatha Shivananda Pai, Shekarappa D. Anupama, Jeevan K. Shetty, Shashikiran Umakanth
    Journal of Physical Activity and Health.2024; 21(5): 519.     CrossRef
  • Adherence to medication, dietary and physical activity recommendations: Findings from a multicenter cross‐sectional study among adults with diabetes in rural South Africa
    Eyitayo O. Owolabi, Anthony Idowu Ajayi
    Journal of Evaluation in Clinical Practice.2024;[Epub]     CrossRef
  • Cardiorespiratory Exertion While Exergaming in Healthy Adults
    Hee-Jin Kim, Eun-Ah Jo, Yoon-Ju Lee, Jung-Jun Park
    Exercise Science.2024; 33(2): 160.     CrossRef
  • Effect of physical activity promotion program on adherence to physical exercise among patients with type II diabetes in North Shoa Zone Amhara region: a quasi-experimental study
    Akine Eshete, Sadat Mohammed, Sisay Shine, Yosef Eshetie, Yibeltal Assefa, Nigussie Tadesse
    BMC Public Health.2023;[Epub]     CrossRef
  • A framework for incorporating physical activity in treatment: Competencies, guidelines, and implications for family therapists
    Josh R. Novak, Faith K. Ellis
    Journal of Marital and Family Therapy.2022; 48(2): 523.     CrossRef
  • New insights into the role and therapeutic potential of HSP70 in diabetes
    Amanda Almeida de Oliveira, Valentina Ochoa Mendoza, Swasti Rastogi, Kenia Pedrosa Nunes
    Pharmacological Research.2022; 178: 106173.     CrossRef
  • The bidirectional relationship between AMPK pathway activation and myokine secretion in skeletal muscle: How it affects energy metabolism
    Mahdi Ahsan, Léa Garneau, Céline Aguer
    Frontiers in Physiology.2022;[Epub]     CrossRef
  • Effectiveness of a Community-Based Structured Physical Activity Program for Adults With Type 2 Diabetes
    Aishee B. Mukherji, Di Lu, FeiFei Qin, Haley Hedlin, Neil M. Johannsen, Sukyung Chung, Yukari Kobayashi, Francois Haddad, Cynthia Lamendola, Marina Basina, Ruth Talamoa, Jonathan Myers, Latha Palaniappan
    JAMA Network Open.2022; 5(12): e2247858.     CrossRef
  • A correlational study to assess the level of perception and exercise barriers among people with type 2 diabetes mellitus
    ML Sarika, Srijita Chakraborty, Payel Panda
    International Journal of Diabetes and Technology.2022; 1(2): 63.     CrossRef
  • Recreational training improves cardiovascular adaptations, metabolic profile and mental health of elderly women with type-2 diabetes mellitus
    Andrea Sanches, Vinicius Guzzoni, Vania C. dos R. Miranda, Laís Bonagurio Peressim, Suellen Rocha, Patrícia Oliveira de Lima, Fernanda Klein Marcondes, Ana Paula Tanno, Tatiana Sousa Cunha
    Health Care for Women International.2021; 42(11): 1279.     CrossRef
  • Serum fetuin‐A and Ser312 phosphorylated fetuin‐A responses and markers of insulin sensitivity after a single bout of moderate intensity exercise
    Guang Ren, Robert L. Bowers, Teayoun Kim, Alonzo J. Mahurin, Peter W. Grandjean, Suresh T. Mathews
    Physiological Reports.2021;[Epub]     CrossRef
  • Exercise as a Therapeutic Intervention in Gestational Diabetes Mellitus
    Konstantina Dipla, Andreas Zafeiridis, Gesthimani Mintziori, Afroditi K. Boutou, Dimitrios G. Goulis, Anthony C. Hackney
    Endocrines.2021; 2(2): 65.     CrossRef
  • Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II
    Érica Q. Silva, Danilo P. Santos, Raquel I. Beteli, Renan L. Monteiro, Jane S. S. P. Ferreira, Ronaldo H. Cruvinel-Junior, Asha Donini, Jady L. Verissímo, Eneida Y. Suda, Isabel C. N. Sacco
    Scientific Reports.2021;[Epub]     CrossRef
  • Active Video Game Program for People with Type 2 Diabetes- a Pilot Study
    Han-Hung Huang, Brianna Gathright, Rachel Holik, Hannah Iverson, Emily Saville, Drew A. Curtis
    Applied Sciences.2021; 11(22): 11046.     CrossRef
  • Feasibility and safety of a walking football program in middle-aged and older men with type 2 diabetes
    Ana Barbosa, João Brito, Júlio Costa, Pedro Figueiredo, André Seabra, Romeu Mendes
    Progress in Cardiovascular Diseases.2020; 63(6): 786.     CrossRef
  • Adherence to Medication, Diet and Physical Activity and the Associated Factors Amongst Patients with Type 2 Diabetes
    Alireza Mirahmadizadeh, Haniyeh Khorshidsavar, Mozhgan Seif, Mohammad Hossein Sharifi
    Diabetes Therapy.2020; 11(2): 479.     CrossRef
  • Malay Version of Exercise Self-Efficacy: A Confirmatory Analysis among Malaysians with Type 2 Diabetes Mellitus
    Aizuddin Hidrus, Yee Cheng Kueh, Bachok Norsa’adah, Garry Kuan
    International Journal of Environmental Research and Public Health.2020; 17(3): 922.     CrossRef
  • Motivation and Barriers to Maintaining Lifestyle Changes in Patients with Type 2 Diabetes after an Intensive Lifestyle Intervention (The U-TURN Trial): A Longitudinal Qualitative Study
    Sabrina K. Schmidt, Liv Hemmestad, Christopher S. MacDonald, Henning Langberg, Laura S. Valentiner
    International Journal of Environmental Research and Public Health.2020; 17(20): 7454.     CrossRef
  • Understanding patients’ experience living with diabetes type 2 and effective disease management: a qualitative study following a mobile health intervention in Bangladesh
    F. Yasmin, L. Ali, B. Banu, F. B. Rasul, R. Sauerborn, A. Souares
    BMC Health Services Research.2020;[Epub]     CrossRef
  • Feasibility of procedures for a randomised pilot study of reduced exertion, high-intensity interval training (REHIT) with non-diabetic hyperglycaemia patients
    Matthew Haines
    Pilot and Feasibility Studies.2020;[Epub]     CrossRef
  • Nutritional Strategies to Combat Type 2 Diabetes in Aging Adults: The Importance of Protein
    Kayleigh M. Beaudry, Michaela C. Devries
    Frontiers in Nutrition.2019;[Epub]     CrossRef
  • A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐ and middle‐income countries
    Victor Mogre, Natalie A. Johnson, Flora Tzelepis, Jonathan E. Shaw, Christine Paul
    Journal of Advanced Nursing.2019; 75(12): 3374.     CrossRef
  • Type 2 diabetes and physical activity: barriers and enablers to diabetes control in Eastern India
    Pati Sanghamitra, Lobo Eunice, Pati Sandipana, Desaraju Shayma, Mahapatra Pranab
    Primary Health Care Research & Development.2019;[Epub]     CrossRef
  • Potential Utility of Self-Report Measures of Affect to Optimise Exercise Adherence in People with Type 2 Diabetes
    Emily R. Cox, Shelley Elizabeth Keating, Jeff S. Coombes, Nicola W. Burton
    Current Diabetes Reviews.2019; 15(4): 302.     CrossRef
  • Mechanisms Involved in Glycemic Control Promoted by Exercise in Diabetics
    Eric Francelino Andrade, Víviam de Oliveira Silva, Débora Ribeiro Orlando, Luciano José Pereira
    Current Diabetes Reviews.2019; 15(2): 105.     CrossRef
  • Equity of a government subsidised exercise referral scheme: A population study
    Melinda Craike, Glen Wiesner, Joanne Enticott, Jason A. Bennie, Stuart J.H. Biddle
    Social Science & Medicine.2018; 216: 20.     CrossRef
  • Relating Activity and Participation Levels to Glycemic Control, Emergency Department Use, and Hospitalizations in Individuals With Type 2 Diabetes
    Matt P. Malcolm, Karen E. Atler, Arlene A. Schmid, Tara C. Klinedinst, Laura A. Grimm, Tasha P. Marchant, David R. Marchant
    Clinical Diabetes.2018; 36(3): 232.     CrossRef
  • How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review
    Kelsey A. Luoma, Ian M. Leavitt, Joel C. Marrs, Andrea L. Nederveld, Judith G. Regensteiner, Andrea L. Dunn, Russell E. Glasgow, Amy G. Huebschmann
    Translational Behavioral Medicine.2017; 7(4): 751.     CrossRef
  • Interleukin-6 increases the expression and activity of insulin-degrading enzyme
    Mirian A. Kurauti, José M. Costa-Júnior, Sandra M. Ferreira, Gustavo J. Santos, Carlos H. G. Sponton, Everardo M. Carneiro, Guilherme D. Telles, Mara P. T. Chacon-Mikahil, Cláudia R. Cavaglieri, Luiz F. Rezende, Antonio C. Boschero
    Scientific Reports.2017;[Epub]     CrossRef
  • Effects of Face-to-Face and Telephone-Based Family-Oriented Education on Self-Care Behavior and Patient Outcomes in Type 2 Diabetes: A Randomized Controlled Trial
    Masumeh Hemmati Maslakpak, Somaieh Razmara, Zahra Niazkhani
    Journal of Diabetes Research.2017; 2017: 1.     CrossRef
  • Beliefs about Genetically Targeted Care in African Americans
    Chanita Hughes Halbert, Jasmine A. McDonald, Gayenell Magwood, Melanie Jefferson
    Journal of the National Medical Association.2017; 109(2): 98.     CrossRef
