• Title/Summary/Keyword: Diabetes mellitus (DM)

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Factors Related to Fundus Examination in Diabetes Mellitus Patients (당뇨병환자 안저검사 수검 요인)

  • Choi, Joo-Hyuck;Na, Baeg-Ju;Chun, Sung-A
    • Health Policy and Management
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    • v.20 no.1
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    • pp.125-136
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    • 2010
  • Objectives: The purpose of this study is to analyze the proportion of fundus examination of DM patients for preventing microvascular complication and to examine the factors related to fundus examination in DM patients. Methods: This study used 2005 Korean national health and nutrition survey data. We selected all 1,129 diabetes mellitus patients from the data. And we choose 8 factors related to diabetes mellitus patients. These are sex, age group, type of residential area(rural or urban), education level, income level, comorbidity with hypertension, current insulin use, and duration of suffering from DM. We have analysed these factors by whether he had been examined fundus or no through Chi-square and logistic regression analysis. Results: Female DM patients have tendency to get more fundus examination than Male DM patients. And Young patients, patients who live in urban area, well educated patients, high income patients, comorbidity with hypertension, patients have got the insulin injection, patients have long duration of suffering from DM are to get more fundus examination. According to multivariate logistic regression analysis, sex and education level, income level, and duration of suffering from DM, comorbidity with hypertension, patients have got the insulin injection are significant factors on fundus examination for prevent microvascular diabetes mellitus complications. Conclusions and Discussion: We have concluded that physicians and policy makers should consider to fundus examination especially of man and DM patients who have more shorter disease period and low educated patients and low incomed patients and patients who have taken insulin therapy.

The Effect of a Balance Training Program to Improve the Balance of Aged Patients with Diabetes Mellitus

  • Lee, Yong-Woo;Choi, Se-Jong;Song, Chang-Ho
    • The Journal of Korean Physical Therapy
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    • v.22 no.3
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    • pp.23-30
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    • 2010
  • Purpose: The purpose of this study was to determine whether a balance training program could improve the balancing ability of elderly patients with type II diabetes mellitus. If yes, the results could lead to development of a method to prevent falls in elderly patients with type II diabetes mellitus (DM). Methods: Subjects were 28 elderly patients with type II DM. Subjects were divided into a control and an experimental group with 14 patients in each group. The experimental group had a balance training program consisting of balance training and lower extremity muscle strengthening exercises. The exercise group met twice a week for 8 weeks. All subjects were evaluated using a force plate for the amount of postural sway. To determine the degree of diabetes, we measured Hemoglobin A1c. Results: Balance in the experimental group (p<0.05) increased significantly compared to the control group. Conclusion: The results suggest that a balance training program should be recommended for improving balance and preventing falls in elderly type II DM patients.

Review of Domestic Experimental Studies of Korean Medicine Treatment for Diabetes Mellitus Since 2013 (당뇨병의 한의학적 치료에 대한 국내 실험연구 고찰 - 2013년 이후)

  • Son, Ah-hyun;Koh, Ji-yoon;Lee, Dong-keun;Shin, Hyeon-su
    • The Journal of Internal Korean Medicine
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    • v.38 no.1
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    • pp.10-19
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    • 2017
  • Objective: This study reviewed experimental studies on the effects of Korean medical treatment for diabetes mellitus (DM). Method: We reviewed 24 studies about DM that had been published since 2013. We searched the Korean Institute of Oriental Medicine (KIOM) database with the keyword '당뇨', '消渴', 'Diabetes'. Results: 1. The studies used various Korean medicine treatments; 15 used single medicinal herbs, 6 used herbal complexes, and 2 used acupuncture. 2. The measurement parameters used in the studies included blood glucose, body weight, histochemical change, lipid parameters, and food/water intake. Anti-diabetic effects were demonstrated in most of the studies. 3. The experimental animals used were rats or mice. There were 15 type 1 diabetes models, 7 type 2 diabetes models, and one normal model. Among them, 13 cases of chemical diabetes induced by Streptozotosin (STZ, type 1 diabetes inducer) were the most common. Conclusion: Further articles on Korean medical treatment of DM should be studied.

