Influence of socio-demographic characteristics on management of type 2 diabetes mellitus among T2DM clients in Nyandarua South Sub-County, Kenya

2021 ◽  
Vol 2 (1) ◽  
pp. 066-071
Author(s):  
Francis Matheka Muoki ◽  
Ephantus W Kabiru ◽  
Anthony K Wanyoro

Background: Diabetes mellitus (DM) is a complex disease with most complications leading to morbidity and mortality amongst population subsets if not managed. In every six seconds, a person dies from DM or DM related complications. Type 2 diabetes mellitus (T2DM) has markedly increased necessitating active development and implementation of efficient management programs addressing sociodemographic characteristics of diabetic clients. The aim of this study was to determine the influence of socio-demographic characteristics on management of T2DM among type 2 diabetic clients in Nyandarua South sub-County, Kenya. Methods: A cross-sectional facility based study design was used. The study population comprised T2DM clients, aged above 18 years. Systematic random sampling technique was used to select the sample of 294 clients who consented to participate in the study. Data was collected by use of a semi-structured researcher administered questionnaire. Data was analysed using SPSS Version 21. Descriptive statistics were computed to generate frequencies, mean, median and standard deviation. Relationship between socio-demographic factors and management of T2DM was examined using chi-square and bivariate analyses. Results: Majority of the participants were females (59.5%). Slightly more than a quarter of the participants (28%) had good knowledge on management of T2DM. College/university education level was found to be significantly associated with participants’ management of T2DM (OR 5.3666 (1.47-19.58), 95% CI, 1.47-19.58, P=0.0109). Conclusions: Level of education significantly influenced participants’ management of T2DM. The study recommends creation of awareness on T2DM management in Nyandarua County so as to improve clients’ knowledge of management interventions for T2DM health education on T2DM management practices to empower clients to effectively manage the condition.

2021 ◽  
Vol 2 (4) ◽  
pp. 411-415
Author(s):  
Farzana Ferdousi Shanta ◽  
Deepa Biswas

The aim of this cross-sectional study of Type-2 diabetes mellitus and its complication among the patients admitted in Rajshahi Diabetes Association General Hospital and its relationship with their socio-demographic characteristics. Total fifty (50) respondents were selected for the study. Complication of Type-2 diabetes mellitus were mainly investigated. The instrument developed by the researcher was divided into 2 sections including, 1) Demographic questionnaire. 2) Question regarding complications of type-2 diabetes mellitus patients. The main findings of this thesis are that the proportion of complication of type-2 diabetes mellitus patients. The age of the respondents which 14% were between 31-40 years of age about 30% between 41-50 years, about 40% between 51-64 years, 16% between 65-90 years. Type of family 46 (92%) were the members of nuclear family 4 (8%) were the member of joint family. This study would like to examine the respondents’ ratings of different religions who were married or divorced. Socio-economic status 74% were poor, 26& respondents were middle. For this purpose, this study would like to investigate the complication of type 2 diabetes mellitus patients; the ratings of nephropathy, hypertension, the loss of sensation, heart problem, homeopathy, and Kobiraji treatment.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2393-PUB
Author(s):  
KENICHIRO TAKAHASHI ◽  
MINORI SHINODA ◽  
RIKA SAKAMOTO ◽  
JUN SUZUKI ◽  
TADASHI YAMAKAWA ◽  
...  

