iosr-jmr   Volume-3 ~ Issue-3 ~ May – June 2026

ABSTRACT: Background: India harbours the second-largest diabetes population globally, yet evidence on structured care outcomes from semi-urban settings remains scarce. We evaluated the effectiveness of a structured diabetes care program on glycaemic and cardiometabolic parameters among patients with type 2 diabetes mellitus (T2DM) at a semi-urban clinic in Solapur district, Maharashtra.
Methods: This....

Keywords: Type 2 diabetes mellitus; HbA1c; Glycaemic control; Cardiometabolic risk; Structured care; Semi-urban India; Pilot study

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ABSTRACT: Background: Women with type 2 diabetes mellitus (T2DM) carry a disproportionate burden of visceral adiposity-driven insulin resistance, partly attributable to sex-specific differences in fat distribution, adipokine biology, and hormonal modulation of insulin signaling. Despite constituting over half of the global diabetic population, women remain underrepresented in diabetes intervention trials, and sex-disaggregated outcome data from multimodal lifestyle interventions...

Keywords: Visceral adiposity, women, type 2 diabetes, abdominal girth, insulin resistance, CDC program, Panchakarma, dose-response, obesity, sex-disaggregated, HbA1c, caloric restriction

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ABSTRACT: Information Technology Service Management (ITSM) has become a critical component for organizations seeking to deliver high-quality IT services that align with business objectives. The Information Technology Infrastructure Library (ITIL) provides a comprehensive framework of best practices designed to enhance service quality, operational efficiency, and customer satisfaction. Continuous improvement, a core principle of ITIL, enables organizations to systematically evaluate, optimize, and adapt their IT services to changing business requirements and technological advancements. This study analyzes the role of ITIL practices in promoting continuous improvement within IT Service Management environments. It examines key ITIL processes, including Incident...

Keywords: IT Service Management (ITSM), Information Technology Infrastructure Library (ITIL), Continuous Improvement, Service Management, Incident Management, Problem Management, Change Management, Service Level Management, IT Governance, Service Quality, Operational Efficiency, Customer Satisfaction, Business Value, Process Optimization Digital Transformation, Organizational Performance Service Excellence

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