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Latest List of Best Diabetes Dissertation Topics

Published by Owen Ingram at January 2nd, 2023 , Revised On May 17, 2024

The prevalence of diabetes among the world’s population has been increasing steadily over the last few decades, thanks to the growing consumption of fast food and an increasingly comfortable lifestyle. With the field of diabetes evolving rapidly, it is essential to base your dissertation on a trending diabetes dissertation topic that fills a gap in research. 

Finding a perfect research topic is one of the most challenging aspects of dissertation writing in any discipline . Several resources are available to students on the internet to help them conduct research and brainstorm to develop their topic selection, but this can take a significant amount of time. So, we decided to provide a list of well-researched, unique and intriguing diabetes research topics and ideas to help you get started. 

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List of Diabetes Dissertation Topics

• Why do people recently diagnosed with diabetes have such difficulty accepting reality and controlling their health?
• What are the reactions of children who have recently been diagnosed with diabetes? What can be done to improve their grasp of how to treat the disease?
• In long-term research, people getting intensive therapy for the condition had a worse quality of life. What role should health professionals have in mitigating this effect?
• Why do so many individuals experience severe depression the months after their diagnosis despite displaying no other signs of deteriorating health?
• Discuss some of the advantages of a low-carbohydrate, high-fat diet for people with diabetes
• Discuss the notion of diabetes in paediatrics and why it is necessary to do this research regularly.
• Explain the current threat and difficulty of childhood obesity and diabetes, stressing some areas where parents are failing in their position as guardians to avoid the situation
• Explain some of the difficulties that persons with diabetes have, particularly when obtaining the necessary information and medical treatment
• Explain some of the most frequent problems that people with diabetes face, as well as how they affect the prevalence of the disease. Put out steps that can be implemented to help the problem.
• Discuss the diabetes problem among Asian American teens
• Even though it is a worldwide disease, particular ethnic groups are more likely to be diagnosed as a function of nutrition and culture. What can be done to improve their health literacy?
• Explain how self-management may be beneficial in coping with diabetes, particularly for people unable to get prompt treatment for their illness
• Discuss the possibility of better management for those with diabetes who are hospitalised
• What current therapies have had the most influence on reducing the number of short-term problems in patients’ bodies?
• How have various types of steroids altered the way the body responds in people with hypoglycemia more frequently than usual?
• What effects do type 1, and type 2 diabetes have on the kidneys? How do the most widely used monitoring approaches influence this?
• Is it true that people from specific ethnic groups are more likely to acquire heart disease or eye illness due to their diabetes diagnosis?
• How has the new a1c test helped to reduce the detrimental consequences of diabetes on the body by detecting the condition early?
• Explain the difficulty of uncontrolled diabetes and how it can eventually harm the kidneys and the heart
• Discuss how the diabetic genetic strain may be handed down from generation to generation
• What difficulties do diabetic people have while attempting to check their glucose levels and keep a balanced food plan?
• How have some individuals with type 1 or type 2 diabetes managed to live better lives than others with the disease?
• Is it true that eating too much sugar causes diabetes, cavities, acne, hyperactivity, and weight gain?
• What effect does insulin treatment have on type 2 diabetes?
• How does diabetes contribute to depression?
• What impact does snap participation have on diabetes rates?
• Why has the number of persons who perform blood glucose self-tests decreased? Could other variables, such as social or environmental, have contributed to this decrease?
• Why do patients in the United States struggle to obtain the treatment they require to monitor and maintain appropriate glucose levels? Is this due to increased healthcare costs?
• Nutrition is critical to a healthy lifestyle, yet many diabetic patients are unaware of what they should consume. Discuss
• Why have injuries and diabetes been designated as national health priorities?
• What factors contribute to the growing prevalence of type II diabetes in adolescents?
• Does socioeconomic status influence the prevalence of diabetes?
• Alzheimer’s disease and type 2 diabetes: a critical assessment of the shared pathological traits
• What are the effects and consequences of diabetes on peripheral blood vessels?
• What is the link between genetic predisposition, obesity, and type 2 diabetes development?
• Diabetes modifies the activation and repression of pro- and anti-inflammatory signalling pathways in the vascular system.
• Understanding autoimmune diabetes through the tri-molecular complex prism
• Does economic status influence the regional variation of diabetes caused by malnutrition?
• What evidence is there for using traditional Chinese medicine and natural products to treat depression in people who also have diabetes?
• Why was the qualitative method used to evaluate diabetes programs?
• Investigate the most common symptoms of undiagnosed diabetes
• How can artificial intelligence help diabetes patients?
• What effect does the palaeolithic diet have on type 2 diabetes?
• What are the most common causes of diabetes and what are the treatments?
• What causes diabetes mellitus, and how does it affect the United Kingdom?
• The impact of sociodemographic factors on the development of type II diabetes
• An examination of the link between gut microbiome and diabetes risk
• The effectiveness of lifestyle interventions in preventing type II diabetes
• The role of maternal diabetes in offspring’s risk of developing diabetes
• Artificial intelligence in diabetes diagnosis and management
• Continuous glucose monitoring
• Telehealth interventions for improving diabetes self-management
• The role of wearable technology in diabetes management
• Personalised medicine approaches for diabetes treatment
• The impact of diabetes on mental health and well-being
• The link between diabetes and cognitive decline
• The potential of stem cell therapy for diabetes treatment
• Advances in closed-loop insulin delivery systems
• The use of glucagon-like peptide-1 (GLP-1) receptor agonists in diabetes treatment
• Investigating the efficacy of new oral medications for type II diabetes
• The role of bariatric surgery in the management of type II diabetes
• Improving patient adherence to diabetes treatment regimens
• The role of social support in diabetes management
• Developing culturally sensitive diabetes education programs
• The role of dietary patterns in diabetes prevention and management
• Low-carbohydrate vs. Mediterranean diet for diabetes: A comparative study
• The use of artificial sweeteners in diabetes management: Benefits and risks
• The impact of the gut microbiome on dietary interventions for diabetes
• The role of exercise in improving glycemic control
• Developing effective exercise programs for individuals with diabetes
• The impact of physical activity on diabetic complications
• Promoting physical activity adherence in people with diabetes
• The use of exercise gamification to increase physical activity in diabetes
• The potential of CRISPR gene editing for diabetes treatment
• The role of the microbiome in the development and treatment of diabetes
• An analysis of the artificial Pancreas systems
• The use of big data analytics in diabetes research
• The impact of environmental factors on diabetes risk
• Cost-effectiveness of different diabetes treatment strategies
• Developing effective diabetes prevention programs for communities
• The role of government policies in addressing the diabetes epidemic
• Improving access to diabetes care in underserved populations
• The impact of social determinants of health on diabetes risk
• Management of diabetes in children and adolescents
• The unique challenges of diabetes management in older adults
• Diabetes in ethnic minorities: Disparities in prevalence and care
• The impact of diabetes on LGBTQ+ populations

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357 Diabetes Essay Topics & Examples

When you write about the science behind nutrition, heart diseases, and alternative medicine, checking titles for diabetes research papers can be quite beneficial. Below, our experts have gathered original ideas and examples for the task.

🏆 Best Diabetes Essay Examples & Topics

⭐ most interesting diabetes research paper topics, ✅ simple & easy diabetes essay topics, 🎓 good research topics about diabetes, 💡 interesting topics to write about diabetes, 👍 good essay topics on diabetes, ❓ diabetes research question examples.

