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Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

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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...
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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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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
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Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
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Related Experiment Video

Updated: Mar 8, 2026

Improving IV Insulin Administration in a Community Hospital
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Study protocol: The Technology-Enhanced Coaching (TEC) program to improve diabetes outcomes - A randomized controlled

Michele Heisler1, Rebecca Mase1, Brianne Brown2

  • 1Center for Clinical Management Research Ann Arbor VA, HSR&D, Ann Arbor, MI, United States; Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, MI, United States.

Contemporary Clinical Trials
|January 31, 2017
PubMed
Summary
This summary is machine-generated.

Technology-enhanced coaching combined with peer support may improve diabetes self-management for minority adults. This approach helps patients set goals and manage their condition effectively.

Keywords:
Decision aidDiabetesHealth coachingPeer-supportSelf-managementTrial registration:The ClinicalTrials.gov registration number is NCT01855399.

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Area of Science:

  • Health Services Research
  • Behavioral Science
  • Chronic Disease Management

Background:

  • Racial and ethnic minority adults with diabetes in under-resourced areas face significant self-management barriers.
  • Peer support and decision support tools show promise in improving diabetes outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of technology-enhanced coaching (TEC) combined with peer coaching for improving diabetes self-management.
  • To assess the impact of personalized e-Health tools on patient goal setting and treatment discussions.

Main Methods:

  • 290 African American adults with poor glycemic control were randomized to TEC or peer coaching alone.
  • Participants received weekly support from peer coaches trained in autonomy-supportive approaches.
  • The TEC arm utilized a web-based tool (iDecide) with personalized health data for educational content delivery.

Main Results:

  • 290 participants were enrolled in the study.

Conclusions:

  • Tailored e-Health tools can enhance peer coaching for diabetes self-management.
  • This study offers insights into scalable support programs for diabetes and other chronic illnesses requiring sustained self-management.