Showing 8 results for Diabetes
Mohammad Reza Meigounpoory, Pedram Yazdani, Hamid Reza Rezaeian Zadeh,
Volume 5, Issue 5 (3-2012)
Abstract
Background and Aim: Identification of entrepreneurial opportunities in the field of nutrition counseling is a central issue in employing nutrition consultants and meeting the needs of patients with chronic diseases better. To this end, the present survey has been conducted in order to analyze the supply and demand trends of diabetes nutrition counseling as a basic step toward identifying the entrepreneurial opportunities for nutrition consultants in Tehran.
Materials and Methods: To implement this descriptive-survey study, a questionnaire based on Likert scale was sent by email to 80 active professionals in the field of nutrition counseling services in Tehran, of whom 48 responded to its questions. Then, using SPSS11.5, the mean values of participants' responses were calculated and compared with one another.
Results: The findings obtained based on participants' responses revealed that the need for "nutritional counseling in the form of a treatment team" was mostly not met in different age, education and income groups of diabetic patients
Conclusion: "Nutrition counseling in the form of a treatment team" can be considered as a suitable field for entrepreneurial activities.
Mehr Angiz Kaviany, Behnaz Gharegozlou, Mozhgan Oshaghi, Maryam Sharifzade, Masoumeh Arabshahi,
Volume 10, Issue 4 (9-2016)
Abstract
Background and Aim: Diabetes is a metabolic disorder, in which either there is no sufficient insulin in the body or the available insulin is not capable of acting properly. Defining the effects of trace elements can help to make use of these elements in control or preventing diabetes.
Materials and Methods: Forty-eight Wistar male rats were equally divided into eight groups. Three different control groups and five test groups. Test groups was treated with streptozotocin (60 mg/kg intraperitonieal) to induce diabetes, then supplemented with specific trace elements: Zinc, Chromium, Magnesium, Manganese and Copper. After one week, glucose, triglyceride and cholesterol levels in serum of all groups were assayed with routine methods. Then mentioned trace elements were gavaged to each groups with proper dosages. Gavage was performed during 3 weeks, then the blood tests were repeated. Median values were taken, the results were analyzed by SPSS software and p<0.05 was considered statistically significant.
Results: Levels of glucose in the serum of experimental group were found to be significantly higher than in the control group (p=0.0009). Oral administration of trace elements for 23 days exhibited a significant reduction of serum glucose (P=0.0009) and cholesterol level (p=0.019) in streptozotocin-induced diabetic rats but not in control groups.
Conclusion: The present study indicated that treatment of diabetic rats with some trace elements to attenuate hyperglycemia until reaching the normal range. Between different trace elements which were used, Cr is suggested for its great ability in decreasing the glucose, cholesterol with no effect on triglyceride levels as compared with normal rats.
Marjan Ghazi Saeedi, Gholam Reza Esmaeili Javid, Niloufar Mohammadzadeh, Hamide Asadallah Khan Vali,
Volume 14, Issue 5 (1-2021)
Abstract
Background and Aim: Diabetes is one of the most common metabolic diseases in the world, of which one of the most common and painful complications is diabetic foot ulcer. The accuracy and comprehensiveness of the contents of electronic medical record is effective in improving the quality of treatment and the care of diabetic foot ulcer patients. The aim of this study is to determine the minimum data set (MDS) essential for diabetic foot patients' electronic medical records.
Materials and Methods: In this descriptive-analytical study, authoritative internet and library resources were studied to collect diabetic foot ulcer information elements. Fourteen physicians and nurses working and collaborating with the Wound Healing Center affiliated to Academic Center for Education, Culture and Research (ACECR) were selected for clinical survey, and 5 health information technology specialists of Tehran University of Medical Sciences (TUMS) were chosen for demographic information survey. The study tools were a researcher-made questionnaire, CVR content validity method and test-retest method for reliability.
Results: Out of 23 information elements surveyed in demographic section, cases above 99% of the agreement were selected. Also, out of 86 information elements of the clinical section, more than 51% of the cases were selected. Clinical experts included 6 wound specialists, 4 general practitioners and 6 nurses. In the demographic information section, the lowest agreement was related to the element of identity and Education level with 20% agreement. In clinical information, the lowest agreement was related to surgery, leech therapy and MRI of the foot with 0% and PRP, G-CSF, Sono-Doppler liver with 14%.
Conclusion: The minimum information elements of diabetic foot ulcer electronic medical record were divided into history, wound information, lower limb information, paraclinical results, wound management, and follow-up in clinical section; and in demographic information section, they were divided into identity, admission, finance, reporting, and system capability. The proposed model for manual and electronic medical records is available.
