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Commentary on: Danne et al. Association Between Treatment Adherence and Continuous Glucose Monitoring Outcomes in People With Diabetes Using Smart Insulin Pens in a Real-World Setting. Diabetes Care. 2024.47 (6),:995-1003
Implications for practice and research Healthcare providers should emphasise consistent insulin adherence for people with diabetes, as even a few missed doses can worsen overall glycaemia. Future research should identify barriers to consistent usage of insulin and develop strategies to enable patients’ adherence, such as increasing patient engagement with smart insulin pens and continuous glucose monitoring systems.
Diabetes is a widespread chronic disease, with steadily rising prevalence in most countries. In 2019, the global prevalence of diabetes was estimated at 9.3%, affecting 463 million people. This figure is projected to rise to 10.2% by 2030 and 10.9% by 2045.
Commentary on: Understanding community-dwelling older adults' preferences for homeand community-based services: A conjoint analysis. - Chen, S et al.
Implications for practice and research Older adults prioritise caregivers’ attitudes in the delivery of service at home or in the community. Health systems should consider the cost of home/community service to ensure that this care is feasible for all older adults. Explore cultural influences on preferences for home and community services. Examine the impact of preferences on service outcomes.
The study explored the preference for home-based and community-based services among older adults in China. As populations age globally, understanding these preferences becomes crucial for developing effective care models. The research focuses on identifying the preference structure of Chinese community-dwelling older adults for these services, with the aim of optimising the provision of services. Given the increasing scarcity of resources and the...
Commentary on: Previdoli G, Alldred DP, Silcock J, et al. ‘It’s a job to be done’. Managing polypharmacy at home: a qualitative interview study exploring the experiences of older people living with frailty. Health Expectations 2024;27:e13952.
Implications for practice and research Chronic illness in ageing requires complex medication regimes linked to adverse drug events, hospitalisation and mortality. The impact of age-related frailty with polypharmacy is less known.
Causality exists between frailty and polypharmacy, and the risks associated with polypharmacy among frail older persons are high.
Commentary on: Shah, A., et al. Coping Strategies and Help-Seeking Behaviors among Survivors of Intimate Partner Violence: A Qualitative Study of Spouses of Men with Heavy Drinking in India. Health & Social Care in the community, 2024, 6839787, https://doi.org/10.1155/2024/6839787
Implications for practice and research Intimate partner violence (IPV) has wide-reaching impacts on exposed women and their children. Understanding the needs of women exposed to IPV enhances our ability to provide adequate support and sustainable local and systemic service provisions. Future research should focus on embedding the cultural context into intervention design.
Global estimates indicate that approximately one in three women have experienced physical and/or sexual intimate partner violence (IPV), or non-partner violence across their lifespan.
Commentary on: Chen S, Marshall T, Jackson C, et al. Sociodemographic characteristics and longitudinal progression of multimorbidity: A multistate modelling analysis of a large primary care records dataset in England. PLoS Med 2023;20(11): e1004310. doi: 10.1371/journal.pmed.1004310
Collecting data about different physiological, psychological and sociodemographic factors is crucial to better understand the progression of multimorbidity, rather than single disease-oriented approaches. Factors that influence the development of multimorbidity seem to precede a subject’s engagement with health services, thus the implementation of preventive strategies should take place early in the disease trajectory, aiming to reduce inequalities between groups with diverse socioeconomic backgrounds and ethnicities.
Multimorbidity is the concomitant presence of ≥2 long-term chronic health conditions in a subject, it is increasingly prevalent with the ageing process and leads to poor health outcomes.
Commentary on: Shah MK, Wyatt LC, Gibbs-Tewary C, et al . A culturally adapted telehealth community health worker intervention on blood pressure control among South Asian immigrants with type II diabetes: results from the DREAM Atlanta intervention. Journal of General Internal Medicine 2023.
Community-based solutions are necessary to provide culturally suitable health education tailored to a patient’s specific needs. Type 2 diabetes and hypertension affect a disproportionate number of South Asian immigrants in USA. The comorbidity of type 2 diabetes and hypertension is associated with an increase in morbidity and mortality rates.
Multimorbidity is one of the pressing global medical issues facing health systems in the developed world today.
Commentary on: Chistell, F., Stängle, S., & Fringer, A. (2023). ‘Loneliness is a monotonous thing’: descriptive qualitative research on the loneliness of caring relatives. BMC Nurs 22, 161 doi: 10.1186/s12912-023-01327-4.
The study describes the social, emotional and existential aspects of loneliness in family caregivers of adults with chronic illnesses who are housebound, raising awareness of a prevalent and significant issue. More research is needed to understand the experience of loneliness across the trajectories of various illnesses and to develop a fuller understanding of existential loneliness.
Loneliness is a universal, subjective experience that arises from a perceived lack of meaningful social relationships or connectedness with those around us.
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