Diabetic patients’ perspectives on the challenges of glycaemic control

Adeniyi, Oladele Vincent; Yogeswaran, Parimalane; Wright, Graham; Longo-Mbenza, Benjamin

doi:10.4102/phcfm.v7i1.767

Cited by 23 publications

(45 citation statements)

References 26 publications

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“…Findings relating to how Participants recognised and interpreted their type 2 diabetes were reported in most papers included in the review [ 8 – 10 , 18 – 34 ]. A recurring observation was that the symptoms of diabetes were often not recognised by those experiencing them, and healthcare professionals tended to be the first to respond to signs of the disease [ 8 , 21 , 26 , 27 , 30 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies found that the majority of people with diabetes understood the links between high sugar diets, inactivity, and obesity as contributors to diabetes. However, there was also evidence that some people with diabetes questioned the links between lifestyle and diabetes, particularly when neither their bodies nor lifestyles reflected dominant narratives which positions type 2 diabetes as a disease of affluence [ 8 , 18 – 20 , 22 , 25 ]:…”

Section: Resultsmentioning

confidence: 99%

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Experiences of type 2 diabetes in sub-Saharan Africa: a scoping review

Zimmermann

Bunn

Namadingo

et al. 2018

glob health res policy

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BackgroundThe prevalence of diabetes in Sub-Saharan Africa (SSA) is growing rapidly. Qualitative research on experiences of type 2 diabetes in SSA is emerging, but no qualitative synthesis has been attempted. This scoping review aims to redress this lack of synthesis and to extract policy-relevant suggestions from the literature.MethodsScoping review methodology was employed. Eleven online databases were searched (CINAHLplus, Cochrane Library, EBESCOhost, GALE Group, MEDLINE, Pro-Quest, Pscyhinfo, Pubmed, SCOPUS, Web of Science, WorldCat), using terms designed to identify qualitative studies of experiences of diabetes in SSA. Findings from records identified in the search were analysed inductively in NVivo 10 in three stages, to produce an analytical synthesis of studies of diabetes experiences in SSA.ResultsSearches were conducted in 2017 and identified 2743 records, which were reduced to 21 after screening. The earliest identified record was published in 2003 and there was a clustering of records published between 2014 and 2016. The 21 records were based in eight SSA countries: Cameroon, Ethiopia, Ghana, Senegal, South Africa, Tanzania, Uganda, and Zimbabwe. A majority of the studies were conducted in Ghana (5) and South Africa (5), limiting the generalisability of our findings.The analytical synthesis produced five themes: identifying type 2 diabetes (how participants conceptualise and position their illnesses); hybridity of diabetes care (how multiple forms of care are often blended and/or pursued concurrently); impediments, improvisation and diabetes management (describing challenges faced, how these are responded to and management via diet and physical activity); sources of support (who supports participants and how); and diabetes and HIV/AIDs (the ways in which the two conditions are sometimes confused and how stigma is often experienced).ConclusionsThe experiences of people with type 2 diabetes in SSA are under-researched across the region, pointing to a gap in knowledge. Interpreting our analytical synthesis, we suggest three priority areas for policy makers and implementers. Firstly, uncertainties relating to access to diabetes treatment need to be reduced. Secondly, more needs to be done to acknowledge and alleviate the economic struggles that those with diabetes face. Finally, high-quality information and education would improve recognition and management of the condition.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Experiences of type 2 diabetes in sub-Saharan Africa: a scoping review

Zimmermann

Bunn

Namadingo

et al. 2018

glob health res policy

View full text Add to dashboard Cite

show abstract

“…This takes off a major financial burden and might have resulted in the observed lack of association between socioeconomic status and HbA 1 C. In contrast, a study from the rural communities of Mthatha, South Africa indicated that poverty and inaccessibility to doctors were the major hurdles faced by patients to attain good glycemic control. [15]…”

Section: Discussionmentioning

confidence: 99%

“…[16] A South African study reported that a major negative factor in glycemic control for the patients from rural communities was a lack of knowledge. [15] It must be remembered that each visit to the clinic is an opportunity to educate the patients on various aspects of diabetes. The group education sessions at our center are a reliable point for sharing, disseminating, and updating knowledge.…”