2017 ◽  
pp. 35-44
Author(s):  
Dinh Toan Nguyen

Background: Studies show that diabetes mellitus is the greatest lifestyle risk factor for dementia. Appropriate management and treatment of type 2 diabetes mellitus could prevent the onset and progression of mild cognitive impairment to dementia. MoCA test is high sensitivity with mild dementia but it have not been used and studied widespread in Vietnam. Aim: 1. Using MoCA and MMSE to diagnose dementia in patients with type 2 diabetes mellitus. 2. Assessment of the relationship between dementia and the risk factors. Methods: cross-sectional description in 102 patients with type 2 diabetes mellitus. The Mini-Mental State Examination(MMSE) and the Montreal Cognitive Assessment (MoCA) were used to assess cognitive function. The diagnosis of dementia was made according to Diagnostic and Statistical Manual of Mental Disorders. Results: The average value for MoCA in the group of patients with dementia (15.35 ± 2.69) compared with non-dementia group (20.72 ± 4.53). The sensitivity and specificity of MoCA were 84.8% and 78.3% in identifying individuals with dementia, and MMSE were 78.5% and 82.6%, respectively. Using DSMIV criteria as gold standard we found MoCA and MMSE were more similar for dementia cases (AUC 0.871 and 0.890). The concordance between MoCA and MMSE was moderate (kappa = 0.485). When considering the risk factors, the education,the age, HbA1c, dyslipidemia, Cholesterol total related with dementia in the type 2 diabetes. Conclusion: MoCA scale is a good screening test of dementia in patients with type 2 diabetes mellitus.When compared with the MMSE scale, MoCA scale is more sensitive in detecting dementia. Key words: MoCA, dementia, type 2 diabetes mellitus, risk factors


2021 ◽  
pp. 105477382110068
Author(s):  
Luis Angel Cendejas Medina ◽  
Renan Alves Silva ◽  
Magda Milleyde de Sousa Lima ◽  
Lívia Moreira Barros ◽  
Rafael Oliveira Pitta Lopes ◽  
...  

To analyze the correlation between functional health literacy (FHL) and self-efficacy (SE) in people with type 2 Diabetes Mellitus. Cross-sectional study was conducted among September and October 2019, with 196 people with type 2 diabetes. Data were collected using the Functional Literacy in Health instrument (B-TOFHLA) and the Diabetes Management Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus (DMSES). Bivariate analysis was used to verify the relationship among the constructs. Most diabetics showed an average B-TOFHLA score of 74.75, considered adequate, and self-efficacy of 4.07, high. The association between SE and FHL in the bivariate analysis found no statistical significance ( p > .05), in the same sense as the B-TOFHLA score and the DMSES domains ( p > .05). Constructs were not related to each other in terms of skills arising from judgments and decisions with motivational confidence by the investigated audience.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Amara ◽  
R Ghammem ◽  
N Zammit ◽  
S BenFredj ◽  
J Maatoug ◽  
...  

Abstract Introduction Diabetes mellitus is a growing public health concern. Despite compelling evidence about the effectiveness of medications, studies have indicated that less than 50% of patients achieved therapeutic targets. The aim of this study was to assess the adherence to type 2 diabetes mellitus treatment and its determinants. Methods A cross-sectional study was conducted between April and June 2017 in the Endocrinology and internal medicine departments of Farhat Hached University Hospital in Sousse, Tunisia. A convenient sample of patients who fulfilled the eligibility criteria was recruited. A pre-tested questionnaire was used to gather information. This was followed by assessing patients' adherence to diabetes medications using the eight-item Morisky Medication Adherence Scale (MMAS-8). Results A total of 330 patients with Type 2 Diabetes Mellitus participated in this study. The mean ±SD age of patients was 58.96±10.3 with female predominance (60.3%). More than half of participants were with high cardiovascular risk. In most cases (70.6 %), participants were moderate adherent. Results showed that patients become non-adherent as the disease gets older (p = 0.001). In addition patients with health insurance were significantly more adherent comparing to those who did not have it (p = 0.01). Regarding self-care practices and other metabolic risk factors' effects, our data revealed that exercising 30 minutes below than 5 times in week and poor self-management of diet were associated with low adherence (p < 10-3). On the other hand, patients who have started insulin therapy were less adherent than those who had not yet (0.01). Patients with diabetic retinopathy or maculopathy were significantly more prone to be non- adherent, with respective percentage of 39.1% and 37.5%. Conclusions This study provides insights into the determinants of non-adherence, ultimately guiding the effective interventions through development of structured long-term policies not yet implemented. Key messages In most cases (70.6 %), participants were moderate adherent. Patients with diabetic retinopathy or maculopathy were significantly more prone to be non- adherent.


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