Clinical critics in the management of diabetes mellitus

Abstract

There is a global epidemic of diabetes with its prevalence expected to increase from 5.1% in 2003 to 6.3% in 2025. This increase in diabetes is occurring in all nations, however, developing nations are particularly at risk. It spares no group and affects men, women, the elderly, young and people from very racial and socioeconomic background. Nevertheless, certain ethnic groups including Asians are affected more than Caucasians. Large randomized clinical trials have shown that improvement in glycaemic control, together with management of diabetes-related risk factors like blood pressure and lipid control significantly reduce the micro and macro complications in individuals with type 1 and type 2 diabetes. Patient education plays a crucial role in the prevention of diabetic fool problems. In Geneva, the rate of lower limb amputations was reduced by almost 75% after an educational intervention. People with diabetes must acquire the knowledge and skills through education to provide daily self-care in diabetes management which involves maintenance of healthy living, recognition and management of diabetes problems when they arise and taking preventive measures. Some factors include patients' biomedical variables, the psychosocial environment, the knowledge, attitudes and beliefs of patients themselves, home careers and health care providers, healthcare systems' accessibility and availability and even the national political context may influence these self-care behaviors.

Perception of diabetes management and cardiovascular disease risk among men with type 2 diabetes: A qualitative study

“…Several barriers to maintaining and promoting health were addressed by patients, such as being tired of imposed lifestyle restrictions, poor adherence, financial burden and lack of social, financial and informational support. Gillani, Sulaiman, Sundram, Victor, and Abdullah () emphasized the role of healthcare providers in planning to overcome barriers and working with patients to ensure they understand the benefits of engaging in the behaviour, which can outweigh the barriers.…”

Correlation Between the Role of Nurse as Educator and Self Care Behaviour in Patients With Type 2 Diabetes Mellitus at Internal Medicine Unit of Bina Sehat Hospital Jember

“…Pengontrolan yang efektif dari DM Tipe 2 tergantung pada perawatan diri yaitu pengaturan diet, latihan fisik, monitoring kadar glukosa, dan manjemen obat (Souza, 2005). Hasil penelitian Anisha (2015) Gillani (2012) menyebutkan bahwa hanya sekitar 7-25% penyandang DM patuh terhadap semua aspek perilaku perawatan diri. Sekitar 40-60% mengalami kegagalan terkait diet, 30-80% tidak patuh terhadap kontrol gula darah dan 70-80% tidak patuh terhadap olahraga (exercise).…”