International Research Journal of Diabetes and Metabolism


Emerging Nephrotic Problems among Diabetic Patients of Bangladesh

Review Article of International Research Journal of Diabetes and Metabolism Emerging Nephrotic Problems among Diabetic Patients of Bangladesh AK MOHIUDDIN Faculty of Pharmacy, World University of Bangladesh Nearly 80% of people with diabetes live in low- and middle-income countries. It increases healthcare expenditure and imposes a huge economic burden on the healthcare systems. The International Diabetes Federation estimated more than 7 million people with diabetes in Bangladesh and almost an equal number with unexplored diabetes. This number is estimated to double by 2025. It is a costly condition and may cause stroke, heart attack, chronic kidney diseases, neuropathy, visual impairment and amputations. Bangladesh is a developing country where 75% of total population lives in rural area. Subsequently they have poor healthcare access as 26% of rural professionals remain vacant and nearly 40%, absent. Nearly 45% rural people take medical assessment from unqualified health workers including medical assistants, mid-wives, village doctors, community health workers in comparison to that by qualified medical graduates (only 10%-20%). More than 75% women having complications taken treatment from an unqualified provider. These are mostly because concern over medical costs, and pronounced socioeconomic disparities found for care-seeking behavior in both urban and rural Bangladesh. Keywords:  Diabetic Patient; Glycemic Control; kidney Function; Stroke; Blood Sugar; Albuminuria ...

To characterize the sociodemographic, clinical, therapeutic and quality of life of users of the Unified Health System with Diabetes mellitus

Research Article of International Research Journal of Diabetes and Metabolism To characterize the sociodemographic, clinical, therapeutic and quality of life of users of the Unified Health System with Diabetes mellitus Silva L.L.S.B.¹; Gonzaga I.A.A.S.²; Santos E.K.M.³; Silva L.N.M.4; Santos E.C.B.5 ¹Acadêmica do Curso de Graduação em Enfermagem da Universidade Federal de Pernambuco. Brasil; 2 ,3Enfermeiras pela Universidade Federal de Pernambuco. Brasil. 4Acadêmica do Curso de Graduação em Enfermagem da Universidade Federal de Pernambuco, 5Doutora em Enfermagem pela USP. Professora Adjunta da Universidade Federal de Pernambuco. Brasil. Orientadora. Introduction: Descriptive study with a quantitative approach carried out between October 2015 and October 2016. Sampling was about 100 people with diabetes. Objective: To characterize the sociodemographic, clinical, therapeutic and quality of life of users of the Unified Health System with Diabetes mellitus in a Basic Health Unit (BHU) of the Rural Zone of the city of Vitória de Santo Antão. Methods: Two questionnaires, sociodemographic, clinical and therapeutic, and DQUOL-BRASIL, both validated, were used. Results and discussion: Higher prevalence of female people (75%). Of the investigators (51%) were not able to report their type of diabetes, the medication was obtained in the BHU (44%) as well as the follow-up (78%). (44%) did not receive the blood glucose strips, and (92%) did not participate in educational programs. Regarding the quality of life or impact domain, the highest mean was obtained (32.05) and the lowest for the sale of diabetes problems (6.66). Conclusion: It is concluded that the results obtained contribute to increase the knowledge about the factors studied, since knowing a population makes possible the development of effective health actions, considering the local specificities. Keywords:   Diabetes Mellitus, Health Profile, Quality of Life, Rural Areas ...

Effects of oral antidiabetics on cancer incidence and mortality

Research Article of International Research Journal of Diabetes and Metabolism Effects of oral antidiabetics on cancer incidence and mortality Neto, P. P. M 1; Silva, M. R. P 2; Soares, C. L. R 3; Lucena, C. C. O 4; Pereira, P. S 5; Silva, T. G6 1Postgraduate Program of Biological Sciences, Federal University of Pernambuco - UFPE, 2 Undergraduate student of Biological Sciences, Federal University of Pernambuco – UFPE; 3Postgraduate Program of Pharmaceutical Sciences, Federal University of Pernambuco - UFPE; 4 Postgraduate Program of Northeast Biotechnology Network - RENORBIO, Federal University of Pernambuco - UFPE; 6 Professor/Researcher on Department of Antibiotics, Federal University of Pernambuco - UFPE. Introduction: Type 2 diabetes mellitus is a chronic progressive disease that can be controlled by any oral hypoglycemic, with biguanides, thiazolidinediones and sulfonylureas being the main classes of these drugs in the pharmaceutical market. Epidemiological analyzes suggest that diabetics are at higher risk of developing tumors than normoglycemics. A large number of studies have shown the link between oral antidiabetic drugs and developmental rates and mortality in cancer cases. Objective: To present clinical and preclinical results on the relationship between oral hypoglycemic agents and cancer. Methodology: A bibliographical survey was carried out of the main academic journals, with prevalence of articles from the last five years. Results and Discussion: Metformin is a biguanide that phosphorylates hepatic cyclic AMP, a mechanism also proposed as antineoplastic. Epidemiological studies associate the use of metformin with the lower incidence of hepatocellular and pancreatic cancers in diabetic patients. Other studies have shown a 21% lower mortality rate in women with breast cancer and 24% lower in men with prostate cancer who took metformin. Thiazolidinediones are receptor agonists, predominantly present in adipocytes, capable of increasing glucose uptake and improving insulin sensitivity. Randomized trials have shown that pioglitazone was associated ...

Health care education in people with arterial hypertension and diabetes mellitus

Review Article of International Research Journal of Diabetes and Metabolism Health care education in people with arterial hypertension and diabetes mellitus Xavier, H.S1; Silva, L.M.E2; Santos, N.R.N.T.V3 1,2Residente do Programa de Residência Multiprofissional Integrada em Saúde da Família –UPE; 3Mestranda no Curso de Mestrado Profissional em Saúde Pública do Instituto de Pesquisa Aggeu Magalhães – FIOCRUZ/PE. Preceptora da Residência Multiprofissional Integrada em Saúde da Família. Introduction: The Hypertension and Diabetes Program (HIPERDIA), established in 2001 by the Ministry of Health, organizes the assistance to people with Hypertension and Diabetes, chronic diseases in evidence in public health. Assistance begins in primary health care, the main gateway to the Unified Health System’s attention network, which has a fundamental role in the prevention and control of diseases, as well as health promotion with multidisciplinary and interdisciplinary care, considering individuals in its completeness. Objectives: To report on the experience of residents of the Integrated Multiprofessional Residency Program in Family Health, in the inclusion of health promotion activities in the HIPERDIA group in a Family Health Unit in the city of Recife-PE. Methodology: This is an experience report, with data collected from the field diaries of activities in the HIPERDIA group, from August to October 2017. The group operates weekly, with 15 to 25 members. Initiated with health education activity, with professionals. The methods used were talk wheels and group dynamics with themes related to health promotion. Results and Discussion: Health education activities contribute through the exchange of experiences, to individuals’ autonomy in the care of their own health, directed to the expanded concept of health, that goes beyond the control of the disease, expecting the improvement of the quality of life and well-being. Conclusion: The activities contributed to an improvement in the quality of life and prevention of the factors conditioning the complications of ...

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International Research Journal of Diabetes and Metabolism (ISSN:2637-6717;10.28933/IRJDM) is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Diabetes and Metabolism.

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