scholarly journals Awareness of diabetes among patients with type 2 diabetes mellitus attending a rural health and training center

Author(s):  
V. Aljin ◽  
R. Umadevi ◽  
V. M. Anantha Eashwar

Background: Diabetes mellitus (DM), a major threat to both developing and developed countries, which can be easily prevented by lifestyle modifications. Because of lack of awareness, the occurrence of diabetes and its complications is showing a steady increase. Empowering the patients with knowledge about diabetic self-care is expected to have better outcome of the disease. Thus this study was planned to assess the awareness and knowledge about diabetes among the patients with type 2 diabetes mellitus attending rural health care center. The objective of the study was to assess the awareness of diabetes among patients with type 2 diabetes mellitus attending a rural health and training centre (RHTC).Methods: A Cross sectional study was conducted to assess the awareness about diabetes among patients with type 2 diabetes, attending RHTC in Tamil Nadu. The study was conducted in outpatient clinic in RHTC, during the month of November and December 2017 and 258 patients with diabetes who gave written consent were included in the study. Data was collected using a pre-tested structured questionnaire through one-to-one interviews. Data entry and analysis was done using SPSS version 16.Results: It was found that, 63.1% of the participants had adequate knowledge regarding T2DM and family history of T2DM was one of the important determinant of having adequate knowledge regarding T2DM.Conclusions: Knowledge about diabetes is fair but still their practice on control of glycemic levels needs to be improved. This shows that there is a necessary to health educate the patients in order to prevent or postpone the complications of diabetes mellitus.  

Author(s):  
Sampat Raj Nagar ◽  
Manish Jain

Background: Hypertension and diabetes have become important world-wide public-health challenges. Assessment of risk for Hypertension and Diabetes requires identifying an easy tool that can be used by health workers in screening programmes. To compare predictive value of WHtR against BMI in assessing risk of Hypertension and Diabetes. Methods: A case-control study was carried out at MB Hospital and Urban Health Training Centre (UHTC) attached to RNT Medical College, Udaipur, Rajasthan. Selected individuals were examined and interviewed using semi-structured questionnaire. Anthropometric measurements were carried out. Odds ratios were derived for quantitative analysis. Results: Observed proportion of BMI ≥ 25 kg /m2 was 60.4% in type 2 diabetes cases, whereas 39.6% in controls. Odds ratio was 2.383. Observed proportion of BMI ≥ 25 kg/ m2 was 66.7% in HTN cases, whereas 33.3% in controls with a Odds ratio of 3.484. An Odds ratio of 3.151, showed existence of strong association of WHtR above 0.5 with hypertension. Observed proportion of WHtR above 0.5 was 56.3% in type 2 diabetes cases, whereas 43.7% in controls and Odds ratio was 4.292. Conclusions: The OR of WHtR in diabetes (4.292) in compared to OR of BMI (2.303), shows the strength of association of WHtR as an alarming risk factor for diabetes than BMI; whereas an equivalent strength of association was observed for hypertension. Study favours the use of anthropometric measures especially WHtR for predicting type 2 diabetes mellitus and hypertension. 


2021 ◽  
Vol 9 (01) ◽  
pp. e8-e14
Author(s):  
Tariku Shimels ◽  
Melesse Abebaw ◽  
Gebremedhin Beedemariam Gebretekle

Abstract Introduction Poor adherence to medication and healthy lifestyle managements, such as diet and regular exercise, remains to be a challenge for patients with type 2 diabetes mellitus. The objective of this study was to assess the pattern of adherence to common recommendations, reasons, and factors associated with poor overall adherence among outpatients with type 2 diabetes mellitus in a police hospital of Ethiopia. Method A facility-based cross-sectional study was done between 15 October 2016 and 15 January 2017. Systematic random sampling method was applied to recruit participants. A semistructured interview guide with an observation checklist was used to collect data. SPSS v.20.0 was used in the analysis. Results Out of 361 participants, over half (56.5%) participants were male and 235 (65.1%) participants were military. Nearly half (49%) of the participants were on oral combination therapy. Only 194 (53.7%) of the patients showed good adherence for diet. Half (50.1%) of the respondents had poor adherence to all recommendations. Reasons for poor adherence included lack of adequate knowledge (68.9%) for diet, carelessness (37.8%) for exercise, and lack of adequate knowledge (34.8%) followed by carelessness (28.3%) and forgetfulness (19.6%) for medication. Intake of herbal medicines doubled the likelihood of good adherence. Conclusion Adherence of patients to diet was found to be suboptimal. Lack of adequate knowledge, carelessness, and forgetfulness were among the reasons mentioned. Only use of herbal medicine showed statistical significance with adherence. Patient education on dietary practice is required in the study setting.


Sign in / Sign up

Export Citation Format

Share Document