Rome, Italy
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Lapolla A.,University of Padua | Carraro P.,Laboratorio Of Patologia Clinica | Suraci C.,UOC Dietologia
Giornale Italiano di Diabetologia e Metabolismo | Year: 2014

Portable glucose meters must obviously provide reliable results for safe and effective treatment of diabetic patients and it is essential to verify their accuracy, precision and inadequacies. To improve the performance of blood glucose meters currently on the market, in 2013 the International Standardization Organization (ISO) issued new standards that must be applied widely in countries that recognize these standards, by 2016. Although home monitoring of blood glucose is recommended for glycemic control in diabetic patients, patients still have many difficulties that influence its proper use. These findings once again highlight the importance of self-management training by the multi-disciplinary care team.

Visalli N.,UOC Diabetologia e Dietologia | Ciotola M.,Centro Assistenza Diabetici CAD accred | Lai A.,Presidio | Casucci S.,University of Perugia | And 9 more authors.
Giornale Italiano di Diabetologia e Metabolismo | Year: 2015

Fasting from dawn to dusk during Ramadan is one of the five pillars of Islamic practice, mandatory for all healthy adult Muslims. Most Muslim patients insist on fasting in Ramadan despite being exempt from the obligation. The population-based Epidemiology of Diabetes and Ramadan (EPIDIAR) study, conducted in 13 Islamic countries, found that 43% of patients with type 1 diabetes and 79% with type 2 diabetes fasted during Ramadan. World- wide, 40-50 million individuals with diabetes fast, so a corner- stone of safe fasting is the education of patients. Physicians must advise patients about nutrition, exercise and drug treatment and inform them about the potential complications of diabetes during prolonged fasting. Based on their clinical history, laboratory results and overall health, patients must be stratified for risk as low, moderate or severe. Therapeutic options for diabetes have grown recently with new therapeutic agents and new technologies; some have been tried during Ramadan and have potential therapeutic benefit. Patient education during the holy month of Ramadan is essential, and physicians/diabetic educators have a key role. As a long-term strategy, high-quality clinical trials and studies and more robust guidelines and recommendations are needed so as to formulate the best approach for each patient. The huge challenge of fasting in Ramadan should be part of a universal agenda transcending regional, national, provincial and local strategies. © 2015 UTET Periodici Scientifici srl. All rights reserved.

Gentili P.,University of Rome La Sapienza | Tambelli R.,University of Rome La Sapienza | Abbruzzese S.,UOC Dietologia | Visalli N.,UOC Dietologia | And 10 more authors.
Giornale Italiano di Diabetologia e Metabolismo | Year: 2012

During pregnancy women with a history of GDM suffer significant increases in depression, anxiety and phobias and a high incidence of fear about their own and the fetus' health. GDM is, in fact, a predictor of the risk of type 2 diabetes. Therefore, the correct lifestyle learned during pregnancy has to be continued lifelong. The aims of this study were the maintenance and enhancement of this correct lifestyle, the prevention or support of postpartum depression through narration strategies, empowerment and boosting the internal locus of control. In the diabetes outpatient department at the S. Pertini Hospital in Rome, a postpartum course has been set up for therapeutic education and counseling by a multidisciplinary team (diabetologist, dietician and psychologist) for women with previous GDM. Eight weeks after delivery, the mothers are divided into small groups (five or six in each) and scheduled to attend five one-hour meetings at intervals of three weeks. At the beginning and end of the series we administered a series of tests: "self-esteem scale" (SES), "powerlessness", "multidimensional locus of control scale" (MHLC) and "self-rating anxiety scale" (SAS), to assess the psychological aspects of self-esteem, feelings of helplessness, locus of control and anxiety. At the end of the protocol women had complied well with treatment (diet and exercise), and had less anxiety and regression of the depressive symptoms, with increases in self-esteem, and better capacity for compliance.

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