A5045374187- Diabetes Management and Research
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Diabetes Treatment and Management
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes and associated disorders
- Heart Rate Variability and Autonomic Control
- Health Policy Implementation Science
- Mobile Health and mHealth Applications
- Health and Wellbeing Research
- Diet and metabolism studies
- Pancreatic function and diabetes
- Diabetic Foot Ulcer Assessment and Management
- Primary Care and Health Outcomes
- Obesity and Health Practices
- Sleep and Work-Related Fatigue
- Schizophrenia research and treatment
- Blood Pressure and Hypertension Studies
- Pressure Ulcer Prevention and Management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Metabolism, Diabetes, and Cancer
- Health and Lifestyle Studies
- Family Caregiving in Mental Illness
- Tryptophan and brain disorders
- Resilience and Mental Health
Joslin Diabetes Center
2012-2023
Harvard University
2010-2023
Chestnut Hill College
2018
Lemuel Shattuck Hospital
2017
Harvard University Press
2003-2012
Pfizer (United States)
2007
Bayer (United States)
2007
Cornell University
2007
National Institutes of Health
2007
National Institute of Diabetes and Digestive and Kidney Diseases
2007
iabetes self-management education (DSME) is a critical element of care for all people with diabetes and necessary in order to improve patient outcomes.The National Standards DSME are designed define quality assist educators variety settings provide evidence-based education.Because the dynamic nature health diabetes-related research, these reviewed revised approximately every 5 years by key organizations federal agencies within community.A Task Force was jointly convened American Association...
Long-standing concern about the effects of type 1 diabetes on cognitive ability has increased with use therapies designed to bring glucose levels close nondiabetic range and attendant risk severe hypoglycemia.
OBJECTIVE—To evaluate the association between cognitive dysfunction and other barriers glycemic control in older adults with diabetes. RESEARCH DESIGN AND METHODS—Patients over age of 70 years presenting to a geriatric diabetes clinic were evaluated for successful management. Patients screened Mini Mental State Examination (MMSE) clock-drawing test (CDT) scored by 1) method validated Mendez et al. 2) modified CDT (clock box [CIB]). Depression was Geriatric Scale. Interview questionnaires...
OBJECTIVE—To determine whether insulin restriction increases morbidity and mortality in women with type 1 diabetes. RESEARCH DESIGN AND METHODS—This is an 11-year follow-up study of A total 234 (60% the original cohort) participated follow-up. Mean age was 45 years mean diabetes duration 28 at BMI 25 kg/m2 A1C 7.9%. Measures self-care behaviors, diabetes-specific distress, fear hypoglycemia, psychological eating disorder symptoms were administered baseline. At follow-up, data collected...
OBJECTIVE—To examine psychometric properties of the Self-Care Inventory-revised (SCI-R), a self-report measure perceived adherence to diabetes self-care recommendations, among adults with diabetes. RESEARCH DESIGN AND METHODS—We used three data sets adult type 1 and 2 diabetic patients SCI-R. Principal component factor analyses examined whether general or common factors were present. Associations measures theoretically related concepts assess SCI-R concurrent convergent validity. Internal...
The effects of type 1 diabetes and key metabolic variables on brain structure are not well understood. Sensitive methods assessing structure, such as voxel-based morphometry (VBM), have previously been used to investigate central nervous system changes in a diabetic population. Using VBM, we compared patients aged 25–40 years with disease duration 15–25 minimal complications an age-matched, nondiabetic control group. We investigated whether lower than expected gray matter densities were...