• Living with a Chronic Disease: Diabetes and Asthma This paper will look at the main effects of chronic diseases in the lifestyle of the individuals and analyze the causes and the preventive measures of diabetes as a chronic disease.
• Diabetes Mellitus: Symptoms, Types, Effects Insulin is the hormone that controls the levels of glucose in the blood, and when the pancreas releases it, immediately the high levels are controlled, like after a meal.
• Leadership in Diabetes Management Nurses can collaborate and apply evidence-based strategies to empower their diabetic patients. The involvement of all key stakeholders is also necessary.
• Adult-Onset Type 2 Diabetes: Patient’s Profile Any immediate care as well as post-discharge treatment should be explained in the best manner possible that is accessible and understandable to the patient.
• Type 2 Diabetes as a Public Health Issue In recent years, a steady increase in the incidence and prevalence of diabetes is observed in almost all countries of the world.
• Gestational Diabetes: Child Bearing Experience Insulin resistance in GDM is likely to be the result of a combination of lifestyle factors and the insulin-desensitizing effect of chorionic gonadotrophins.
• Nursing Care Development Plan for Diabetes and Hypertension In addressing the first nursing diagnosis, the main aim of the nursing interventions will be to prevent the development of secondary hypoglycemia by increasing blood glucose levels.
• Diabetes Management and Evidence-Based Practice Diabetes is a state of glucose intolerance that requires the management of blood glucose. Good glycemic control ensures that the level of glucose in a diabetic patient is maintained at levels similar to that of […]
• Nursing Diagnosis: Type 1 Diabetes & Hypertension The nursing diagnosis based on the identified and primary problems are, “Risk for injury related to hypoglycemia, ‘Risk for Unstable blood glucose level related to lack of adequate management of hypoglycemia evidenced by decreased blood […]
• Disease Management for Diabetes Mellitus The selection of the appropriate philosophical and theoretical basis for the lesson is essential as it allows for the use of an evidence-based method for learning about a particular disease.
• Case Study of Patient with DKA and Diabetes Mellitus It is manifested by a sharp increase in glucose levels and the concentration of ketone bodies in the blood, their appearance in the urine, regardless of the degree of violation of the patient’s consciousness.
• Health Nursing and Managing Diabetes The practice will equip more patients with the best ideas and initiatives to deal with diabetes. The completed study will provide the best practices and evidence-based ideas to help patients with diabetes type II.
• Diabetes: Symptoms, Treatment, and Prevention As a consequence, the amount of sugar in the blood is made to rise and this cause discomfort for the affected individuals.
• Diabetes Mellitus: Types, Causes, Presentation, Treatment, and Examination Diabetes mellitus is a chronic endocrinologic disease, which is characterized by increased blood glucose concentration.
• The Nature of Type 1 Diabetes Mellitus Type 1 diabetes mellitus is a chronic autoimmune disease that has an active genetic component, which is identified by increased blood glucose levels, also known as hyperglycemia.
• Counseling and Education Session in Type II Diabetes Patients will be educated about the glycemic index and its effect on their blood sugar Patients will learn to count their carbohydrates. Patients will set up their goal and the timeframe to achieve it.
• Gestational Diabetes in a 38-Year-Old Woman The concept map, created to meet B.’s needs, considers her educational requirements and cultural and racial hurdles to recognize her risk factors and interventions to increase her adherence to the recommended course of treatment.B.said in […]
• Type 2 Diabetes Mellitus and Its Implications You call an ambulance and she is taken in to the ED. Background: Jean is still very active and works on the farm 3 days a week.
• Development of Comprehensive Inpatient and Outpatient Programs for Diabetes Overcoming the fiscal and resource utilization issues in the development of a comprehensive diabetes program is essential for the improvement of health and the reduction of treatment costs.
• Healthcare Cost Depending on Chronic Disease Management of Diabetes and Hypertension A sufficient level of process optimization and the presence of a professional treating staff in the necessary number will be able to help improve the indicators.
• Improving Glycemic Control in Black Patients with Type 2 Diabetes Information in them is critical for answering the question and supporting them with the data that might help to acquire an enhanced understanding of the issue under research. Finally, answering the PICOT question, it is […]
• Shared Decision-Making That Affects the Management of Diabetes The article by Peek et al.is a qualitative study investigating the phenomenon of shared decision-making that affects the management of diabetes. The researchers demonstrate the racial disparity that can arise in the choice of approaches […]
• Managing Obesity as a Strategy for Addressing Type 2 Diabetes When a patient, as in the case of Amanda, requires a quick solution to the existing problem, it is necessary to effectively evaluate all options in the shortest possible time.
• Tests and Screenings: Diabetes and Chronic Kidney Disease The test is offered to patients regardless of gender, while the age category is usually above 45 years. CDC1 recommends doing the test regardless of gender and is conducted once or twice to check the […]
• Obesity Management for the Treatment of Type 2 Diabetes American Diabetes Association states that for overweight and obese individuals with type 2 diabetes who are ready to lose weight, a 5% weight reduction diet, physical exercise, and behavioral counseling should be provided.
• COVID-19 and Diabetes Mellitus Lim et al, in their article, “COVID-19 and diabetes mellitus: from pathophysiology to clinical management”, explored how COVID-19 can worsen the symptoms of diabetes mellitus.
• The Importance of Physical Exercise in Diabetes II Patients The various activities help to improve blood sugar levels, reduce cardiovascular cases and promote the overall immunity of the patient. Subsequently, the aerobic part will help to promote muscle development and strengthen the bones.
• Diabetes Education Workflow Process Mapping DSN also introduces the patient to the roles of specialists involved in managing the condition, describes the patient’s actions, and offers the necessary educational materials.
• Diabetes: Treatment Complications and Adjustments One of the doctor’s main priorities is to check the compatibility of a patient’s medications. The prescriptions of other doctors need to be thoroughly checked and, if necessary, replaced with more appropriate medication.
• The Type 2 Diabetes Mellitus PICOT (Evidence-Based) Project Blood glucose levels, A1C, weight, and stress management are the parameters to indicate the adequacy of physical exercise in managing T2DM.
• Chronic Disease Cost Calculator (Diabetes) This paper aims at a thorough, detailed, and exhaustive explanation of such a chronic disease as diabetes in terms of the prevalence and cost of treatment in the United States and Maryland.
• Diabetes Mellitus Epidemiology Statistics This study entails a standard established observation order from the established starting time to an endpoint, in this case, the onset of disease, death, or the study’s end. It is crucial to state this value […]
• Epidemiology: Type II Diabetes in Hispanic Americans The prevalence of type II diabetes in Hispanic Americans is well-established, and the search for inexpensive prevention methods is in the limelight.
• Diabetes: Risk Factors and Effects Trends in improved medical care and the development of technology and medicine are certainly contributing to the reduction of the problem. All of the above indicates the seriousness of the problem of diabetes and insufficient […]
• Barriers to Engagement in Collaborative Care Treatment of Uncontrolled Diabetes The primary role of physicians, nurses, and other healthcare team members is to provide patients with medical treatment and coordinate that care while also working to keep costs down and expand access.
• Hereditary Diabetes Prevention With Lifestyle Modification Yeast infections between the fingers and toes, beneath the breast, and in or around the genital organs are the common symptoms of type 2 diabetes.
• Health Equity Regarding Type 2 Diabetes According to Tajkarimi, the number of research reports focusing on T2D’s prevalence and characteristics in underserved minorities in the U. Adapting the program’s toolkits to rural Americans’ eating and self-management habits could also be instrumental […]
• Diabetes Mellitus: Treatment Methods Moreover, according to the multiple findings conducted by Park et al, Billeter et al, and Tsilingiris et al, bariatric surgeries have a positive rate of sending diabetes into remission.
• Diagnosing Patient with Insulin-Dependent Diabetes The possible outcomes of the issues that can be achieved are discussing the violations with the patient’s family and convincing them to follow the medical regulations; convincing the girl’s family to leave her at the […]
• Human Service for Diabetes in Late Adulthood The mission of the Georgia Diabetic Foot Care Program is to make a positive difference in the health of persons living with diabetes.
• Diabetes: Symptoms and Risk Factors In terms of the problem, according to estimates, 415 million individuals worldwide had diabetes mellitus in 2015, and it is expected to rise to 642 million by the year 2040.
• Diabetes: Types and Management Diabetes is one of the most prevalent diseases in the United States caused when the body fails to optimally metabolize food into energy.
• Epidemiology of Diabetes and Forecasted Trends The authors note that urbanization and the rapid development of economies of different countries are the main causes of diabetes. The authors warn that current diabetes strategies are not effective since the rate of the […]
• The Aboriginal Diabetes Initiative in Canada The ADI’s goal in the CDS was to raise type 2 diabetes awareness and lower the incidence of associated consequences among Aboriginal people.
• Communicating the Issue of Diabetes The example with a CGM sensor is meant to show that doctors should focus on educating people with diabetes on how to manage their condition and what to do in extreme situations.
• Obesity and Diabetes Mellitus Type 2 The goal is to define the features of patient information to provide data on the general course of the illness and its manifestations following the criteria of age, sex, BMI, and experimental data.
• The Prevention of Diabetes and Its Consequences on the Population At the same time, these findings can also be included in educational programs for people living with diabetes to warn them of the risks of fractures and prevent them.
• Uncontrolled Type 2 Diabetes and Depression Treatment The data synthesis demonstrates that carefully chosen depression and anxiety treatment is likely to result in better A1C outcomes for the patient on the condition that the treatment is regular and convenient for the patients.
• Type 2 Diabetes: Prevention and Education Schillinger et al.came to the same conclusion; thus, their findings on the study of the Bigger Picture campaign effectiveness among youth of color are necessary to explore diabetes prevention.
• A Diabetes Quantitative Article Analysis The article “Correlates of accelerometer-assessed physical activity and sedentary time among adults with type 2 diabetes” by Mathe et al.refers to the global issue of the prevention of diabetes and its complications.
• A Type 2 Diabetes Quantitative Article Critique Therefore, the main issue is the prevention of type 2 diabetes and its consequences, and this paper will examine one of the scientific studies that will be used for its exploration.
• The Diabetes Prevention Articles by Ford and Mathe The main goal of the researchers was to measure the baseline MVPA of participants and increase their activity to the recommended 150 minutes per week through their participation in the Diabetes Community Lifestyle Improvement Program.
• Type 2 Diabetes in Hispanic Americans The HP2020 objectives and the “who, where, and when” of the problem highlight the significance of developing new, focused, culturally sensitive T2D prevention programs for Hispanic Americans.
• Diabetes Mellitus as Problem in US Healthcare Simultaneously, insurance companies are interested in decreasing the incidence of diabetes to reduce the costs of testing, treatment, and provision of medicines.
• Diabetes Prevention as a Change Project All of these queries are relevant and demonstrate the importance of including people at high risk of acquiring diabetes in the intervention.
• Evidence Synthesis Assignment: Prevention of Diabetes and Its Complications The purpose of this research is to analyze and synthesize evidence of good quality from three quantitative research and three non-research sources to present the problem of diabetes and justify the intervention to address it.
• Diabetes Mellitus: Causes and Health Challenges Second, the nature of this problem is a clear indication of other medical concerns in this country, such as poor health objectives and strategies and absence of resources.
• Diabetes in Adults in Oxfordshire On a national level, Diabetes Research and Wellness Foundation aims to prevent the spread of the decease through research of the causes and effective treatment of diabetes 2 type.
• Diabetes Mellitus (DM) Disorder Case Study Analysis Thus, informing the patient about the importance of regular medication intake, physical activity, and adherence to diet in maintaining diabetes can solve the problem.
• Diabetes Mellitus in Young Adults Thus, programs for young adults should predominantly focus on the features of the transition from adolescence to adulthood. As a consequence, educational programs on diabetes improve the physical and psychological health of young adults.
• A Healthcare Issue of Diabetes Mellitus Diabetes mellitus is seen as a primary healthcare issue that affects populations across the globe and necessitates the combination of a healthy lifestyle and medication to improve the quality of life of people who suffer […]
• Control of LDL Cholesterol Levels in Patients, Gestational Diabetes Mellitus In addition, some patients with hypercholesterolemia may have statin intolerance, which reduces adherence to therapy, limits treatment efficacy, and increases the risk of CVD.
• Exploring Glucose Tolerance and Gestational Diabetes Mellitus In the case of a glucose tolerance test for the purpose of diagnosing GDM type, the interpretation of the test results is carried out according to the norms for the overall population.
• Type 2 Diabetes Health Issue and Exercise This approach will motivate the patient to engage in exercise and achieve better results while reducing the risk of diabetes-related complications.
• Diabetes Interventions in Children The study aims to answer the PICOT Question: In children with obesity, how does the use of m-Health applications for controlling their dieting choices compare to the supervision of their parents affect children’s understanding of […]
• Diabetes Tracker Device and Its Advantages The proposed diabetes tracker is a device that combines the functionality of an electronic BGL tester and a personal assistant to help patients stick to their diet plan.
• Latino People and Type 2 Diabetes The primary aim of the study is to determine the facilitators and barriers to investigating the decision-making process in the Latin population and their values associated with type 2 diabetes.
• Diabetes Self-Management Education and Support Program The choice of this topic and question is based on the fact that despite the high prevalence of diabetes among adolescents in the United States, the use of DSMES among DM patients is relatively low, […]
• Diabetes Mellitus Care Coordination The aim is to establish what medical technologies, care coordination and community resources, and standards of nursing practice contribute to the quality of care and safety of patients with diabetes.
• Healthy Lifestyle Interventions in Comorbid Asthma and Diabetes In most research, the weight loss in cases of comorbid asthma and obesity is reached through a combination of dietary interventions and physical exercise programs.
• PDSA in Diabetes Prevention The second step in the “Do” phase would be to isolate a few members of the community who are affected by diabetes voluntarily.
• Diabetes: Statistics, Disparities, Therapies The inability to produce adequate insulin or the body’s resistance to the hormone is the primary cause of diabetes. Diabetes is a serious health condition in the U.S.and the world.
• Type 2 Diabetes Prescriptions and Interventions The disadvantage is the difficulty of obtaining a universal model due to the complexity of many factors that can affect the implementation of recommendations: from the variety of demographic data to the patient’s medical history.
• Health Education for Female African Americans With Diabetes In order to address and inform the public about the challenges, nurses are required to intervene by educating the population on the issues to enhance their understanding of the risks associated with the conditions they […]
• Diabetes Risk Assessment and Prevention It is one of the factors predisposing patients suffering from diabetes to various cardiovascular diseases. With diabetes, it is important to learn how to determine the presence of carbohydrates in foods.
• Diabetes Mellitus: Preventive Measures In addition to addressing the medical specialists who will be of service in disease prevention, it will emphasize the intervention programs required to help control the spread of the illness.
• “The Diabetes Online Community” by Litchman et al. The researchers applied the method of telephone interviews to determine the results and effectiveness of the program. The study described the value of DOC in providing support and knowledge to older diabetes patients.
• Mobile App for Improved Self-Management of Type 2 Diabetes The central focus of the study was to assess the effectiveness of the BlueStar app in controlling glucose levels among the participants.
• Type 2 Diabetes in Minorities from Cultural Perspective The purpose of this paper is to examine the ethical and cultural perspectives on the issue of T2DM in minorities. Level 2: What are the ethical obstacles to treating T2DM in ethnic and cultural minorities?
• Ethics of Type 2 Diabetes Prevalence in Minorities The purpose of this article analysis is to dwell on scholarly evidence that raises the question of ethical and cultural aspects of T2DM prevalence in minorities.
• Type 2 Diabetes in Minorities: Research Questions The Level 2 research questions are: What are the pathophysiological implications of T2DM in minorities? What are the statistical implications of T2DM in minorities?
• Improving Adherence to Diabetes Treatment in Primary Care Settings Additionally, the patients from the intervention group will receive a detailed explanation of the negative consequences of low adherence to diabetes treatment.
• An Advocacy Tool for Diabetes Care in the US To ensure the implementation and consideration of my plea, I sent a copy of the letter to the government officials so it could reach the president.
• Diabetes and Allergies: A Statistical Check The current dataset allowed us to test the OR for the relationship between family history of diabetes and the presence of diabetes in a particular patient: all variables were dichotomous and discrete and could take […]
• Type 2 Diabetes in Adolescents According to a National Diabetes Statistics Report released by the Centers for Disease Control and Prevention, the estimated prevalence of the disease was 25 cases per 10,000 adolescents in 2017. A proper understanding of T2D […]
• Analysis of Diabetes and Its Huge Effects In the US, diabetes is costly to treat and has caused much physical, emotional and mental harm to the people and the families of those who have been affected by the disease.
• Nursing: Self-Management of Type II Diabetes Sandra Fernandes and Shobha Naidu’s journal illustrates the authors’ understanding of a significant topic in the nursing profession.”Promoting Participation in self-care management among patients with diabetes mellitus” article exposes readers to Peplau’s theory to understand […]
• The Impact of Vegan and Vegetarian Diets on Diabetes Vegetarian diets are popular for a variety of reasons; according to the National Health Interview Survey in the United States, about 2% of the population reported following a vegetarian dietary pattern for health reasons in […]
• “Diabetes Prevention in U.S. Hispanic Adults” by McCurley et al. This information allows for supposing that face-to-face interventions can be suitable to my practicum project that considers measures to improve access to care among African Americans with heart failure diseases. Finally, it is possible to […]
• Diabetes Disease of the First and Second Types It is a decrease in the biological response of cells to one or more effects of insulin at its average concentration in the blood. During the first type of diabetes, insulin Degludec is required together […]
• Person-Centered Strategy of Diabetes and Dementia Care The population of focus for this study will be Afro-American women aged between sixty and ninety who have diabetes of the second type and dementia or are likely to develop dementia in the future.
• Video Consultations Between Patients and Clinicians in Diabetes, Cancer, and Heart Failure Services For example, during one of my interactions with the patient, I was asked whether the hospital had the policy to avoid face-to-face interaction during the pandemic with the help of video examinations.
• Diets to Prevent Heart Disease, Cancer, and Diabetes In order to prevent heart disease, cancer, and diabetes, people are required to adhere to strict routines, including in terms of diet. Additionally, people wanting to prevent heart disease, cancer, and diabetes also need to […]
• The Centers for Diabetes’ Risks Assessment In general, the business case for the Centers for Diabetes appears to be positive since the project is closely aligned with the needs of the community and the targets set by the Affordable Care Act.
• Diabetes Management Type 1 and Type 2 diabetes contrast based on their definitions, the causes, and the management of the conditions. Since the CDC promotes the avoidance of saturated fat and the increase of fiber intake for […]
• Intervention Methods for Type 2 Diabetes Mellitus An individual should maintain a regulated glycemic control using the tenets of self-management to reduce the possibility of complications related to diabetes.
• Diabetes Mellitus as Leading Cause of Disability The researchers used data from the Centers for Disease Control and Prevention, where more than 12% of older people in the US live with the condition.
• Depression in Diabetes Patients The presence of depression concomitant to diabetes mellitus prevents the adaptation of the patient and negatively affects the course of the underlying disease.
• The Relationship Between Diabetes and COVID-19 After completing the research and analyzing the articles, it is possible to suggest a best practice that may be helpful and effective in defining the relationship between diabetes and COVID-19 and providing a way to […]
• Pre-diabetes and Urinary Incontinence Most recent reports indicate that a physiotherapy procedure gives a positive result in up to 80% of patients with stage I or SUI and mixed form and 50% of patients with stage II SUI.
• Type 1 Diabetes: Recommendations for Alternative Drug Treatments Then, they have to assess the existing levels of literacy and numeracy a patient has. Tailoring educational initiatives to a person’s unique ethnic and cultural background is the basis of cultural competence in patient education.
• Type 2 Diabetes: A Pharmacologic Update Diabetes presents one of the most common diagnoses in causes of ED visits among adults and one of the leading causes of death in the United States.
• Diabetes: Vulnerability, Resilience, and Care In nursing care, resilience is a critical concept that shows the possibility of a person to continue functioning and meeting objectives despite the existing challenges.
• Diabetes Prevention in the United States The analysis of these policies and the other strategies provides the opportunity to understand what role they might play in the improvement of human health. NDPP policy, on the other hand, emphasizes the role of […]
• Teaching Experience: Diabetes Prevention The primary objective of the seminar is to reduce the annual number of diabetes cases and familiarize the audience with the very first signs of this disease.
• Summary of Type 2 Diabetes: A Pharmacologic Update The authors first emphasize that T2D is one of the most widespread diseases in the United States and the seventh leading cause of death.
• Insulin Effects in a Diabetes Person I will use this source to support my research because the perception of diabetes patients on insulin therapy is essential for understanding the impact they cause on the person.
• Diabetes and Medical Intervention In the research conducted by Moin et al, the authors attempted to define the scope of efficiency of such a tool as an online diabetes prevention program in the prevention of diabetes among obese/overweight population […]
• Relation Between Diabetes And Nutrition Any efforts to lessen and eliminate the risk of developing diabetes must involve the dietary habit of limiting the consumption of carbohydrates, sugar, and fats. According to Belfort-DeAguiar and Dongju, the three factors of obesity, […]
• Diabetes Mellitus Type 2 and a Healthy Lifestyle Relationship The advantage of this study over the first is that the method uses a medical approach to determining the level of fasting glucose, while the dependences in the study of Ugandans were found using a […]
• Diabetes and Its Economic Effect on Healthcare For many years, there has been an active increase in the number of cases of diabetes of all types among the global population, which further aggravates the situation.
• Pathogenesis and Prevention of Diabetes Mellitus and Hypertension The hormone is produced by the cells of the islets of Langerhans found in the pancreas. It is attributed to the variation in the lifestyle of these individuals in these two geographical zones.
• Parental Intervention on Self-Management of an Adolescent With Diabetes Diabetes development and exposure are strongly tied to lifestyle, and the increasing incidents rate emphasizes the severity of the population’s health problem.
• Addressing the Needs of Hispanic Patients With Diabetes Similarly, in the program at hand, the needs of Hispanic patients with diabetes will be considered through the prism of the key specifics of the community, as well as the cultural background of the patients.
• Diabetes Issues: Insulin Price and Unaffordability According to the forecast of researchers from Stanford University, the number of people with type 2 diabetes who need insulin-containing drugs in the world will increase by about 79 million people by 2030, which will […]
• Diabetes: Epidemiologic Study Design For instance, the range of their parents’ involvement in the self-management practices can be a crucial factor in treatment and control.
• What to Know About Diabetes? Type 1 diabetes is caused by autoimmune reaction that prevent realization of insulin in a body. Estimated 5-10% of people who have diabetes have type 1.
• Diabetes in Saudi Arabia It is expected that should this underlying factor be discovered, whether it is cultural, societal, or genetic in nature, this should help policymakers within Saudi Arabia create new governmental initiatives to address the problem of […]
• “Medical Nutrition Therapy: A Key to Diabetes Management and Prevention” Article Analysis In the process of MNT application, the dietitian keeps a record of the changes in the main components of food and other components of the blood such as blood sugars to determine the trend to […]
• Global and Societal Implications of the Diabetes Epidemic The main aim of the authors of this article seems to be alerting the reader on the consequences of diabetes to the society and to the whole world.
• Diabetes and Hypertension Avoiding Recommendations Thus, the promotion of a healthy lifestyle should entail the encouragement of the population to cease smoking and monitor for cholesterol levels.
• Pregnant Women With Type I Diabetes: COVID-19 Disease Management The grounded theory was selected for the given topic, and there are benefits and drawbacks of utilizing it to study the experiences of pregnant women with type I diabetes and COVID-19.
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• v.21(2); 2018 Apr

