Journal Detail Information

1

Cite

Share

The Role and Significance of Medical Social Worker Intervention in Camps for Diabetic Patients.

Journal of Korean Diabetes.2018;19(4):246-254. doi:10.4093/jkd.2018.19.4.246

In diabetes camps, medical social workers interact with individuals and groups of participants to help them learn to adapt psychologically and emotionally to the stress from diabetes and to improve their ability to cope with interpersonal relationships. The change stage model (transtheoretical model) is applied to change the behavior of diabetics. Social worker intervention programs in diabetes camps provide opportunities for patients to manage their diabetes healthily by increasing self-esteem, participating in motivational counseling, and developing stress management, fear and conflict resolution. In particular, in the 2030 diabetes camp program, young diabetics can learn the personal importance of medical social workers through the ‘post-camp’ talk.
Camping ; Counseling ; Diabetes Mellitus ; Health Behavior ; Humans ; Motivation ; Negotiating ; Social Work* ; Social Workers*

2

Cite

Share

Blood Sugar Control and Low-Carbohydrate High-Fat Diet.

Eun Hee KANG

Journal of Korean Diabetes.2018;19(4):237-245. doi:10.4093/jkd.2018.19.4.237

Diabetes patients and pre-diabetic patients are increasing worldwide. Type 2 diabetes starts with insulin resistance, and the long-term habit of stimulating insulin secretions causes insulin resistance and accumulates body fat to develop obesity and non-alcoholic fatty liver into diabetes. It also causes a variety of chronic diseases such as high blood pressure, polycystic ovary diseases, cancer and dementia. Insulin resistance is caused by an unbalanced lifestyle, and among other factors, the balance of the macronutrient is a very important factor. Koreans are characterized by high carbohydrate intake. Given the increasing prevalence of diabetes and the characteristics of Korean physical and eating habits, a more effective balance of diet education is needed. Therefore, it is very important for clinical dietitian to understand the carbohydrate and fat metabolism caused by insulin, and the concept of balanced diet for blood sugar control needs to be shifted from low-fat high-carbohydrate diet to low-carbohydrate high-fat diet.
Adipose Tissue ; Blood Glucose* ; Chronic Disease ; Dementia ; Diet ; Diet, Fat-Restricted ; Diet, High-Fat* ; Eating ; Education ; Fatty Liver ; Female ; Humans ; Hypertension ; Insulin ; Insulin Resistance ; Life Style ; Lipoprotein Lipase ; Metabolism ; Nutritionists ; Obesity ; Ovary ; Prevalence

3

Cite

Share

Management of Elderly Diabetes Patients Who Are Unable to Self-Care.

Bok Rye SONG

Journal of Korean Diabetes.2018;19(4):232-236. doi:10.4093/jkd.2018.19.4.232

Modern medical advances have led to an aging society with longer life expectancy, and now the health awareness of the elderly is increasing, presuming an average age of 100 years. The elderly present with various clinical symptoms, delirium, falls, senility, dizziness, syncope, and urinary incontinence, which are defined as elderly syndromes not distinguished by separate diseases. In addition, 91% of people aged 65 or older have chronic diseases, 31.9% of which are limited by one or more of the six basic activities of daily living, while 3.5% do not perform their basic activities of daily living. In particular, the diabetes prevalence rate in the elderly has been reported to be around 30%, and since older adults with diabetes have a number of disturbing factors that cannot be self-controlled, we want to analyze them and consider alternative measures. The medical, social, mental, and functional approaches to diabetes assessment of patients inform the development of individualized treatments. Diabetes patients believe that personal and social efforts are very necessary to improve their quality of life and restore their physical and social functions through adequate self-care.
Accidental Falls ; Activities of Daily Living ; Adult ; Aged* ; Aging ; Chronic Disease ; Delirium ; Dizziness ; Humans ; Hyperglycemia ; Hypoglycemia ; Life Expectancy ; Prevalence ; Quality of Life ; Self Care* ; Self-Control ; Syncope ; Urinary Incontinence

4

Cite

Share

Advances in Glucose Monitoring and Insulin Therapy in Intensive Care Unit Patients.

