Purpose Diabetes often remains untreated in low-resource settings due to inadequate healthcare in... more Purpose Diabetes often remains untreated in low-resource settings due to inadequate healthcare infrastructure and compromised mobility especially, for women. The Glucose Trail (GT) intervention was designed to manage diabetes in patients from a low resource setting via a mobile application and community mobilization. The primary objective of this study was to assess the impact of the intervention on glycemic control parameters. The secondary objective was to examine the change in blood pressure, BMI and waist circumference. Methods A retrospective review was conducted among patients included in the GT intervention conducted between February 2019 to August 2019 at a health-center in Pind Begwal, Pakistan. Patients with HbA1c > 6.5% (48mmol/mol) and FBG >126 mg/dL or random blood glucose >200 mg/dL were included. Patients with end-stage diabetes complications, advanced medical comorbidities requiring frequent hospitalization or lack of ambulation were excluded. Lady health wo...
Diabetic nephropathy is the leading cause of renal failure in UK, accounting for 24% of patients ... more Diabetic nephropathy is the leading cause of renal failure in UK, accounting for 24% of patients with end-stage renal disease (ESRD). In addition, it is a risk factor for cardiovascular disease. Clinical trials have shown that it is possible to alter the natural history of diabetic nephropathy by targeting multiple risk factors. In clinical practice, this includes tight glycaemic control, aggressive antihypertensive therapy and the use of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs). This article aims to describe management of diabetic nephropathy in primary care and provide guidance on when to refer to secondary care.
Background: Healthcare professionals have experienced a wide range of psychological problems duri... more Background: Healthcare professionals have experienced a wide range of psychological problems during the COVID-19 pandemic. Frontline workers and trainees are particularly vulnerable to such effects. This study aimed to share the experience of Cognitive Restructuring workshops for COVID-19 induced Stress in Post-graduate Trainees, highlighting their stress levels and effect of cognitive behavior therapy intervention in processing and managing stress.Methods: Workshops based on a Cognitive Behavior Therapy model were introduced to trainees at the Aga Khan University Hospital to self-assess stress and identify coping mechanisms. We collected data from the stress scale and workshop responses along with a focus group discussion. We performed item analysis of the stress scale and a documentary analysis of participant responses to assess the effectiveness of this intervention.Results: The majority of the participants had moderate stress. A statistically significant relationship was observe...
Purpose Diabetes often remains untreated in low-resource settings due to inadequate healthcare in... more Purpose Diabetes often remains untreated in low-resource settings due to inadequate healthcare infrastructure and compromised mobility especially, for women. The Glucose Trail (GT) intervention was designed to manage diabetes in patients from a low resource setting via a mobile application and community mobilization. The primary objective of this study was to assess the impact of the intervention on glycemic control parameters. The secondary objective was to examine the change in blood pressure, BMI and waist circumference. Methods A retrospective review was conducted among patients included in the GT intervention conducted between February 2019 to August 2019 at a health-center in Pind Begwal, Pakistan. Patients with HbA1c > 6.5% (48mmol/mol) and FBG >126 mg/dL or random blood glucose >200 mg/dL were included. Patients with end-stage diabetes complications, advanced medical comorbidities requiring frequent hospitalization or lack of ambulation were excluded. Lady health wo...
Diabetic nephropathy is the leading cause of renal failure in UK, accounting for 24% of patients ... more Diabetic nephropathy is the leading cause of renal failure in UK, accounting for 24% of patients with end-stage renal disease (ESRD). In addition, it is a risk factor for cardiovascular disease. Clinical trials have shown that it is possible to alter the natural history of diabetic nephropathy by targeting multiple risk factors. In clinical practice, this includes tight glycaemic control, aggressive antihypertensive therapy and the use of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs). This article aims to describe management of diabetic nephropathy in primary care and provide guidance on when to refer to secondary care.
Background: Healthcare professionals have experienced a wide range of psychological problems duri... more Background: Healthcare professionals have experienced a wide range of psychological problems during the COVID-19 pandemic. Frontline workers and trainees are particularly vulnerable to such effects. This study aimed to share the experience of Cognitive Restructuring workshops for COVID-19 induced Stress in Post-graduate Trainees, highlighting their stress levels and effect of cognitive behavior therapy intervention in processing and managing stress.Methods: Workshops based on a Cognitive Behavior Therapy model were introduced to trainees at the Aga Khan University Hospital to self-assess stress and identify coping mechanisms. We collected data from the stress scale and workshop responses along with a focus group discussion. We performed item analysis of the stress scale and a documentary analysis of participant responses to assess the effectiveness of this intervention.Results: The majority of the participants had moderate stress. A statistically significant relationship was observe...
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Papers by Rafay Iqbal