Diabetes in the desert

What do patients know about the heat?

Adrienne A. Nassar, Raymond D. Childs, Mary E. Boyle, Kimberly A. Jameson, Margaret Fowke, Ken R. Waters, Michael J. Hovan, Curtiss B. Cook

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: This study aims to identify self-management strategies used by patients with diabetes in hot weather, examine knowledge of safe temperatures and exposure times, and evaluate comprehension of weather data. Methods: Patients attending an endocrinology clinic in southwestern United States were surveyed. Results: One hundred fifty-two surveys completed from November 30 to December 31, 2009 were analyzed. Mean patient age was 64 years; diabetes duration, 15 years; 51% were women, 83% had type 2 diabetes, 58% were non Hispanic white, and 77% were on insulin injections. Mean hemoglobin A1c was 7.9%; 38% had hemoglobin A1c values of 8.0% or higher. Patients used an array of personal protective measures during hot weather, and 71% limited heat exposure to less than one hour. Respondents typically took steps to protect their diabetes medication and supplies, but 37% chose to leave medications and supplies at home. Although 73% of respondents had received information regarding the effect of heat on insulin, only 39% had received information about the effect of heat on oral medications, 41% on glucose meters, and 38% on glucose test strips. The temperature at which patients took protective measures varied. Only 55% knew the definition of the heat index. Conclusion: Most survey participants took measures to protect themselves from the heat, although gaps in knowledge were evident. Many patients had suboptimal glycemic control, placing them potentially at risk for dehydration during the hottest months. Increased public awareness of this topic is needed, and diabetes education programs should include information about the heat where appropriate.

Original languageEnglish (US)
Pages (from-to)1156-1163
Number of pages8
JournalJournal of diabetes science and technology
Volume4
Issue number5
StatePublished - Sep 2010

Fingerprint

Medical problems
Hot Temperature
Weather
Hemoglobin
Insulin
Glucose
Endocrinology
Hemoglobins
Southwestern United States
Temperature
Self Care
Dehydration
Hispanic Americans
Type 2 Diabetes Mellitus
Education
Injections
Surveys and Questionnaires

Keywords

  • Desert climate
  • Diabetes
  • Heat

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine
  • Bioengineering
  • Biomedical Engineering

Cite this

Nassar, A. A., Childs, R. D., Boyle, M. E., Jameson, K. A., Fowke, M., Waters, K. R., ... Cook, C. B. (2010). Diabetes in the desert: What do patients know about the heat? Journal of diabetes science and technology, 4(5), 1156-1163.

Diabetes in the desert : What do patients know about the heat? / Nassar, Adrienne A.; Childs, Raymond D.; Boyle, Mary E.; Jameson, Kimberly A.; Fowke, Margaret; Waters, Ken R.; Hovan, Michael J.; Cook, Curtiss B.

In: Journal of diabetes science and technology, Vol. 4, No. 5, 09.2010, p. 1156-1163.

Research output: Contribution to journalArticle

Nassar, AA, Childs, RD, Boyle, ME, Jameson, KA, Fowke, M, Waters, KR, Hovan, MJ & Cook, CB 2010, 'Diabetes in the desert: What do patients know about the heat?', Journal of diabetes science and technology, vol. 4, no. 5, pp. 1156-1163.
Nassar AA, Childs RD, Boyle ME, Jameson KA, Fowke M, Waters KR et al. Diabetes in the desert: What do patients know about the heat? Journal of diabetes science and technology. 2010 Sep;4(5):1156-1163.
Nassar, Adrienne A. ; Childs, Raymond D. ; Boyle, Mary E. ; Jameson, Kimberly A. ; Fowke, Margaret ; Waters, Ken R. ; Hovan, Michael J. ; Cook, Curtiss B. / Diabetes in the desert : What do patients know about the heat?. In: Journal of diabetes science and technology. 2010 ; Vol. 4, No. 5. pp. 1156-1163.
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