Diabetes‐related complications: Which research topics matter to diverse patients and caregivers?

Maman joyce dogba.

1 Department of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, QC, Canada

2 Office of Education and Professional Development, Faculty of Medicine, Laval University, Quebec City, QC, Canada

Mylène Tantchou Dipankui

Selma chipenda dansokho, france légaré, holly o. witteman.

3 Centre Hospitalier Universitaire de Québec (CHU de Québec) Research Centre [Health of populations and best health practices axis], Quebec City, QC, Canada

Associated Data

Diabetes is a chronic disease with increasing prevalence worldwide. Although research has improved its treatment and management, little is known about which research topics matter to people living with diabetes, particularly among under‐represented groups.

To explore the importance of research topics among a diverse range of people living with any type of diabetes or caring for someone living with any type of diabetes.

We used a convergent mixed‐method design with quantitative and qualitative aspects. We surveyed a national sample of people living with diabetes and caregivers of people with diabetes, asking them to rate the importance of 10 predetermined important research topics. We also held three focus groups in two major cities to explore research concerns of people who are under‐represented in research.

469 adults (57% men, 42% women) in Canada completed the online survey, indicating that all 10 areas of research mattered to them, with the highest ratings accorded to preventing and treating kidney, eye and nerve complications. Fourteen individuals participated in three focus groups and similarly noted the importance of research on those three complications. Additionally, focus group participants also noted the importance of research around daily management. No new topics were identified.

Conclusions

This study confirmed the importance of research topics among a population of people living with or caring for someone with diabetes. Findings from this study were used to inform the vision for Diabetes Action Canada—a pan‐Canadian Strategy for Patient‐Oriented Research ( SPOR ) Network on diabetes and its complications.

