ISSN:1357-8170    

DOI:10.1002/pdi.1960040202

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960040203

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractWhat non‐diabetic adults know about diabetes does not seem to have been previously quantified in the UK. This information would be helpful in planning the education of newly diagnosed diabetics, their families and the public.Five hundred self‐administered questionnaires were completed by employed people in different parts of Avon County, England. Of these questionnaires, 436 were suitable for analysis. Total knowledge scores were greater for respondents in Social Classes 1, 2 and 3 non‐manual, compared with other social classes, and for respondents with diabetics amongst their family or friends, compared with persons not familiar with diabetics.At least 60% of respondents knew that diabetes was not an infectious disease, that the disease can be helped with treatment and that it is treated with diet and injections. Less than 30% of the respondents knew that diabetes may affect the feet, that it may affect the bowels, that some diabetics are not able to join the police force, or do shift work, that smoking is more dangerous for diabetics and that adults can lessen their chances of developing diabetes. Eighteen per cent thought that diabetes need not be managed by either a general practitioner or hospital. The correct first aid management of unconscious diabetic patients was also not widely appreciated.These findings show that diabetes is poorly understood in the community. For the newly diagnosed diabetic and for the public, background knowledge, expectations and misconceptions about the disease still need to be identified and corr

ISSN:1357-8170    

DOI:10.1002/pdi.1960040204

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractCompetence in various aspects of diabetes self‐care was assessed in 125 patients attending the diabetic clinic at Royal Prince Alfred Hospital, Camperdown, Australia. Fifty patients were referred for review because poor management skills were suspected. Their performance was compared with that of 75 patients randomly selected for assessment. Whilst there was no difference in performance between these 2 groups, a significant determinant of competence in diabetes self‐care was fluency in English. Non‐English speaking patients scored significantly less in all aspects tested, except management of hypoglycaemia. Prior attendance at a diabetes education programme predicted better performance, but this was largely accounted for by better fluency in English. Re‐testing of deficit areas at 6 months showed significant improvements in performance. We conclude that all patients would benefit from the routine testing of diabetes management skills and such routine testing is needed to identify and rectify problem areas. Particular groups such as migrants require intensive efforts, so that their inadequate knowledge and skills can be ide

ISSN:1357-8170    

DOI:10.1002/pdi.1960040205

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960040206

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960040207

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960040208

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960040209

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractFocal motor neurological disturbances may be the presenting symptom of diabetic non‐ketotic hyperglycaemia(Refs 1–12). In such circumstances, the hyperglycaemia is not severe and serum osmolality is characteristically only mildly elevated. The sodium is usually normal or slightly raised. Further metabolic deterioration is reported to result in cessation of seizure activity and development of coma. Such convulsions are not seen in diabetic ketoacidosis, possibly because ketones have an anti‐epileptic effect. We report a case of focal motor epilepsy in a patient presenting with severe hyperglycaemia, marked hyponatraemia and acidosis. Ketones were present in both serum and

ISSN:1357-8170    

DOI:10.1002/pdi.1960040210

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960040211

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY