<![CDATA[Current Diabetes Reviews (Volume 20 - Issue 7)]]> https://benthamscience.com/journal/10 RSS Feed for Journals | BenthamScience EurekaSelect (+https://benthamscience.com) 2024-03-28 <![CDATA[Current Diabetes Reviews (Volume 20 - Issue 7)]]> https://benthamscience.com/journal/10 <![CDATA[Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism]]>https://benthamscience.com/article/1353792024-03-28Background: Current international guidelines recommend a pre-Ramadan risk assessment for people with diabetes (PwDM) who plan on fasting during the Holy month. However, a comprehensive risk assessment-based recommendation for the management of PwDM intending to fast is still controversial. Therefore, the Arabic Association for the Study of Diabetes and Metabolism (AASD) developed this consensus to provide further insights into risk stratification in PwDM intending to fast during Ramadan.

Methods: The present consensus was based on the three-step modified Delphi method. The modified Delphi method is based on a series of voting rounds and in-between meetings of the expert panel to reach agreements on the statements that did not reach the consensus level during voting. The panel group comprised professors and consultants in endocrinology (both adult and pediatric). Other members included experts in the fields of cardiovascular medicine, nephrology, ophthalmology, and vascular surgery, affiliated with academic institutions in Egypt.

Result: In PwDM who intend to fast during Ramadan, risk stratification is crucial to optimize patient outcomes and prevent serious complications. The present consensus provides risk assessment of those living with diabetes according to several factors, including the type of diabetes, presence, and severity of complications, number of fasting hours, and other socioeconomic factors. According to their risk factors, patients were classified into four categories (very high, high, moderate, and low risk).

Conclusion: Future research is warranted due to the controversial literature regarding the impact of fasting on certain comorbidities.

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<![CDATA[Review on Monoclonal Antibodies (mAbs) as a Therapeutic Approach for Type 1 Diabetes]]>https://benthamscience.com/article/1341912024-03-28 <![CDATA[Vitamin E and Diabetic Foot Ulcers]]>https://benthamscience.com/article/1345632024-03-28 <![CDATA[Diabetic Retinopathy: Clinical Features, Risk Factors, and Treatment Options]]>https://benthamscience.com/article/1357032024-03-28 <![CDATA[Effect of the Theory-driven Educational Intervention on Self-Care Behavior and Glycosylated Hemoglobin Level in Patients with Type 2 Diabetes]]>https://benthamscience.com/article/1348192024-03-28Background and Aims: The diabetics' lack of knowledge about self-care and incorrect beliefs in this care are the reasons for their admission to hospitals. The present study aimed to examine the impact of education based on the theory of planned behavior (TPB) on intention, self-care behavior, and glycosylated hemoglobin (HbA1c) levels in patients with Type 2 Diabetes.

Methods: The present study was conducted on 60 diabetic patients who were randomly classified into intervention and control groups. In the intervention group, self-care education based on TPB was held, but the control group only received routine care. The data were collected using a fourpart questionnaire including characteristics, items of patients’ knowledge, items of TPB constructs, and items of diabetes self-care. Data were analyzed in SPSS software.

Results: In intervention group, mean score of self-care behavior and its domains significantly changed from (total: 52.26±14.75, diabetic diet: 22.20±6.05, exercise: 5.17±4.04, blood sugar testing: 5.03 ± 4.15, medication: 5.40±2.28, foot care: 13.47±8.42) into 76.66±8.87, 29.43±5.48, 7.60±2.60, 8.73±2.31, 6.48±1.09, 23.53±3.09, respectively three months after intervention (p<0.01). In this case, these changes were not seen in the control group. The mean level of HbA1c in the intervention group (6.38±0.16) was significantly lower than before the intervention (7.56±1.08) and the control group (8.02±0.25) three months after intervention (p<0.01).

Conclusion: Education based on the TPB was effective in improving the patients' self-care behavior and HbA1c index. Therefore, we suggest all medical centers to use the TPB as an effective and low-cost educational approach to improve diabetics' self-care behavior and health.

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<![CDATA[Advances in the Management of Diabetes and Overweight using Incretin-based Pharmacotherapies]]>https://benthamscience.com/article/1361072024-03-28