1. INTRODUCTION

Diabetes is a chronic disease with increasing prevalence worldwide. 1 In 2014, an estimated 422 million adults, representing 8.5% of the global population, were living with diabetes. 2 The economic burden of this disease and its complications account for a growing proportion of local and national budgets. 3 , 4 For individuals, diabetes has negative psychosocial consequences that diminish quality of life. 5 While research has improved the treatment and management of diabetes and increased longevity, 6 mismatches between the focus of research and what matters to patients may lead to research waste. 7 , 8 Involving patients in the early stages of research is the first step in reducing such waste, as it helps increase the relevance of topics studied regarding such chronic diseases as diabetes. 9 People living with chronic diseases may develop a high degree of expertise which can provide new insight into how to improve their conditions and self‐care. 10 , 11 The patient perspective may complement that of the clinician and researcher by providing a more holistic interpretation of health and the experience of a health condition. 11

When seeking to involve patients as partners in research, it is critical to avoid reproducing or even exacerbating health inequities. Major disparities persist in the diagnosis, treatment, disease management and health outcomes of groups such as ethnic minorities, immigrants, people living in poverty, people whose mental health require regular follow‐up with a psychiatrist and seniors, all of whom are more vulnerable to diabetes‐related complications. 12 , 13 , 14 , 15 , 16 In spite of these continuing disparities, minority groups continue to be under‐represented in research, and engagement in defining research questions is no exception. Additionally, there is little guidance on how to facilitate the full participation of members of these groups in setting research priorities. 17 , 18 For example, although previous research in the United Kingdom has identified research priorities among people living with type 1 diabetes, those involved were predominantly white and female. 19

This study aimed to involve a national sample of people living with diabetes and caregivers of people living with diabetes in rating the importance of research topics around diabetes‐related complications. We further sought to capture the perspectives of people who are under‐represented in research. Our primary research question was as follows: What topics are most important to people living with or caring for someone living with diabetes regarding disease‐related complications as a means to help better orient future research priorities?

2.1. Study design

We used a multipronged mixed‐methods (QUAN + QUAL) approach with a convergent design 20 to capture what was important to people living with diabetes and caregivers regarding research on diabetes‐related complications. 21 , 22 According to the convergent mixed‐methods design, quantitative and qualitative methods are complementary during data collection, data analysis or both. In our case, we combined 21 the quantitative and qualitative data after we completed both sets of data collection. The study consisted of two components accordingly: (i) quantitative: an anonymous online survey to poll a national sample of people living with diabetes or caregivers of people living with diabetes on the importance of 10 predetermined research topics; and (ii) qualitative: holding focus groups with people living with diabetes who are members of under‐represented groups, in order to explore the views and experiences of those predicted to be under‐represented in the online survey. 23

2.2. Research ethics

This study was approved by the Research Ethics Board of the Centre Hospitalier Universitaire de Québec (Quebec City, approval #: 2016‐2578). In agreeing to follow the link and take the online survey, participants provided implied consent. No survey questions were mandatory, meaning that respondents could skip questions if they wished. No attention filter was included. Prior to each focus group, we described the project and allowed participants to ask questions. Verbal consent of focus group participants was recorded.

2.3. Procedures

2.3.1. online survey.

The online survey included questions on socio‐demographics, the person's experience with diabetes‐related complications and analog scales to rate the importance of 10 pertinent disease‐related complication research topics. These topics were identified in the literature describing previous priority‐setting exercises conducted with people living with type 1 diabetes, 19 and via email consultation with researchers, clinicians, representatives of patient organizations, caregivers and patient partners as part of a 6‐month funding application planning process.

Demographic data gathered from participants included: age, gender, ethnicity, income and education levels, geographical location and country of birth (inside or outside of Canada). Prior to finalizing the survey, all survey questions were iteratively reviewed by a person living with type 1 diabetes, a person living with type 2 diabetes, and a parent of a child with type 1 diabetes. The survey also contained three validated scales 24 , 25 , 26 , 27 , 28 to measure fear or distress associated with living with diabetes and its complications (see Appendix S1 ). These scales were included because we believed that fear or distress might influence how individuals rate the importance of research topics relative to the levels of fear they experience regarding these complications. If we were to observe large variations in ratings of importance, these data would allow us to explore potential reasons for the variation. The survey also included comment boxes where participants could provide additional information, including an open‐ended question asking for their ideas on additional topics concerning diabetes and diabetes‐related complications that require more research.

2.3.2. Survey participants

Over a 3‐day period in September 2015, we recruited participants through Qualtrics online sampling services. 29 To be included in the study, participants had to be living in Canada, aged ≥18 years, living with type 1 or type 2 diabetes, or caring for a child or an adult with diabetes and able to complete the survey in English or French. To ensure demographic diversity and offset variations in response rates, we established desired quotas based on gender (50/50 men and women), type of diabetes and relationship with diabetes (people with diabetes themselves, parents of children with diabetes, caregivers for adults with diabetes). We could not put quotas in place regarding ethnicity due to sampling constraints. In keeping with standard amounts for surveys administered by panel services, participants who completed the survey received $1.00‐$1.50 in compensation for their time answering our questions. We aimed for approximately 500 respondents. This target was selected as an achievable sample size that would allow for a broad sample of respondents and aligned with previous, similar research that sought feedback from 583 people living with diabetes about research questions they would like to see addressed. 19

2.3.3. Focus groups

Members of some groups may be less likely to complete online surveys, and thus, be under‐represented in survey‐based research. Therefore, we held 3 focus groups with patients and caregivers who were members of such groups. 30 To ensure variation in perspectives, we partnered with community organizations working with seniors, economically disadvantaged people, immigrants and people whose mental health requires follow‐up with a psychiatrist. 31 , 32 , 33 Two experienced qualitative researchers (MJD and MDT) conducted the focus groups using an established protocol. During the focus groups, patients were invited to discuss their experience with diabetes and its related complications, their perspectives and their concerns about the long‐term complications of diabetes. Participants also explained why, in their view, the concerns raised should be investigated by researchers.

2.3.4. Focus group participants

We used a convenience sample of members of under‐represented populations in the province of Quebec. We recruited focus group participants through three community‐based organizations that provide services to seniors, immigrants and people whose mental health requires regular follow‐up with a psychiatrist. To be eligible to participate in the focus groups, participants needed to be: living in Canada, aged ≥18 years, living with type 1 diabetes, type 2 diabetes or caring for a person with diabetes, and able to understand and express themselves in French. Participants who were unable to comfortably express themselves in French were excluded from the study.

To recruit participants, the organizations circulated information about the study to its clients or members. Interested participants contacted the research associate either by email or by phone. The research associate contacted all potential participants to explain the study, assess their eligibility, answer questions and discuss logistics. A reminder call and/or email was sent to all participants 2 days prior to the scheduled focus group to confirm the time and location.

We held the three focus groups at times convenient for participants. Furthermore, to increase accessibility, the focus groups were held in the offices of the partnering community organizations; a common practice when working with members of vulnerable populations. 34 We conducted two focus groups in Quebec City: (i) seniors; and (ii) people whose mental health requires regular follow‐up with a psychiatrist. We conducted the third in Montreal with a group of immigrants. Each focus group was audio‐recorded and lasted between 70 and 90 minutes. Participants received $50 in appreciation for their time and 10$ for transportation. 19

2.4. Data analysis

Our interest in conducting both qualitative and quantitative portions was to ensure inclusion of diverse perspectives. In other words, while research often uses quantitative and qualitative methods to collect different types of data from the same population to inform a research question, we used different methods to collect data from groups both more and less likely to participate in different types of research, in an attempt to capture more representative results. Therefore, we carried out quantitative and qualitative analyses separately before bringing both parts together. Our first step was to conduct descriptive statistics using SPSS version 22 (Armonk, NY, USA: IBM Corp.) to measure central tendency and examine the range of variation in responses to our questions about the importance of 10 important diabetes research areas. We recorded focus group discussions and transcribed them verbatim. We performed a six‐stage thematic analysis 35 , 36 using NVivo qualitative analysis software (QSR International Pty Ltd. Version 10, 2012). We started by generating initial codes and themes, and inductively refining these themes based on the data. MTD analysed focus group data under the guidance of MJD. The codes were labelled with short phrases using the words of participants. Then, MTD sorted codes into potential themes and collated all relevant coded data extracts within the identified themes and subthemes. During this analysis, the codes, themes and subthemes were revised and refined. We used field notes 37 to validate and complete the information gathered during the focus groups. After separate analyses were completed, we combined the findings from each study to analyse how complementary or contradictory they were. We additionally examined how focus group findings could improve our interpretation of the statistical analysis.

3.1. Characteristics of participants

3.1.1. online survey.

Of the 500 participants surveyed, 31 were excluded from our analyses because they either completed the survey in a time deemed too fast to provide thoughtful answers (ie, 10 minutes or less) or because their responses were inconsistent with the questions. The remaining 469 participants were 57% men, had a mean age of 44 (SD = 15), came from across the 10 provinces and 3 territories of Canada, and represented a broad range of educational backgrounds and income levels. In line with our concerns and predictions about representation, participants predominantly identified as White or Caucasian (93%). Participants completed the survey in English (78%) or French (22%) and were either living with diabetes (96%) and/or caring for a child (<1%) or adult with diabetes (3%). Ten percent (10%) of participants were dealing with type 1 diabetes; 89% with type 2 diabetes; and 1% with another or unknown type. Median time living with diabetes was 19.5 years for type 1 diabetes (IQR 9.8‐30.0 years) and 8.0 years for type 2 diabetes (IQR 4.0‐15.0 years.) (See Table  1 A,B).

Online Survey Data

SD, sample standard deviation; IQR, interquartile range.

A vast majority of participants with type 1 or type 2 diabetes (45% and 60%, respectively) reported other health concerns, some of which may be diabetes‐related complications (see Table S1 ). These concerns were, for types 1 and 2 respectively, eye complications (34% and 15% of participants), heart complications (13% and 24% of participants), kidney complications (22% and 8% of participants), mental health complications (34% and 27% of participants) and nerve complications (40% and 30% of participants). Many participants reported not having been screened for these complications in the previous year. Of those with type 1 and type 2 diabetes, respectively, 63% and 78% reported not receiving screening for eye complications within the past year; 71% and 68% reported not receiving screening for heart complications; 53% and 70% reported not receiving screening for kidney complications; 68% and 86% reported not receiving screening for mental health complications; and 61% and 70% reported not receiving screening for nerve complications.

3.1.2. Focus groups

Of the 23 people who initially expressed an interest in participating in the study, 5 were ineligible because they neither had diabetes nor cared for a person with diabetes; 2 withdrew because they were unavailable on the day of the focus group and 2 withdrew without explanation. Of the 14 remaining individuals who participated in the 3 focus groups, 7 (50%) were female and 3 total (21%) were living with type 1 diabetes. The characteristics of participants are shown in Table  2 .

Focus Groups: Characteristics of the 14 participants

3.2. Data analysis

3.2.1. online survey.

