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Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

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: Introduction01:26

Type II Diabetes I: Introduction

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 Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

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...
Diabetes Mellitus: Introduction01:26

Diabetes Mellitus: Introduction

Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

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.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type I Diabetes I: Introduction01:12

Type I Diabetes I: Introduction

Type 1 diabetes mellitus is a chronic metabolic disorder characterized by an absolute deficiency of insulin resulting from the autoimmune destruction of pancreatic β-cells. Although it can occur at any age, it is most commonly diagnosed in childhood, adolescence, or early adulthood. The loss of insulin production impairs cellular glucose uptake, resulting in persistent hyperglycemia and necessitating lifelong insulin therapy.Autoimmune Destruction of β-CellsThe hallmark of type 1 diabetes is an...

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Related Experiment Videos

Promoting Diabetes Self-Management Among Vietnamese Americans: Mixed Methods Pilot Study.

Anna Nguyen1, Valerie Eschiti1, Thanh C Bui1

  • 1University of Oklahoma Health Campus, 1100 N. Stonewall Avenue, Oklahoma City, OK, 73117, United States, 1 4052711491 ext 49183.

JMIR Diabetes
|May 7, 2026
PubMed
Summary
This summary is machine-generated.

This study evaluated a culturally tailored Diabetes Self-Management Education and Support (DSMES) program for Vietnamese Americans. The BALANCE intervention showed feasibility and acceptability, improving cholesterol and exercise but not A1c.

Keywords:
Vietnamese Americansdiabetes self-managementmixed methodsmobile healthnursing

Related Experiment Videos

Area of Science:

  • Public Health
  • Health Disparities
  • Diabetes Management

Background:

  • Diabetes Self-Management Education and Support (DSMES) programs improve health outcomes.
  • Language and cultural barriers limit DSMES access for Vietnamese Americans.
  • Culturally tailored interventions are needed to address these disparities.

Purpose of the Study:

  • To evaluate the feasibility, acceptability, and preliminary efficacy of the Blended Automated Links Augmented by Nurse Call and Engagement (BALANCE) intervention.
  • To deliver culturally tailored DSMES in Vietnamese to Vietnamese American adults with type 2 diabetes.
  • To assess sustained effects on health outcomes over 12 months.

Main Methods:

  • Explanatory sequential mixed methods design guided by the PRISM framework.
  • Pilot single-arm, prospective interventional trial with 88 Vietnamese American adults.
  • Quantitative data collected via surveys (baseline, 3-month intervals over 12 months); qualitative data from interviews and focus groups.

Main Results:

  • Intervention was feasible (83% clinic participation, 100% clinic retention) and acceptable (90.9% patient retention).
  • Significant reductions in low-density lipoprotein (LDL) and improvements in exercise performance observed.
  • No significant change in glycated hemoglobin A1c (HbA1c); 80% of patients found the intervention convenient and helpful.

Conclusions:

  • The BALANCE intervention is feasible and acceptable for Vietnamese Americans with type 2 diabetes.
  • Further refinement is needed for consistent glycemic control.
  • Future research should involve a randomized controlled trial to confirm effectiveness.