Browsing by Author "Kirenyo Nalubega F."

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    Impact of Mobile Glucose Monitoring Versus Paper Logs on Self-Management Behavior in Adolescents with Type 1 Diabetes:
    (Research Output Journal of Engineering and Scientific Research, 2025) Kirenyo Nalubega F.
    Effective self-management of type 1 diabetes mellitus (T1DM) during adolescence is essential but challenging due to developmental, behavioral, and psychosocial complexities. This narrative review examined the impact of mobile glucose monitoring technologies compared to traditional paper logbooks on self-management behaviors in adolescents with T1DM. A comprehensive literature search was conducted through peer-reviewed studies published in the past decade, synthesizing evidence on adherence to glucose monitoring, insulin dosing, dietary regulation, psychosocial engagement, and communication with caregivers and healthcare providers. Findings indicated that mobile monitoring tools significantly improve the frequency and consistency of glucose checks, insulin adherence, and nutritional awareness by offering automated data logging, real-time feedback, and interactive interfaces. Adolescents report greater satisfaction and empowerment with digital tools, which are better aligned with their technological preferences and behavioral needs. Furthermore, mobile platforms enhance communication through remote data sharing, enabling timely clinical interventions and supportive parental oversight. However, limitations such as technological fatigue, data privacy concerns, and unequal access may hinder sustained use and equitable benefits. Despite these challenges, mobile monitoring represents a valuable adjunct to traditional care, promoting adolescent autonomy and engagement. Future research should explore long-term outcomes and strategies to optimize implementation across diverse populations.
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    Impact of Nurse-Led Home Visits on Foot Ulcer Prevention in Elderly Type 2 Diabetics:
    (Research Output Journal of Engineering and Scientific Research( ROJESR), 2025) Kirenyo Nalubega F.
    Foot ulcers are a prevalent and debilitating complication among elderly individuals with type 2 diabetes mellitus (T2DM), often resulting in increased morbidity, reduced mobility, and a heightened risk of lower limb amputation. As traditional outpatient models may fall short in addressing the preventive needs of this high-risk population, nurse-led home visits have emerged as a promising alternative. This review evaluated the impact of such interventions on foot ulcer prevention in elderly T2DM patients, synthesizing evidence from cluster randomized trials (CRTs). A narrative review methodology was employed, drawing insights from peer-reviewed CRTs that investigated clinical efficacy, behavioral outcomes, and implementation challenges associated with nurse-led home care models. Key components of these interventions include foot risk assessment, individualized education, self-care reinforcement, environmental hazard evaluation, and early referral for advanced care. Findings from CRTs consistently demonstrate a significant reduction in foot ulcer incidence and improvement in foot care practices among patients receiving home-based nursing care. Moreover, these interventions prove feasible and cost-effective, although challenges such as staffing limitations and reimbursement barriers persist. Nurse-led home visits not only enhance clinical outcomes but also align with broader goals of aging-in-place and chronic disease management. They represent a scalable and patient-centered strategy with substantial implications for geriatric diabetes care