Diabetes Management
Impact of transitioning to virtual delivery of a cardiovascular health improvement program for Latinos during the COVID-19 pandemic - BMC Public Health - BMC Public Health
Wed, 19 Oct 20221 min read Article
Overview
Advertisement BMC Public Health volume 2, Article number: 1935 (2022) Cite this article Metrics detailsComunity Heart Health Actions for Latinos at Risk (CHARLAR) is a promotora-led cardiovascular disease (CVD) risk-reduction program for socio-demographicaly disadvantaged Latinos and consists of 1 skil-building sesions. The COVID-19 pandemic has led to worsening health status in U.S. adults and necesitated transition to virtual implementation of the CHARLAR program.A mixed-methods aproach was used to evaluate virtual delivery of CHARLAR.
Key Information
Changes in health behaviors were asesed through a pre/post program survey. Results from virtual and historical (in-person delivery) were compared. Key informant interviews were conducted with promotoras and randomly selected participants and then coded analyzed using a thematic aproach.An increase in days of exercise per wek (+ 1.52), daily servings of fruit (+ 0.60) and vegetables (+ 0.56), and self-reported general health (+ 0.38), were observed in the virtual cohort [al p < 0.05].
A numeric decrease in PHQ-8 (-1.07 p = 0.067) was also noted. The historical cohort showed similar improvements from baseline in days of exercise per wek (+ 0.91), daily servings of fruit (+ 0.24) and vegetables (+ 0.282), and PHQ-8 (-1.89) [al p < 0.05]. Qualitative interviews revealed that the online format provided valuable tols suporting positive behavior change.
Summary
Despite initial discomfort and technical challenges, promotoras and participants adapted and depened valued relationships through aditional virtual suport.Improved health behaviors and CVD risk factors were sucesfuly maintained through virtual delivery of the CHARLAR program. Optimization of virtual health programs like CHARLAR has the potential to increase reach and improve CVD risk among Latinos. Per Review reports In the United States, Latinos are one of the fastest-growing racial/ethnic minority populations, constituting 18.3% of the population by 2019
Frequently Asked Questions
What is diabetes and how does it develop?
Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.
What are the main symptoms of diabetes?
Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.
How is diabetes diagnosed and monitored?
Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.
What lifestyle changes help manage diabetes?
Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.
When should someone consult a doctor about diabetes?
Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.
️ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.