We report here the medians rather than the means because the distribution of responses to the survey questions about the importance of research topics regarding preventing and treating the complications of diabetes was not symmetrical. The median scores for people with both type 1 and type 2 diabetes were between 84 and 100 (on a 0 to 100 rating scale, with 100 indicating extremely important) indicating that participants assigned high importance to all 10 predetermined research topics with relatively little variation between topics. Topics that had the highest median scores and the least variation in responses were preventing and treating kidney, eye, heart and nerve problems. Research topics for which participants had the widest interquartile range in scores were as follows: preventing and treating mental health problems, developing and testing smart insulin, patient and caregiver education, and artificial pancreas research (type 1) (see Table  3 ).

Online survey results regarding the importance of diabetes‐related research topics

Cronbach's alphas were .94, .93 and .94, respectively, for the Fear of Complications Scale, 28 Hypoglycemia Fear Scale 24 , 25 , 26 and Diabetes Distress Scale. 27 People with type 1 diabetes and type 2 diabetes had mean scores of 23 (SD 10) and 18 (SD 10), respectively, on the Fear of Complications Scale (range 0‐45). Participants with type 1 diabetes had a mean score of 34 (SD 17) on the Hypoglycemia Fear Scale (range 0‐108) indicating sometimes fearing hypoglycaemia, while participants with type 2 diabetes had a mean score of 21 (SD 16) indicating being concerned less often. Finally, participants with type 1 diabetes and type 2 diabetes had mean scores of 2.81 (SD 1.23) and 2.23 (SD 1.27) on the Diabetes Distress Scale. Using the cut‐off score recommended by Fisher et al 38 this indicates that on average, participants with type 1 diabetes had moderate but non‐clinical levels of distress (threshold = 3) (see Table S1 ).

Comments provided by participants in the open box sections of the survey aligned with the quantitative findings and illustrate the emotional distress linked to diabetes and diabetes management, the fear associated with episodes of hypoglycaemia and its consequences, and with the long‐term complications of the disease (see Table  3 ).

3.2.2. Focus groups

The thematic analysis allowed us to identify a set of general concerns about diabetes‐related complications as reported by members of under‐represented groups.

3.3. General concerns about diabetes‐related complications

Participants in the focus groups provided further insight into the nature of their concerns about the impact of diabetes on their quality of life, life‐expectancy (Table  4 , citation 1) and vulnerability to other diseases (Table  4 , citation 2). Most participants reported being most afraid of complications that potentially lead to functional impairment (blindness), additional morbidity (chronic renal failure) or death (hypoglycaemia) (Table  4 , citation 3). Furthermore, participants pointed to the challenge of continuously monitoring and managing the disease (Table  4 , citations 4, 5 and 6).

Citations from focus groups participants

In addition to these general and common concerns, four specific themes arose from the focus group discussions:

Theme 1: The bidirectional relation between individual history and socio‐economic context, and the management of diabetes

Two aspects of individual history and context were mentioned by participants: (i) the influence of previous life‐experiences on the management of diabetes; and (ii) the impact of socio‐economic conditions on the outcomes of the disease. Regarding the first point, participants said they suspected a strong relation between their previous life‐experiences and the management of diabetes‐related complications. They wished that this relation could be investigated. For example, one participant talked about adopting bad eating habits such as dieting during the day and binging at night because she saw a loved one in a diabetic coma. (Table  4 , citations 7 and 8).

With respect to the second point, discussions in both focus groups focused on the need for studies examining the cost of diabetes treatment (Table  4 , citation 9). For example, some participants argued that they sometimes had to choose between paying their rent and buying insulin and complained that this should be a concern to researchers.

Theme 2: The need to better understand the danger of polymedication toxicity in patients with multiple comorbidities

Focus group participants who were either elderly or had experienced mental health problems expressed their concerns about toxic drug interactions resulting from polymedication. They stressed the urgent need to understand, whether and/or to what extent, there may be interactions between their diabetes medication and other treatments (Table  4 , citation 10).

Theme 3: The need to better understand barriers to quality care for immigrants living with diabetes

Focus group participants who were immigrants had two core concerns regarding diabetes and its related complications for researchers to address, notably: (i) how to improve access to quality care for immigrants with diabetes; and (ii) how to make health‐care professionals more knowledgeable about the specific care needs of immigrants living with diabetes. Most immigrants in the study talked about cultural or linguistic barriers to navigating the health system. For example, one participant talked about how she had learned to be assertive in expressing her needs (Table  4 , citation 11). Another participant talked about his experience going back and forth between the doctor and the pharmacist without answers to his needs (Table  4 , citation 12). Finally, participants who were immigrants unanimously reported that health‐care professionals were inadequately trained to detect symptoms and diagnose diabetes among individuals who are newcomers to the country. One participant, for example, said that this led to a failure to recognise pre‐diabetes symptoms, forcing this person to consult multiple physicians before a glycaemia test was requested (Table  4 , citation 13).

Theme 4: The need for better dissemination of the research results on diabetes

Focus group participants also expressed concerns about not having access to updated information on diabetes. They reported being aware of on‐going research, but were never informed by community organizations about the research results (Table  4 , citations 14 and 15).

Participants also pointed to a need for better information for their loved ones and relatives, to help them understand and provide better support in the management of the disease (Table  4 , citations 16, 17, 18).

4. DISCUSSION

This study aimed to explore the importance of diabetes‐related complication research topics relevant to those living with or caring for someone living with diabetes. Additionally, we wished to explore the reasons why these topics are important from the perspective of under‐represented populations. Findings from both the quantitative and qualitative components of the study complement each other and can be summarized in three main points.

First, the alignment of what is important for patients in diabetes research. Both survey and focus group participants indicated the importance of preventing and treating well‐known complications of diabetes such as kidney, eye and nerve problems. This finding confirms that research on such complications matters to patients and caregivers. Second, the need for more research about the bidirectional influence of the “life context” on diabetes.   Our participants also pointed out that there are a number of individual and contextual factors, such as individual circumstances (eg, life conditions, previous experiences), socio‐economic status and the experience of managing the condition that need further exploration, especially for the most under‐represented people included in this study. Finally, the third point was the need to deepen diabetes‐related research in under‐represented populations. Our results further suggest that research topics should be tailored to address specific challenges such as access to culturally relevant care for immigrants. 39

Consistent with other studies, 40 , 41 our quantitative data show that participants had moderate levels of emotional distress around diabetes‐related complications. Our qualitative analysis provided some insight into the nature of these concerns. For example, the fear that diabetes‐related complications (eg, kidney failure or blindness) may result in functional impairment or death (eg, as a result of a hypoglycaemia). Additionally, fears were often amplified not only by personal experience as shown in other studies, 42 , 43 , 44 , 45 , 46 but also by witnessing others dealing with such complications (such as having seen a loved one with kidney failure or experiencing a hypoglycaemic episode). These experiences impact how research topics are rated by those whose lives are touched by the disease. Unfortunately, further investigation of these questions was not possible with this study for two reasons: (i) the focus group participants were not asked to rate the complications as did online survey participants; and (ii) the focus groups were conducted separately from the quantitative portion of the study.

Overall, our findings point to a need for more research on diabetes, its complications and the bidirectional influence of a number of individual and contextual factors such as individual circumstances (eg, life conditions, previous experiences, emotional distress); socio‐economic status; and the experience of managing the condition, especially for the most under‐represented groups included in this study. It was suggested that research topics should be tailored to address specific challenges, such as access to culturally competent care for immigrants. 39

Our study did, however, have a few limitations. Due to time and budget constraints, focus group activities were restricted to Montreal and Quebec City, where our team is based. This limited our ability to recruit in other cities across Canada and also limited a true representation of the country's population. Although our respondents and their experiences reflect a broad sample of the population of Canada, several other groups who may have particular needs (eg, pregnant women, Indigenous peoples, parents or guardians of children with diabetes, as well as caregivers) were under‐represented in the online survey and were absent in the focus groups. Therefore, our sample lacks representation of some other under‐represented populations in Canada. Additionally, language barriers may have limited our selection of participants and excluded individuals, particularly those from under‐represented groups such as immigrants. Furthermore, because this online survey and focus group based study relied on participant self‐reports, the data could be limited by the subjects’ ability for introspection, their individual interpretations and social desirability bias. 47 Finally, because this was a preliminary study aimed at exploring the importance of different research topics to those living with diabetes and caregivers in Canada, we did not undertake prioritization activities that require trading‐off one priority against another to produce a ranked list. Such activities are planned for future research.

One strength of this study is its use of qualitative and quantitative methods to help capture the experiences of under‐represented groups and diverse participants from across Canada. This approach proved feasible as a method for efficiently exploring patients’ and caregivers’ preliminary views on research topics within a short period of time.

5. CONCLUSIONS

This study confirmed the importance of research topics regarding diabetes‐related complications within a population of people living with diabetes or caring for someone with diabetes, and further explored reasons why these topics might be important for certain groups of under‐represented people. The results of this study about what matters most to people living with, and caring for those living with diabetes, including people from under‐represented populations, informed the research program of a 5‐year pan‐Canadian Strategy for Patient‐Oriented Research Network on Diabetes and its related complications (2016‐2021). 39 A broad range of people living with diabetes are now involved as patient partners in this network, collaborating on research projects, research planning and supporting network governance. We anticipate that our results and on‐going work will contribute to the development of targeted interventions better aligned with improving the health and well‐being of people whose lives are touched by diabetes.

AUTHOR CONTRIBUTIONS

M.J.D. provided the study concept and design, supervised the protocol development and research, enrolled patients for the qualitative stage, facilitated focus groups, analysed data and provided the first draft of the manuscript. S.C.D. conducted the descriptive statistics, wrote the quantitative part of the manuscript, reviewed and edited the manuscript. M.T.D. enrolled patients for the qualitative stage, facilitated focus groups, analysed data and wrote the manuscript. F.L. reviewed and edited the manuscript. H.O.W. supervised the survey data collection, reviewed and edited the manuscript. M.J.D. is the guarantor of this work and, as such, had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

CONFLICT OF INTEREST

The authors report no conflict of interest.

Supporting information

Acknowledgements.

The authors thank people living with diabetes, their caregivers and community organizations across Canada for their invaluable contributions to this study. The authors thank Judith Kashul for linguistic editing of this manuscript. Additionally, we thank Mary Zettl, for her contribution editing, coordinating and finalizing this article for publication.

