scholarly journals FAMILY SUPPORT IN THE CARE OF PEOPLE WITH TYPE 2 DIABETES AND FACTORS ASSOCIATED WITH CONTROL OF BLOOD SUGAR

2021 ◽  
Vol 56 (4) ◽  
pp. 619-631
Author(s):  
Kanittha Waree ◽  
Isaraporn Thepwongsa ◽  
Radhakrishnan Muthukumar ◽  
Leon Piterman
Keyword(s):  
Glycaemic Control ◽  
Family Support ◽  
Care Management ◽  
Response Rate ◽  
Self Care ◽  
Factors Associated ◽  
Good Glycaemic Control ◽  
The People ◽  
Case Basis

Family plays a key role in supporting the self-care management of people with Type 2 diabetes (T2DM). The perceptions of support of the people with T2DM and their carer and its associated factors have not yet been explored. This study aimed to examine the perceptions of the people with T2DM and their carers and factors associated with family support and glycaemic control. A cross-sectional analytical study was conducted with 608 people with T2DM and their carers. Two sets of self-administered questionnaires were used. The participants' medical records were reviewed. Family support was explored from both the people with T2DM and their carers and then compared on a case-by-case basis. The response rate of the T2DM participants was 79.6% (n = 242). In all, 160 (66.1%) participants had poor glycaemic control, and 85 (38.3%) participants had family support. Having family support was not associated with good glycaemic control but poor self-care behavior (p = 0.003). The response rate of the carers was 44.4%. There were differences in perceptions of aspects of family support between the participants and their carers on a case-by-case basis, including problem-solving (p = 0.008), roles (p < 0.001), and affective responses (p = 0.036). The novel results of this study are the differences in perceptions of family support between people with T2DM and their carers, which may explain the non-association between family support and good glycaemic control. This highlights the need to explore the extent of support people with T2DM need regarding their self-care management from their families.

scholarly journals Sex differences and correlates of poor glycaemic control in type 2 diabetes: a cross-sectional study in Brazil and Venezuela

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e023401 ◽  
Author(s):  
Fernanda G Duarte ◽  
Sandra da Silva Moreira ◽  
Maria da Conceição C Almeida ◽  
Carlos A de Souza Teles ◽  
Carine S Andrade ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Treatment Guidelines ◽  
Specific Treatment ◽  
Nationwide Survey ◽  
Haemoglobin A1c ◽  
Cross Sectional ◽  
Factors Associated ◽  
Adherence To Diet

ObjectiveExamine whether glycaemic control varies according to sex and whether the latter plays a role in modifying factors associated with inadequate glycaemic control in patients with type 2 diabetes (T2D) in Brazil and Venezuela.Design, setting and participantsThis was a cross-sectional, nationwide survey conducted in Brazil and Venezuela from February 2006 to June 2007 to obtain information about glycaemic control and its determinants in patients with diabetes mellitus attending outpatient clinics.Main outcome measuresHaemoglobin A1c (HbA1c) level was measured by liquid chromatography, and patients with HbA1c ≥7.0% (53 mmol/mol) were considered to have inadequate glycaemic control. The association of selected variables with glycaemic control was analysed by multivariate linear regression, using HbA1c as the dependent variable.ResultsA total of 9418 patients with T2D were enrolled in Brazil (n=5692) and in Venezuela (n=3726). They included 6214 (66%) women and 3204 (34%) men. On average, HbA1c levels in women were 0.13 (95% CI 0.03 to 0.24; p=0.015) higher than in men, after adjusting for age, marital status, education, race, country, body mass index, duration of disease, complications, type of healthcare, adherence to diet, adherence to treatment and previous measurement of HbA1c. Sex modified the effect of some factors associated with glycaemic control in patients with T2D in our study, but had no noteworthy effect in others.ConclusionsWomen with T2D had worse glycaemic control than men. Possible causes for poorer glycaemic control in women compared with men include differences in glucose homeostasis, treatment response and psychological factors. In addition, sex modified factors associated with glycaemic control, suggesting the need to develop specific treatment guidelines for men and women.

scholarly journals Glycaemic Control and Practice of Self-Care Behaviors among People with Type 2 Diabetes in Nigeria

