Diabetes Self-care Activities and Their Relation with Glycemic Control in Patients Presenting to The Indus Hospital, Karachi

Hai, Ayesha A; Iftikhar, Sundus; Latif, Saba; Herekar, Fivzia; Patel, Muhammad Junaid

doi:10.7759/cureus.6297

Cited by 8 publications

(16 citation statements)

References 20 publications

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“…Patients who were supported by their families were protected from prolonged poor diabetes mellitus control in our study (OR = 0.65, 95% CI [0.45 -0.94]; p = 0.02). Similar results have been reported by some authors [15] [19]. This support from the family would help the patient to have a less contemptuous view of the disease.…”

Section: Adherence To Treatmentsupporting

confidence: 90%

“…Studies in African research centers reported poor glycemic control of T2DM patients in proportions ranging from 68.3% to 83.3% [8]- [14]. These ranges were similar to those reported in Asia (81.6%) [15] but higher than those reported in Europe [16] (37.4%) and in the United States (38%) [17].…”

Section: Introductionsupporting

confidence: 64%

“…It was lower in the studies by Tapsoba in Burkina Faso (57.5%) [23], Souliotis in Greece (57.1%) [30] and Cai in China (31.5%) [31]. In contrast to studies by Tekalegn in Ethiopia (80%) [32], Hai in Pakistan (81.6%) [15] and Rahman in Bangladesh (82%) [33] which found a higher prevalence. Several factors could explain these differences in proportion.…”

Section: Prevalence Of Prolonged Poor Control Of Diabetes Mellitusmentioning

confidence: 79%

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Factors Associated with Prolonged Poor Glycemic Control in Type 2 Diabetes Mellitus (T2DM) Patients Followed in the Department of Internal Medicine at the Yalgado Ouedraogo Teaching Hospital, Ouagadougou (Burkina Faso)

Traoré¹,

Guira²,

Zoungrana³

et al. 2021

OJIM

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Background: Achieving and maintaining glycemic targets are a challenge for health practitioners around the world. We aimed to study the factors associated with prolonged poor diabetes control in the cohort of T2DM patients monitored and treated in the Department of Internal Medicine at the Yalgado OUEDRAOGO Teaching Hospital in Ouagadougou in order to optimize therapeutic education in these patients. Methodology: This was a descriptive and analytical cross-sectional study combining retrospective data collection from the last year of patient follow-up and prospective collection of some information. The study included all diabetic patients, aged at least 18 years old, followed and treated in the Department of Internal Medicine at the Yalgado OUEDRAOGO Teaching Hospital between January 1, 2010 and December 31, 2018 following a systematic random sampling with a sampling step of 10. The variables collected were sociodemographic, anthropometric, lifestyle, cardiovascular risk factors and diabetes-related characteristics.

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Section: Adherence To Treatmentsupporting

confidence: 90%

Section: Introductionsupporting

confidence: 64%

Section: Prevalence Of Prolonged Poor Control Of Diabetes Mellitusmentioning

confidence: 79%

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Factors Associated with Prolonged Poor Glycemic Control in Type 2 Diabetes Mellitus (T2DM) Patients Followed in the Department of Internal Medicine at the Yalgado Ouedraogo Teaching Hospital, Ouagadougou (Burkina Faso)

Traoré¹,

Guira²,

Zoungrana³

et al. 2021

OJIM

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“… 10 , 11 , 13 , 17 , 35 Furthermore, high psychological distress was significantly associated with poor glycemic control, 10 , 25 , 37–39 and inadequate diabetes self-care behaviors. 9 , 40 …”

Section: Introductionmentioning

confidence: 99%

Glycemic Control and Its Relationship with Diabetes Self-Care Behaviors Among Patients with Type 2 Diabetes in Northern Jordan: A Cross-Sectional Study

