2023
Self-Management and Glycemic Targets in Adult Haitian Immigrants With Type 2 Diabetes
Magny-Normilus C, Whittemore R, Nunez-Smith M, Lee C, Schnipper J, Wexler D, Sanders J, Grey M. Self-Management and Glycemic Targets in Adult Haitian Immigrants With Type 2 Diabetes. Nursing Research 2023, 72: 211-217. PMID: 36929756, PMCID: PMC10121794, DOI: 10.1097/nnr.0000000000000649.Peer-Reviewed Original ResearchConceptsType 2 diabetesSelf-management behaviorsGlycemic targetsSelf-management education programDiabetes self-management education programT2D-related complicationsHaitian immigrantsPrimary study objectiveResearch Electronic Data CaptureSelf-management practicesChronic conditionsGlucose variabilityContinuous glucose monitorMultiple recruitment methodsPhysical activityElevated riskElectronic data captureDisproportionate burdenU.S. adultsT2DDiabetesSelf-ManagementRecruitment methodsStudy objectiveGlucose monitorConsumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean
Oladele C, Khandpur N, Galusha D, Hassan S, Colón-Ramos U, Miller M, Adams O, Maharaj R, Nazario C, Nunez M, Pérez-Escamilla R, Hassell T, Nunez-Smith M. Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean. Public Health Nutrition 2023, 26: 1403-1413. PMID: 36856024, PMCID: PMC10346089, DOI: 10.1017/s1368980023000381.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudySugar-sweetened beveragesSSB consumptionDietary Screener QuestionnaireIntake of sodaRisk of diabetesUse of medicationsPercentage of participantsTotal mean intakeCoffee/teaT2D diabetesUnknown diabetesCohort studyDiabetes statusPersons 40Screener questionnaireMean intakeGreater oddsDiabetesMultivariate analysisPast monthLogistic regressionLower educationBeverage typeBaseline data
2022
Development of the Anthropometric Grouping Index for the Eastern Caribbean Population Using the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study Data
Almodóvar-Rivera IA, Rosario-Rosado RV, Nazario CM, Hernández-Santiago J, Ramírez-Marrero FA, Nunez M, Maharaj R, Adams P, Martinez-Brockman JL, Tessier-Sherman B, Nunez-Smith M. Development of the Anthropometric Grouping Index for the Eastern Caribbean Population Using the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study Data. International Journal Of Environmental Research And Public Health 2022, 19: 10415. PMID: 36012047, PMCID: PMC9408472, DOI: 10.3390/ijerph191610415.Peer-Reviewed Original ResearchConceptsBlood sugar levelsHigh blood sugar levelsElevated blood sugarSugar levelsBlood sugarCohort study dataPublic health initiativesAnthropometric indicesFamily historyAnthropometric measuresBMIHealth initiativesCaribbean populationLinear mixed modelsHigher likelihoodPopulation groupsStudy dataCurrent studyMixed modelsDiabetesLevelsGroupIndexPopulationIndividuals
2021
Awareness of Diabetic Retinopathy: Insight From the National Health and Nutrition Examination Survey
Nwanyanwu KMJH, Nunez-Smith M, Gardner TW, Desai MM. Awareness of Diabetic Retinopathy: Insight From the National Health and Nutrition Examination Survey. American Journal Of Preventive Medicine 2021, 61: 900-909. PMID: 34426057, PMCID: PMC8608699, DOI: 10.1016/j.amepre.2021.05.018.Peer-Reviewed Original ResearchConceptsSelf-reported diabetesNutrition Examination SurveyDiabetic retinopathyExamination SurveyNational HealthDiabetic retinopathy diagnosisHispanic race/ethnicityUndiagnosed diabetic retinopathyElevated blood pressureHistory of strokeSelf-reported hypertensionRetinopathy diagnosisRace/ethnicityCurrent smokingBlood pressureMale sexBlack raceFundus photographyDecreased oddsRetinopathyPreventable blindnessDiabetesOlder ageLogistic regressionDiagnosisGlycemic control and management of cardiovascular risk factors among adults with diabetes in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Hassan S, Magny-Normilus C, Galusha D, Adams OP, Maharaj RG, Nazario CM, Nunez M, Nunez-Smith M, Group O. Glycemic control and management of cardiovascular risk factors among adults with diabetes in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Primary Care Diabetes 2021, 16: 107-115. PMID: 34253484, PMCID: PMC8743302, DOI: 10.1016/j.pcd.2021.06.011.