家庭支持类型与认知障碍成年人血糖控制之间的关联
Yaguang Zheng1, Katharine Lawrence2, Jason Fletcher1
1New York University Rory Meyers College of Nursing, New York, NY, USA.
Gerontology & geriatric medicine
|December 25, 2023
概括
家庭支持对于认知障碍的成年人糖尿病自我管理至关重要. 在血糖测试和情绪应对方面的具体支持显著改善了血糖控制 (A1C).
科学领域:
- 老年学是一门学科.
- 内分泌学 在内分泌学.
- 神经科学是一个神经科学.
背景情况:
- 家庭支持对于糖尿病自我管理至关重要,特别是在认知障碍患者中.
- 对这一群体来说,最有效的家庭支持类型仍然不清楚.
- 了解这些支持机制对于改善患者结果至关重要.
研究的目的:
- 调查特定类型的家庭支持与血糖控制之间的关联.
- 为了检查中年和老年糖尿病患者和认知障碍患者之间的这种关系.
主要方法:
- 利用了2003年健康与退休研究 (HRS) 糖尿病研究和2004年HRS波中的267名参与者的数据.
- 包括被诊断患有糖尿病和认知障碍的人 (认知状态评分的电话采访分数<12).
- 分析了家庭支持对血糖测试和情绪应对对A1C水平的影响.
主要成果:
- 报告在血糖检测中得到强有力的家庭支持的成年人显示A1C水平显著降低 (7.08%vs7.51%,P=.03).
- 在处理与糖尿病相关的情绪方面,强有力的家庭支持也与明显较低的A1C相关 (6.79%与7.57%,P=.007).
- 大多数参与者是白人 (68.9%) 或黑人 (25.8%),平均年龄为73.4岁.
结论:
- 家庭支持在认知障碍患者的糖尿病自我管理中发挥着关键作用.
- 可能需要进行干预,为家庭提供有效的糖尿病护理所需的特定知识和技能.
- 有针对性的支持可以增强血糖控制,并改善这一弱势群体的生活质量.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.4K
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...
2.4K
Diabetes: Symptoms, Diagnosis, and Complications
553
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...
553
Diabetes: Management and Pharmacotherapy
288
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...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
288
Diabetes Mellitus: Overview and Type I Subtype
2.7K
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 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...
2.7K
Overview of Carbohydrate Metabolism
1.1K
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
1.1K
Psychoneuroimmunology: Diabetes and Cancer
29
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...
29


