V3_8Apr19_Study Proposal_Farah (2).pdf - The Clinical Applications and Level of Adherence to the New Diabetes 2018 Guidelines for the Management of type

V3_8Apr19_Study Proposal_Farah (2).pdf - The Clinical...

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The Clinical Applications and Level of Adherence to the New Diabetes 2018 Guidelines for the Management of type 2 Diabetes: a Retrospective Cross-sectional Study, Ajman, UAE Researcher: Farah Jabbar Ali, Master Student (under GMU training), Dubai Pharmacy College ID: 2017 Supervisor: Dr. Juliana F. Roos, Dubai Pharmacy College Co-Supervisor: Dr. Mahir Khalil, Thumbay Hospital Ajman
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1. PROPOSAL ABSTRACT AND OBJECTIVES In 2018, the American Diabetes Association (ADA) consented with the European Association for the Study of Diabetes (EASD) as well as the Canadian Journal of Diabetes have both published guidelines for the management of type 2 diabetes mellitus in patients with established vascular risk (1,2). This study aims to assess extent to which these guidelines are followed in the management of patients with type 2 diabetes with established vascular risk in a tertiary hospital of the UAE. Patients with type 2 diabetes with established vascular risk, between January and December 2018, from the outpatient and inpatient diabetes clinics in Thumbay Hospital will be considered for inclusion into the study. Patient demographics, laboratory results as well treatment and risk factors for diabetes-related complications will be obtained from the Thumbay Hospital medical records database. 2. BRIEF INTRODUCTION AND PROBLEM STATEMENT Diabetes mellitus continue to be an expanding public health issue. Currently, it is expected that over 385 million people worldwide are affected by both, diabetes mellitus, type 1 and type 2. This figure is predicted to reach up to 500 million by 2030 (3). Diabetes mellitus (DM) is a complex group of metabolic disorders. It is sub-classified as type 1 and type 2 and results from abnormal insulin secretion, insulin sensitivity, or both.
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The lack of insulin or its inability to reduce blood glucose effectively, leads to hyperglycemia as well alteration in fat and protein metabolism. Diabetes requires from patients and their carers continuous self-management and awareness regarding a variety of possible acute and chronic complications that may arise from the inappropriate management of DM. Important evidence that supports a wide range of interventions to enhance diabetes outcomes are available (4). Lifestyle management, including physical activity, weight control, smoking cessation, nutrition management, as well as psychological consideration and support, among others, are all aspects of the diabetes self-management education and support (DSMES) (5). The recent dramatic growth in the number of glucose-lowering approaches from behavioral therapy to conventional medicines and surgical interventions and the expanding available medical data regarding their risks and benefits, provides greater options for diabetic patients and providers, nevertheless allowing for confusion and more complicated decision making.
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  • Spring '17
  • john
  • Diabetes, United Arab Emirates, Diabetes mellitus type 1

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