  • Mobile Exergaming for Health—Effects of a serious game application for smartphones on physical activity and exercise adherence in type 2 diabetes mellitus—study protocol for a randomized controlled trial
    Christoph Höchsmann, Steffen P. Walz, Juliane Schäfer, Jussi Holopainen, Henner Hanssen, Arno Schmidt-Trucksäss
    Trials.2017;[Epub]     CrossRef
  • Regulation of glucose dynamics by noninvasive peripheral electrical stimulation in normal and insulin-resistant rats
    Merav Catalogna, Sigal Fishman, Zamir Halpern, Shani Ben-Shlomo, Uri Nevo, Eshel Ben-Jacob
    Metabolism.2016; 65(6): 863.     CrossRef
  • Effects of Exergaming on Physical Activity in Overweight Individuals
    Christoph Höchsmann, Michael Schüpbach, Arno Schmidt-Trucksäss
    Sports Medicine.2016; 46(6): 845.     CrossRef
  • Recruitment of older adults with type 2 diabetes into a community-based exercise and nutrition randomised controlled trial
    Eliza G. Miller, Caryl A. Nowson, David W. Dunstan, Deborah A. Kerr, Vicky Solah, David Menzies, Robin M. Daly
    Trials.2016;[Epub]     CrossRef
  • Sense of mastery as mediator buffering psychological distress among people with diabetes
    Karin Elisabeth Bennetter, Jocelyne Clench–Aas, Ruth Kjærsti Raanaas
    Journal of Diabetes and its Complications.2016; 30(5): 839.     CrossRef
  • Cardiorespiratory Exertion While Playing Video Game Exercises in Elderly Individuals With Type 2 Diabetes
    Christoph Höchsmann, Nicole Zürcher, Andrea Stamm, Arno Schmidt-Trucksäss
    Clinical Journal of Sport Medicine.2016; 26(4): 326.     CrossRef
  • A Mixed Methods Study Exploring the Factors and Behaviors That Affect Glycemic Control Following a Structured Education Program
    Dympna Casey, Mary Clare O’Hara, Ben Meehan, Molly Byrne, Sean F. Dinneen, Kathy Murphy
    Journal of Mixed Methods Research.2016; 10(2): 182.     CrossRef
  • Psychometric Properties of the Perceived Therapeutic Efficacy Scale for Adhering to a Cholesterol-Lowering Diet
    Yaguang Zheng, Lauren Terhorst, Jina Choo, Lora E. Burke
    Journal of Cardiovascular Nursing.2014; 29(3): 257.     CrossRef
  • Change in Physical Activity after a Diabetes Diagnosis
    Kristin L. Schneider, Christopher Andrews, Kathleen M. Hovey, Rebecca A. Seguin, Todd Manini, Michael J. LaMonte, Karen L. Margolis, Molly E. Waring, Yi Ning, Stacy Sims, Yunsheng Ma, Judith Ockene, Marcia L. Stefanick, Sherry L. Pagoto
    Medicine & Science in Sports & Exercise.2014; 46(1): 84.     CrossRef
  • Factors influencing self‐management in patients with type 2 diabetes: a quantitative systematic review protocol
    Annamaria Bagnasco, Patrizia Di Giacomo, Roberta Da Rin Della Mora, Gianluca Catania, Carlo Turci, Gennaro Rocco, Loredana Sasso
    Journal of Advanced Nursing.2014; 70(1): 187.     CrossRef
  • Abnehmen beginnt im Kopf, nicht im Bauch
    Christine Graf, Nina Ferrari, Stefanie Eiser
    MMW - Fortschritte der Medizin.2013; 155(S1): 91.     CrossRef
  • Moderate- and vigorous-intensity exercise behaviour according to the Transtheoretical Model: associations with smoking and BMI among Austrian adults
    Franziska Großschädl, Sylvia Titze, Nathalie Burkert, Willibald J. Stronegger
    Wiener klinische Wochenschrift.2013; 125(9-10): 270.     CrossRef
  • Acute Exercise Induces FGF21 Expression in Mice and in Healthy Humans
    Kook Hwan Kim, Seong Hun Kim, Young-Ki Min, Hun-Mo Yang, Jeong-Beom Lee, Myung-Shik Lee, Cedric Moro
    PLoS ONE.2013; 8(5): e63517.     CrossRef
  • Exercise for diabetic neuropathy: A toe in the therapeutic door
    A. Gordon Smith, Robin Marcus
    Journal of Diabetes and its Complications.2012; 26(5): 361.     CrossRef
Original Article
Effect on Glycemic, Blood Pressure, and Lipid Control according to Education Types
Mi-Ju Choi, Seung-Hyun Yoo, Kum-Rae Kim, Yoo-Mi Bae, Sun-Hee Ahn, Seong-Shin Kim, Seong-Ah Min, Jin-Sun Choi, Seung-Eun Lee, Yeo-Jin Moon, Eun Jung Rhee, Cheol-Young Park, Won Young Lee, Ki Won Oh, Sung Woo Park, Sun Woo Kim
Diabetes Metab J. 2011;35(6):580-586.   Published online December 26, 2011
DOI: https://doi.org/10.4093/dmj.2011.35.6.580
  • 55,816 View
  • 39 Download
  • 5 Crossref
AbstractAbstract PDFPubReader   
Background