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyGlycemic controlCVD riskCohort studyRisk factorsCVD risk factor managementElevated CVD riskCardiovascular risk factorsCVD risk factorsRisk factor managementCVD risk equationsYears of agePercent of participantsCardiovascular riskIndependent predictorsUncontrolled diabetesPhysical examFactor managementHigh burdenHigh prevalencePremature mortalityMultinomial logistic regressionDiabetesRisk equationsBivariate analysisDiabetes prevention in the Caribbean using Lifestyle Intervention and Metformin Escalation (LIME): Protocol for a hybrid Type-1 effectiveness-implementation trial using a quasi-experimental study design
Hassan S, Sobers N, Paul-Charles J, Herbert J, Dharamraj K, Cruz E, Garcia E, Fredericks L, Desai MM, Roy S, Williams S, Linnander E, Crusto C, Horowitz CR, Arniella G, Cattamanchi A, Adams OP, Nunez-Smith M. Diabetes prevention in the Caribbean using Lifestyle Intervention and Metformin Escalation (LIME): Protocol for a hybrid Type-1 effectiveness-implementation trial using a quasi-experimental study design. Contemporary Clinical Trials Communications 2021, 22: 100750. PMID: 33997458, PMCID: PMC8095103, DOI: 10.1016/j.conctc.2021.100750.Peer-Reviewed Original ResearchDiabetes prevention interventionPrevention interventionsLifestyle interventionHybrid type 1 effectiveness-implementation trialPrimary effectiveness outcomeIncidence of diabetesEffectiveness-implementation trialType 2 diabetesHigh-risk individualsQuasi-experimental study designMetformin medicationMetformin prescribingIntervention armEligible participantsLifestyle changesProportion of individualsEffectiveness outcomesQuasi-experimental studyClinical sitesPrediabetesClinical settingStudy designInterventionDiabetesIndividuals
2020
The Authors Reply.
Clement Y, Singh S, Motilal S, Maharaj R, Nunez-Smith M. The Authors Reply. Ethnicity & Disease 2020, 30: 703-704. PMID: 32990691, PMCID: PMC7518543, DOI: 10.18865/ed.30.4.703.Peer-Reviewed Original ResearchA Protocol for the Study of Polymorphisms and Response to Metformin in Patients with Type 2 Diabetes in Trinidad.
Clement Y, Singh S, Motilal S, Maharaj R, Nunez-Smith M. A Protocol for the Study of Polymorphisms and Response to Metformin in Patients with Type 2 Diabetes in Trinidad. Ethnicity & Disease 2020, 30: 211-216. PMID: 32269463, PMCID: PMC7138437, DOI: 10.18865/ed.30.s1.211.Peer-Reviewed Original ResearchConceptsType 2 diabetesMetformin monotherapyPrimary health care facilitiesGenotype frequenciesHealth care facilitiesHealth Authority regionMedication initiationAdherent patientsClinical responseMost patientsDiabetic patientsGlycemic controlMaximal dosesStudy populationOrganic cation transportersBlood samplesCare facilitiesPatientsMetformin responseMonotherapyDiabetesMetforminFirst choiceGenetic polymorphismsSingle nucleotide polymorphisms
2018
Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Wang KH, Thompson TA, Galusha D, Friedman H, Nazario CM, Nunez M, Maharaj RG, Adams OP, Nunez-Smith M, on behalf of the ECHORN Writing Group. Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Cancer Causes & Control 2018, 29: 315-324. PMID: 29423760, PMCID: PMC6587190, DOI: 10.1007/s10552-018-1005-4.Peer-Reviewed Original ResearchConceptsNon-communicable chronic diseasesTimely breast cancer screeningBreast cancer screeningChronic diseasesCancer screeningBreast cancerEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyUsual sourceReceipt of mammographyChronic disease controlCohort studyEligible womenCancer deathCross-sectional data analysisPreventive screeningCancer preventionSubstantial burdenClinical providersTimely screeningDiabetesTimely mammographyBivariate analysisHypertensionDisease controlDisease