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Management of Diabetes Mellitus in Sub-Saharan Africa
Published in Emmanuel C. Opara, Sam Dagogo-Jack, Nutrition and Diabetes, 2019
Olufemi A. Fasanmade, Amie A. Ogunsakin, Sam Dagogo-Jack
With the pervasive poverty and low health literacy, only an estimated 20%–40% of Nigerian patients with DM perform SMBG regularly.60,63 Many patients have blood glucose meters donated by various entities but fail to use them due to illiteracy and/or lack of test strips. There may also be a role of trypanophobia (extreme fear of medical procedures involving injections or needles). The lack of SMBG is compounded by a general lack of patients’ familiarity with the medications they are taking for diabetes.61 Where affordability of glucose test strips is an issue, the frequency of SMBG can be negotiated on an individual basis. Patients treated with short- or intermediate-acting insulin and sulfonylureas need to self-monitor more frequently than those treated with basal insulin alone or oral agents that are not associated with increased risk of hypoglycemia.
“My Fibro Family!” A qualitative analysis of facebook fibromyalgia support groups’ discussion content
Published in Canadian Journal of Pain, 2022
Lyndsay Crump, Diane LaChapelle
Members often discussed experiencing distressing thoughts and feelings about a myriad of topics. The nature and severity of these difficulties varied greatly and were not always explicitly linked to members’ FM symptoms or illness experience (e.g., some members discussed difficult family situations). Members often posted about emotional responses to everyday events in the context of FM (e.g., fear of medical procedures, frustration with mobility limitations). Others discussed more general struggles with negatively valanced thoughts (e.g., worthlessness), heightened worries or fears, or intense emotions that may constitute mental health symptoms. For example, one member posted: “… as soon as my head hits the pillow I remember and worry about everything I forgot to do … every hurtful thing that ever happened to me, every deed that I am sorry about. …” Another posted: “I’ve been not motivated to do anything, way quicker to anger … crying. … I haven’t cooked or cleaned anything … getting out of bed only when I have to go to work. …”