Dogba MJ, Dipankui MT, Chipenda Dansokho S, Légaré F, Witteman HO. Diabetes‐related complications: Which research topics matter to diverse patients and caregivers? Health Expect . 2018; 21 :549–559. https://doi.org/10.1111/hex.12649 [ PMC free article ] [ PubMed ] [ Google Scholar ]

This study was funded through a subgrant of the Canadian Institutes of Health Research (CIHR SCD 139932)

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278 Diabetes Essay Topics, Research Questions, & Presentation Titles

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• Diabetes Type 2 and Related Lifestyle Challenges Diabetes is continuously becoming a big challenge. There is more than one type of diabetes: type 2 seems to be the most challenging one.
• The Type II Diabetes in Obese Children Approximately 10% of school-going children aged between 5 years and 17 years can be described to be obese; a quarter of them are at a heightened risk of developing type 2 diabetes.
• Diabetes Mellitus and Diabetic Foot Evaluation The research proposes to use a comprehensive education program to reduce incidences of diabetes mellitus and diabetic foot in the population.
• Screening and Management of Diabetes: Standards of Medical Care in Diabetes Guidelines Health care systems across the world are employing diverse screening strategies and criteria in the diagnosis of diabetes mellitus among the population.
• Prevalence of Diabetes Mellitus in Low-Income Communities The present paper offers a review of literature on the major reasons for diabetes prevalence in low-income communities.
• Diabetes: Danger Factors Analysis Diabetes is one of the most common diseases that older people are most affected by it. Danger factors include many points.
• Increasing Diabetes Infections Among the Hispanic Populations The article’s objective is centered around establishing whether chronic stress makes US Hispanics more susceptible to diabetes.
• Type II Diabetes: Treatments Metformin is the most common drug recommended for treating type II diabetes. This drug lowers blood glucose level by reducing the production of insulin.
• Diabetes in American Society To get prepared for diabetes, it is important to learn diabetes triggers, causes, complications, and other characteristics.
• A Peer Group Support in Intervention for Adolescent With Type One Diabetes Adolescents with diabetes usually experience difficulties in their physical, emotional, and social stress emerging from the complex medication regimen they have to comply with.
• Diabetes Mellitus Overview and Analysis Diabetes which is medically referred to as diabetes mellitus, is a metabolic disorder that occurs due to the lack of production or action of insulin in the body.
• Chronic Bronchitis, Heart Failure, Hypertension, and Diabetes Mellitus This paper discusses the symptoms and causes of such diseases as chronic bronchitis, heart failure, hypertension, and diabetes mellitus.
• Effects of Intensive Blood-Pressure Control in Type 2 Diabetes Mellitus Blood pressure in diabetic patients remains controversial. The uncertainty surrounding its control complicates patients’ care as the risk of future cardiac events grows.
• The Prevalence of Diabetes in the Elderly From 2000 to 2009 The endeavor of this review is to determine the occurrence of diabetes in the American populace for the period spanning 2000 to 2009.
• The Connection Between Apoptosis and Diabetes The purpose of this study is to investigate the existing body of information regarding apoptosis processes and their connection with diabetes mellitus.
• Mobile Apps for Diabetes Mellitus Patients Research To address people with diabetes mellitus issues, researchers advocate that mobile health services might help them manage their life with the disease better.
• Prevalence of Diabetes Mellitus in Low-Income Communities: An Ethical Aspect Poor quality of life leads to widespread diabetes mellitus, especially among low-income communities. It creates an ethical dilemma that requires the attention of the authorities.
• Diabetes: Preventive Measures and Diagnostics To prevent the risk of developing diabetes, the diet of the patient should include healthy fats, fruits and vegetables, high-fiber bread and cereals, and seafood.
• Prevention of Type II Diabetes This article is devoted to the prevention of type 2 diabetes: the factors that can trigger the disease, as well as the categories of people who are at risk, are considered.
• Diabetes Care Team Best Practices Successful diabetes care requires the systematic collaboration of professionals from different branches of medicine.
• Impacts of Nutrition on the Development of Type 2 Diabetes Mellitus The purpose of this article is to highlight the contribution of nutrition to Type 2 diabetes mellitus – the most prevalent type of diabetes amid adults.
• Type II Diabetes Mellitus Overview The prevalence of type II diabetes mellitus is anticipated to rise gradually with aging and decreased life expectancy.
• The Role of Significant Others in Adolescent Diabetes, A Qualitative Study by Carroll and Marrero The work “The Role of Significant Others in Adolescent Diabetes” by Carroll and Marrero, from a scholarly approach, demonstrates that the two researchers achieved their aim.
• Diabetes: Causes and Effects of Disease Diabetes is a common disease that is found in all parts of the world. Its defining feature is the accumulation of excessive sugar {glucose} in the bloodstream.
• Incidence of Diabetes in the United States Diabetes as the leading cause of morbidity and mortality in the United States and prevalence statistics for America.
• How Diabetes Works: Medical Analysis Diabetes, a disease which alters the body’s capability to utilize glucose effectively, plays a significant role in the deaths of more than 200,000 Americans each year, six times the number in 1950.
• Mexican American Children and Type 2 Diabetes There are multiple programs that aim to cater for primary, secondary as well as tertiary care in children with diabetes, diabetes-related diseases, and disabilities.
• Diabetes Chronic Condition Management The purpose of this data review project is to examine the diabetes management practices applied by Anthem through data review of key indicators .
• Patient Education Technology: MySugr Diabetes Logbook The purpose of the MySugr Diabetes Logbook mHealth application is to track and manage critical health information related to diabetes treatment.
• Insulin Pump Therapy in Children with Diabetes This project analyzes the study by Johnson et al. which investigates long-term outcomes of insulin pump therapy in children with Type 1 Diabetes.
• Evaluation of the Clinical Outcomes of Telehealth for Managing Diabetes The present paper is dedicated to a critical overview of a systematic review “Evaluation of the Clinical Outcomes of Telehealth for Managing Diabetes”.
• Preventing Diabetes and Heart Failure Hospitalizations The goal of this research is to acquire data regarding the opinion given by patients suffering from diabetes mellitus (DM) and heart failure (HF).
• Diabetes Issues in the United States and Florida
• Diabetes Control and Education: Four-Week Project
• Cardiovascular Autonomic Neuropathy in Diabetes Patients
• Diabetes Conference as a Scholarly Activity
• Bariatric Surgery in Type 2 Diabetes Management
• The Use of Diabetes Self-Management Apps by African-American Women
• Older Rural People with Diabetes: Life Expectancy
• EHR Database Management: Diabetes Prevention
• Diabetes in African American Patients
• Diabetes Management for Older Adults in Long-Term Care
• Diabetes Mellitus II: Screening and Statistics
• Type 2 Diabetes: Possible Interventions and Prevention
• Type 2 Diabetes, Risk Factors, Medical Intervention
• Developmental Care for Type 1 Diabetes
• Type 1 Diabetes Mellitus Treatment and Management
• Evidence-Based Practice: Diabetes Prevalence
• Cardiovascular Autonomic Neuropathy and Diabetes
• Educational Programs for Hispanic Patients with Diabetes
• Diabetes Negligence in the Pediatric Population
• Diabetes in Children: Symptoms and Diagnostics
• Foot Ulcers Management in Diabetes Patients
• Diabetes Self-Management Education in Elderly
• Type-2 Diabetes: Condition and Resources Analysis
• Insulin Pump Therapy in Diabetes
• Transition’s Impact for Patients With Diabetes
• Diabetes in Adolescents, Social and Medical Issues
• Insulin Pharmacological Effects in Diabetes Management
• Education Strategies for Elderly Patients with Diabetes
• Diabetes Interventions for Aging African Americans
• Chronic Fatigue in Diabetes
• Diabetes Diagnosis and Classification
• Type II Diabetes Treatment
• Type II Diabetes in Evidence-Based Pharmacology
• Diabetes and High Blood Pressure Patient Teaching
• Diabetes 2 Complications: Neuropathy and Retinopathy
• Weight Gain, Atherosclerosis, Diabetes Relationship
• Prevention or Delay of Type 2 Diabetes
• Diabetes in Evidence-Based Nursing Practice
• Risk Assessment Models for Diabetes Complications
• Diabetes Among Hispanics in Miami: Risk Factors
• Patients with Type 2 Diabetes Mellitus in China
• Diabetes and Status among Immigrants in California
• Diabetes Patient and Holistic Nursing Intervention
• Chronic Disease: Diabetes Mellitus
• Type 2 Diabetes Mellitus in Adults
• Diabetes Genetic Risks in Diagnostics
• Patients With Diabetes and Concomitant Diseases’ Risk
• Prevention and Management of Type 2 Diabetes
• Using Dulaglutide in the Treatment of Patients with Diabetes
• Diabetic Nutritional Plan For a 15-Year-Old Type 1 Diabetes Mellitus Patient
• Diabetes Treatment: Computer-Based Intervention
• Wound Care Tests in Diabetes
• Treatment and Advances in Diabetes
• Type II Diabetes: Patient Case Study
• Types of Diabetes Mellitus: Role of Insulin
• Diabetes Mellitus Patients and Supporting Resources
• Diabetes and Its Economic Cost in the United States
• The Most Acute Problems With Patients With Diabetes
• Diabetes in American Adolescents and Its Effects
• Diabetes Mellitus Type II: Diagnosis and Treatment
• Vitamin D Deficiency and Diabetes Mellitus Type 2
• Diabetes and Possible Interventions
• Type 1 Diabetes Mellitus in Adolescents
• Type 2 Diabetes: Disease Process and Screening
• Overweight Diabetes Patients With Cardiovascular Risk
• Type 2 Diabetes Mellitus Integrated Management
• Diabetes Mellitus Type 2
• “Prandial Inhaled Insulin Plus Basal Insulin Glargine Versus Twice Daily Biaspart Insulin for Type 2 Diabetes: A Multicentre Randomised Trial”: Article Review
• Improving Diabetes Lifestyle

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StudyCorgi. (2021, September 9). 278 Diabetes Essay Topics, Research Questions, & Presentation Titles. https://studycorgi.com/ideas/diabetes-essay-topics/

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StudyCorgi . "278 Diabetes Essay Topics, Research Questions, & Presentation Titles." September 9, 2021. https://studycorgi.com/ideas/diabetes-essay-topics/.

StudyCorgi . 2021. "278 Diabetes Essay Topics, Research Questions, & Presentation Titles." September 9, 2021. https://studycorgi.com/ideas/diabetes-essay-topics/.

These essay examples and topics on Diabetes were carefully selected by the StudyCorgi editorial team. They meet our highest standards in terms of grammar, punctuation, style, and fact accuracy. Please ensure you properly reference the materials if you’re using them to write your assignment.

This essay topic collection was updated on June 21, 2024 .

We have 73 diabetes PhD Projects, Programmes & Scholarships

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diabetes PhD Projects, Programmes & Scholarships

Improving diagnosis of type 2 diabetes in sub-saharan africa - phd in clinical and biomedical sciences, phd research project.

PhD Research Projects are advertised opportunities to examine a pre-defined topic or answer a stated research question. Some projects may also provide scope for you to propose your own ideas and approaches.

Competition Funded PhD Project (Students Worldwide)

This project is in competition for funding with other projects. Usually the project which receives the best applicant will be successful. Unsuccessful projects may still go ahead as self-funded opportunities. Applications for the project are welcome from all suitably qualified candidates, but potential funding may be restricted to a limited set of nationalities. You should check the project and department details for more information.

Improving the prevention and treatment of lean type 2 diabetes in Sub-Saharan Africa

Funded phd project (students worldwide).

This project has funding attached, subject to eligibility criteria. Applications for the project are welcome from all suitably qualified candidates, but its funding may be restricted to a limited set of nationalities. You should check the project and department details for more information.