Almomani¹,

Al-Tawalbeh²

2022

PPA

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Background Type 2 diabetes mellitus (T2DM) is a chronic progressive disease that significantly impacts morbidity and mortality worldwide. Glycemic control is central in diabetes management, yet complex and challenging to achieve; it can be affected by various factors. Diabetes self-care behaviors are vital strategies for effective T2DM management. Purpose To evaluate the levels of glycemic control and diabetes self-care behaviors, and the significance of each behavior on glycemic control among patients with T2DM in Jordan. Patients and Methods This cross-sectional study was conducted in medical and endocrinology outpatient clinics of three hospitals in northern Jordan. A convenience sample of 520 patients with T2DM participated in the study. Diabetes self-care behaviors, including diet, exercise, blood glucose testing, taking medication, and foot care behaviors, were measured using the Arabic version of the Summary of Diabetes Self-Care Activities (SDSCA-Arabic) questionnaire. Psychological distress was measured using the Arabic version of the 4-items Patient Health Questionnaire (PHQ-4). Glycated hemoglobin (HbA1c) levels were used to assess glycemic control. Results Out of 520 participants, 92.7% (n= 482) had poor glycemic control (HbA1c ≥7%), with a mean of 9.29% (SD=2.06) for HbA1c. The SDSCA overall mean score was 3.25 days (SD=0.88), indicating an unsatisfactory level, with 79.2% of participants having performed self-care activities 4-days/week. Greater adherence to diabetes self-care behaviors was associated with better glycemic control. Exercise was the most important predictor of HbA1c (p<0.001), followed by general diet (p<0.001), specific diet (p<0.001), and blood sugar testing (p<0.001). Moreover, the Body Mass Index (p<0.001), treatment type (p<0.001), and income (p=0.03) were significant predictors. Conclusion The proportions of poor glycemic control and unsatisfactory self-care behaviors were high among T2DM patients. To enhance patients’ self-care behaviors and lifestyles changes, the patients need tailored diabetes self-care management educational and supportive programs, conducted by qualified diabetes educators using culturally sensitive strategies.

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“…O diabetes melito (DM), caracterizado por quadro de hiperglicemia persistente, é uma das DCNT mais prevalentes 3,4 . As duas principais classificações da doença correspondem ao DM tipo 1, associado a fatores autoimunes, e o DM tipo 2, correlacionado com a resistência periférica à insulina e com a insuficiência gradual das células beta pancreáticas 5 .…”

Section: Introductionunclassified

Avaliação do autocuidado com os pés entre pacientes portadores de diabetes melito

et al. 2022

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Resumo Contexto O pé diabético é uma complicação do diabetes melito (DM), sendo a maior causa de amputação dos membros inferiores. Objetivos Avaliar a prática de medidas de autocuidado com os pés, segundo sexo e escolaridade, em pacientes portadores de DM na região nordeste no estado da Bahia. Métodos Estudo quantitativo, observacional, analítico, transversal, realizado com 88 pacientes portadores de DM, em consulta de rotina, de fevereiro a março de 2020. A coleta de dados foi executada através da aplicação de questionários socioeconômico e do autocuidado com os pés (conhecimento sobre pé diabético, hábitos de cuidado/inspeção dos pés e procura pela Unidade de Saúde na presença de alterações com a saúde dos pés). Resultados Do total, 58% dos indivíduos desconhecia o termo “pé diabético”, porém possuíam cuidados mínimos adequados com os pés, como inspecioná-los (60,2%), hidratá-los (65,9%), não andar descalço (81,8%) e cortar as unhas (92%), apesar de 90,9% não utilizar sapatos considerados adequados. Houve relação entre menor nível de escolaridade e pior desempenho nas questões referentes a andar descalço, hidratar os pés, cortar as unhas, usar calçados adequados e identificar micoses (p < 0,05), porém não houve associação da realização das medidas de autocuidado e sexo. Conclusão Os portadores de DM entrevistados não realizaram todas as medidas de autocuidado com os pés e desconheciam o termo “pé diabético”. Houve associação entre menor escolaridade e menor capacidade de realização dessas medidas, o que sugere que o letramento em saúde seria importante para melhoria desse autocuidado, contribuindo para diminuição de complicações e amputações dos pés.

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Diabetes Self-care Activities and Their Relation with Glycemic Control in Patients Presenting to The Indus Hospital, Karachi

Abstract: Open Access Original Article

Cited by 8 publications

References 20 publications

Factors Associated with Prolonged Poor Glycemic Control in Type 2 Diabetes Mellitus (T2DM) Patients Followed in the Department of Internal Medicine at the Yalgado Ouedraogo Teaching Hospital, Ouagadougou (Burkina Faso)

Factors Associated with Prolonged Poor Glycemic Control in Type 2 Diabetes Mellitus (T2DM) Patients Followed in the Department of Internal Medicine at the Yalgado Ouedraogo Teaching Hospital, Ouagadougou (Burkina Faso)

Glycemic Control and Its Relationship with Diabetes Self-Care Behaviors Among Patients with Type 2 Diabetes in Northern Jordan: A Cross-Sectional Study

Avaliação do autocuidado com os pés entre pacientes portadores de diabetes melito

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