Tae Nyun KIM

Journal of Korean Diabetes.2018;19(4):224-231. doi:10.4093/jkd.2018.19.4.224

Since the multicenter Normoglycemia in Intensive Care Evaluation-Survival Using Glucose Algorithm Regulation (NICE-SUGAR) study was published, the pursuit of tight glycemic control (TGC) among intensive care unit (ICU) patients has been seen as counterproductive and moderate glycemic control has become standard practice in ICUs. However, thus far, there is good evidence that hypoglycemia and hyperglycemia are associated with worse outcomes in ICU patients. Recently, the importance of improving time in band and reducing hypoglycemic episodes and glycemic variability has been more recognized. Compared to intermittent monitoring systems, continuous glucose monitoring (CGM) can have greater clinical benefit in terms of the prevention of severe hyperglycemia and hypoglycemia by enabling insulin infusions to be adjusted more rapidly and accurately. In this review, modern methods for glucose control in the ICU are presented, as well as future perspectives including the development of CGM and semiautomated glucose control, such as closed-loop systems.
Critical Care* ; Glucose* ; Humans ; Hyperglycemia ; Hypoglycemia ; Insulin* ; Intensive Care Units*

5

Cite

Share

Insulin Treatment in Hospitalized Patients.

Sun Joon MOON ; Young Min CHO

Journal of Korean Diabetes.2018;19(4):214-223. doi:10.4093/jkd.2018.19.4.214

In hospitalized patients, hyperglycemia is frequently observed in patients with and without diabetes. Inpatient hyperglycemia worsens outcomes, potentially leading to infection, post-operative complications, and even death. Therefore, it is important to control blood glucose level in an inpatient setting. However, in these patients, it can be difficult to achieve adequate glycemic control due to the disease itself (e.g., infection), treatment drugs (e.g., corticosteroids), procedures requiring fasting, or enteral/parenteral nutrition therapy. In most cases, insulin therapy is required. We reviewed the insulin treatment regimens in hospitalized patients.
Blood Glucose ; Diabetes Mellitus ; Fasting ; Humans ; Hyperglycemia ; Inpatients ; Insulin* ; Nutrition Therapy

6

Cite

Share

Effective Management of Diabetic Ketoacidosis.

Dong Hyeok CHO

Journal of Korean Diabetes.2018;19(4):208-213. doi:10.4093/jkd.2018.19.4.208

Diabetic ketoacidosis (DKA) is serious complication of diabetes mellitus that requires prompt recognition, diagnosis and treatment. It is characterized by a triad of uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration. The overall DKA mortality rate recorded among children and adults is < 1%. For patients with DKA, appropriate administration of intravenous fluids and insulin with attention to associated fluid and electrolyte disorders can effectively and rapidly resolve metabolic dysregulation. Following acute management and restoration of physiological glucose levels, DKA requires identification of the precipitating cause to prevent recurrence of potentially life-threatening diabetic complications.
Acidosis ; Adult ; Child ; Diabetes Complications ; Diabetes Mellitus ; Diabetic Ketoacidosis* ; Diagnosis ; Glucose ; Humans ; Hyperglycemia ; Insulin ; Ketosis ; Mortality ; Recurrence

7

Cite

Share

Management of Type 2 Diabetes Mellitus in the Elderly.

Soo Kyung KIM

Journal of Korean Diabetes.2018;19(4):200-207. doi:10.4093/jkd.2018.19.4.200

In Korea, by 2060, the proportion of the elderly population will be 40.1%, and at least one in three persons will have diabetes. Elderly patients with diabetes mellitus have higher rates of premature death, functional disability, and coexisting illnesses such as atherosclerotic cardiovascular disease than those without diabetes. In addition, the risk of geriatric syndrome, such as depression, cognitive dysfunction, urinary incontinence, falls, pain, and polypharmacy, is much higher in those with diabetes. The functional status of each elderly person varies greatly, such that comprehensive geriatric assessments for medical, psychological, functional, and social domains are needed. The goals and methods of diabetes management should be individualized according to the results of these assessments. In the treatment of vulnerable elderly patients with diabetes, hypoglycemia or overtreatment should be avoided.
Accidental Falls ; Aged* ; Cardiovascular Diseases ; Depression ; Diabetes Mellitus ; Diabetes Mellitus, Type 2* ; Geriatric Assessment ; Humans ; Hypoglycemia ; Korea ; Medical Overuse ; Mortality, Premature ; Polypharmacy ; Urinary Incontinence

8

Cite

Share

Effect of Nutrient Preload and Food Order on Glucose, Insulin, and Gut Hormones.

