Iranian Journal of Diabetes and Lipid Disorders

STUDY OF SCIENTIFIC OUTPUTS AND DETERMINED REGIONAL AND INTERNATIONAL LEVEL OF ISLAMIC REPUBLIC OF IRAN IN THE FIELD OF DIABETES DURING TWO LAST DECADES

Aref Riahi

Background: Determine of position and role of each country on scientific production in different subject areas shows level of capacity and performance of the country to help and improve this subject area. The aim of this study is to quantitative and qualitative examine of scientific production of Islamic Republic of Iran in the field of Diabetes and determine its regional and international position.
Methods: This is Survey-Descriptive Study and use Scientometrics approach. Statistical populations include 2291 scientific articles and papers which have been published by Iranian authors in the field of Diabetes in Scopus Database during 2 last decades. We used SPSS, NodeXL and VOSviewer to draw graphs and analysis data.
Results: Findings show that Iranian scientific outputs in the field of Diabetes increased from 5 in 1996 to 299 in 2015. Tehran University of Medical Science, United States and Dr Freedom Azizi Respectively founded as the most important producer Center, Partner country and high producer Author. Also place of Islamic Republic of Iran upgraded in the period study and stay on second position in region and twenty first position in the word.
Conclusion: Although Iranian scientific production in the field of Diabetes have been increased in a quantitative factors, but share of the Islamic Republic of Iran among all world production in the field of diabetes was so low. Also most of scientific papers and articles published in internal journals which haven’t good and high quality. Making planning and tacking decision by Medical Universities and Government of Health seems necessary to increase number of researches in diabetes and promote quality and quantity of scientific papers.

Evaluation Of Fasting Blood Sugar And Glycated Hemoglobin In Elderly Diabetic Patients Before And After Entering The Nationwide Program For Prevention And Control Of Diabetes In Isfahan

Ahmad Aliakbari kamrani

Background: Diabetes is a chronic disease that is increasing in the world that has a different outbreak in different societies. 90% to 95% of all types of diabetes include type 2 diabetes. This disease is spreading due to the Industrial life and urbanization .The Nationwide Program for Prevention and Control of Diabetes is already under way for controlling the disease and its side-effects. This study is intended to probe into the effects of the program in the country.
Methods: This study used a cross-sectional pre- and post-test design involving 100 elderly patients newly introduced to be suffering from diabetes who were selected by convenience sampling in Isfahan. The data collection methods were a questionnaire on demography and health, and another one on patients’ levels of fasting blood sugar (FBS) and hemoglobin glycosides (HbA1c(The data was gathered before and three months after the patients’ entrance into the program.
Results: The mean and standard deviation of the fasting blood sugar before the program were 172.73 and 71.68 and after the program 143.02 and 51.19, respectively (P<.001; t=5.30). And finally, glycated hemoglobin mean and standard deviation before the program were 8.24 and 1.9 and after the program 7.44 and 1.66, respectively (P<.001; t=4.79).
Conclusion: The results indicate the importance of the program for the prevention and control of the elderly patients’ diabetes by controlling their fasting blood sugar and glycated hemoglobin.It is recommended that this program be implemented in all health centers of the country.

Experiences Of Patients With Type Ii Diabetes About Insulin Use

Tahereh Dehdari

Background: Given the recognizing the determinants of medication adherence in diabetic patients is necessary to design appropriate interventions, the aim of this study was to clarification experiences of parsons with type II diabetes in terms of insulin use.
Methods: This qualitative study was conducted on 22 patients with type II diabetes who were referred to Glands Clinic of Firozgar Hospital, Iran University of Medical Sciences, Tehran, Iran in 2017 which were purposefully selected and interviewed. All interviews were recorded, transcribed and then analyzed.
Results: The mean age of participants was 56.72 (SD=9.16) yr old. After analyzing and coding of data, individual factors with 6 categories (included negative attitude regarding Insulin, emotional factors, knowledge, fear, belief about the more effectiveness of complementary therapies than insulin injection and inadequate skill for storage and inject insulin) and environmental factors with 3 categories (included cost, situational influences and social support) was identified as experiences participants^, in terms of insulin use.
Conclusion: Establishment of counseling and training centers for patients with diabetes and their families in endocrinology clinics, increase the support of insurance from diabetic patients, and the need for more time to training patients by doctors is essential.