Factor associated with depression in pregnant women with gestational diabetes mellitus (임신성 당뇨 임부의 우울 관련 요인)

  • Kim, Miok;Ko, Jung-Mi
    • Korean Journal of Health Education and Promotion
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    • v.33 no.3
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    • pp.25-35
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    • 2016
  • Objectives: The purpose of this study is to determine the fatigue, self-esteem, and depression of pregnant women with gestational diabetes mellitus (G-DM), and to reveal associated factors of depression. Methods: As a descriptive correlation study, data was collected from 119 pregnant women with G-DM. Data was analysed using t-test, ANOVA, and stepwise multiple regression. Results: Fatigue, self-esteem, and depression averaged $2.09{\pm}.62$ (range of scale 1~4), $2.63{\pm}.32$ (range of scale 1~6), and $0.45{\pm}.25$ (range of scale 0~3), respectively. The depression varied with a statistical significance according to the age (p=.008), employment (p=.014), child (p=.034), and physical and psychological adjustment of pregnancy (p<.001). We also identified fatigue as the most influencing factor and the physical and psychological adjustment of pregnancy as the second most influencing factor, self-esteem as the third, age as the fourth, and child as the influencing factor on the G-DM women's depression. Conclusions: This research provided a valuable opportunity to recognize G-DM as a personal, and societal problem, which calls for relational support as well as personal support. The healthcare providers need to recognize the emotional aspects of the women with G-DM, and make various efforts to promote the physical and psychological health of the G-DM patients.

The role of nutritional status in the relationship between diabetes and health-related quality of life

  • Park, Sohyun;Jung, Sukyoung;Yoon, Hyunsook
    • Nutrition Research and Practice
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    • v.16 no.4
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    • pp.505-516
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    • 2022
  • BACKGROUND/OBJECTIVES: The association between nutritional status and health-related quality of life (HRQoL) among patients with type 2 diabetes mellitus (T2DM) is not fully understood. This study was conducted to understand the role of nutritional status on HRQoL among people with and without T2DM. SUBJECTS/METHODS: Structured survey and direct measurement of anthropometric data were conducted among people with and without T2DM. Nutritional status was measured with Mini Nutritional Assessment tool and HRQoL was measured with a 36-item Short Form Healthy Survey. Data collection was conducted in Chuncheon, South Korea with 756 participants who are older than 40 yrs of age. RESULTS: This study found that overall HRQoL were significantly lower in people with T2DM than people without T2DM after controlling for key covariates. When stratified by nutritional status, a greater degree of negative impact of T2DM on overall physical HRQoL was observed among well-nourished or at risk of malnutrition, whereas significant and more evident negative impact of diabetes on overall psychological HRQoL was observed only among malnourished. CONCLUSIONS: The study results suggest the role of nutritional status among people with T2DM on overall, especially psychological aspects of HRQoL. Future longitudinal or intervention studies are warranted to test the impact of nutritional status on HRQoL among people with T2DM.

Wellness Prediction in Diabetes Mellitus Risks Via Machine Learning Classifiers

  • Saravanakumar M, Venkatesh;Sabibullah, M.
    • International Journal of Computer Science & Network Security
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    • v.22 no.4
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    • pp.203-208
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    • 2022
  • The occurrence of Type 2 Diabetes Mellitus (T2DM) is hoarding globally. All kinds of Diabetes Mellitus is controlled to disrupt over 415 million grownups worldwide. It was the seventh prime cause of demise widespread with a measured 1.6 million deaths right prompted by diabetes during 2016. Over 90% of diabetes cases are T2DM, with the utmost persons having at smallest one other chronic condition in UK. In valuation of contemporary applications of Big Data (BD) to Diabetes Medicare by sighted its upcoming abilities, it is compulsory to transmit out a bottomless revision over foremost theoretical literatures. The long-term growth in medicine and, in explicit, in the field of "Diabetology", is powerfully encroached to a sequence of differences and inventions. The medical and healthcare data from varied bases like analysis and treatment tactics which assistances healthcare workers to guess the actual perceptions about the development of Diabetes Medicare measures accessible by them. Apache Spark extracts "Resilient Distributed Dataset (RDD)", a vital data structure distributed finished a cluster on machines. Machine Learning (ML) deals a note-worthy method for building elegant and automatic algorithms. ML library involving of communal ML algorithms like Support Vector Classification and Random Forest are investigated in this projected work by using Jupiter Notebook - Python code, where significant quantity of result (Accuracy) is carried out by the models.

