Food insecurity and its impact on glycaemic control in diabetic patients attending Jabulani Dumani community health centre, Gauteng province, South Africa

Nsimbo, Kayumba Bin Assumani; Erumeda, Neetha J.; Pretorius, Deidre

doi:10.4102/phcfm.v13i1.2906

Cited by 9 publications

(5 citation statements)

References 24 publications

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“…It is worth noting that the strategic plans and policies for long-term care and selfmanagement in South Africa are predominated by the self-responsibility of chronic disease patients, and adequate support from primary health care teams to teach and empower patients for appropriate disease self-management [30]. However, the country continues to experience a high number of patients presenting at primary health care (PHC) facilities with poorly controlled T2DM [31] seeking chronic care for related complications mostly entailing lower limb amputations and loss of sight, yet researchers have proven beyond doubt that normal glycaemic control is crucial to prevent diabetes consequences in South Africa [24,32,33]. These consequences have substantial effects on quality of life regarding the increasing medical and rehabilitative costs that come with hospitalisation, medication, and outpatient visits, combined with a loss of income due to the inability to work, among other issues [34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Self-Management of Diabetes and Associated Factors among Patients Seeking Chronic Care in Tshwane, South Africa: A Facility-Based Study

Zwane,

Modjadji,

Madiba

et al. 2023

IJERPH

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The burden of diabetes continues to increase in South Africa and a significant number of diabetes patients present at public primary healthcare facilities with uncontrolled glucose. We conducted a facility-based cross-sectional study to determine the diabetes self-management practices and associated factors among out-patients in Tshwane, South Africa. An adapted validated questionnaire was used to collect data on sociodemography, diabetes knowledge, and summaries of diabetes self-management activities measured in the previous seven days, and over the last eight weeks. Data were analysed using STATA 17. A final sample of 402 diabetes out-patients was obtained (mean age: 43 ± 12 years) and over half of them were living in poor households. The mean total diabetes self-management of score was 41.5 ± 8.2, with a range of 21 to 71. Almost two thirds of patients had average self-management of diabetes, and 55% had average diabetes knowledge. Twenty-two percent of patients had uncontrolled glucose, hypertension (24%) was the common comorbidity, and diabetic neuropathy (22%) was the most common complication. Sex [male: AOR = 0.55, 95% CI: 0.34–0.90], race [Coloured: AOR = 2.84, 95% CI: 1.69–4.77 and White: AOR = 3.84, 95% CI: 1.46–10.1], marital status [divorced: AOR = 3.41, 95% CI: 1.13–10.29], social support [average: AOR = 2.51, 95% CI: 1.05–6.00 and good: AOR = 4.49, 95% CI: 1.61–7.57], body mass index [obesity: AOR = 0.31, 95% CI: 0.10–0.95], diabetes knowledge [average: AOR = 0.58, 95% CI: 0.33–0.10 and good: AOR = 1.86, 95% CI: 0.71–4.91], and uncontrolled glucose [AOR = 2.97, 95% CI: 1.47–5.98] were factors independently predictive of diabetes self-management. This study emphasizes that the self-management of diabetes was mostly on average among patients and was associated with the aforementioned factors. Innovative approaches are perhaps needed to make diabetes education more effective. Face-to-face sessions delivered generally during clinic visits should be better tailored to the individual circumstances of diabetes patients. Considerations should be given to the options of leveraging information technology to ensure the continuity of diabetes education beyond clinic visits. Additional effort is also needed to meet the self-care needs of all patients.

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Section: Introductionmentioning

confidence: 99%

Self-Management of Diabetes and Associated Factors among Patients Seeking Chronic Care in Tshwane, South Africa: A Facility-Based Study

Zwane,

Modjadji,

Madiba

et al. 2023

IJERPH

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“…The study also found that the high cost of diabetesfriendly foods such as bulgur wheat and green plantain was reported as a major barrier for diet adherence (Adler et al, 2021). Nsimbo et al (2021) also examined food insecurity and its relationship with glycemic control in people living with diabetes in South Africa. They found that participants with poor glycemic control were 5.38 times more likely to have experienced food insecurity compared to participants who had good glycemic control.…”

Section: Discussionmentioning

confidence: 99%

“When I Don’t Have Money, I Don’t Eat”: A Critical Hermeneutic Study of Diabetes in Liberia

