17/mar/2025
Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial
einstein (São Paulo). 17/mar/2025;23:eAO1076.
Ver Artigo17/mar/2025
Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial
DOI: 10.31744/einstein_journal/2025AO1076
Highlights ■ A 13-week Tai Chi/Qigong program significantly reducedanxiety and stress in Brazilian patients with diabetes and hypertension. ■ Tai Chi/Qigong offers an effective complementary therapy to improve health outcomes in primary care settings. ■ This study highlights the potential of Tai Chi/Qigong for enhancing mental and physical well-being in chronic disease management. ABSTRACT Objective: This study investigated the effects of Tai Chi/Qigong practice over 13 weeks on anxiety and perceived stress levels in middle-aged or older Brazilian hypertensive and […]
Palavras-chave: Idoso; Ansiedade; Complementary therapeutic methods; Diabetes mellitus tipo 2; Hipertensão; Middle aged; Avaliação de resultados (cuidados de saúde); Perceived stress scale; Atenção Primária à Saúde; Qigong; Stress, psychological; Tai ji
10/mar/2025
Cutaneous manifestations of diabetes mellitus: a narrative review
DOI: 10.31744/einstein_journal/2025RW1193
ABSTRACT Diabetes mellitus is a highly prevalent human endocrine disorder. Skin lesions are reported in approximately one-third of all diabetes mellitus patients. The clinical presentation and frequency vary according to the subtype of diabetes mellitus, metabolic control, and clinical course, with certain skin diseases occurring before diagnosing hyperglycemia. In this regard, the correct definition of cutaneous manifestations associated with diabetes mellitus can help define the etiology of hyperglycemia as well as the need to optimize glycemic control. In this narrative […]
Palavras-chave: Diabetes mellitus tipo 2; Diabetes mellitus, type 1; Diabetes mellitus, type 2; Diagnóstico diferencial; Skin diseases
06/nov/2024
Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review
DOI: 10.31744/einstein_journal/2024RC1111
ABSTRACT Agents that inhibit programmed cell death (IPD-1) in T lymphocytes are indicated for patients with advanced cancer. However, some individuals may develop endocrinological conditions, such as diabetes, thyroid dysfunction, and lipodystrophy, after treatment. This systematic review and case report of IPD-1 lipodystrophies describes a patient who received nivolumab treatment for advanced clear cell renal carcinoma and subsequently developed diabetes as well as facial and body lipodystrophy. The patient complained of social distress due to her facial appearance. We treated […]
Palavras-chave: Tecido adiposo; Apoptose; Carcinoma de células pequenas/quimioterapia; Diabetes mellitus tipo 2; Lipodystrophy; Nivolumab; renal cell; Linfócitos T; Thyroid gland
17/out/2024
Elevating care: assessing the impact of telemonitoring on diabetes management at a cutting-edge quaternary hospital
einstein (São Paulo). 17/out/2024;22:eAO0748.
Ver Artigo17/out/2024
Elevating care: assessing the impact of telemonitoring on diabetes management at a cutting-edge quaternary hospital
DOI: 10.31744/einstein_journal/2024AO0748
Highlights Telemonitoring reduced hospital readmissions in patients enrolled in the diabetes program by 15.4%. Men patients who received telemonitoring had lower readmission rates than those who did not. There was a difference in the readmission rate between those who underwent telemonitoring and those who did not in patients aged <60 and >75 years. Patients who stayed >10 days and underwent postdischarge telemonitoring had a lower readmission rate than those who did not undergo telemonitoring. ABSTRACT Objective: To assess whether post-discharge […]
Palavras-chave: Adulto; Diabetes mellitus tipo 2; Hospitalização; Hiperglicemia; Tempo de internação; Alta do paciente; Readmissão do paciente; Telemonitoramento
09/nov/2022
Combination therapy with lansoprazole and cholecalciferol is associated with a slower decline in residual beta-cell function and lower insulin requirements in children with recent onset type 1 diabetes: results of a pilot study
einstein (São Paulo). 09/nov/2022;20:eAO0149.
Ver Artigo09/nov/2022
Combination therapy with lansoprazole and cholecalciferol is associated with a slower decline in residual beta-cell function and lower insulin requirements in children with recent onset type 1 diabetes: results of a pilot study
DOI: 10.31744/einstein_journal/2022AO0149
ABSTRACT Objective To investigate the effects of combination therapy with cholecalciferol and lansoprazole on residual β-cell function and glycemic control in children with new-onset type 1 diabetes. Methods Children aged 6-12 years with type 1 diabetes were allocated to receive cholecalciferol and lansoprazole (Group 1) or no treatment (Group 2). Children were maintained on their respective insulin regimens and kept records of blood sugar and insulin doses taken. Children were followed at three-month intervals for six months. Changes in mean […]
Palavras-chave: Glicemia; C-peptide; Colecalciferol; Diabetes mellitus tipo 2; Drug tapering; Jejum; Hemoglobina A glicada; Glycemic control; Lansoprazole; type 1
05/jul/2022
Investigation of nerve fibers in the skin by biopsy: technical aspects, indications, and contribution to diagnosis of small-fiber neuropathy
einstein (São Paulo). 05/jul/2022;20:eMD8044.