Atefeh Helmi Siyasi, Nahid Bijeh, Elham Hakak Dokht, Gholam Rasul Mohammad Rahimi,
Volume 15, Issue 2 (5-2021)
Abstract
Background and Aim: Recent studies indicate that increased body iron stores have been associated with the development of glucose intolerance and type 2 Diabetes. Ferritin is the most important iron storage protein in the body, which is used to evaluate disorders associated with iron metabolism. The aim of this study was to examine the effect of eight weeks of aerobic training on serum ferritin level, glycemic and lipid indices in women with type 2 Diabetes.
Material and Methods: Twenty Diabetic women aged 45-55 years were selected voluntarily and divided into experimental (n=10) and control (n=10) groups. The experimental group participated in the aerobic training program for eight weeks, three 60-minutes sessions per week with an intensity of 55-65% of heart rate reserve. The control group did not participate in any activity during the intervention period. Serum ferritin, glycemic and lipid indices were evaluated before and after eight weeks and then data were analyzed by SPSS software.
Results: Ferritin (P=0.012), insulin (P=0.004), fasting glucose (P=0.041), insulin resistance index (P=0.012), total cholesterol (P=0.041), and triglyceride (P=0.005) significantly decreased, while the mean of HDL(P=0.012) significantly increased in the experimental group. Moreover, the results showed that changes in ferritin (P=0.002), insulin (P=0.014), insulin resistance index (P=0.001) and TG (P=0.010) were statistically significant between the experimental and control groups.
Conclusion: Women with type 2 Diabetes can benefit from moderate-intensity aerobic exercise programs to improve their glycemic and lipid profile, as well as iron metabolism abnormalities.
Samira Goharinejad, Sharareh Rostam Niakan Kalhori, Raheleh Salari, Mehdi Ebrahimi,
Volume 15, Issue 5 (1-2022)
Abstract
Background and Aim: Diabetes Type II is a chronic metabolic disorder rising its prevalence worldwide. Self-care is the most important management strategy to control the disorder and its adverse effects. The aim of this study was to design and validate an assessment tool to determine the level of self-care of patients affected by Diabetes type II.
Materials and Methods: This study was a cross-sectional study. To conduct this study, based on reviewing the texts and reviewing the existing questionnaires, the proposed items were prepared and by eliminating and integrating similar items into a questionnaire in 4 areas related to diet, blood sugar monitoring, Physical activity, drug use was designed with 15 questions. Thirty patients with type 2 diabetes referred to the endocrinology clinic completed a questionnaire. The reliability of the questionnaire was assessed using Cronbach’s alpha and the validity of the questionnaire was assessed by content validity (CVR). Data were analyzed using SPSS software.
Results: The results showed that the mean and standard deviation of the age of the studied units was 52.4±12.51 years, of which 50% were female and the other 50% were male. 56% of them had type 2 diabetes for less than 5 years. Also, people with higher education had relatively better metabolic control in diabetes management and patients ‘answer to question 6 had the highest mean, which shows patients’ attention to blood sugar control. To determine the reliability of the questionnaire, Cronbach’s alpha coefficient for all questions was 0.773, with the omission of question 9, it was increased to 0.796. Only two validity questions were 0.66 and 0.16 which were excluded from the test. Pearson correlation coefficient was calculated for each question.
Conclusion: The results of this study showed that the questionnaire has the necessary validity and reliability. With this tool, appropriate advice can be provided to patients with type 2 diabetes in the field of self-care, including diet, medication, physical activity and blood sugar control to prevent the progression of the disease and its complications.
Nillofar Moradi, Mohammad Azizi, Elham Niromand, Worya Tahmasebi,
Volume 16, Issue 3 (8-2022)
Abstract
Background and Aim: Diabetes is a multifactorial disease characterized by chronic high blood sugar and insulin resistance. In general, the global increase in the incidence of type 2 diabetes is caused by poor nutrition and inactivity. Therefore, the aim of this study was to evaluate the effect of 8 weeks of combined exercise with quinoa supplementation on fasting blood sugar, appetite and quality of life in women with type 2 diabetes.
Materials and Methods: In this study, 36 women with type 2 diabetes were divided into 3 groups: exercise+supplement (n=12), supplement (n=12) and control (n=12). The exercise+supplement and supplement group consumed 25 grams of cooked quinoa seeds for 3 days a week. The exercise+supplement group also did combined exercise for 8 weeks, 3 times a week. Exercise was performed with an intensity of 10-12 pressure perception. The Persian version of the quality-of-life questionnaire was used to measure the quality-of-life index and the appetite questionnaire was used to assess appetite. Blood samples were taken 48 hours before and after the interventions, measurements and questionnaires were completed. One Way ANOVA, LSD post hoc and paired t were used at the significance level of P≤0.05.
