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Perceived symptoms in people living with Impaired Glucose Tolerance
University of Skövde, School of Life Sciences.ORCID iD: 0000-0002-2188-4306
The Sahlgrenska Academy, University of Gothenburg.
The Sahlgrenska Academy, University of Gothenburg.
The Sahlgrenska Academy, University of Gothenburg.
2011 (English)In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Article ID 937038, 9 s.- p.Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to identify symptoms in people with impaired glucose tolerance (IGT) and describe their experiences of living with the symptoms which they related to their condition. Twenty-one participants, from a cross-sectional population-based study, diagnosed as having IGT, were invited for an interview. The interviews were analyzed in two phases by means of a manifest and latent content analysis. The narratives included seven categories of symptoms (and more than 25 different symptoms) presented by the respondents. This study shows that symptoms such as the patient's own interpretation of different perceptions in the body must be considered, as well as signs and/or objective observations. Symptoms ought to be seen as complementary components in the health encounter and health conversation. The results of this study indicate that health professionals should increase their awareness of the balance between the implicit and the explicit bodily sensations that individuals communicate. Further studies are needed.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2011. Article ID 937038, 9 s.- p.
Keyword [en]
prediabetes, impaired glucose tolerance, symptom, primary health care
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-5394DOI: 10.1155/2011/937038PubMedID: 21994845OAI: oai:DiVA.org:his-5394DiVA: diva2:478327
Available from: 2012-01-16 Created: 2012-01-16 Last updated: 2013-11-18Bibliographically approved
In thesis
1. Med risk för diabetes: Studier av symtom, självskattad hälsa och erfarenheter av att leva med risk för att utveckla typ 2 diabetes
Open this publication in new window or tab >>Med risk för diabetes: Studier av symtom, självskattad hälsa och erfarenheter av att leva med risk för att utveckla typ 2 diabetes
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Individuals with impaired glucose tolerance (IGT) have a high risk of developing both type 2 diabetes mellitus (T2DM) and cardiovascular disease. T2DM is a common chronic disease in a global perspective, and it is estimated to continue to grow, which is a serious health problem. It is of significance to increase knowledge about persons with IGT to direct preventive activities more efficiently thus to limit its progression to T2DM.

Aim: The overall aim was to describe experiences of living with the increased risk of type 2 diabetes, and to identify self-reported symptoms and bodily sensations associated to prediabetes by the persons themselves. Specific aim were to explore the associations between experiences of sleep, vitality and self-rated health, respectively, and IGT.

Methods: The design was explorative and descriptive. Participants were randomly selected from a cross-sectional population-based survey in two municipalities in Southwestern of Sweden. Data were collected by means of interviews and a questionnaire about life-style and health.

Results: Living with prediabetes means living in the borderline between health and type 2 diabetes. Living in the borderline and the balance between opportunities and obstacles were interpreted as a burdensome sense of living with increased risk of developing type 2 diabetes, although this feeling could be changed so you could see either opportunities or obstacles. Persons with IGT are experiencing symptoms, which they relate to their elevated plasma glucose level associated with IGT. The diagnosis in itself gave them something to relate to because they received confirmation and a possible explanation for their symptoms. In men a statistically significant age-adjusted association was found between self-reported lack of sleep and IGT: It did not weaken after further adjustment for BMI, smoking, education, and leisure time physical activity No such associations were found in females. Corresponding age-adjusted statistically significant associations between low vitality and IGT in both men and women were successively lost with multivariate adjustments. Both men and women with low self-rated health had a worse risk factor profile than those with high self-rated health and a statistically significant crude association between self-rated health and IGT. After controlling for major lifestyles factors and biomedical variables the association remained only in men.

Conclusions: A special focus must be directed towards persons with prediabetes as they experience both opportunities and obstacles. Although prediabetes is often described as a condition without symptoms, persons with IGT experienced many symptoms, which they related to their IGT. Insufficient sleep and low self-rated health may be a risk factor for IGT in men. A generous sampling of plasma glucose, HbA1c and oral glucose tolerance tests is suggested, even in vague symptoms. There is a link between the measurable (signs) and the perceived in form of symptoms, interpreted as “the guiding feeling”. This should be considered in pedagogical encounters with patients to prevent the onset of type 2 diabetes.

Place, publisher, year, edition, pages
Göteborgs universitet, 2012. 66 p.
Keyword
Primary health care, type 2 diabetes, prediabetes, impaired glucosetolerance, symptoms, self-rated health, lived experiences
National Category
Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-6546 (URN)978-91-628-8502-1 (ISBN)
Note

Delarbeten:

I. Andersson S, Ekman I, Lindblad U, Friberg F. (2008). It’s up to me! Experiences of living with pre-diabetes and the increased risk of developing type 2 diabetes mellitus. Primary Care Diabetes. Dec;2(4):187-193.

II. Andersson S, Ekman I, Lindblad U, Friberg F.(2011). Perceived Symptoms in People Living with Impaired Glucose Tolerance. Nursing Research and Practice. Volume 2011 (2011), Article ID 937038, 9 pages doi:10.1155/2011/937038. Accepted 17 May 2011.

III. Andersson S, Ekman I, Friberg F, Bøg-Hansen E, Lindblad U. Lack of sleep and low vitality are associated with IGT in a Swedish population. (Submitted).

IV. Andersson S, Ekman I, Friberg F, Daka B, Lindblad U, Larsson, C. The association between self-rated health and Impaired Glucose Tolerance in Swedish adults: A cross-sectional study. (Submitted)

Available from: 2012-10-18 Created: 2012-10-17 Last updated: 2013-11-18Bibliographically approved

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