Recognizing Different Aspects Of Healthy Life Style For Women With Diabetes Type Two: A Phenomenology Qualitative Research

Asghar Aghaei

Background: Diabetes is a chronic disease with consequences affecting many aspects and dimensions of life. Patients experience relates to many aspects of their lives because the disease involves their whole life.
The present study aims at defining the role of life style in patient's life. Reviewing their lived-experience can provide basic solutions to reform the life style of patients with diabetes.
Method: in this phenomenology qualitative research, sampling was done among patients referred to Isfahan Diabetes Charity Center in a purposeful manner with the most possible variety. A number of 33 women with diabetes in the age range of 35 to 69 years with an experience of at least one year of living with diabetes and without a history of acute mental disease were chosen. Gradual sampling was conducted from January 2017 to March 2017. Patients took part in 45 to 50 minute semi-structured interviews. The interviews were recorded and then the Colaizzi method format was analyzed.
Results: analysis process of data gathered from these patients' lived-experiences, resulted in extracting four themes including physical health, psychologic health, spiritual health and social health.
Conclusion: In order to reform the life style of patient's' with diabetes, a general comprehensive attitude in way of living is needed. Understanding the lived-experience and analyzing the life style experiences results in the field of health among patients with diabetes can assist the health care staff in providing better services and prevent returns to the inappropriate life style in the future.

Food Insecurity Among Type 2 Diabetic Patients Referred To The Nutrition Clinic In Ardabil City

Fatemeh Ghannadiasl

Background: Food insecurity is associated with the poor glycemic control. Therefore, this study was amid to determine food insecurity among type 2 diabetic patients in Ardabil.
Methods: In this analytical cross-sectional study, 153 type 2 diabetic patients (98 females and 55 males) were recruited from the nutrition clinic in their first visit in 2016. After measurement of weight and height, the participants were completed 3-day food records (2 weekdays and 1 weekend day). The energy, macronutrients and micronutrients intakes were calculated using N4 food analysis software. Food insecurity was measured by comparisons between the nutrients intakes and recommended dietary allowances. One sample T-Test and Independent sample T-Test were used for comparison.
Results: The mean of age, disease duration and body mass index were 49.56± 7.36 years, 6.34± 5.46 years and 28.55 ± 4.25 kg/m², respectively. Only one-fifth (19.6%) of participants fell within the normal weight range. The mean energy intake was 1922.20 ± 515.59 kcal/day. The carbohydrate, protein, and fat were contributed to 63.26%, 14.86% and 21.88% of the energy intake, respectively. The micronutrient intakes (calcium, magnesium, vitamins A, E, and C) were less than recommended dietary allowances.
Conclusion: Food insecurity, especially in calcium, magnesium, vitamins A, E, and C intakes was prevalence among type 2 diabetic patients. It is suggested that these patients should be educated based on their dietary requirements.

Effects Of Upper And Lower Body Interval Exercise On Carbohydrate Metabolism And Insulin Resistance In Obese Women

Minoo Bassami

Background: Prevalence of obesity and overweight in women increases the possibility of metabolic syndrome and diabetes. Based on the variety of the effects of different type of exercise and the differences in the upper and lower body muscle volume involved in the exercise, the effects of high intensity interval exercise with arm and leg ergometer on metabolism and insulin resistance might be different. The aim of this study was to compare the effect of upper and lower body interval exercise on carbohydrate metabolism and insulin resistance in obese women.
Methods: Twelve obese and overweight women (body mass index, 31.1±5.5 kg/m²) performed two interval exercise trials of 30-min on arm and leg ergometer with one week intervening. Interval exercise included 5 sets of 6 min in which 2- min activity at 85% VO_2max and 4 min active rest at 45% VO_2max was performed. Two blood samples were taken before and immediately after exercise for measuring glucose and insulin. VO₂ and VCO_2mwere collected during exercise and used to calculate the amount of carbohydrate oxidation.
Result: Although interval exercise reduced the insulin concentration, responses of insulin to upper and lower body exercises were not significantly different (P>0.05). Glucose level reduced following interval exercise, and this reduction was significantly (P<0.05) higher following lower body interval exercise than upper body exercise. Similarly the reductions in HOMA-IR were significantly (P<0.05) higher following lower body interval exercise than upper body exercise. Interval exercise resulted in increases in oxidation of carbohydrate, though; responses to upper and lower exercises were not significantly different.
Conclusion: It could be concluded that interval exercise in obese women leads to changes in carbohydrate metabolism and insulin resistance, and that the changes in insulin resistance are related to type of exercise (upper and lower body), though carbohydrate oxidation is not.