Effect of the family-centered program on management of blood glucose levels among children with type 1 diabetes at Tabuk

Azza Abdalla Ghoneim

Azza Abdalla Ghoneim – Effect of the family-centered program on management of blood glucose levels among children with type 1 diabetes at Tabuk. Fizjoterapia Polska 2023; 23(5); 126-135

DOI: https://doi.org/10.56984/8ZG20BA10

Abstract
Background. Diabetes mellitus (DM) is the second most common chronic disease in childhood. Diabetes care is multidimensional and should focus on preventing acute complications and reducing long-term consequences. A family-centered approach conserves the integrity of families and supports unique care for diabetic children.
Purpose. The study aimed to determine the effect of a family-centered program on the management of blood glucose levels in children with type 1 diabetes mellitus at Tabuk. Methods. The researcher employed a quasi-experimental design to conduct this study. A purposive sample of diabetic children and their families was included. Tools included a structured questionnaire (sociodemographic data, anthropometric measurements), Supervisory Behaviors of Caregivers, Management Behaviors of Children with DM questionnaires, a Self-efficacy Scale, and a Blood Glucose Levels Record Sheet. The study was conducted in three phases: preparatory, performance, and evaluation. Pre-test and post-test methods were utilized for data collection.
Results. There was a significant decrease in the mean scores of blood glucose levels, significant improvement in children’s management behavior for diabetic care, improvement in mothers’ supervisory behavior of management behavior for DM, and higher mean scores of mothers’ self-efficacy post compared to pre-family centered program.
Conclusion. Implementing the family-centered program improved children’s diabetic management behavior and hence controlling the blood glucose levels of children with diabetes mellitus and increased mothers’ self-efficacy. Recommendation. Transformation of diabetic management in children with DM to a fully family-centered system of care should be established.

Keywords
diabetes mellitus, family-centered program, blood glucose levels

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Comparing the effect of different acupoints stimulating methods on nerve conduction velocity in diabetic neuropathy: A randomised controlled study

Ashraf Ishak Michaiel Youssef, Nagwa Mohamed Badr, Hanan Hosni, Hala Mohamad Ezz el Din Hamed


Ashraf Ishak Michaiel Youssef, Nagwa Mohamed Badr, Hanan Hosni, Hala Mohamad Ezz el Din Hamed – Comparing the effect of different acupoints stimulating methods on nerve conduction velocity in diabetic neuropathy: A randomised controlled study. Fizjoterapia Polska 2022; 22(2); 112-117

Abstract
Purpose. To investigate the effect of needle versus laser acupuncture on nerve conduction velocity on diabetic neuropathies in type two diabetes. Methods. Fifty-five patients of both genders with age ranged from 40-60 years were diagnosed with lower extremities diabetic polyneuropathy. Patients were divided randomly into two equal groups; Group (A) (control group) treated by needle acupuncture and group (B) treated by laser acupuncture at same acupoints. All patients in both groups received two sessions per week for 6 weeks. The measurement variables were the tibial motor nerve conduction velocity (NCV) and sural sensory NCV, they were measured bilaterally, pre- and post-treatment for all patients. Results. At the acupuncture group only there was significant increase in NCV of tibial and sural nerves in both sides at post treatment in compare to pre treatment. Conclusion. acupuncture has a significant effect on improving the motor and sensory nerves function in patients with diabetic polyneuropathy. So it may be considered an appropriate safe and nonpharmacological complementary treatment option for type 2 diabetic polyneuropathy.
Key words:
acupuncture, nerve conduction velocity, diabetes mellitus, diabetic polyneuropathy
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Type 2 diabetes mellitus and rehabilitation after myocardial infarction

Paulina Głowacka, Katarzyna Mizia-Stec, Zbigniew Gąsior

Paulina Głowacka, Katarzyna Mizia-Stec, Zbigniew Gąsior – Type 2 diabetes mellitus and rehabilitation after myocardial infarction. Fizjoterapia Polska 2010; 10(4); 289-297

Abstract
This paper assesses the impact of type 2 diabetes mellitus (T2DM) on the effects of early post-discharge (Phase II) cardiac rehabilitation in post-myocardial infarction patients. The study involved 47 post-MI patients, of whom 21 had T2DM (Group I) and 26 did not have diabetes (Group II). Clinical symptoms and exercise test results according to the modified Bruce protocol were analysed at baseline and after 3 weeks of rehabilitation. HR and BP responses to exercise were evaluated along with metabolic expense and exercise duration. Both groups had a similar frequency of significant co-morbidities: arterial hypertension (76% in Group I and 73% in Group II) and lipid disorders (67% vs. 76%). Obesity was only found in Group II (36%). Both groups included patients after STEMI (75% in Group I vs. 69% in Group II) with no post-MI complications. The rehabilitation resulted in a significant improvement of exercise tolerance, which rose by 15% in METs, 20% in Watts, with test duration increasing by 13% in Group I, compared to 17%, 28%, and 16%, respectively, in Group II. Early post-discharge cardiac rehabilitation had a beneficial effect on exercise tolerance. In post-MI patients, type 2 diabetes diminishes the beneficial effects of rehabilitation.
Key words:
Diabetes Mellitus, Myocardial Infarction, phase II of cardiac rehabilitation
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