Developing interventions to support people with T2D in sub-Saharan Africa to make lifestyle changes

The indico-ii study – effects of body composition and dietary improvement on cell membrane dynamics and their relationship with the aetiology of type ii diabetes, self-funded phd students only.

This project does not have funding attached. You will need to have your own means of paying fees and living costs and / or seek separate funding from student finance, charities or trusts.

Trusted AI for Diabetes personalised self-management systems

Big data analytics and visualization for personalized type 2 diabetes treatment and management support, msc by research: investigating the cellular mechanisms underlying the link between maternal diabetes and autism spectrum disorders using 3d human brain organoids., learning and memory in the response to recurrent hypoglycaemia in diabetes, the inflammatory response to recurrent hypoglycaemia in diabetes, the role of inflammatory cytokines on macrophage cytoskeletal structure and function in diabetes and cardiovasular disease, plantar tissue and activity in diabetes, metabolism and prostate cancer plasticity, lessening health inequalities in type 2 diabetes through innovative drug repurposing, obesity, type 2 diabetes and the thrifty genotype hypothesis, exploration of the disease sequalae of gestational diabetes (part of the elemi womens health program).

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15 Dissertation Topics On Diabetes Research And Health

One of the most difficult stages of dissertation writing in any discipline is needing to come up with a research topic. There are several places students can turn to on the internet but this can take up a lot of time. We have put together this collection of fifteen dissertation topics on diabetes research and health from the best dissertation writing service experts:

Dealing with the Onset of Diabetes Dissertation Topics

• Why do patients recently diagnosed with diabetes have such a hard time of being accepting of the fact and begin to manage their health?
• How do children react to recently being diagnosed with diabetes? What can be done to ensure they have a better understanding of how to manage the disease?
• In long-term studies, people who were receiving intense treatment for the disease experienced a lower quality of life. What role should health providers play to minimize this effect?
• Why do so many patients experience extreme levels of depression in the months following their diagnosis despite not showing any other symptoms of declining health?
• Despite it being a global disease, there are certain ethnic groups that are more prone to being diagnosed as a result of diet and culture. What can be done to increase their health education?

Affects Diabetes Has on the Body Dissertation Topics

• What recent treatments have had the biggest positive impact on minimizing the number of short term complications that arise rapidly in patients’ bodies?
• How has the use of different types of steroids affected the way the body responds in patients that experience hypoglycemia more often than the norm?
• What kind of impact do Type 1 and Type 2 Diabetes have on a patient’s kidneys? How is this affected by monitoring techniques that are most commonly practiced?
• Are patients from certain ethnic groups more at risk of developing heart disease or eye disease as a result of their diabetes diagnosis (e.g., the type of diabetes they have)?
• How as the new A1C test helped minimize the negative effects diabetes has on the body through its early detection of the disease?

Dissertation Topics on Diabetes and Lifestyle Planning

• What challenges do patients living with diabetes have when trying to monitor their glucose and maintaining a healthy diet plan?
• How have some patients with Type 1 or Type 2 Diabetes managed to maintain healthier lifestyles than other people who do have the disease?
• Why has the number of people that conduct self-tests of blood glucose dropped? Are there other factors such as social or environmental that have led to this decrease?
• Why do patients in the U.S. still struggle to get the care they need to monitor and maintain healthy glucose levels? Is this a matter of rising health costs?
• Nutrition plays an import role in a healthy lifestyle but many patients with diabetes don’t know what they should be eating. Should nutritionists take a more active role?

For more research paper, thesis, or dissertation topics on diabetes or other health-related areas, contact customer support for a custom list created by one of our professional writers. Our experts are all certified and highly-trained to develop great topics in a number of fields. And if you need even more assistance with your assignment, our experts are available to write, review, edit and more.

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Dissertations on Diabetes

Diabetes is a metabolic disorder that results in an abnormally high blood glucose level. Blood glucose levels are controlled by insulin produced by the pancreas. In diabetics, the pancreas either doesn’t produce enough (or any) insulin, or the body does not respond sufficiently to the insulin that the pancreas produces.

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Latest Diabetes Dissertations

Including full dissertations, proposals, individual dissertation chapters, and study guides for students working on their undergraduate or masters dissertation.

Dissection of Microrna-30D’s Function Roles in Mammalian Pancreatic-beta Cells

Dissertation Examples

In this thesis, important aspects of pancreatic β-cell function under normal or stress condition such as apoptosis, proliferation, insulin production and release and their regulation by the miRNA were explored....

Last modified: 18th Feb 2022

Abnormalities of Glucagon Secreting Alpha Cells: Development of Type 1 and Type 2 Diabetes Mellitus

An Investigation on the abnormalities of glucagon secreting alpha cells, focusing on how these aid in the development of type 1 and type 2 diabetes mellitus....

Last modified: 16th Feb 2022

Prevention of Erectile Dysfunction from Diabetes Mellitus

To determine the possible prevention of deleterious consequences of Diabetes Mellitus on erectile function with administration of PDE5 inhibitors....

Last modified: 4th Feb 2022

Use of Hyperbaric Oxygen Therapy in Cutaneous Injury Repair

Studies were reviewed to analyse the physiological and therapeutic effects of hyperbaric oxygen therapy as an adjunctive treatment in the management of cutaneous wounds....

Last modified: 12th Nov 2021

Drug Eluting Stents for Coronary Heart Disease in Diabetics

This dissertation will focus on diabetes mellitus and different drug eluting stents as well as their superiority when compared to one another....

Last modified: 2nd Nov 2021

Literature Review on Cardiovascular Disease in Diabetics

Example Literature Reviews

This paper focuses on using aspirin as both primary and secondary prevention of cardiovascular disease in patients with diabetes....

Last modified: 29th Oct 2021

Case Study: Type 1 Diabetes Mellitus & Diabetic Ketoacidosis

This paper will explore the case of 6-year-old Amy, who presented to the emergency department with clinical symptoms of T1DM and DKA....

Last modified: 18th Aug 2021

Latent Autoimmune Diabetes in Adults Patient Case Study

The purpose of this case study is to critically explore the issues related to the assessment, intervention and management of a patient with complex diabetes....

Last modified: 17th Aug 2021

Correlation Between the Gly482Ser Polymorphism and Increased Type 2 Diabetes Susceptibility

Introduction 1 – Type 2 Diabetes 1.1 – Obesity and Type 2 Diabetes Over the past 24 years, the number of people affected by Type 2 diabetes (T2D) has nearly quadrupled, growing from 108 million i...

Last modified: 16th Dec 2019

Aetiology of Gestational Diabetes Mellitus

Abstract Gestational Diabetes is a condition present in the later stages of pregnancy where the mother has insulin resistance leading to glucose intolerance. The aetiology of Gestational Diabetes Mell...

Last modified: 11th Dec 2019

Relationship Between Periodontal Disease and Diabetes – a Review Analysis

Periodontal disease (PD) is the most common oral disease for many adults. Its effect range from gum inflammation to serious damage to the soft tissue and bone that supports the teeth, which makes it both a prevalence and severe health problem....

Issues Surrounding Type 2 Diabetes Mellitus in the South Asian Population in London

Summative Assignment   Introduction Type 2 diabetes mellitus (T2DM) is a condition characterised by insulin resistance and relative insulin deficiency, and one that has associated high morbidity and...

Last modified: 9th Dec 2019

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Dissertation on diabetes!

• Thread starter PDN
• Start Date Dec 12, 2017
• Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2024 »
• Diabetes Discussion
• Newly Diagnosed
• Dec 12, 2017

Hello, completely new to this!, I am a 3rd year adult nursing student and am interested in completing my dissertation on diabetes. Wondered if anyone had any ideas/suggestions on the type of question I could ask/research? ps not diabetic, just have an interest.  

Well-Known Member

Maybe you could write about the impact of lchf diet on diabetes vs standard treatment/diet  

There's also Intermittent Fasting along with lchf diet. Dr Jason Fung has done a lot of work in that area with a lot of success.  

i would suggest not. its not recognized by the health folks so likely to be treated badly.  

paulus1 said: i would suggest not. its not recognized by the health folks so likely to be treated badly. Click to expand...

PDN said: Hello, completely new to this!, I am a 3rd year adult nursing student and am interested in completing my dissertation on diabetes. Wondered if anyone had any ideas/suggestions on the type of question I could ask/research? ps not diabetic, just have an interest. Click to expand...

Bluetit1802

ziggy_w said: A fascinating question to examine might be which diabetic complication are caused by excess insulin and which complications are due to excess blood sugars. Click to expand...

Far too broad a field  

Perhaps you could look at the influence of weight loss on the medicinal requirement of type 2 diabetics.  

Whats the question about diabetes that puzzles you? Researching and writing about something that intrigues you is much easier and productive than writing about something you dont feel a connection to  

to be fare nurses that are interested in the subject are important. even my wifes getting on board about reducing carbs instead of the plate rubbish. my carb and calorie book has been doing the rounds. i should get commission. the care of the elderly type 2 patient is another area that could be looked at. its seriously lacking.  

I would suggest the impact of food choices on day to day living regarding physical and mental outcomes. Covering education in the mainstream, access to new approaches be that of a HCP or as someone with Diabetes and most importantly the struggles regarding access to appropriate foodstuffs to manage Diabetes successfully. The fact that depression is often coupled with Diabetes is not often addressed and this can have an enormous impact on outcomes means that 'Diabetes Burnout' might be an interesting dissertion to cover also. Best of luck to you.  

• Dec 13, 2017

Lots of interesting suggestions, though I'd agree that you may not want to borrow trouble by advocating something that isn't yet accepted by the mainstream medical community. You'll need to narrow the field as to what type of diabetes (Type 1, 2, gestational etc, etc) before you can consider what aspect of that diabetes you want to deal with : eg diet, mental care, effects of exercise, education, blood testing, medication, complications, etc etc. Choose something that interests you. Good luck.  

something thats been cropping up a lot recently is eating disorders and diabetic management. the careful balance between them.  

What aspects of diabetes interest you? T1? T2? T3? Complications? Treatment? Hospital care? Preventative care? Diet? Medications? Research? Which country/health system? What environment are you currently in (work/study) and is that going to be your info source? Or will you be having to break new ‘ground’ to even start your research? The last time I looked all PhD research had to be new. So I suggest you have a good rummage to identify what others have/are studying so that you avoid rejection on the grounds of repetition. And finally, there is your interest level. Most PhD students I knew ended up hating their subject on some levels, yet needing to move forward with their career based on a subject they struggled to enjoy... So really, just take your time, and choose carefully, based on YOU and your understanding of what interests you in the long term.  

• Dec 14, 2017

PDN said: I am a 3rd year adult nursing student and am interested in completing my dissertation on diabetes. Click to expand...

Maybe medications for diabetics? Different insulins or type2 tablets. Their info leaflets are readily available on-line. Ask this thread to name their insulin and how they are directed to take it? Mine is basal insulin Toujeo300 units and bolus insulin novarapid units with metformin tablet to reduce insulin resistance 1000mg x2 daily. If you do want to go that way?  

