Understanding the Roles of Romantic Partners and Parents in the Management of Type 1 Diabetes in Emerging Adults
We examined the perspectives of involvement in diabetes management of the parents and romantic partners of 29 emerging adults with type 1 diabetes, using qualitative interviews and an online survey. When the individuals with diabetes were in long-term romantic relationships, their partners were heavily involved in managing diabetes and providing support; however, when the individuals with diabetes were in short-term relationships or not in a relationship, their parents were described as having the biggest positive impact on their diabetes management. Emerging adults described the involvement of their parents and romantic p...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Feasibility and Acceptability of Ecological Momentary Assessment of Psychosocial Factors and Self-Management Behaviors Among Veterans With Type 2 Diabetes
This study evaluated the feasibility and acceptability of ecological momentary assessment (EMA) among veterans with type 2 diabetes. Ten veterans with type 2 diabetes were asked to respond to random EMA surveys during preprogrammed intervals five times per day for 14 days. EMA surveys were delivered via a mobile application and assessed momentary physical location, activities, social interactions, mood, stress, and pain. The last survey of each day included additional items about daily post-traumatic stress symptoms, diabetes distress, social support , physical activity, self-management behaviors, and functioning. Particip...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Partner Involvement in Type 2 Diabetes Self-Management: A Mixed-Methods Investigation
This study, which included 207 couples in which one person was recently diagnosed with type 2 diabetes, used a mixed-methods approach to assess types of partner involvement in diabetes management. First, different types of partner involvement were qualitatively identified from audio-recorded interviews, and links between qualitative findings and demographics were examined. Next, qualitative codes were compared with quantitative measures of partner involvement. Finally, relations of qualitative codes to relationship quality and diabetes outcomes were assessed. Qualitative analyses identified three ways in which partners wer...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Psychological Characteristics and Goals of Caregivers Choosing Continuous Glucose Monitoring for Children With Type 1 Diabetes
ConclusionCaregivers have different reasons for starting CGM for their child with type 1 diabetes. Further studies are needed to understand whether these reasons are related to differences in psychosocial functioning. Despite interest in starting CGM, there remain barriers to implementation. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Use of a Meter With Color-Range Indicators and a Mobile Diabetes Management App Improved Glycemic Control and Patient Satisfaction in an Underserved Hispanic Population: “Tu Salud”—A Randomized Controlled Partial Cross-Over Clinical Study
ConclusionUse of the OT meter and a Spanish-language version of its diabetes management app in an underserved population helped participants achieve a sustained improvement in glycemic control. The tools were well received by the subjects and may have important utility in other low-numeracy, low-literacy populations. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Opportunities for Enhanced Transition of Care Preparation for Adolescents and Emerging Adults With Type 1 Diabetes: Use of the READDY Transition Tool
This study evaluated self-reported confidence ratings as measured by the Readiness of Emerging Adults with Diabetes Diagnosed in Youth (READDY) tool among adolescents and EAs with type 1 diabetes and the association of the confidence ratings with clinical and demographic characteristics, as well as provider documentation of relevant anticipatory guidance topics. The READDY is a diabetes-specific tool used to collect patient-reported confidence in transition preparation topics to target educational interventions. These interventions are divided into four domains: Diabetes Knowledge, Health System Navigation, Insulin Self-Ma...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Home Telemonitoring of Patients With Type 2 Diabetes: A Meta-Analysis and Systematic Review
Telehealth has emerged as an evolving care management strategy that is playing an increasingly vital role, particularly with the onset of the coronavirus disease 2019 pandemic. A meta-analysis of 20 randomized controlled trials was conducted to test the effectiveness of home telemonitoring (HTM) in patients with type 2 diabetes in reducing A1C, blood pressure, and BMI over a median 180-day study duration. HTM was associated with a significant reduction in A1C by 0.42% (P = 0.0084). Although we found statistically significant changes in both systolic and diastolic blood pressure ( −0.10 mmHg [P = 0.0041] and −0.07 mmHg ...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Remote Patient Monitoring in Diabetes: How to Acquire, Manage, and Use All of the Data
The ability of patients and health care providers to use various forms of technology for general health has significantly increased in the past several years with the expansion of telehealth, digital applications, personal digital devices, smartphones, and other internet-connected platforms and devices. For individuals with diabetes, this also includes connected blood glucose meters, continuous glucose monitoring devices, and insulin delivery systems. In this article, the authors outline several steps to facilitate the acquisition, management, and meaningful use of digital diabetes data that can enable successful implement...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Evaluating the Implementation of the Diabetes Self-Management Program in a Rural Population
The evidence-based Diabetes Self-Management Program (DSMP) has been shown to improve a variety of health-related outcomes, but the program has been challenging to implement in rural areas, and rural dissemination has been low. The purpose of this project was to evaluate the effect of implementing the DSMP on self-reported outcomes in a rural region. Through a collaboration with multiple partners, the Living Well program delivered 28 DSMP workshops from 2017 to 2019. Data were collected to determine whether there were post-intervention changes in patient-reported outcomes on measures of diabetes distress, self-management, a...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

SHARE plus : Delivering a Telehealth CGM Data-Sharing Intervention to Older Adults and Their Care Partners
This article describes a study confirming the feasibility of SHAREplus, a telehealth intervention involving continuous glucose monitoring and data-sharing to assist these individuals in working together on diabetes management. The intervention provides a strategy for increasing remote patient monitoring and facilitating care partner involvement in diabetes management. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Telehealth Technologies and Their Benefits to People With Diabetes
This article reviews the current diabetes technology landscape and how recent advancements are being used to help overcome barriers in the management of diabetes. The authors offer case examples of how digital tools and platforms can facilitate diabetes care via telehealth and remote patient monitoring for individuals in special populations. They also provide tips to ensure success in implementing diabetes technology to provide the best possible care for people with diabetes in outpatient settings. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

About Josh Brown: Guest Editor
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Challenges and Opportunities in Using Telehealth for Diabetes Care
The ongoing coronavirus pandemic led to a rapid and dramatic increase in the use of telehealth for diabetes care. In the wake of this transition, we examine new opportunities and ongoing challenges for using telehealth within diabetes management, based on data and experiences from the pre-pandemic and pandemic time frames. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Leveraging Telehealth to Improve Diabetes Care Preface
In today ’s health care environment, the use of digital health—including mobile health (mHealth), health information technology, wearable devices, telehealth, telemedicine, and personalized medicine—is here to stay (Figure 1) (1). The broadest category of digital health is often referred to as “eHealth” and encompasses any electronically delivered health promotion. For example, an internet search of symptoms leverages eHealth. Within the broad eHealth category is mHealth, which is simply the exercise of eHealth using a mobile device such as would occur with the use of mobile health ap plications (apps) on a smart...
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research

Peer Support Interventions on Digital Platforms for Children With Type 1 Diabetes and Their Caregivers
This article discusses the significance of peer support and explores various digital peer support interventions in pediatric patients with type 1 diabetes (0 –18 years of age) and their caregivers. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - February 8, 2022 Category: Endocrinology Source Type: research