Diabetes self-management education and reinforcement are important for effective management of the disease. We investigated the effectiveness of interactive small-group education on glycemic, blood pressure, and lipid levels.

Methods

For this study, 207 type 2 diabetes patients with suboptimal glycemic control (HbA1c levels >6.5%) were enrolled. The conventional education group received an existing education program from April to November in 2006, and the interactive education group received a new small-group education program from December 2006 to July 2007. The two groups were comparatively analyzed for changes in blood sugar, glycated hemoglobin, lipid, and blood pressure at baseline, 3, 6, and 12 months and the proportion of patients achieving target goals at 12 months.

Results

After 12 months of follow-up, HbA1c levels in the interactive education group were significantly lower than in the conventional education group (6.7% vs. 6.4%, P<0.001). Fasting and 2 hour postprandial glucose concentrations, total cholesterol, and low density lipoprotein cholesterol were significantly lower in the interactive education group than in the conventional education group. The proportion of patients that achieved target goals was significantly higher in the interactive education group.

Conclusion

The small-group educational method improved and re-established the existing group educational method. This finding suggests that the importance of education appears to be related to the method by which it is received rather than the education itself. Thus, the use of small-group educational methods to supplement existing educational methods established for diverse age levels should be considered in the future.

Citations

Citations to this article as recorded by  
  • The Effectiveness of Multidisciplinary Team-Based Education in the Management of Type 2 Diabetes
    Jong Ho Kim, Yun Jeong Nam, Won Jin Kim, Kyung Ah Lee, A Ran Baek, Jung Nam Park, Jin Mi Kim, Seo Young Oh, Eun Heui Kim, Min Jin Lee, Yun Kyung Jeon, Bo Hyun Kim, In Joo Kim, Yong Ki Kim, Sang Soo Kim
    The Journal of Korean Diabetes.2018; 19(2): 119.     CrossRef
  • 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 & Metabolism Journal.2017; 41(2): 99.     CrossRef
  • Impact of ENPP1 K121Q on Change of Insulin Resistance after Web-Based Intervention in Korean Men with Diabetes and Impaired Fasting Glucose
    Ji Yeon Kang, Sook Hee Sung, Yeon Ju Lee, Tae In Choi, Seung Jin Choi
    Journal of Korean Medical Science.2014; 29(10): 1353.     CrossRef
  • It's Still Not Too Late to Make a Change: Current Status of Glycemic Control in Korea
    Sang Yong Kim
    Diabetes & Metabolism Journal.2014; 38(3): 194.     CrossRef
  • Education as Prescription for Patients with Type 2 Diabetes Mellitus: Compliance and Efficacy in Clinical Practice
    Mi Yeon Kim, Sunghwan Suh, Sang-Man Jin, Se Won Kim, Ji Cheol Bae, Kyu Yeon Hur, Sung Hye Kim, Mi Yong Rha, Young Yun Cho, Myung-Shik Lee, Moon Kyu Lee, Kwang-Won Kim, Jae Hyeon Kim
    Diabetes & Metabolism Journal.2012; 36(6): 452.     CrossRef

Diabetes Metab J : Diabetes & Metabolism Journal
Close layer