Self-Management of Diabetes Mellitus among Tamils in the Batticaloa District, Sri Lanka: A Qualitative Study

Kisokanth, G; Prathapan, Shamini; Indrakumar, J.; Joseph, Joshua J.

doi:10.3923/pjn.2016.455.460

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…The goal of the process is to enable the patient to become the most knowledgeable and hopefully the most active participant in his or her diabetes care. It provides the information regarding various treatment options and the benefits and costs of each of these strategies, how to make changes in their behaviors and to solve problems [54]. Several meta-analyses have demonstrated that SME is associated with clinically important benefits in people with diabetes, such as reductions in glycated hemoglobin and improvements in cardiovascular risk factors and reductions in foot ulcerations, infections, and amputations [55].…”

Section: Diabetes Self-management Education and Support For T2dmmentioning

confidence: 99%

Effect of Lifestyle Modification on Glycemic Control of Type 2 Diabetic Patients at Suez Canal University Hospitals

Megahed¹,

Hassan²,

Abdelwahid³

et al. 2021

Psychology and Pathophysiological Outcomes of Eating

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Type 2 Diabetes mellitus, as one of the major universal public health disorders wide spread, requires patients’ lifestyle modulation which would be conducive in dominating blood glucose. The aim of the study was to evaluate the effect of lifestyle modification on glycemic control of type 2 diabetic patients at Suez Canal University Hospitals at Ismailia city. A quasi-experimental design made up of a control group and a study group with pre- and post-test administration was applied. This study was carried out at the Family Medicine Outpatient Clinic and the Diabetic Outpatient Clinic of Suez Canal University Hospitals at Ismailia city in Egypt. 92 type 2 diabetic patients were included in this study. The Diabetes Knowledge Questionnaire; Health promoting lifestyle profile II Scale; and Physical assessment sheet were used for data collection in the two groups. After implementing of the program, those patients who received lifestyle modification intervention achieved better total score of knowledge & knowledge related practice about DM, health promoting lifestyle domains values and glycated hemoglobin, compared with the control group. Factors related to lower glycated hemoglobin in the present study were lower fasting blood sugar level and increasing physical activity. Overall, lifestyle modification program has a positive influence on blood glucose control of patients with type 2 diabetes mellitus. Therefore, it is recommended to that lifestyle modification interventions should be integral part of the curative management of type 2 diabetic patients, and further study in other places to investigate the effect of lifestyle modification on glycemic control of those patients.

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Section: Diabetes Self-management Education and Support For T2dmmentioning

confidence: 99%

Effect of Lifestyle Modification on Glycemic Control of Type 2 Diabetic Patients at Suez Canal University Hospitals

Megahed¹,

Hassan²,

Abdelwahid³

et al. 2021

Psychology and Pathophysiological Outcomes of Eating

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“…This educational material is a guide with lifestyle modifications instructions including a dietary and physical activity which was prepared along with the results of the baseline study [8][9][10] which includes knowledge regarding T2DM, attitudes of patients and culturally acceptable practices for self-management of T2DM among Tamils with T2DM and factors for good glycemic control among patients with T2DM.…”

Section: Construction Of the Educational Materialsmentioning

confidence: 99%

Validation of educational material for diabetes self-management education: Judgemental and criterion validity

Kisokanth¹,

Prathapan²,

Indrakumar³

et al. 2018

biomedicalresearch

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Objective: To describe the validation process of an educational material for diabetes self-management education among patients with type 2 Diabetes Mellitus (T2DM). Methods: Methodological study, developed in three phases: construction of the educational material, validation of the educational material by judges, and by patients with T2DM (criterion validity). The validation process was conducted by 7 judges and 30 patients with T2DM. Criterion validity was assessed against gold standard by field expert. A 70% or more total disagreement of any of the items by the experts was decided to remove from the educational material. Criterion validity was measured by sensitivity, specificity, as well as the area under receiver operating characteristic (ROC) curve. The expected primary outcome was the HbA1c level to be decreased by 0.5% or more after the implementation of intervention guide among patients with T2DM. Results: The changes suggested by judges were accepted and included in the final version of the educational material. All experts (100%) agreed that illustrations and texts in the education material motivate the patient with T2DM to understand the important of lifestyle modifications. The sensitivity of the developed intervention guide was 81.5% (95% CI=61.9-93.7%) with a specificity of 100.0% (95% CI=15 which was statistically significant (p=0.000). Conclusion: The educational material was validated in terms of judgment and criterion validity. It would be used by nurse health educators for diabetes self-management education..

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“…The adoption of proper dietary habits is essential in the control of DM for the prevention of acute and chronic complications (Queiroz et al, 2010). The diet for patients with DM need not be a separate one or completely different from the normal diet (Kisokanth et al, 2016). Better glycaemic control would be achieved among patients with DM by practicing healthy diet habits through obtaining assistance from a dietitian and/ or a diabetes educator.…”

Section: September 2018mentioning

confidence: 99%

Diet related factors for good glycaemic control among patients with diabetes mellitus in the Teaching Hospital, Batticaloa, Sri Lanka

Kisokanth¹,

Prathapan

Indrakumar

et al. 2018

J. Natn. Sci. Foundation Sri Lanka

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Ideal dietary practices and diet patterns for the better self-management of diabetes mellitus (DM) remains to be determined. This study was aimed at determining the diet related factors for good glycaemic control among patients with DM attending the Teaching Hospital, Batticaloa, Sri Lanka. A study was conducted among 339 patients with DM in medical clinics. Patients (n = 77) with DM who had fasting blood sugar less than or equal to 110 mgdL-1 (cases) and patients (n = 197) with DM who had fasting blood sugar more than or equal to 111 mgdL-1 (controls) for at least 3 last consecutive occasions during 6 months were compared. A pre-tested and validated seven-day dietary diary was used. Not consuming at least one serving of fruits in a week (AOR 2.83, 95 % CI = 1.03-7.76); not consuming bitter gourd (Momordica charantia) at least one tablespoon in a week (AOR 2.23, 95 % CI =1.01-4.95); not consuming Kurinja leaves (Gymnema sylvestre) at least one tablespoon in a week (AOR 2.49, 95 % CI =1.01-6.17); and consuming any yam (AOR 4.75, 95 % CI =1.61-14.07); having a bad lunch (AOR 4.64, 95 % CI =1.93-11.14) and not following a normal diet pattern for ≥ 4 days/week (AOR 8.22, 95 % CI = 3.61-18.74) were found to be the diet related factors for having poor glycaemic control in the multivariate logistic regression model. Influencing dietary factors on good glycaemic control need to be taken into account for comprehensive management and better outcome of DM.

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Self-Management of Diabetes Mellitus among Tamils in the Batticaloa District, Sri Lanka: A Qualitative Study

Cited by 3 publications

References 11 publications

Effect of Lifestyle Modification on Glycemic Control of Type 2 Diabetic Patients at Suez Canal University Hospitals

Effect of Lifestyle Modification on Glycemic Control of Type 2 Diabetic Patients at Suez Canal University Hospitals

Validation of educational material for diabetes self-management education: Judgemental and criterion validity

Diet related factors for good glycaemic control among patients with diabetes mellitus in the Teaching Hospital, Batticaloa, Sri Lanka

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