Ver Artigo05/jul/2022
Investigation of nerve fibers in the skin by biopsy: technical aspects, indications, and contribution to diagnosis of small-fiber neuropathy
DOI: 10.31744/einstein_journal/2022MD8044
ABSTRACT Skin biopsy with investigation of small-diameter nerve fibers in human epidermis and dermis has been proven to be a useful method for confirming small-fiber neuropathy. In medical practice, small-fiber neuropathy is increasingly recognized as a leading cause of neuropathic pain. It is a prevalent complaint in medical offices, brought by patients often as a “painful burning sensation”. The prevalence of neuropathic pain is high in small-fiber neuropathies of different etiologies, especially in the elderly; 7% of population in this […]
Palavras-chave: Biópsia; Diabetes mellitus tipo 2; Neuropatias diabéticas; Quimioterapia; Fabry disease; HIV; Nerve fibers; Neuralgia, postherpetic; Rheumatic diseases; Pele; Small fiber neuropathy
05/jul/2022
Effects of glucocorticoids on interstitial glucose concentrations in individuals with hematologic cancer and without known diagnosis of diabetes: a pilot study
einstein (São Paulo). 05/jul/2022;20:eAO8031.
Ver Artigo05/jul/2022
Effects of glucocorticoids on interstitial glucose concentrations in individuals with hematologic cancer and without known diagnosis of diabetes: a pilot study
DOI: 10.31744/einstein_journal/2022AO8031
ABSTRACT Objective To analyze interstitial glucose behavior during glucocorticoid use in non-diabetic patients receiving chemotherapy for hematologic malignancies. Methods Prospective pilot study carried out to assess interstitial glucose levels in 15 non-diabetic individuals with hematologic malignancies who received glucocorticoids in combination with chemotherapy. The FreeStyle Libre flash monitoring system (Abbott Diabetes Care) was used for up to 14 days to measure interstitial glucose. Results Median age and body mass index were 53 (42-61) years and 25 (23-28) kg/m2 respectively. Interstitial […]
Palavras-chave: Glicemia; Diabetes mellitus tipo 2; Quimioterapia; Glucocorticoids; Glucose; Hematologic neoplasms; Hiperglicemia; Linfoma
26/nov/2020
Associação entre alfabetismo em saúde e controle glicêmico em idosos com diabetes tipo 2 e efeito modificador do suporte social
DOI: 10.31744/einstein_journal/2020AO5572
RESUMO Objetivo: Verificar a associação entre alfabetismo em saúde inadequado, segundo o Short Assessment of Health Literacy for Portuguese-speaking Adults , e controle glicêmico, em pacientes idosos com diabetes tipo 2, bem como avaliar tal associação no contexto de baixo suporte social, segundo o Medical Outcomes Study . Métodos: Estudo transversal conduzido no centro de referência de diabetes de um hospital universitário. Os participantes foram recrutados entre pacientes com diabetes tipo 2 com idade de 60 anos ou mais, entre […]
Palavras-chave: Alfabetismo em saúde; Diabetes mellitus tipo 2; Glicemia; Idoso; Saúde do idoso
19/fev/2020
Efeitos de um programa de educação nos conhecimentos e na autopercepção dos educadores escolares na preparação para cuidar de crianças diabéticas tipo 1
einstein (São Paulo). 19/fev/2020;18:eAO5101.
Ver Artigo19/fev/2020
Efeitos de um programa de educação nos conhecimentos e na autopercepção dos educadores escolares na preparação para cuidar de crianças diabéticas tipo 1
DOI: 10.31744/einstein_journal/2020AO5101
RESUMO Objetivo Avaliar a formação acadêmica e profissional dos educadores escolares; avaliar o impacto do Diabetes + Apoio dado pelo Programa Responsáveis Escolares pelas Crianças com Diabetes Tipo 1 no nível de conhecimento e de confiança dos educadores escolares, para apoiar os alunos com diabetes tipo 1; comparar o nível de conhecimento dos educadores escolares com suas variáveis acadêmicas e profissionais. Métodos Estudo quasi-experimental, do tipo pré-teste/pós-teste sem Grupo Controle, realizado em amostra de 129 (antes da intervenção – T0) […]
Palavras-chave: Adolescente; Conhecimento; Criança; Diabetes mellitus tipo 2; Educação
28/jan/2020
Intervenções farmacêuticas no diabetes mellitus tipo 2: uma revisão sistemática e metanálise de ensaios clínicos randomizados
DOI: 10.31744/einstein_journal/2020RW4686
RESUMO Objetivo Identificar o impacto das intervenções providenciadas pelo cuidado farmacêutico no diabetes mellitus tipo 2. Métodos Buscas por ensaios clínicos randomizados controlados foram realizadas nas bases PubMed®, Cochrane e Web of Science . Foram incluídos estudos publicados entre 2012 e 2017, que avaliaram o impacto do cuidado farmacêutico no diabetes mellitus tipo 2. A hemoglobina glicada foi o desfecho primário, e os secundários foram pressão arterial, triglicérides e colesterol. O modelo de efeitos aleatórios foi utilizado na metanálise. Resultados […]
Palavras-chave: Assistência farmacêutica; Diabetes mellitus tipo 2; Farmacêuticos; Serviço de farmácia hospitalar