Knowledge, Practice, and Barriers Regarding Self-monitoring of Blood Glucose Among Patients with Type 2 Diabetes Mellitus in Enugu State, Nigeria

Anene-Okeke, Chigozie Gloria; Mosanya, Adaobi Uchenna; Osakwe, Ogonna

doi:10.4103/jod.jod_99_20

Cited by 3 publications

References 22 publications

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Perspectives of patients with type 1 and type 2 diabetes on barriers to diabetes care: a qualitative study

Shrestha,

Sapkota,

Acharya

et al. 2024

BMC Health Serv Res

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Background Diabetes care incorporates multiple integrated elements like self-care practices, patient education and awareness, societal support, equitable access to healthcare facilities and trained healthcare professionals, commitment from the diabetes associations and government policies. There is a dearth of research exploring the barriers experienced by both People with Type 1 diabetes (PwT1D) and People with Type 2 diabetes (PwT2D) in accessing the holistic elements of diabetes care. This study thus aimed at exploring the perceived barriers among PwT1D and PwT2D in accessing diabetes care services in urban and rural areas of Nepal. Method This study was a qualitative research using phenomenological approach where an in-depth interview with 23 participants on insulin was conducted. This included 15 PwT1D and 8 PwT2D, residing in the capital and rural areas and attending the hospitals and clinic in the urban and semi-urban regions in Nepal. A semi-structured questionnaire was used for the interview. The interviews were transcribed verbatim and deductive thematic analysis was done. Results Majority were female participants and most had received a formal education and were visiting the hospitals located in capital city. Mean age for PwT1D was (27.86 ± 1.85) years whereas the median age for PwT2D was [47.5 (IQR, 16.5)] years. Seven themes were generated from the study representing key barriers from patient’s perspective. These were: Theme (1) Double stigma: Diabetes diagnosis and insulin use, Theme (2) Non-adherence to insulin and Self-Monitoring of Blood Glucose (SMBG), Theme (3) Logistic challenges in rural areas: Scarcity of healthcare professionals and other healthcare facilities, Theme (4) Dissatisfaction with healthcare services, Theme (5) Patients seeking alternative treatment strategies over allopathic treatment, Theme (6) Limitations of health insurance scheme and Theme (7) Limited role of national diabetes organizations. Conclusion There is a need in raising awareness among general public especially on T1DM to address the issue of diabetes stigma. An effort in implementation of policies supporting diabetes care and refinement of National Health Insurance Scheme is equally essential. Similarly, strengthening of Health Care System by ensuring availability of insulin, laboratory facilities and trained healthcare professionals in rural areas should be focused to address the inequity in access to healthcare in rural and urban sectors. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-024-11925-w.

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Perspectives of patients with type 1 and type 2 diabetes on barriers to diabetes care: a qualitative study

Shrestha,

Sapkota,

Acharya

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

Perspectives of Patients with Type 1 and Type 2 diabetes on barriers to diabetes care: A qualitative study

Shrestha,

Sapkota,

Acharya

et al. 2024

Preprint

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Background Diabetes care incorporates multiple integrated elements like self-care practices, patient education and awareness, societal support, equitable access to healthcare facilities and trained healthcare professionals, commitment from the diabetes associations and government policies. There is a dearth of research viewing into the barriers experienced by both People with Type 1 diabetes (PwT1D) and People with Type 2 diabetes (PwT2D) in accessing the holistic elements of diabetes care. This study thus aims to explore the perspectives of PwT1D and PwT2D towards barriers in receiving diabetes care services in urban and rural areas in Nepal. Method This study uses a qualitative research method where an in-depth interview of 23 participants on insulin was conducted using a semi-structured questionnaire. This included 15 PwT1D and 8 PwT2D, residing in the capital and rural areas and attending the hospitals and clinic in the urban and semi-urban regions in Nepal. The interviews were transcribed verbatim and thematically analyzed. Results Seven themes emerged from the study representing key barriers from patient’s perspective. These were: Theme 1) Diabetes stigma, Theme 2) Non-adherence to insulin and Self-Monitoring of Blood Glucose (SMBG), Theme 3) Lack of availability of healthcare professionals and other healthcare facilities, Theme 4) Dissatisfaction with healthcare services, Theme 5) Preference of alternative treatment strategies, Theme 6) Limitations of health insurance and Theme 7) Limited role of national diabetes organizations. Conclusion There is a need in raising awareness among general public especially on Type 1 Diabetes to address the issue of diabetes stigma. An effort in implementation of policies supporting diabetes care and refinement of National Health Insurance Scheme is equally essential. Similarly, strengthening of Health Care System by ensuring availability of insulin, laboratory facilities and trained healthcare professionals in rural areas should be focused to address the inequity in access to healthcare in rural and urban sectors.

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A qualitative study on perceptions and practices of diabetes prevention and management in rural south India

Lakshmi,

Anjana,

Rhodes

et al. 2023

JODB

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Aims: The purpose of this study is to explore the perceptions and practices of diabetes management through focus group discussions (FGDs) among adults with diabetes in rural Tamil Nadu. Materials and Methods: A qualitative study was conducted among individuals with diabetes who were part of the Telemedicine pRoject for screENing Diabetes and its complications in rural Tamil Nadu (TREND). A total of 16 FGDs were conducted using a semi-structured FGD guide that elicited perceptions of the different aspects of diabetes management and knowledge about diabetes prevention. The sample size was based on the attainment of thematic saturation. All FGDs were audio-recorded and transcribed verbatim. The textual data was then coded into meaning units and grouped into themes. Data were analyzed using NVIVO software version 10.0. Results: There were varied responses with respect to diet, medication adherence, regularity of follow-up, knowledge about diabetes, and diabetes prevention. Most participants had limited knowledge of the disease and did not have regular hospital visits. Several participants were unable to adhere to the diet prescribed by healthcare providers, as they lived alone or were dependent on someone in the family for dietary needs. Most participants were unaware that diabetes could be prevented. Some participants were interested in serving as “Diabetes ambassadors” to educate rural societies about diabetes. Conclusions: Understanding the perceptions and practices about diabetes management and prevention strategies could help primary healthcare workers effectively treat, manage, and prevent diabetes in underserved rural populations.

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Knowledge, Practice, and Barriers Regarding Self-monitoring of Blood Glucose Among Patients with Type 2 Diabetes Mellitus in Enugu State, Nigeria

Cited by 3 publications

References 22 publications

Perspectives of patients with type 1 and type 2 diabetes on barriers to diabetes care: a qualitative study

Perspectives of patients with type 1 and type 2 diabetes on barriers to diabetes care: a qualitative study

Perspectives of Patients with Type 1 and Type 2 diabetes on barriers to diabetes care: A qualitative study

A qualitative study on perceptions and practices of diabetes prevention and management in rural south India

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