Type 2 diabetes–related foot care knowledge and foot self-care practice interventions in the United States: a systematic review of the literature

Background: Acculturation to the United States has been previously studied in Spanish-speaking populations, but little is known about the potential relationship between acculturation and type 2 diabetes mellitus (T2DM). Objective: The purpose of this systematic review was to explore the relationship between acculturation and T2DM in Spanish-speaking populations in the United States. Methods: Selected studies collected from a review of literature were analyzed by population, ethnicity, acculturation scale, and significance. Results: Thirty-two eligible articles showed conflicting data between the effects of acculturation on T2DM. Conclusion: Overall, studies yielded inconclusive results on the significance of the relationship between acculturation and diabetes in Spanish-speaking populations, which merit further investigation.

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KNOWLEDGE AND SELFCARE PRACTICES AMONG DIABETICS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i12.21072 ◽

2017 ◽

Vol 10 (12) ◽

pp. 234

Author(s):

Sheeba S ◽

Sneha Ak ◽

Veena Biju

Keyword(s):

Type 2 Diabetes ◽

Survey Design ◽

Medical Science ◽

Self Care ◽

Sampling Technique ◽

Ideal Body Weight ◽

Care Practice ◽

Foot Care ◽

Care Practices

Objective: The objectives of the study were to assess the knowledge and self-care practices among patients with type 2 diabetes mellitus.Methods: Quantitative approach with descriptive survey design and convenience sampling technique was used. The study was conducted among 100 patients with type 2 diabetes mellitus, from the Inpatient and Outpatient Department of Amrita Institute of Medical Science, Kochi. A structured knowledge questionnaire and structured practice assessment questionnaire were used to assess the knowledge and self-care practices of the subjects.Result: Result shows that 77% subjects had good knowledge regarding diabetes and majorityof the subjects had good level of self-care practices. 63% of subjects regularly monitoring blood glucose level, 72% following proper diet, 88% of subjects taking regular medication, 84% of subjects follow proper eye care, 79% of subjects follow proper foot care, 57% of subjects maintaining ideal body weight, and only 46% of subjects doing regular exercise. There was a positive relationship (r=0.09) between level of knowledge and self-care practice of the subjects and no significant association between knowledge level and selected sociodemographic variables.Conclusion: It is important that the patient should have adequate knowledge regarding diabetes and they should follow proper self-care practices to prevent further complications.

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Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Hispanic Health Care International ◽

10.1177/1540415320956389 ◽

2020 ◽

pp. 154041532095638

Author(s):

Sharon K. Titus ◽

Merle Kataoka-Yahiro

Keyword(s):

United States ◽

Social Support ◽

Systematic Review ◽

Type 2 Diabetes ◽

Access To Care ◽

Cause Of Death ◽

The United States ◽

Barriers To Access ◽

Cost Factors

Introduction: Type 2 diabetes (T2D) is a major cause of death in the United States. Hispanics living in America suffer disproportionally with diabetes and is the fifth cause of death for them. A systematic review was conducted that highlighted barriers to access to care for Hispanics with T2D during the early years of the Affordable Care Act. Method: PubMed and CINAHL databases were searched (2010-2015) using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. From 84 studies, seven qualitative/mixed methods studies were reviewed based on inclusion/exclusion criteria. Barriers were placed into three categories set a priori. Results: All study samples were from different states, representing barriers across the United States. Persistent barriers were self (100%), provider (100%), and environment (71%). Covariates (culture and genetics), individual resources (cost factors, time, and social support), lack of providers or providers specializing in T2D, and environmental factors (lack of diabetes education, nutrition, and exercise programs) were found to affect Hispanics with T2D access to care. Conclusion: Cost factors, time, lack of social support, providers, and relevant programs remain prevalent barriers. As the Hispanic population increases and changes in the health care system are evolving, additional barriers to access to care are likely to emerge and must be explored.

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Self-Care Behaviors and Glycemic Control in Low-Income Adults in México With Type 2 Diabetes Mellitus May Have Implications for Patients of Mexican Heritage Living in the United States

Clinical Nursing Research ◽

10.1177/1054773815586542 ◽

2015 ◽

Vol 25 (2) ◽

pp. 120-138 ◽

Cited By ~ 11

Author(s):

Lidia G. Compeán Ortiz ◽

Beatriz Del Ángel Pérez ◽

Eunice Reséndiz González ◽

Socorro Piñones Martínez ◽

Nora H. González Quirarte ◽

...