Objective. This study used a longitudinal design to investigate the buffering role of resilience on worsening HbA 1c and self‐care behaviours in face rising diabetes‐related distress. Method. A total 111 patients with diabetes completed surveys had their glycosylated haemoglobin (HbA ) assessed at baseline 1‐year follow‐up. Resilience was defined by factor score self‐esteem, self‐efficacy, self‐mastery optimism. Diabetes‐related distress were also assessed. Results. Baseline resilience,...
iabetes self-management education (DSME) is a critical element of care for all people with diabetes and necessary in order to improve patient outcomes.The National Standards DSME are designed define quality assist educators variety settings provide evidence-based education.Because the dynamic nature health diabetes-related research, these reviewed revised approximately every 5 years by key organizations federal agencies within community.A Task Force was jointly convened American Association...
iabetes self-management education (DSME) is a critical element of care for all people with diabetes and necessary in order to improve patient outcomes.The National Standards DSME are designed define quality assist educators variety settings provide evidence-based education.Because the dynamic nature health diabetes-related research, these reviewed revised approximately every 5 years by key organizations federal agencies within community.A Task Force was jointly convened American Association...
Although maintaining nearly normal glycemia delays onset and slows progression of diabetes complications, many patients with their physicians struggle to achieve glycemic targets. The best methods support as they follow prescriptions recommendations are unclear.To test the efficacy a behavioral intervention in improving long-duration, poorly controlled diabetes, we randomized 222 adults (49% type 1) (mean [SD] age, 53 [12] years; mean disease duration 18 hemoglobin A(1c) [HbA(1c)]...
This case series describes HbA1c levels and frequency of hypoglycemia among older patients with type 2 diabetes whose treatment regimen was simplified to once-a-day glargine or without noninsulin agents.
OBJECTIVE—To examine psychometric properties of the Confidence in Diabetes Self-Care (CIDS) scale, a newly developed instrument assessing diabetes-specific self-efficacy Dutch and U.S. patients with type 1 diabetes. RESEARCH DESIGN AND METHODS—Reliability validity CIDS scale were evaluated (n = 151) 190) outpatients In addition to assessment included HbA1c, emotional distress, fear hypoglycemia, self-esteem, anxiety, depression, self-care behavior. The sample completed additional measures on...
OBJECTIVE—The intensive treatment of diabetes to achieve strict glycemic control is a common clinical goal, but it associated with an increased incidence hypoglycemia. Becoming hypoglycemic while driving hazardous condition and may lead greater mishaps. This study investigated whether risk mishaps correlates such relationship. RESEARCH DESIGN AND METHODS—During routine visits specialty clinics in seven U.S. four European cities, consecutive adults type 1 diabetes, 2 nondiabetic spouse...
The purpose of this study was to evaluate whether severe hypoglycemia or intensive therapy affects cognitive performance over time in a subgroup patients who were aged 13-19 years at entry the Diabetes Control and Complications Trial (DCCT).This longitudinal involving 249 with type 1 diabetes between 13 19 old when they randomly assigned DCCT. Scores on comprehensive battery tests obtained during Epidemiology Interventions follow-up study, approximately 18 later, compared baseline...
The purpose of this study was to identify psychosocial issues related diabetes, approaches self-care, self-perceptions, and social interactions among insulin pump users with type 1 diabetes.Adult participated in focus groups loosely formed on the basis A1C level. Transcripts group meetings were coded into themes by five reviewers using NVivo2 qualitative software.Thirty adults long-term diabetes groups: two low mean +/-SD (6.8 +/- 0.4%), one mid (7.80 0.3%), high (9.1 0.5%). Three major...
Abstract This study investigated the resilience resources and coping profiles of patients with diabetes. A total 145 diabetes completed a questionnaire packet including two measurements (COPE Coping Styles Questionnaires) personal resources. Glycosylated haemoglobin (HbA 1c ) was also assessed. Resilience defined by factor score derived from measures self‐esteem, self‐efficacy, self‐mastery optimism. All maladaptive subscales were negatively associated (r's range −0.34 to −0.56, all p values...
<h3>Context</h3> Neural substrates for low cognitive performance and depression, common long-term central nervous system–related changes in patients with type 1 diabetes mellitus, have not yet been studied. <h3>Objective</h3> To investigate whether prefrontal glutamate levels are higher an elevation is related to lower depression. <h3>Design</h3> Cross-sectional study. <h3>Setting</h3> General clinical research center. <h3>Participants</h3> One hundred twenty-three adult varying degrees of...