Results: According to the results of 8 weeks of intervention in the exercise+supplement group (P=0.001)(2.59%) and the supplement group (P=0.04)(1.54%) compared to the control group (P=0.32)(1.54%) caused a significant reduction in Fasted blood sugar. There was also a significant decrease in appetite index in the exercise+supplement group (P<0.001)(54.20%) and the supplement group (P=0.001)(60.31%) as compared to the control group (P=0.11)(7.91%). Quality of life data also showed a significant increase in this index in the exercise+supplement group (P=0.008)(5.95%) and supplement group (P=0.002)(3.80%) as compared to the control group (P=0.10)(0.99%).
Conclusion: Eight weeks of combined exercise with consumption of quinoa seeds has a positive and improving effect on fasting blood sugar index, quality of life and appetite in patients with type 2 diabetes.
Fatemeh Bahador, Azam Sabahi, Samaneh Jalali, Fatemeh Ameri,
Volume 16, Issue 6 (1-2023)
Abstract
Background and Aim: Diabetes is one of the most common metabolic diseases in Iran and the fifth leading cause of death all over the world. Its spread around the world has created new methods in biomedical research, including artificial intelligence. The present study was carried out to review the studies conducted in the area of artificial intelligence and diabetes in Iran.
Materials and Methods: This study was carried out using a systematic review method. Valid domestic databases, including Irandoc, Magiran, Sid and Google Scholar search engine, were reviewed using the keywords of artificial intelligence and diabetes in Persian both individually and in a combined manner without time limitation until June 20, 2021. A total number of 7495 articles were retrieved, which were screened in different stages (exclusion of duplicates (1824), title and summary of the articles (5884) and full text (30) and finally 20 articles that met the criteria desired by the researchers were carefully reviewed.
Results: Among the retrieved articles, 20 articles met the inclusion criteria, of which 16 articles dealt with methods based on artificial intelligence and 4 articles dealt with the design of new systems based on artificial intelligence. Also, 10 articles examined the role of artificial intelligence in prediction, 8 articles in diagnosis, and 2 articles dealt with the control and management of diabetes. Most of the articles were related to the use of data mining methods such as artificial neural network, decision tree, etc. (16 articles). Some studies also evaluated and compared artificial intelligence methods on application, accuracy and the sensitivity of artificial intelligence in diagnosing and predicting diabetes (10 studies).
Conclusion: A systematic review of articles revealed that the use of data mining methods for diabetes management in Iran has been associated with good progress, but there is a need to design artificial intelligence systems and algorithms and more measures should be taken in the area of diabetes control and management.
Ali Mawla Gawwam Al Meyyah, Hamid Jaddoa Abbas, Reza Afrisham, Nahid Einollahi,
Volume 17, Issue 4 (10-2023)
Abstract
Background and Aim: Diabetes is a metabolic disorder characterized by an elevated blood glucose level, resulting from impairments in insulin action, insulin secretion, or both; which causes abnormalities in the metabolism of carbohydrates, protein, and lipids. Chronic hyperglycemia is associated with long-term damage, dysfunction, and failure of various organs. Adropin and irisin are newly described proteins that can be an essential component in the pathophysiological pathways of diabetes mellitus. The current study was designed to evaluate Irisin and Adropin biochemical markers in patients with type 2 diabetes mellitus and their correlation with risk factors.
Materials and Methods: A case control study, that included 90 patients of type 2 diabetes mellitus and 90 healthy individuals, who matched for both age and sex with patients. Fasting blood sugar (FBS), HbA1c, serum insulin, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and triglycerides (TG), irisin and adropin were measured at the chemistry laboratory of AL-Faihaa teaching Hospital by standard methods.
Results: Serum irisin (8.154±1.642 vs. 14.06±3.916 ng/ml) and adropin (25.39±8.897 vs. 59.43±8.768 pg/ml) levels were significantly lower in the patient group than in the control cases, respectively (P.value<0.0001). Serum adropin levels were significantly and positively correlated with age (r=0.236, P=0.025) and negatively with BMI (r=-0.209, P=0.048). While, serum irisin levels were significantly and negatively correlated with TG (r=-0.248, P=0.018). Based on ROC analysis, the AUC for irisin was 0.937 (95% CI: 0.906-0.969), which showed a sensitivity of 91.1% and a specificity of 80.0% at the cut-off of 9.715 (P<0.0001). In addition, the AUC for adropin was 0.991 (95% CI: 0.980-1.00), which showed a sensitivity of 100.0% and a specificity of 91.1% for this biomarker at a cut-off of 37.945 (P<0.0001).
Conclusion: Our findings showed that the serum levels of irisin and adropin were lower in the patient group than in the control group. Probably, the reduction of adropin and irisin may be used as a biomarker to predict the risk of T2DM, which requires more studies in this regard.
