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Pharmacovigilance01:19

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Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
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In some cases, there...
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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.
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Diabetes: Symptoms, Diagnosis, and Complications01:15

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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: Type 2 and Gestational01:22

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Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
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Insulin: Dosing Regimen and Adverse Effects01:16

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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
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Psychovigilance In Diabetes.

Sanjay Kalra1, Komal Verma2, Navneet Agrawal3

  • 1Department of Endocrinology, Bharti Hospital, Karnal, India, University Center for Research & Development, Chandigarh University, India.

JPMA. the Journal of the Pakistan Medical Association
|November 28, 2023
PubMed
Summary

Diabetes patients often face mental health issues like depression, which worsen blood sugar control. Early screening, diagnosis, and management of these mental health conditions, termed psychovigilance, are crucial for better diabetes care.

Keywords:
Anxiety, depression, diabetes distress, psychosocial aspects, type 1 diabetes, type 2 diabetes.

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Area of Science:

  • Endocrinology
  • Psychiatry
  • Public Health

Background:

  • Diabetes mellitus is frequently comorbid with various mental health disorders, including depression, anxiety, and substance abuse.
  • These mental health conditions can negatively impact glycemic control and overall diabetes management.
  • The bidirectional relationship between diabetes and mental health necessitates integrated care strategies.

Purpose of the Study:

  • To introduce and define the concept of psychovigilance.
  • To emphasize the importance of screening, early diagnosis, and timely management of mental health dysfunction in diabetic patients.
  • To advocate for a proactive approach to address the mental health burden in diabetes care.

Main Methods:

  • Literature review on the intersection of diabetes and mental health.
  • Conceptualization of psychovigilance as a clinical strategy.
  • Discussion of the implications for patient care and outcomes.

Main Results:

  • Mental health challenges are prevalent in diabetes populations.
  • Poor mental health exacerbates hyperglycemia and complicates diabetes management.
  • Psychovigilance offers a framework for integrated care.

Conclusions:

  • Integrating mental health screening and management into routine diabetes care is essential.
  • Psychovigilance can improve patient outcomes by addressing the mental health comorbidities of diabetes.
  • Early intervention in mental health dysfunction is key to optimizing diabetes control.