[ Diabetes Solutions ]

Study highlights lack of guidance on deintensifying diabetic regimens

In young people with Type 1 diabetes, depressive symptoms and shared responsibility for management of diabetes impact upon diabetes management and control. Of particular interest was a revised scale of family support for performing diabetes self-care behaviors. We recruited 193 consecutive patients (aged 13-18 yr) with insulin-dependent diabetes mellitus during their regular quarterly visit to a diabetes clinic in a large urban hospital. Coping with disease was measured with the Turkish version of the Diabetes Coping Measure and adherence to treatment regimen was measured with a questionnaire adapted from the subscales of the Summary of Diabetes Self-Care Activities Questionnaire. This cross-sectional study was carried out on 120 patients referred to Yazd Diabetes Research Center. By use of multiple discriminant analysis, a combination of three types of statements by clinicians was found to predict high (better than 80%) comprehension by patients: demonstrating respect, sharing current clinical data, and acknowledging patient statements (inversely). Between-study heterogeneity were noted and could moderately limit the power of certain conclusions drawn from this meta-analysis.

The mean number of total intravitreal treatments was 3.50 ± 0.77 in Group I and 2.53 ± 0.51 in Group II (p = 0.001). The physician-patient interview is the key component of all health care, particularly of primary medical care.

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