检查2型糖尿病成年人体重耻辱,糖尿病耻辱和HbA1c之间的关系
Tracy J Sims1, Chanadda Chinthammit2, Melissa L Constantine3,4
1Eli Lilly and Company, Indianapolis, IN, USA. sims_tracy_j@lilly.com.
概括
体重耻辱和糖尿病耻辱与2型糖尿病成年人的糖尿病管理较差有关. 较高的污名度与HbA1c (糖化血红蛋白) 升高或难以报告这一关键健康指标相关.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 体重耻辱和糖尿病耻辱是普遍存在的问题.
- 了解它们对2型糖尿病管理的影响至关重要.
研究的目的:
- 研究2型糖尿病成年人体重耻辱,糖尿病耻辱和HbA1c水平之间的关联.
- 探索内化和经历的耻辱如何与血糖控制有关.
主要方法:
- 一项基于网络的调查对857名2型糖尿病患者进行了调查.
- 经过验证的天平测量了体重耻辱 (WBIS-M,WSSQ) 和糖尿病耻辱 (DSAS-2).
- 自我报告的数据包括人口统计,体重和HbA1c水平.
主要成果:
- 升高的HbA1c水平与报告的体重增加和糖尿病污名化有关.
- 无法报告HbA1c的参与者也经历了同样高的耻辱程度.
- 西班牙裔和白人非西班牙裔参与者报告的体重耻辱比非西班牙裔黑人参与者高.
结论:
- 体重耻辱和糖尿病耻辱与低于最佳的糖尿病护理结果有关.
- 这些发现凸显了在2型糖尿病管理中解决耻辱的必要性.
- 针对耻辱的干预措施可以改善血糖控制和患者报告.
相关概念视频
Diabetes: Symptoms, Diagnosis, and Complications
2.0K
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...
2.0K
Diabetes Mellitus: Type 2 and Gestational
4.2K
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...
4.2K
Carbohydrate Metabolism
13.7K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
13.7K
Psychoneuroimmunology: Diabetes and Cancer
401
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...
401
Diabetes Mellitus: Overview and Type I Subtype
4.8K
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...
4.8K
Pathophysiology of Diabetes
3.1K
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.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K


