PMID- 30921192
OWN - NLM
STAT- MEDLINE
DCOM- 20190408
LR  - 20221207
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 98
IP  - 13
DP  - 2019 Mar
TI  - Blood sugar control among type 2 diabetic patients who travel abroad: A cross 
      sectional study.
PG  - e14946
LID - 10.1097/MD.0000000000014946 [doi]
LID - e14946
AB  - The dose adjustment of anti-diabetic drugs during traveling abroad remains an 
      important issue for the diabetic patients. However, there are few studies 
      exploring the changes in blood sugar in patients with type 2 diabetes mellitus 
      (T2DM) when traveling abroad. The study aimed to investigate the hypoglycemic 
      episodes, sugar control, and associated factors during travel among patients with 
      T2DM.A questionnaire was administrated to T2DM patients visiting the family 
      medicine clinic in a medical center from September 2016 to April 2017. The 
      Chi-square test was used to examine the differences in risk factors of 
      hypoglycemia between hypoglycemic group and non-hypoglycemic group. Multivariate 
      logistic regression models were used to examine the risk factors for the 
      hypoglycemia.A total of 65 males and 74 females completed the questionnaire. The 
      mean age was 59.3 +/- 12.1 year olds, the mean BMI was 28.1 +/- 5.9 kg/m, and the 
      mean HbA1C was 7.4 +/- 1.1%. There was 8.6% of diabetic patients reporting 
      hypoglycemic episodes during travel. The hypoglycemic episodes were significantly 
      related to the numbers of crossing time zones after adjusting for possible 
      confounders. Only 21.6% of subjects told physicians their travel plan whereas two 
      third of the physicians did not provide pre-travel consultation.The hypoglycemic 
      episodes sometimes occurred and were related to the numbers of crossing time 
      zones in diabetic travelers. The proportion of pre-travel consultation was low in 
      patients with T2DM. Besides, most of the physicians did not offer pre-travel 
      education when patients mentioned their traveling plan. The willing and ability 
      of physicians to offer the pre-travel diabetic education deserved further 
      investigation.
FAU - Lin, I-Wen
AU  - Lin IW
AD  - Department of Family Medicine, National Taiwan University Hospital, Bei-Hu 
      Branch.
FAU - Chang, Hao-Hsiang
AU  - Chang HH
AD  - Department of Family Medicine, National Taiwan University Hospital.
FAU - Lee, Yi-Hsuan
AU  - Lee YH
AD  - Department of Family Medicine, National Taiwan University Hospital, Bei-Hu 
      Branch.
FAU - Wu, Yi-Chun
AU  - Wu YC
AD  - Centers for Disease Control, Taipei, Taiwan.
FAU - Lu, Chia-Wen
AU  - Lu CW
AD  - Department of Family Medicine, National Taiwan University Hospital.
AD  - Department of Family Medicine, College of Medicine, National Taiwan University.
FAU - Huang, Kuo-Chin
AU  - Huang KC
AD  - Department of Family Medicine, National Taiwan University Hospital, Bei-Hu 
      Branch.
AD  - Department of Family Medicine, National Taiwan University Hospital.
AD  - Department of Family Medicine, College of Medicine, National Taiwan University.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (hemoglobin A1c protein, human)
SB  - IM
MH  - Aged
MH  - Blood Glucose/*drug effects
MH  - Body Mass Index
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*complications/drug therapy/epidemiology
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Humans
MH  - Hypoglycemia/*complications/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Surveys and Questionnaires
MH  - Travel/*statistics & numerical data
PMC - PMC6456131
COIS- The authors have declared no conflicts of interest.
EDAT- 2019/03/29 06:00
MHDA- 2019/04/09 06:00
PMCR- 2019/03/15
CRDT- 2019/03/29 06:00
PHST- 2019/03/29 06:00 [entrez]
PHST- 2019/03/29 06:00 [pubmed]
PHST- 2019/04/09 06:00 [medline]
PHST- 2019/03/15 00:00 [pmc-release]
AID - 00005792-201903290-00018 [pii]
AID - MD-D-18-08464 [pii]
AID - 10.1097/MD.0000000000014946 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2019 Mar;98(13):e14946. doi: 10.1097/MD.0000000000014946.