Keyword(s):

Diabetes Mellitus ◽

United States ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycemic Control ◽

Low Income ◽

Self Care ◽

The United States ◽

Mexican Heritage

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Predictors of Adherence Toward Specific Domains of Diabetic Self-Care Among Type-2 Diabetes Patients

Clinical Medicine Insights Endocrinology and Diabetes ◽

10.1177/1179551420981909 ◽

2020 ◽

Vol 13 ◽

pp. 117955142098190

Author(s):

Girma Degefa ◽

Kindie Wubshet ◽

Sisay Tesfaye ◽

Agete Tadewos Hirigo

Keyword(s):

Type 2 Diabetes ◽

Physical Exercise ◽

Diabetic Foot ◽

Self Care ◽

Healthy Diet ◽

Care Practice ◽

Foot Care ◽

Male Sex ◽

Care Practices

Background: Adequate knowledge, awareness, and adherence to diabetic self-care practices are vital tools to protect patients from risks of disease complications, developing comorbidity and mortality. Therefore, this study aimed to assess specific domains of diabetic self-care practice and associated factors among patients with type-2diabetes in Hawassa University Comprehensive Specialized Hospital, Sidama regional state. Materials and methods: A hospital-based cross-sectional study design was conducted on 217 patients with type 2 diabetes from January 01 to April 30, 2020. A structured questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) tool were used to collect relevant data through interviewer administration. Statistical analysis was done using SPSS version 23. Results: A total of 207 patients with type-2 diabetes were participated in the study with a 95% response rate. Overall 47.8% (95%CI: 41.2-55) of patients adhered to diabetic self-care practice. Concerning the specific domain of self-care practice, 54.6%, 39.1%, 28%, and 65.2% of patients adhered to a healthy diet, physical exercise, self-monitoring blood glucose (SMBG), and diabetic foot care practices, respectively. Besides, all patients received at least 80% of the prescribed doses and frequency of anti-diabetic agents and 60.4% had good glycemic control. Receipt of advice from treating physicians and having no familial history of diabetes were significantly associated with adherence toward eating a healthy diet, diabetic foot care, and SMBG. While male sex was associated with adherence toward healthy diet management. Moreover, having glucometer, age, male sex, diabetes duration ⩾ 5 years, and anti-diabetic treatment modality were associated with adherence toward SMBG. Conclusion: This study indicates 52.2%, 72%, and 60.1% of diabetes patients did not adhere to diabetic self-care, SMBG, and physical exercise, respectively. Improving awareness and regular diabetic education is imperative to scale up patients’ adherence toward diabetic self-care practice.

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814-P: Determinants of Diabetes Self-Care in Two Populations of Arabs with Type 2 Diabetes Living in Their Country of Origin or in the United States: A Comparative Analysis

Diabetes ◽

10.2337/db19-814-p ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 814-P

Author(s):

OLA ALI SUKKARIEH-HARATY ◽

LINDA JABER ◽

JOELLE ABI KHARMA ◽

NATALI FARRAN ◽

MAYA BASSIL

Keyword(s):

United States ◽

Type 2 Diabetes ◽

Comparative Analysis ◽

Country Of Origin ◽

Self Care ◽

The United States ◽

Two Populations

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Care management for Type 2 diabetes in the United States: a systematic review and meta-analysis

BMC Health Services Research ◽

10.1186/1472-6963-12-72 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 29

Author(s):

Jason S Egginton ◽

Jennifer L Ridgeway ◽

Nilay D Shah ◽

Saranya Balasubramaniam ◽

Joann R Emmanuel ◽

...

Keyword(s):

United States ◽

Systematic Review ◽

Type 2 Diabetes ◽

Care Management ◽

Meta Analysis ◽

The United States

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Systematic Review and Meta-Analysis of Good Self-Care Practice among People Living with Type 2 Diabetes Mellitus in Ethiopia: A National Call to Bolster Lifestyle Changes

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2021/8896896 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Baye Dagnew ◽

Getu Debalkie Demissie ◽

Dessie Abebaw Angaw

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Random Effects ◽

Meta Analysis ◽

Self Care ◽

Care Practice ◽

Random Effects Model

Background. Self-care practice is the mainstay of management for good glycemic control. Despite the presence of a few pocket studies, no comprehensive study was conducted in Ethiopia to demonstrate the overall good self-care practice among diabetic patients in Ethiopia. Therefore, we intended to conduct this systematic review and meta-analysis to estimate the overall good self-care practice among people living with type 2 diabetes mellitus (T2DM) in Ethiopia. Methods. We systematically searched PubMed, Scopus, Science Direct, Cochrane library, Google scholar, and direct Google to retrieve relevant studies. Forest plot was used to present the pooled estimate of good self-care practice using DerSimonian and Laird’s random-effects model. We checked publication bias using Egger’s test and funnel plot. Potential heterogeneity was tested using the I-squared statistic. Moreover, subgroup and sensitivity analyses were performed. Results. In this review, 12 primary studies (with a total sample size of 4030) were included. Because of the presence of heterogeneity, we employed a random-effects model. After running the random-effects model, the pooled estimate of overall good self-care practice was 51.12% (95% CI: 41.90–60.34). Furthermore, the pooled estimate of good dietary practice was 50.18% (95% CI: 32.75–67.60), good physical exercise practice was 48.29% (95% CI: 34.14–62.43), the good footcare practice was 63.61% (95% CI: 45.56–81.66), and appropriate self-monitoring of the blood glucose level was 31.89% (95% CI: −4.62–68.41). In this meta-analysis, there was serious interstudy variation, but there was no publication bias. Conclusions. The overall good self-care practice among people living with T2DM was low which necessitates the need for designing strategies to increase the self-care practice. The health sector has to bolster awareness creation to allow better plasma glucose control and preventing diabetes-related complications. This trial is registered with CRD42019147694.

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