BANGLADESH RESEARCH PUBLICATIONS JOURNAL ISSN: 1998-2003, Volume: 8, Issue: 4, Page: 196-203, July - August, 2013
PSYCHOSOCIAL FACTORS OF BLOOD GLUCOSE LEVEL FOR SELECTED TYPE II DIABETES PATIENTS Md. Shakhawat Hossen1, Faisal Asif2*, Md. Didaruzzaman Sohel2, Md. Hassan Kawsar2,Md. Rakib Uddin2, Md. Helal Uddin Sumon3 Md. Shakhawat Hossen, Faisal Asif, Md. Didaruzzaman Sohel, Md. Hassan Kawsar, Md. Rakib Uddin, Md. Helal Uddin Sumon (2013). Psychosocial Factors of Blood Glucose Level for Selected Type Ii Diabetes Patients. Bangladesh Res. Pub. J. 8(4): 196-203. Retrieve from http://www.bdresearchpublications.com/admin/journal/upload/1308403/1308403.pdf
Abstract This study was designed to examine twenty-five type II diabetic patients by collecting reasonable data. An intellectual interview and ideologically planed questionnaire makes the study more convenient. Type II diabetes patient was selected for Biomedical Research Centre (BMRC) of BIRDEM Hospital, Dhaka. All the patients were examined periodically (4 times) during a 4 month period. The Study work concentrates on some specific psychosocial factors such as family financial problem, a problem unwillingness to attend a social/family function due to body, Exercise and physical activities, diet control, behavioral disorder, general conflicts, psychosocial disturbance, knowledge/skill about drug/doses/diet/exercise/activities, depression due to heavy health cost/diseases, self-management, restlessness, sexual management, sexual satisfaction, insomnia etc. In the perspective of Bangladesh acomparative discussion was made how blood glucose level varies with the variation of psychosocial factors.
Key words: Diabetes type II, Psychosocial, Glucose level, hyperinsulinemia, depression, restlessness, insomnia. Introduction Diabetes mellitus is a lifelong disease on account of the body disappoints to use insulin, shortage of insulin, or both. Insulin is a hormone which allows glucose to introduce into the cell (Ely et al., 2011).Basically Type II diabetes commonly known as non-insulin dependent diabetes mellitus and it develops because of insulin resistance, in which the body is unable to use insulin properly, combined with a relative insulin deficiency. The risk of developing type II diabetes increases with age, obesity, and lack of physical activity. Typically, adults with type II diabetes are over age 45, overweight and sedentary, have a family history of diabetes, and have high blood pressure and high cholesterol (Bellows and Nichols, 2012). In the United Kingdom Compared between other south Asian migrants Bangladeshis are more susceptible to type II diabetes insulin resistance hyperinsulinemia and other coronary risk factors (Diabetes successes and opportunities population based prevention and control, 2011). According to WHO report developing countries like Bangladesh increase blood glucose level 8.4%, over weight 7.6%, obesity 1.1%, physical inactivity 4.7% and death in diabetes 2% of the whole population (World Health Organization - NCD Country Profiles, 2011). In year 2030, the projection of diabetes patient will rise up to 366 million in the whole world. The most shocking news is that highest estimation of diabetes cases of Bangladesh will rise up to 11 million in the year 2030 (Wild et al. 2004). The greatest risk factors extent higher for the onset of diabetes among the developing countries, such as the intake of high-cholesterol diets, physical inactivity, obesity, stress, and psychological distress, Which seem to result from increased urban lifestyles. Some researcher like “Melanie Rock” correlates diabetes with Common life *Corresponding Author Email:
[email protected] 1. Department of pharmacy, East West University. Dhaka –1212, Bangladesh 2. Department of Pharmacy, State University of Bangladesh. Dhaka–1205, Bangladesh. 3. Department of Pharmacy, University of Development Alternative. Dhaka–1209, Bangladesh.
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related factors, such as genetic variation or the glucose distribution levels within populations, and contends that more care is needed in the ways in which political, economical, social, and cultural enforces mediate glucose levels through individual experiences, behaviors, and beliefs (Mendenhall et al., 2010) and (Rock, 2003). In this study, Concern with most common factors allotting social dimensions of people’s life more specifically type II diabetes patients. Methodology At first we were constructing a pre-projected methodology try to focus specific psychosocial factors in which type II diabetes patient face in everyday life. Selected welldesigned inquiry form with fourteen social life related question. It was highly associated with type II diabetes patient social environment also focus patient could give the answer freely. Another form was developing for writing there glucose levels. The patient was selected for four month duration with thirty to seventy age limits. The selection criteria of twenty five type II diabetes patients are given below: Selection criteria of twenty five type II diabetes patients: 1. Inclusion criteria a) Diabetic patients registered in the particular center for more than 12 months. b) Patients should have visited the center at least once last 3-6 month apart from the initial visit. c) Patients writing signed informed consent form. d) Fatty patient e) Family Diabetes history f) Monthly income g) Associated treatment h) Glucose Level : Fasting: 6-8.5 ABF /2hrs : 11.1 -16 (in case of new patients ) 2. Exclusion criteria We do not consider any repetition of patient not be included twice for any reason. We are focused on patients who are unwilling to participate or unable to comply with protocol requirements. We do not consider any hypertensive patient as our exclusion criteria. 3.
Venous plasma glucose concentration:
Fasting :