Jae Hyun BAE ; Young Min CHO

Journal of Korean Diabetes.2018;19(4):193-199. doi:10.4093/jkd.2018.19.4.193

Postprandial hyperglycemia is associated with the risk of diabetes mellitus, cardiovascular disease, and mortality. Nutrition therapy is an important component of the management of postprandial hyperglycemia. Postprandial glucose levels are determined by several factors, such as the quantity and composition of nutrients, gastric emptying rates, secretion of incretin hormones, insulin secretion, glucose uptake by peripheral tissues, and endogenous glucose production. Nutrient preload and food order (or meal sequence) are dietary approaches targeting these factors. Nutrient preload reduces postprandial glucose excursion by enhancing insulin secretion, augmenting the secretion of glucagonlike peptide-1, and delaying gastric emptying. Carbohydrates-last food order improves glycemic control, increases the secretion of glucagon-like peptide-1, and decreases insulin requirements. Therefore, both nutrient preload and manipulation of food order can be an effective, safe, and feasible strategy for treating hyperglycemia in individuals with diabetes mellitus.
Carbohydrates ; Cardiovascular Diseases ; Diabetes Mellitus ; Gastric Emptying ; Gastrointestinal Hormones ; Glucagon-Like Peptide 1 ; Glucose* ; Hyperglycemia ; Incretins ; Insulin* ; Meals ; Mortality ; Nutrition Therapy ; Whey Proteins

9

Cite

Share

Improving Diabetes Self-Mangement and Mental Health through Acceptance and Commitment Therapy.

Sung Chul LIM

Journal of Korean Diabetes.2018;19(3):186-191. doi:10.4093/jkd.2018.19.3.186

The purpose of this study was to introduce acceptance and commitment therapy (ACT) for diabetes educators and review its effectiveness on diabetes patient self-care and mental health. ACT can reduce disease burden by reducing cognitive fusion and experiential avoidance. Psychotherapy such as ACT may be a useful intervention for helping diabetes patients to improve self-care and mental health conditions. Diabetes educators should make continuous efforts to practice ACT for patients in clinical settings.
Acceptance and Commitment Therapy* ; Cognitive Therapy ; Depression ; Diabetes Mellitus ; Humans ; Mental Health* ; Psychotherapy ; Self Care

10

Cite

Share

Nutrition Management of Patients with Diabetic Gastroparesis.

Yeon Kyung LEE

Journal of Korean Diabetes.2018;19(3):180-185. doi:10.4093/jkd.2018.19.3.180

Gastroparesis is one of complications in diabetic patients which need different management with diabetic patients without complication. Diabetic gastroparesis is a chronic disease and has clinical symptoms such as early satiety, nausea, vomiting and abdominal pain. Patients with diabetic gastroparesis have a high risk of malnutrition, which may result in poor quality of life. Therefore, in patients with have a gastrointestinal disorder, such as delayed gastric emptying in the early stages of malnutrition, we should consider diagnosis and management for diabetic gastroparesis. This review focused on diagnosis, symptoms and proper nutritional management of patients with diabetic gastroparesis. To reduce gastrointestinal disorders, patients with diabetic gastroparesis provide information on the type of food, the number of meals, the intake of fats, the intake of dietary fiber, and the intake of vitamin minerals.
Abdominal Pain ; Chronic Disease ; Diabetes Mellitus ; Diagnosis ; Dietary Fiber ; Fats ; Gastric Emptying ; Gastroparesis* ; Humans ; Malnutrition ; Meals ; Minerals ; Miners ; Nausea ; Quality of Life ; Vitamins ; Vomiting

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share