Title of Research
Start Date
16-11-2018 9:30 AM
End Date
16-11-2018 11:30 AM
Abstract
Background: General practice healthcare providers may not fully utilize all available subtle clinical cues (physical/behavioral signs and symptoms) when screening for diabetes, or when assessing for suboptimal control of glucose homeostasis.
Objectives: To assess the prevalence and utility of incorporating diabetic clinical cues into routine physical assessments and questionnaires of individuals with type 2 diabetes, and to compile a comprehensive list and questionnaire using clinical cues.
Methods: Utilizing the databases CINAHL Complete, PubMed, and Academic Search Complete, an integrative literature review of 78 studies was conducted using the key terms type 2 diabetes and clinical manifestations of diabetes.
Results: Approximately 160 clinical cues were compiled and analyzed. No examples of questionnaires focusing specifically on physical and mental clinical cues were found. The practicality of incorporating six representative clinical cues into a patient questionnaire was demonstrated.
Conclusions: This integrative review verified that diabetic clinical cues are not being fully utilized to their full potential in physical assessments. Use of a full comprehensive foundational list and a prototype questionnaire addressed this deficiency, both for educational and clinical use.
Included in
Endocrine System Diseases Commons, Family Practice Nursing Commons, Interprofessional Education Commons
Clinical Cues of Suboptimal Glucose Homeostasis in Individuals Diagnosed with Type 2 Diabetes Mellitus: An Integrative Literature Review
Background: General practice healthcare providers may not fully utilize all available subtle clinical cues (physical/behavioral signs and symptoms) when screening for diabetes, or when assessing for suboptimal control of glucose homeostasis.
Objectives: To assess the prevalence and utility of incorporating diabetic clinical cues into routine physical assessments and questionnaires of individuals with type 2 diabetes, and to compile a comprehensive list and questionnaire using clinical cues.
Methods: Utilizing the databases CINAHL Complete, PubMed, and Academic Search Complete, an integrative literature review of 78 studies was conducted using the key terms type 2 diabetes and clinical manifestations of diabetes.
Results: Approximately 160 clinical cues were compiled and analyzed. No examples of questionnaires focusing specifically on physical and mental clinical cues were found. The practicality of incorporating six representative clinical cues into a patient questionnaire was demonstrated.
Conclusions: This integrative review verified that diabetic clinical cues are not being fully utilized to their full potential in physical assessments. Use of a full comprehensive foundational list and a prototype questionnaire addressed this deficiency, both for educational and clinical use.
Comments
Key words: Type 2 diabetes, clinical manifestations of diabetes, diabetic dermopathy, hypoglycemia–associated autonomic failure, decreased exercise tolerance, vitreous opacities, delayed healing, erectile dysfunction