Factors Influencing Disease Self-Management Among Veterans with Diabetes and Poor Glycemic Control

Purpose: To determine the status of glycemic control and its associated factors among adult patients with type 2 diabetes mellitus (T2DM) in Hodeidah City, Yemen. Methods: This cross-sectional study involved T2DM patients attending an outpatient clinic at the Military Hospital in Hodeidah, from January to March 2017. Relevant socio-demographic characteristics, clinical factors and self-management behaviours were recorded in face-to-face interviews. Blood pressure, body weight, and height measurements were also obtained. Glycosylated hemoglobin (HbA1c) and lipid profile were evaluated. Urine samples were also obtained and analysed by albuminuria assay. Results: Of 246 participants, 73.2 % showed poor glycemic control (HbA1c ≥ 7 %). Female patients, those aged ≥ 40 years, the illiterate, and Khat chewers were more likely to have poor glycemic control. Moreover, longer disease duration, insulin administration and albuminuria were significantly associated with poor glycemic control. In contrast, a healthy diet, physical exercise, proper self-monitoring of blood glucose levels and taking medicines as prescribed significantly increased the likelihood of good glycemic control. Conclusion: A majority of the Yemeni diabetic patients have poor glycemic control. To achieve better awareness, diabetes educational programs that highlight the benefits of self-management are recommended.

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Managing Diabetes in the COVID-19 Era: Focus on COVID-19 Safe Clinics, Telemedicine, and Diabetes Self-Management

Journal of Social Health and Diabetes ◽

10.1055/s-0040-1716439 ◽

2020 ◽

Vol 8 (01) ◽

pp. 003-007

Author(s):

Rajan Palui ◽

Subhodip Pramanik ◽

Arindam Ray ◽

Uttio Gupta ◽

Sattik Siddhanta ◽

...

Keyword(s):

High Risk ◽

Glycemic Control ◽

Diabetes Care ◽

Poor Glycemic Control ◽

Self Management ◽

Social Hygiene ◽

Practice Recommendations ◽

Clinic Practice ◽

Novel Coronavirus

AbstractNovel coronavirus disease 2019 is a dreaded pandemic that is going to persist, and diabetic people with poor glycemic control are at high risk of complications and death from it. Social distancing being the only way to prevent infection spread, it is very difficult to continue usual clinic-based diabetes care. So, in this review, we focus to discuss safe clinic practice recommendations, scope of telemedicine in care of follow-up patients, and diabetes self-management that every individual with diabetes needs to follow. These issues will be of utmost important as we need to understand and implement personal and social hygiene in a better way even in post lockdown period.

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The Effect of Depression on Poor Glycemic Control in Adults with Type 2 Diabetes: The Mediating Roles of Self-Efficacy and Self-Management Behaviors

International Journal of Diabetes and Metabolism ◽

10.1159/000502126 ◽

2019 ◽

Vol 25 (3-4) ◽

pp. 80-89 ◽

Cited By ~ 1

Author(s):

Golnaz Azami ◽

Kim Lam Soh ◽

Shariff-Ghazali Sazlina ◽

Md. Said Salmiah ◽

Afra Khosravi ◽

...

Keyword(s):

Type 2 Diabetes ◽

Glycemic Control ◽

Self Efficacy ◽

Linear Regression Analysis ◽

Skills Training ◽

Poor Glycemic Control ◽

Self Management ◽

Equation Modeling ◽

Management Behaviors

Background: High levels of depression and poor self-efficacy and self-management are associated with worse glycemic control, but the linkage and pathway between these variables are poorly understood. We conducted this study to investigate the hypothesis that self-efficacy and self-management mediate the influence of depression on poor glycemic control. Methods: We studied a purposive sample of 142 adults with type 2 diabetes attending a public clinic in Ilam, Iran. Hierarchical linear regression analysis and structural equation modeling were used to explore the relationships among the variables of interest. Result: Depression directly and negatively affects self-efficacy and indirectly affects self-management behaviors, which in turn have direct effects on hemoglobin A1c (HbA1c). Self-efficacy mediates the relationship between depression and self-management behaviors. Self-efficacy and self-management behaviors partially mediate the effect of depression on HbA1c. These results confirmed that the data fit the hypothesized model very well. Conclusion: Careful monitoring of glycemic control might be important in those individuals who exhibit clinical signs of depression. Effective treatment programs should probably pay close attention to not only screening and treatment of depression but also skills training to enhance patient self-efficacy and self-management of diabetes to improve HbA1c.

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