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Nnena Osuji ◽  
Oluwaseun Ojo ◽  
Sunday Malomo ◽  
Adegbola Ige ◽  
Ademola Egunjobi ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Self Care

scholarly journals Diabetes Self-Care Practice, and Associated Factors Among Type 2 Diabetic Patients in Public Hospitals of Tigray Region, Ethiopia

2020 ◽  
Author(s):  
Medina Abdulkadir Wehabrebi ◽  
Goitom Molalign Takele ◽  
Hiyab Teklemichael Kidane ◽  
Kahsu Gebrekirstos Gebrekidan ◽  
Birhan Gebresillassie Gebregiorgis
Keyword(s):  
Type 2 Diabetes ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Diabetic Patients ◽  
Care Providers ◽  
Factors Associated ◽  
Tigray Region ◽  
Care Practices

Abstract Background: The prevalence of Type 2 diabetes is increasing steadily at an alarming rate and Ethiopia is placed fourth among the top five countries of the Africa region according to the International diabetes federation. Regardless of its burden, the self-care behaviors are still unknown. This study is aimed to determine the level of diabetes self-care practice and factors associated with among Type 2 diabetes mellitus patients in public hospitals of Tigray region.Methods: Institution-based, cross-sectional study was conducted in six selected hospitals of Tigray region from January to February, 2020. Data was collected by trained nurses with a face to face interview method using Summary Diabetes Self-Care Activities (SDSCA). Bivariate and multivariate logistic regression was used to identify factors associated with self-care practices. Statistical significance was declared at P-value < 0.05.Results: A total of 570 patients with type 2 diabetes were included in this study. The mean age of the participant was 46 ± 14.6 years. Less than half (46.7%) of the participants has good diabetes self-care practices. Urban residency (AOR=2.79, 95% CI 1.858-4.205), age group above 64 years (AOR=2.384, 95% CI 1.258-4.518), not having formal education (AOR=2.616, 95% CI 1.337-4.518), having family or social support (AOR=1.878, 95% CI 1.243-2.837), duration DM above 10 years (AOR=2.325, 95% CI 1.224-4.418), having personal glucometer at home (AOR=5.9, 95% CI 2.790-12.764) were determinant factors of good diabetes self-care practice. Conclusion: the diabetes self-care practices in the region was found to be low. Health care providers might have to consider actions to act on the identified factors and improve self-care practices of the patients. Especially, focusing on caring and giving follow up services to younger adults and DM patients coming from a rural areas.

scholarly journals The Role Of Family Support And Self-Efficacy On Self-Care Behavior In The Elderly With Type 2 Diabetes

2021 ◽  
Vol 14 (02) ◽  
pp. 82-89
Author(s):  
Ratna Yunita Sari ◽  
Umdatus Soleha ◽  
Erika Chandra Dewi
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Family Support ◽  
Self Efficacy ◽  
Self Care ◽  
The Elderly ◽  
Rank Test ◽  
Care Behavior

  Introduction: Diabetes self-care is an effort to control type 2 diabetes mellitus. Family support and self-efficacy are needed for elderly people with type 2 diabetes mellitus to increase independence in managing their disease. This study aims to determine the relationship between family support and self-efficacy with self-care behavior in the elderly with type 2 diabetes mellitus at the Elderly Posyandu in Wadungasri Village. Methods: This study is a quantitative study with a correlational analytic research design using a cross-sectional approach. The population in this study was 132 elderly with type 2 diabetes mellitus using a probability sampling method with a technique used simple random sampling and obtained a sample of 100 elderly DM type 2. Results: The results showed that most of the elderly have family support and good self-efficacy. with less self-care behavior. The results of the analysis using the Spearman rank test showed that family support was associated with self-care for people with diabetes mellitus type 2 (p-value = 0.006, ɑ = 0.05). The results of the Spearman rank test analysis showed that self-efficacy was related to self-care for people with diabetes mellitus type 2 (p-value = 0.001, ɑ = 0.05). Conclusion: Family support and self-efficacy gave to elderly people with type 2 diabetes mellitus can influence health behavior patterns that will make self-care behavior well.

scholarly journals Relationships of diabetes self‐care behaviours to glycaemic control in adults with type 2 diabetes and comorbid heart failure

Nursing Open ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. 1453-1467
Author(s):  
Fekadu Aga ◽  
Sandra B. Dunbar ◽  
Tedla Kebede ◽  
Melinda Kay Higgins ◽  
Rebecca Gary
Keyword(s):  
Heart Failure ◽  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Self Care
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