ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Inflammation Disrupts Memory - What Can You Do to Protect Your Brain?

Artificial sweeteners linked to risk of weight gain, heart disease and other health issues

All About Ginkgo Biloba: Benefits of This Timeless Herbal Supplement

Yarrow Oil: Here's Why It Deserves a Place in Your First-Aid Kit

Vitamin D supplement use associated with lower risk of breast cancer

Carnitine deficiency suggested as contributor to autism

Lutein — An Important Nutrient for Eye and Brain Health

Hop Oil: A Safe Sleep Aide

White Camphor Oil: The Purest Camphor Oil

Taurine: Facts About This Crucial Amino Acid

Print Page
Email Article

Self-management strategies needed for diabetics, say Pittsburgh researchers

  [ 151 votes ]   [ Discuss This Article ] • June 16, 2003

Primary care physicians hold key to helping patients avoid poor outcomes

NEW ORLEANS, June 15 – As the rate of diabetes in the United States continues to skyrocket, University of Pittsburgh researchers call for increased awareness among primary care physicians (PCPs) of the importance of patient self-management strategies such as proper nutrition and exercise, and of controlling patients' cardiovascular risk factors to avoid deadly complications. Three investigators report study findings at the American Diabetes Association's 63rd Scientific Sessions June 13-17 in New Orleans. PCPs need a clearer understanding of patient self-management

People with diabetes could have better outcomes and a better quality of life if they received more support from their PCPs regarding self-management – how to care for their diabetes – not simply a definition of what diabetes is, reports Linda Siminerio, R.N., Ph.D., director of the University of Pittsburgh Diabetes Institute.

Dr. Siminerio led a study to gain an understanding of PCPs' perceptions and their recognition of diabetes self-management education. In the assessment, she and her research team used two scales – the Barriers to Diabetes Care (BDC) and the Diabetes Attitude Scales (DAS) – to evaluate PCPs' perceptions.

Results from the BDC scale indicated that PCPs believe diabetes education and access are the greatest barriers to patients' diabetes care.

"Interestingly, those doctors who on the BDC reported the lack of education as the greatest barrier had the lowest mean scores on the psychosocial and autonomy areas on DAS, indicating a need for PCP education that includes attention to the psychosocial impact diabetes has on their patients and the important role of the patient in decision-making and self-care," Dr. Siminerio explained.

Self-management includes practices such as using glucose measurement results in making healthy decisions about meal planning and physical activity.

"It is important for PCPs to understand that diabetes education is not just a transfer of knowledge. It is instruction in how to care for oneself," Dr. Siminerio continued. "Diabetes education needs to expand out to communities and be more available through PCPs in their practice sites."

During the ADA conference, Dr. Siminerio will receive the Harold Rifkin Award for Distinguished International Service to Diabetes. The award recognizes her contributions to diabetes care worldwide as the American representative to the International Diabetes Federation (IDF). She works extensively with the North American Region of the IDF.

Underused: self-management education services and nutrition/exercise counseling

Despite evidence demonstrating that diabetes self-management education services have positive effects on patient outcomes, and that it is reimbursable, the service is underused by diabetic patients and their PCPs, reports Gretchen Piatt, a doctoral student in epidemiology at the University of Pittsburgh Graduate School of Public Health.

Researchers reviewed diabetic patients' medical charts at primary care offices in three geographically diverse communities. Average age was 64 years; 38 percent had educations beyond high school and 98 percent had insurance. Investigators looked for evidence of outpatient diabetes self-management training during the previous calendar year.

Results showed that less than 10 percent of all patients received this service. Rural patients in the study fared particularly poorly, with no self-management training.

"While the unavailability of trained diabetes educators in rural communities can explain in part the under-use of such preventive services, the low utilization of services in other communities may be due to the PCPs' failure to recognize how much their patients can benefit from diabetes education," said Piatt.

Better PCP monitoring of risk factors can avoid heart disease in those with diabetes

The University of Pittsburgh's Janice Zgibor, Ph.D., reports inadequate PCP monitoring and treatment of diabetic patients' heart disease risk factors. With better attention to their patients' non-diabetic conditions, PCPs can help them avoid heart disease, which remains the leading cause of death in people with diabetes.

Dr. Zgibor, who is a research associate in the department of epidemiology, University of Pittsburgh Graduate School of Public Health, examined the level of control of blood sugar, blood pressure and cholesterol in 762 patients at 11 primary care practices in 1999. Their average age was 65 years, and they had had diabetes for an average of nine years.

Results show that among patients with high cholesterol, those who already had heart disease were five times more likely to be treated for their high cholesterol than those without a heart disease diagnosis. Likewise, among patients with high blood pressure, those who already had heart disease were twice as likely to be treated for their high blood pressure than those without a heart disease diagnosis.

"Clearly, these results demonstrate poor primary prevention efforts through control of risk factors for heart disease in people with diabetes," said Dr. Zgibor. "Better efforts among PCPs at controlling risk factors could lessen illness and death from heart disease."

Post a Comment

Featured Products From the ProHealth Store
Ultra ATP+, Double Strength Ultra EPA  - Fish Oil Optimized Curcumin Longvida®

Article Comments

Be the first to comment on this article!

Post a Comment

NAD+ Ignite with Niagen

Featured Products

Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%

Natural Remedies

Dreaming of a Good Night's Sleep? Dreaming of a Good Night's Sleep?
When a Negative is Positive - Goodnighties Recovery Sleepwear When a Negative is Positive - Goodnighties Recovery Sleepwear
The Brain Boosting and Fatigue Fighting B-12 The Brain Boosting and Fatigue Fighting B-12
The Genetic Mutation That May Compromise Your Health - And What to Do About It The Genetic Mutation That May Compromise Your Health - And What to Do About It
Why Berries Offer a Rainbow of Health Benefits Why Berries Offer a Rainbow of Health Benefits

ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
Credit Card Processing
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map