Symptoms Suggestive of Gastroparesis in a Community-Based Cohort of European Americans and African Americans with Type 2 Diabetes Mellitus

AbstractBackgroundAlthough gastroparesis is seen in patients with type 2 diabetes mellitus (T2DM), the prevalence of symptoms suggestive of gastroparesis in patients with T2DM is unknown, particularly among African Americans.AimsTo determine the prevalence of symptoms associated with gastroparesis in a large community-based population of European Americans and African Americans with T2DM.MethodsIndividuals with T2DM in the Diabetes Heart Study were asked to complete the gastroparesis cardinal symptom index (GCSI) and other GI-related questionnaires. GCSI total score ≥ 18 represented moderate or worse symptoms suggestive of gastroparesis.ResultsA total of 1253 participants (700 female, 553 male) completed the GCSI: 750 were European American and 503 African American. GCSI scores ≥ 18 were recorded in 72 participants: 38 (5%) of European Americans and 34 (7%) of African Americans. The average GCSI was 24.1 in European Americans and 24.6 in African Americans, indicating moderate to severe symptoms. Compared to European Americans with GCSI scores ≥ 18, African American s were younger (59.4 vs. 53.3 years,p = 0.004), had earlier onset of T2DM (46.3 vs. 40.1 years,p = 0.01), higher HbA1c (7.6 vs. 9.1,p = 0.0009), underwent fewer upper endoscopies (55.3% vs. 26.5%,p = 0.02), and had more anxiety and depression (p 
Source: Digestive Diseases and Sciences - Category: Gastroenterology Source Type: research

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ConclusionsBy sexes we observed significant frequencies of frailty and pre-frailty in males with DM ” and in women with HTN. In the Katz scale, women with DM2 have high percentages of disability in basic activities of daily living. Associating DM2 and HTN with frailty, dysfunction and depression reveals a lack of prevention.
Source: International Journal of Diabetes in Developing Countries - Category: Endocrinology Source Type: research
Publication date: Available online 6 September 2019Source: International Journal of Nursing SciencesAuthor(s): Melissa A. McCoy, Laurie A. TheekeAbstractType 2 diabetes mellitus contributes to poor health outcomes including mortality, yet there is a gap in the literature when seeking to understand the influence of psychosocial factors on coping in this population. The paper presents a systematic review of quantitative studies that examined relationships among psychosocial determinants and coping in adults with type 2 diabetes. This review is the second layer of knowledge discovery for the concept, “Taking on a life-a...
Source: International Journal of Nursing Sciences - Category: Nursing Source Type: research
madas Diabetes complications, medication adherence, and psychosocial well-being have been associated with quality of life (QOL) among several Western and Asian populations with diabetes, however, there is little evidence substantiating these relationships among Malaysia’s unique and diverse population. Therefore, a cross-sectional study was conducted in a Malaysian public primary care clinic among 150 patients diagnosed with type 2 diabetes mellitus (T2DM). Structured and validated questionnaires were used to investigate the associations between demographic, clinical, and psychological factors with QOL of the...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
ConclusionThese findings suggest a new perspective on the role of psychological patterns in type 2 diabetes mellitus development and progression.
Source: International Journal of Behavioral Medicine - Category: Psychiatry Source Type: research
Publication date: Available online 6 September 2019Source: International Journal of Nursing SciencesAuthor(s): Melissa A. McCoy, Laurie A. TheekeAbstractType 2 diabetes mellitus contributes to poor health outcomes including mortality, yet there is a gap in the literature when seeking to understand the influence of psychosocial factors on coping in this population. The paper presents a systematic review of quantitative studies that examined relationships among psychosocial determinants and coping in adults with type 2 diabetes. This review is the second layer of knowledge discovery for the concept, “Taking on a life-a...
Source: International Journal of Nursing Sciences - Category: Nursing Source Type: research
Conclusions: The results of this study demonstrated that more than a half of patients with diabetes had anxiety and/or depression and one third had Type D personality, sustaining that monitoring of emotional state and depression should be included in the therapeutic plan of these patients. New treatment strategies are needed to improve the well-being of diabetic patients with psychological comorbidities. PMID: 31491990 [PubMed - in process]
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research
AbstractObjectiveType 2 diabetes mellitus (T2DM) has been associated with osteoarthritis (OA). T2DM may be associated with generalized OA (GOA  ≥ 3 joints) rather than localized OA (LOA 
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
Nature Reviews Endocrinology, Published online: 30 July 2019; doi:10.1038/s41574-019-0244-0Psychological problems such as depression and anxiety can hamper self-management in patients with type 2 diabetes mellitus (T2DM). A new prospective study reported that adults with T2DM and diagnosed anxiety disorder had a higher number of emergency visits and a higher cost status, but not total hospitalization costs, than those without diagnosed anxiety disorder.
Source: Nature Reviews Endocrinology - Category: Endocrinology Authors: Source Type: research
This study will examine the efficacy of interventions in a population with pre-diabetes. Qualitative components provide rich description of views on the interventions. When combined with the economic analysis, the study will provide insights into how to translate the interventions into practice.Trial registrationAustralian New Zealand Clinical Trials Registry,ACTRN12617000990325. Prospectively registered on 10 July 2017.
Source: Trials - Category: Research Source Type: clinical trials
Type 2 diabetes mellitus (T2DM) is a prevalent health problem, not only globally, but also in Saudi Arabia. A growing body of literature suggests a bi-directional association between T2DM and various mental he...
Source: International Journal of Mental Health Systems - Category: Psychiatry Authors: Tags: Research Source Type: research
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