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Diabetes: Management and Pharmacotherapy

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...

Type II Diabetes I: Introduction

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Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...

Diabetes Mellitus: Type 2 and Gestational

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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...

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Type I Diabetes I: Introduction

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Development and evaluation of theory-based diabetes support services.

Sophie Huey-Ming Guo¹, Yung-Hsiu Lin, Rong-Rong Chen

¹Graduate Institute of Business and Management, Department of Information Management, Chang Gung University, Taoyuan, Taiwan.

Computers, Informatics, Nursing : CIN

|September 13, 2012

Summary

Technology-enabled diabetes support services, grounded in self-care theory, show high patient acceptance. These services, including nurse consultations and mobile apps, are preferred and easy to use, paving the way for greater adoption.

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Area of Science:

Nursing Informatics
Health Technology
Chronic Disease Management

Background:

Conventional technology-enabled diabetes support services often fail to meet patient expectations due to inadequate understanding of care needs.
Low patient acceptance hinders the widespread adoption of existing diabetes support services in healthcare systems.

Purpose of the Study:

To develop technology-enabled diabetes support services informed by self-care theory.
To enhance the design and adoption of diabetes care support services by integrating theoretical knowledge.

Main Methods:

Developed technology-enabled diabetes support services based on self-care theory, including nurse-led consultations and a mobile application.
Established self-care service scenarios by combining theoretical concepts.
Assessed user acceptance and patient perceptions among 27 patients with diabetes.

Main Results:

Patients responded favorably to the developed diabetes support services.
High patient preference and perceived ease of use indicate a strong intention to use the services.
Favorable perceptions suggest potential for greater adoption of these technology-enabled support services.

Conclusions:

The self-care theory provides a strong foundation for designing effective technology-enabled diabetes support services.
Linking self-care theory to nursing informatics and chronic care practices can improve service design and patient outcomes.
The developed nurse-led consultation and mobile application services demonstrate potential for successful integration into diabetes care.