I'd like to think diabetics on no meds and manage on diet control wouldn't have much use for a NHS nurse? Only a dn once a year. And as been proven they only know the basics to tell gp. Even gp refer to endo once not controlled. Dn under a gp isn't authorised to change meds, gp has to do that. US nurses have more authority but are paid whey more than NHS nurses because of that.  

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08-28-2024 – Dissertation Defense – Wu, Yujie

Dissertation Defense – Wu, Yujie (8-28-2024 Flyer)

News from the School

Red meat and diabetes

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Hims & Hers: Digesting Q2 2024 Earnings, Shares Still Undervalued, Rating Downgrade

• Subscriber growth reaccelerated, focus on personalized products, over 40% subscribers use personalized solutions.
• Stock-based compensation concern, $100M buyback program, increased marketing spend, positive outlook for Hims' future.
• GLP-1 offering still in a gray area, path forward looks difficult but possible.
• Share price undervalued after 30% pullback.

Daniel Grizelj

Introduction

Hims & Hers Health ( NYSE: HIMS ) has had an outstanding year so far, as the stock price is up 87.73% YTD. Q4'23 earnings gave investors a lot of confidence going forward, as the company exceeded expectations and raised its guidance. Q1'24 earnings also received a great reception, with the company posting great results once again. Weeks later , the company announced it would start selling compounded GLP-1 agonists to subscribers. Investors and the market responded well, as the stock price soared in the weeks following the announcement. However, controversy and short reports emerged in the following weeks, leading to a sell-off as news circulated that the company might not be able to continue selling GLP-1s.

Since my last article , Hims has dropped a considerable amount—almost 30%, to be exact. The flurry of negative news has sent the stock down to prices not seen since late May. Not much has changed fundamentally, but overall sentiment for the ticker appears far less bullish today than it did a few weeks ago. So what's next? Let me dive into the recent earnings report and explain my thought process.

Earnings Update

Per the Q2'24 filing, the company posted updates regarding the future of their business, along with fantastic topline growth.

For Q2'24 , Hims posted the following numbers:

• Revenues of $315.60 million, 52% YoY growth
• Net income of $13.30 million, turning positive as this quarter last year they posted a $7.20 million dollar loss
• Free cash flow of $47.6 million! A 270% increase YoY
• 9% subscriber growth QoQ (Q1'24 1.709 million subs)
• ARPC increased 8% YoY, from $53 per customer last year to $58 this year

Nothing but great numbers across the board.

Subscriber and ARPC Growth

Hims & Hers Subscriber Growth (Hims Q2'24 Shareholder Letter)

As noted in the previous section, Hims and Hers now has 1.864 million subscribers, up from 1.30 million this time last year. Impressive enough, subscriber growth has actually reaccelerated, as subscriber growth appears to have bottomed last quarter. Over the past 3 months, the company has seen total subscriber growth come from its core business and the new GLP-1's. It's worth remembering that the GLP-1 offering launched on May 20, meaning that there was less than half a quarter to record these numbers.

Hims & Hers Q2'24 Shareholder Letter ARPU (Hims & Hers)

While subscriber count has continued to grow at a rapid pace, monthly average revenue per customer (ARPU) has also increased QoQ. The importance of this cannot be understated. It would be very easy to see ARPU flat given the large increase in subscribers, but this is not the case. The company is likely benefiting from economies of scale paired with subscribers opting for personalized solutions.

Demand for Personalized Products Remains

One of the main focal points for the company has been the idea of giving customers the ability to take advantage of personalized products. For years, Andrew and the team have emphasized the importance of personalized solutions, whether it be dosage, form factor, or compounding. The company's website asks all types of questions, helping the customer get the solution that best fits their wants and needs.

Our focus on providing access to high quality personalized solutions at an affordable price continues to resonate with consumers. -Andrew Dudum

On the Q2'24 call, Andrew mentioned four of their five specialty products now have ten or more personalized solutions. Customers now have a plethora of form factors for the medication they take, making them more likely to choose Hims and Hers.

According to a study conducted by an academic institution in Brisbane, 32% of subjects reported difficulty swallowing pills, tablets, or capsules whole. Hims gives options, and people want a choice.

On the Q1'24 earnings call, Andrew also noted that many individuals are less likely to continue medication given they don't like the form factor. For example, the Hims product line for hair growth includes pills and sprays. It's been reported that many customers dislike the spray, as it made their hair sticky or uncomfortable, resulting in a canceled subscription.

What's great is that over 40% of subscribers to the company have used some version of personalized solutions. This number has increased by almost 30 points over the past two years, suggesting high demand for the customization of medication. For example, this quarter, approximately 85% of new dermatology subscribers use personalized medication.

Hims & Hers Q2'24 Shareholder Letter (Hims & Hers)

Each customer has unique needs, and the company stands out among others as the de facto option for this. Customer acquisition has benefited from this, and I expect this trend to continue, as more people want medication tailored for them.

SBC, Buybacks, and Marketing Spend

I'll start this section with what I see as the downside. Like many companies, Hims has been granting a significant amount of stock-based compensation to employees. While this can incentivize good performance, it also dilutes shareholders, reducing their stake as the total share count increases. Hims has continued to issue stock as compensation, further diluting investors.

Hims & Hers Q2'24 Operating Activities (Hims & Hers Q2 Release)

The company also announced a new $100 million buyback program, to be completed over the next three years. This comes after the conclusion of the $50 million program announced in November of last year. The old program finished in Q2'24, purchasing back 1.9 million shares at an average price of $12.39.

The company hopes to "partially offset the effects" of the dilution caused by SBC, as well as purchase shares when the company feels that the current share price does not reflect the intrinsic value of the company. This new repurchase program is good to hear, as those within the company may see a disconnect between current share prices and fair value prices.

It also appears that one of the reasons the stock sold off post-earnings was the continuation of marketing-related expenses. The company has exponentially increased its marketing spend, with ads being played during the Super Bowl, NBA games, and on Hulu. Hims is still in hypergrowth mode and the company feels that ad spending will need to continue in order to acquire new customers.

Hims & Hers Q2'24 Marketing Expense (Hims & Hers Q2 Release)

Though, we can see that marketing as a percentage of revenue has dropped steeply over the past two quarters. This does not justify the massive marketing expense, but helps paint a picture of how much is actually getting spent.

Marketing as a Percentage of Revenue (Author's Analysis, Seeking Alpha)

Even marketing costs per subscriber have dropped over the past few quarters, though there has been a slight uptick this quarter. Do mind this chart is quarterly, with marketing expense per subscriber floating around $25-$27 per month.

Marketing Cost Per Subscriber (Author's Analysis, Seeking Alpha)

As the company starts to slow down and have better brand recognition in the coming quarters, it would be a good sight to see Andrew and the team slow the marketing expenses in hopes that customer acquisition becomes easier without the massive marketing expenses.

The Future of GLP-1s is Still Murky

The GLP-1 topic has been a hot topic of debate, with some individuals suggesting the shortage period is about to end and others saying it won't end for a while. Whatever the judgment may be, it will absolutely have an effect on the company.

Many (including me) have said that the GLP-1 offering should not have an effect on the overall Hims thesis and that its core business is what matters most. While true, it is important to note that any negative news or sentiment regarding GLP-1s will now affect the company regardless of its importance to the main thesis. Let's take a look at each side of the argument.

Andrew and the team see a future where compounded GLP-1s will be readily available through Hims and Hers. The company believes that there is a large shortage, leaving many without the ability to obtain said medication. They also believe that through personalized solutions, the company will be able to navigate its way through potential barriers along the way.

And then on the injectable side, I think there's going to be, without question, a long horizon of on and off availability, just given the demand. We see thousands of patients coming every single day saying that they can't get access to these medications. And so we suspect that we'll be able to offer commercially available doses to in some form for extended periods. I think on top of that, as you said, as supply grows, we are excited to bring the branded medications for patients that are interested on to the platform as well as the personalized dosages. The compounding [Technical Difficulty] titration and dose customization exists and operates regardless of shortage. This is an exemption for which we operate the entire business under and have for the last six or seven years. - Andrew Dudum

On the flip side, executives from Eli Lilly (NYSE: LLY ) and Novo Nordisk (NYSE: NVO ) have come out to say that the shortage has ended or is coming close to an end. Keep in mind that both companies have spent tons of capital in attempts to ramp up production for their respective weight-loss drugs.

Expectations are that Lilly's drug 'tirzepatide' is coming off shortage soon or is already off, according to CEO David Ricks.

Lilly's drug, tirzepatide, sold as Mounjaro for diabetes and Zepbound for weight management, will cease to be in shortage "very soon," CEO David Ricks said in an interview with Bloomberg in Paris. - Reuters

Mounjaro and Zepbound Availability (FDA)

According to the FDA website , we can see that all versions of Zepbound and Mounjaro are readily available and are currently not in shortage.

With the initial launch of GLP-1s came much excitement, as the stock price rocketed to all-time highs. So whether you want to believe it or not, GLP-1s are important to the business model, as many investors are looking closely at the potential business they bring. Hims has made its bed; now it's time to lay down.

Updated Valuation

Based on my updated DCF model, Hims currently trades at a discount. The following assumptions were made to reach my final price target for the company:

• Revenue growth rates of 60%, 36%, 19%, 17%, and 25% for the years 2024, 2025, 2026, 2027, and 2028, respectively
• Shares outstanding of 238,184,449 for 2028
• Capital expenditures for this year of $24.125 million, growing roughly 18% annually
• Total liabilities of $118 million and cash of $227 million
• WACC of 10% and terminal growth of 5%

Hims DCF Model (Author's Analysis, Seeking Alpha)

In this case, we end up with a fair value of $21.11 per share, a 27% upside from current prices. My price target has been slashed from my last article, as the potential risks have been better assessed along with a better margin of safety using more conservative numbers.

The fair value I've given is heavily influenced by the WACC input, so below I've shown where I got my WACC.

Hims & Hers WACC Analysis (Author's Analysis, Seeking Alpha)

As Q2'24 wraps up, it's clear that the company remains on the right track. If Hims can continue delivering personalized compounded GLP-1 agonists, the future looks promising. Looking ahead, I'll be keeping a close eye on three key factors: marketing expenses, stock-based compensation, and subscriber growth/margins. If these areas show positive trends, I believe Hims could be poised for significant share price increases.

I give Hims and Hers Health, Inc. a 'buy' rating with a price target of $21.11.

This article was written by

Analyst’s Disclosure: I/we have a beneficial long position in the shares of HIMS either through stock ownership, options, or other derivatives. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article.

Seeking Alpha's Disclosure: Past performance is no guarantee of future results. No recommendation or advice is being given as to whether any investment is suitable for a particular investor. Any views or opinions expressed above may not reflect those of Seeking Alpha as a whole. Seeking Alpha is not a licensed securities dealer, broker or US investment adviser or investment bank. Our analysts are third party authors that include both professional investors and individual investors who may not be licensed or certified by any institute or regulatory body.

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