Section: Discussionmentioning

confidence: 99%

Demographic details, clinical features, and nutritional characteristics of young adults with Type 1 diabetes mellitus - A South Indian tertiary center experience

Joseph

Shyamasunder

Gupta

et al. 2016

Indian J Endocr Metab

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Context:Type 1 diabetes mellitus (T1DM) accounts for 5–10% of all diagnosed diabetes and the highest incidence is found in India.Aims:The main objectives were to study the demographic, clinical, and nutritional characteristics of young adults with T1DM and its effect glycosylated hemoglobin levels.Subjects and Methods:This cross-sectional study was conducted among young adults with T1DM (18–45 years of age) in a tertiary hospital in South India. Data were obtained from updated medical records. The dietary data were assessed from food diaries and 24 h recall method. Anthropometry was determined.Results:The analysis revealed that socio-economic variables did not affect the glycosylated hemoglobin levels. The mean glycosylated hemoglobin value was 8.81 ± 2.38%. Nearly, half the patients were malnourished. The overall dietary intake was inadequate. The multivariate regression model, adjusted for confounding factors such as gender, age, and body mass index, revealed that only duration of diabetes and protein intake were significant predictors of glycosylated hemoglobin status (P < 0.005).Conclusion:Integrated care provided at subsidized cost has been pivotal in effective diabetes management. However, there is an urgent need to educate our patients on nutrition therapy. T1DM patients need specialized advice to ensure appropriately balanced nutrition that has a significant impact on their long-term glycemic control.

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“…Blood sugar monitoring is a fundamental part of DM management since it is a parameter for conducting treatment, allowing dose adjustments or changes in drug prescriptions, and determining the physical activity plan and dietary guidelines (ADENIYI et al, 2015). It works as an educational tool, allowing the person evaluating the causes of hypo or hyperglycemia.…”

Section: Discussionmentioning

confidence: 99%

Factors related to self-care activities adherence of older adults with diabetes

et al. 2020

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Diabetes mellitus treatment is complex and involves several activities. Its goal is to control the disease and prevent complications. The success of this treatment includes adherence to self-care. This study aimed at identifying factors related to self-care activities adherence in community older adults with diabetes. Cross-sectional, observational and analytical study with a quantitative approach to data, conducted with 140 older people. We used the following instruments: Mini-Mental State Examination for cognitive assessment, socio-demographic and clinical characterization instrument, Brazilian Functional and Multidimensional Assessment Questionnaire to verify the self-reported morbidities, Abbreviated Geriatric Depression Scale to investigate the presence of depressive symptoms and Diabetes Self-Care Activities Questionnaire to assess activities adherence related to self-management of people with diabetes. The results of this study indicated that self-care activities with higher adherence were: “taking the indicated number of diabetes pills” (6.6 ± 1.2), “taking insulin injections as recommended” (6.2 ± 2.0), “drying the spaces between the toes after wash them” (4.6 ± 3.2) and “following a healthy diet” (4.5 ± 2.7). The self-care activities with smallest adherence were: “performing specific physical activities (walking, swimming, etc.)” (0.9 ± 1.9), “performing physical activities for at least 30 minutes” (1.2 ± 2.2), “evaluation of blood sugar as times as recommended” (1.2 ± 2.3), “sweets intake” (1.3 ± 1.7) and “evaluation of blood sugar” (1.4 ± 2.3). Regarding smoking, 88.6% were not smokers. Factors related to self-care measures were: gender, indicating greater adherence of women, education level, and number of morbidities, suggesting that adherence to the feet care domain is directly proportional to education and number of morbidities. However, this same domain was inversely proportional to depression, indicating that there was greater adherence in those people without depressive symptoms. The factors associated with the adherence to self-care activities observed in this research contributed to the planning of strategies to prevent diabetes mellitus complications and promote improvements in the life and health of the older adults in the community.

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Diabetic patients’ perspectives on the challenges of glycaemic control

Cited by 23 publications

References 26 publications

Experiences of type 2 diabetes in sub-Saharan Africa: a scoping review

Experiences of type 2 diabetes in sub-Saharan Africa: a scoping review

Demographic details, clinical features, and nutritional characteristics of young adults with Type 1 diabetes mellitus - A South Indian tertiary center experience

Factors related to self-care activities adherence of older adults with diabetes

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