Bleah¹,

Wilson²,

Macdonald³

et al. 2023

NTQR

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Diabetes is a growing public health concern in Liberia, where an estimated 2.1% of the population live with the disease. The challenges with diabetes in Liberia are enormous. Diabetes places immense socioeconomic pressure on individuals and their families and burdens an already overstretched health care system still recovering from the destructive effects of the 14-year civil war. While efforts towards rebuilding the health care system in Liberia are ongoing, people with diabetes experience significant challenges accessing social, economic, and health-care resources to manage their illness. Purpose: The goal of this critical hermeneutic study was to explore what is it like to live with diabetes in Liberia. Methods: Through purposeful sampling, 10 adults with diabetes were recruited from a publicly funded hospital in Monrovia, Liberia. Data were collected using a photovoice method, wherein participants photographed their everyday experiences of living with diabetes. Results: We identified three themes that answered the question of what is it like to live with diabetes in Liberia: living with diabetes means living with 1) food insecurity, 2) trying to access a health care system that was not built to respond to diabetes, and 3) using faith to cope and foster hope. Conclusion: The experiences of people living with diabetes in Liberia are under-researched, pointing to a gap in knowledge. The findings from this study address this gap in the literature by providing a clearer picture of the impact of diabetes on individuals and families. We provide tangible recommendations to local governments and policy makers on interventions that may improve health outcomes and quality of life for people living with diabetes in Liberia.

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“…(41) In contrast, severe food insecurity showed an association with diabetes in Angola, a characteristic feature of the double burden in developing countries. (42,43) Food insecurity among the lower socio-economic populations exposed them to low-cost processed foods that are likely to increase the risk of NCDs. Developing countries face the dual challenge of addressing food insecurity and promoting healthy diets to prevent NCD risks among various economic subgroups in the population.…”

Section: Journalscambridgeorg/jnsmentioning

confidence: 99%

Processed food consumption and risk of non-communicable diseases (NCDs) in South Africa: evidence from Demographic and Health Survey (DHS) VII

Godbharle,

Kesa,

Jeyakumar

2024

J Nutr Sci

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We aimed to analyse the association between processed food consumption and the risk of non-communicable diseases (NCDs) in South Africa. In this empirical study, we analysed nationally representative secondary data obtained from the South African Demographic and Health Survey (SADHS) VII. The survey included 13,288 occupied households, of which 11,083 were interviewed. In the interviewed households, 12,717 eligible adults aged 15 and older were identified and 10,336 were successfully interviewed. The study included four processed food groups (i.e. fried foods, takeaway foods/fast foods, salty snacks/packed chips, and processed meats) and eight NCDs (i.e. hypertension, cardiac arrest, cancer, stroke, hypercholesterolaemia, diabetes, chronic bronchitis, and asthma). As per the logistic regression results following adjustment, none of the disease states showed association with all four processed food groups. However, at least three processed food groups showed a significant positive association with hypertension, cardiac arrest, and diabetes. Two processed food groups showed significant positive association with stroke, and chronic bronchitis; one with hypercholesterolaemia and asthma; and cancer was not associated with any food groups. Processed meat and salted snacks/packed chips were each associated with five chronic conditions. In summary, we found that the consumption of any of the processed food groups increased the risk of NCDs in the South African population. Enabling policy and regulatory efforts in the production and distribution of processed foods, combined with improved awareness among the population need to be prioritised for immediate action. Facilitating the populations to choose traditional healthy diets would be a sustainable strategy for the prevention of NCDs.

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Food insecurity and its impact on glycaemic control in diabetic patients attending Jabulani Dumani community health centre, Gauteng province, South Africa

Cited by 9 publications

References 24 publications

Self-Management of Diabetes and Associated Factors among Patients Seeking Chronic Care in Tshwane, South Africa: A Facility-Based Study

Self-Management of Diabetes and Associated Factors among Patients Seeking Chronic Care in Tshwane, South Africa: A Facility-Based Study

“When I Don’t Have Money, I Don’t Eat”: A Critical Hermeneutic Study of Diabetes in Liberia

Processed food consumption and risk of non-communicable diseases (NCDs) in South Africa: evidence from Demographic and Health Survey (DHS) VII

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