Factors Associated with Lower Urinary Tract Symptoms in Patients with Type 2 Diabetes Mellitus (제2형 당뇨병 환자의 하부요로증상 관련요인)

  • Song, Hyo Jeong
    • Journal of Korean Biological Nursing Science
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    • v.17 no.1
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    • pp.71-77
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    • 2015
  • Purpose: This study was performed to identify lower urinary tract symptoms (LUTS), and to evaluate the factors affecting LUTS in patients with type 2 diabetes mellitus (T2DM). Methods: The cross sectional study was used with a structured questionnaire to collect data through interviews with 181 T2DM patients and their clinical data from a university hospital diabetes clinic from October 2010 to April 2012. LUTS were measured using the International Prostate Symptom Score (IPSS), depression using the Center for Epidemiologic Studies Depression Scale (CES-D), and glycosylated hemoglobin (HbA1c) from the clinical data. Results: Of all patients with T2DM, the mean IPSS of LUTS was $9.34{\pm}6.86$. Concerning the reported severity of LUTS, 53.6% of the subjects were in the moderate and severe group. In each symptom score of LUTS (range 0-5), nocturia was the highest 2.04, weak stream 1.62, and frequency 1.45. LUTS was significantly predicted by HbA1c and depression, and 14.3% of the variance in LUTS was explained. Conclusion: HbA1c and depression were found to be very important factors associated with LUTS in T2DM patients.

The Effect of Diabetes Mellitus on Postoperative Electrodiagnostic Outcomes of Carpal Tunnel Syndrome (손목터널증후군 환자에서 당뇨병이 수술 후 전기생리학적 결과에 미치는 영향)

  • Kwak, Jung Min;Jeong, Young Ha;Kang, Seok;Yoon, Joon Shik
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.91-97
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    • 2018
  • Objective: The aim of this study was to compare the electrodiagnostic outcomes of carpal tunnel release in patients with and without diabetes with carpal tunnel syndrome (CTS), and to evaluate the effect of diabetes mellitus (DM) on electrodiagnostic outcomes. Method: We conducted a retrospective analysis of 67 patients with electro-diagnostic evidence of CTS. Patients were classified into two groups according to the presence of DM. Both groups were evaluated using nerve conduction studies preoperatively and 3 weeks and 3 months postoperatively. Results: There were no statistical differences in any of the electrodiagnostic parameters between groups 3 weeks postoperatively. However, there were statistical differences in the amplitude and the latency of compound muscle action potential, and sensory nerve conduction velocity 3 months postoperatively. Conclusion: Patients with DM did not show a significantly different outcome 3 weeks after surgery but showed a worse electrodiagnostic outcome 3 months after surgery than those without DM.

Nonpharmacological management and psychosocial support for children and adolescents with type 1 diabetes

  • Yoo, Jae-Ho
    • Clinical and Experimental Pediatrics
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    • v.54 no.2
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    • pp.45-50
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    • 2011
  • Compared to that in the Caucasian population, type 1 diabetes mellitus (T1DM) incidence rates are very low in Koreans. Therefore, compared to the recent development of pharmacological therapy applicable to Korean children with T1DM, interest in nonpharmacological therapy and psychosocial support systems remains low, as is the development of Korean-style T1DM education programs for therapeutic application. Children who have been newly diagnosed with diabetes are placed in completely new environments for treatment. For appropriate control of diabetes, patients have to self-monitor blood glucose levels and inject insulin several times a day and must use extreme self-control when they eat foods to avoid increases in blood glucose levels. Blood glucose excursions resulting from impaired pancreatic ${\beta}$ cell functions cause mental stress due to vague fears of chronic complications of diabetes. In addition, children with diabetes cannot be excluded from the substantial amount of studies required of Korean adolescents, and the absolute shortage of time for ideal control of diabetes adds to their mental stress. Many of these patients are psychologically isolated in school where they spend most of their time, and they are not appropriately considered or supported with respect to blood glucose control in many cases. In this respect, this author will introduce some of the newest views on nonpharmacological therapy and psychosocial support systems that account for important parts of T1DM management and seek measures to apply them in conformity with the social characteristics of Korea.

Diabetes affects Peripheral Nerve and Heart Function

  • Ku, Jeong-Min;Choi, Hwa-Sik;Hyun, Kyung-Yae;Moon, Seong-Min;Kim, Dae-Sik;Choi, Seok-Cheol
    • Biomedical Science Letters
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    • v.17 no.4
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    • pp.313-319
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    • 2011
  • Diabetes mellitus (DM) leads to a variety of complications and thus we have retrospectively studied to investigate problems of nerve conduction velocity (NCV) study and the heart in the patients with type-II DM. Blood glucose and blood pressure levels were higher in DM group than in Non-DM group. We found that several latencies were delayed in motor conduction study of upper (median and ulnar nerve) and lower extremities (peroneal and tibial nerve), whereas amplitudes and NCVs were decreased in DM group compared with Non-DM group. Latencies of sensory conduction study in upper and lower extremities (sural nerve) were delayed, while amplitudes and NCVs were lower in DM group than in Non-DM group. Abnormal percent of the electrocardiogram was higher in DM group than in Non-DM group. This retrospective study suggests that type-II DM can cause a damage effect on the peripheral nerve and the heart function.