Self-Management Experiences in Persons Living With Diabetes Mellitus Type 2

Oâ€TMBrien, C A; Rooyen, Dalena van; Ricks, Esmeralda

doi:10.25159/2520-5293/229

Cited by 8 publications

(33 citation statements)

References 10 publications

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“…Thirteen studies focused on how people with diabetes employed both biomedical and non-biomedical services in the management of their type 2 diabetes [ 8 – 10 , 19 – 22 , 24 , 26 , 27 , 29 , 31 , 35 ]. Employing non-biomedical services was frequently narrated as part of a search for a cure, as described by this Ghanaian [ 10 , 19 – 21 , 30 ]:…”

Section: Resultsmentioning

confidence: 99%

“…Even though non-biomedical services are routinely utilized, biomedicine was often reported to be both preferred and the first source of diagnosis [ 9 , 19 , 20 , 22 , 24 , 26 , 35 ]. An stark example of this comes from South Africa:…”

Section: Resultsmentioning

confidence: 99%

“…All 21 studies in the review reported narratives relating to the impediments people with diabetes face when managing their diabetes. The high costs of medication was a major concern for people held by people with diabetes studie [ 8 , 9 , 19 – 22 , 27 , 28 , 31 , 32 , 34 , 35 ]. As highlighted by BeLue et al, the cheapest medication in Senegal is unaffordable for most [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…Exercise as a way to manage diabetes was discussed in eleven studies [ 8 , 9 , 18 , 22 – 24 , 27 , 29 , 33 – 35 ]. There were mixed result in the uptake of exercise.…”

Section: Resultsmentioning

confidence: 99%

“…Some informants discussed how they incorporated exercise in daily activities: “I care for the baby so I am always moving around the house” [ 29 ]. Reasons for not taking up exercise included pain when exercising, and the view that the environment was not suited to exercise [ 24 , 25 , 34 , 35 ]. informants from South Africa said that they did not feel safe enough in the neighbourhoods to exercise outside [ 23 ], while participants in Ethiopia lamented the lack of affordable facilities [ 34 ].…”

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%

Section: Resultsmentioning

confidence: 99%

“…Exercise as a way to manage diabetes was discussed in eleven studies [ 8 , 9 , 18 , 22 – 24 , 27 , 29 , 33 – 35 ]. There were mixed result in the uptake of exercise.…”

Section: Resultsmentioning

confidence: 99%