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Health and Healthcare for People with Diabetes

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (20 August 2023) | Viewed by 3556

Special Issue Editors


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Guest Editor
Nursing Department, Podiatric Clinic of the University of Extremadura CPUEX, 10600 Plasencia, Spain
Interests: podiatry; diabetic foot; Injuries; wounds; pediatry; biomechanical an orthopaedics

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Guest Editor
Nursing and Physiotherapy Department, Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Talavera de la Reina, Toledo, Spain
Interests: diabetic foot; risk foot; medical thermography; infrared thermography; health sciences; surgery
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Special Issue Information

Dear Colleagues,

Diabetes mellitus is a public health problem. According to the World Health Organization (WHO), the global prevalence of diabetes mellitus is 9% among adults over 18 years of age. This makes the clinical management of diabetic patients of vital importance.

The study of the evolution of the disease, the clinical involvement, and the consequences it entails in the lower limb are a matter of continuous scientific study.

The care of the lower limb from the podiatric point of view, specifically the management of the diabetic foot, aims to increase the quality of life of patients.

The complications of diabetes in the lower limb (neuropathy, arthropathy, wounds, amputations) must be minimized to avoid major damage that compromises the patient's quality of life.

Articles addressing these topics are invited for this Special Issue, especially those that combine a high academic and scientific level together with a practical approach to provide optimal solutions for the improvement of the diabetic patient.

Dr. Beatriz Gómez-Martín
Dr. Álvaro Astasio Picado
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • diabetes mellitus
  • diabetic foot
  • healthcare
  • clinical management

Published Papers (2 papers)

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Research

13 pages, 620 KiB  
Article
Feasibility and Outcomes of Meta Salud Diabetes Behavioral Health Intervention: A Pilot Study of a Community Health Worker-Administered Educational Intervention to Prevent Cardiovascular Disease and Its Complications among Hispanic Patients with Type-2 Diabetes
by Tomas Nuño, Maria Rocio Torres, Sheila Soto, Refugio Sepulveda, Benjamin Aceves and Cecilia Ballesteros Rosales
Int. J. Environ. Res. Public Health 2023, 20(21), 6968; https://doi.org/10.3390/ijerph20216968 - 24 Oct 2023
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Abstract
Background: Hispanics in the United States experience a greater burden of type-2 diabetes (T2D), with a prevalence rate (17%) more than twice that of non-Hispanic whites (8%). Cardiovascular disease (CVD) is the leading cause of death among people with T2D. A culturally appropriate [...] Read more.
Background: Hispanics in the United States experience a greater burden of type-2 diabetes (T2D), with a prevalence rate (17%) more than twice that of non-Hispanic whites (8%). Cardiovascular disease (CVD) is the leading cause of death among people with T2D. A culturally appropriate behavioral health intervention that addresses healthy lifestyle promotion is an impactful approach for health systems with scarce medical resources and a high prevalence of chronic conditions, including obesity and high blood pressure, which increase the likelihood of CVD mortality among type-2 diabetics. Purpose: To assess the feasibility and outcomes of a behavioral intervention to decrease CVD and complications in a Hispanic diabetic population. Methods: Meta Salud Diabetes (MSD), a behavioral intervention effective in a Mexican population, consists of a 13-week intervention addressing CVD and T2D knowledge and risk reduction. It was implemented in a sample of Hispanic diabetic patients from two federally qualified health centers (FQHCs). Clinical and behavioral variables were measured at baseline, postintervention, and 1-year follow-up. Results: The feasibility of MSD was rated as successful by all FQHC staff and well-received by both staff and study participants, with positive remarks about the culturally relevant components of the intervention. The sample size was n = 30 (baseline), n = 23 (postintervention), and n = 19 (1-year follow-up). Of note, quantitative results showed trending decreases in Hba1c (7.06; 6.80; 6.30), blood pressure (132/83; 126/80; 123/78), and total cholesterol (160; 159; 154). Conclusion: MSD is a feasible intervention and can address the need to improve health outcomes among Hispanic patients with T2D. Full article
(This article belongs to the Special Issue Health and Healthcare for People with Diabetes)
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14 pages, 398 KiB  
Article
Prevalence of Dementia among Patients Hospitalized with Type 2 Diabetes Mellitus in Spain, 2011–2020: Sex-Related Disparities and Impact of the COVID-19 Pandemic
by Ana Lopez-de-Andres, Rodrigo Jimenez-Garcia, Jose J. Zamorano-Leon, Ricardo Omaña-Palanco, David Carabantes-Alarcon, Valentin Hernández-Barrera, Javier De Miguel-Diez and Natividad Cuadrado-Corrales
Int. J. Environ. Res. Public Health 2023, 20(6), 4923; https://doi.org/10.3390/ijerph20064923 - 10 Mar 2023
Cited by 1 | Viewed by 1519
Abstract
(1) Background: To assess changes in the prevalence of dementia among patients hospitalized with type 2 diabetes (T2DM), to analyze the effects of dementia on in-hospital mortality (IHM) in this population, to evaluate sex differences, and to determine the impact of the COVID-19 [...] Read more.
(1) Background: To assess changes in the prevalence of dementia among patients hospitalized with type 2 diabetes (T2DM), to analyze the effects of dementia on in-hospital mortality (IHM) in this population, to evaluate sex differences, and to determine the impact of the COVID-19 pandemic on these parameters. (2) Methods: We used a nationwide discharge database to select all patients with T2DM aged 60 years or over admitted to Spanish hospitals from 2011 to 2020. We identified those with all-cause dementia, Alzheimer’s disease (AD), and vascular dementia (VaD). The effect of sex, age, comorbidity, and COVID-19 on the prevalence of dementia subtypes and on IHM was assessed using multivariable logistic regression. (3) Results: We identified 5,250,810 hospitalizations with T2DM. All-cause dementia was detected in 8.31%, AD in 3.00%, and VaD in 1.55%. The prevalence of all subtypes of dementia increased significantly over time. After multivariable adjustment, higher values were observed in women for all-cause dementia (OR 1.34; 95% CI 1.33–1.35), AD (OR 1.6; 95% CI 1.58–1.62), and VaD (OR 1.12; 95% CI 1.11–1.14). However, female sex was a protective factor for IHM in patients with all-cause dementia (OR 0.90; 95% CI 0.89–0.91), AD (OR 0.89; 95% CI 0.86–0.91), and VaD (OR 0.95; 95% CI 0.91–0.99). IHM among patients with dementia remained stable over time, until 2020, when it increased significantly. Higher age, greater comorbidity, and COVID-19 were associated with IHM in all dementia subtypes. (4) Conclusions: The prevalence of dementia (all-cause, AD, and VaD) in men and women with T2DM increased over time; however, the IHM remained stable until 2020, when it increased significantly, probably because of the COVID-19 pandemic. The prevalence of dementia is higher in women than in men, although female sex is a protective factor for IHM. Full article
(This article belongs to the Special Issue Health and Healthcare for People with Diabetes)
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