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Objective: Education is the cornerstone of diabetes management, and numerous educational studies used Diabetes Knowledge Level Tests to determine the effectiveness of education. Our study was planned to adopt the revised Diabetes Knowledge Test (DKT2) of the Michigan Diabetes Research and Training Center for the Turkish population. Material and Methods: A total of 296 diabetic subjects using insulin were included in the study. After the determination of the validity of the language and content of the test, it was applied to the patients. The reliability of the study was assessed using Cronbach's alpha coefficient. The results of the DKT2 demographic values, and laboratory tests of the patients were noted. Results: Cronbach's alpha values were 0.60, 0.59, and 0.70 for the first part, second part, and complete test, respectively. The test-retest reliability values were 0.76 and 0.87 (p<0.001), respectively. The correct response rate to the first part was 32.68±2.47% in patients with Type 1 diabetes and 32.16±2.66% in patients with Type 2 diabetes using insulin. The correct response rate to the second part was 19.68±2.05% and 19.55±2.96%, respectively. Discussion: The Turkish adapted version of DKT2 is a reliable tool to measure patients' level of diabetes knowledge. However, in order to increase the level of knowledge of the patients, education of diabetes should be improved.

Background Diabetes education in Turkey is provided by diabetes nurse educators in almost all healthcare organizations. However, the education is not standardized in terms of learning content, duration, and methods. This multi-center study was performed to assess the self-care behaviors and glycemic control following education provided to the patients with type 2 diabetes mellitus by diabetes nurse educators. Methods This was a descriptive and cross-sectional study and included 1535 patients admitted to 28 public hospitals for the treatment of type 2 diabetes mellitus. The education was assessed by using a Patient Identification Form and Self-care Scale. Results The proportion of individuals who received diabetes education within the last year was 78.5%, with 46.7% of them having received it once. Of the patients, 84.8% reported that they received diabetes education individually. It was found that the proportion of individuals who received education about oral antidiabetics (78.5%) and glucose testing at home (78.5%) was higher than the proportion of individuals who received education about exercise (58.8%) and foot care (61.6%). The status of diabetes education, education intervals, and the correlation of the education method with self-care and glycemic control was evaluated. Self-care and glycemic control levels were better among the patients who received diabetes education thrice or more and in patients who received education both individually and in a group (p < 0.05). Conclusions Approximately three-quarters of individuals with type 2 diabetes mellitus received education by diabetes nurse educators in Turkey. Diabetes education is positively correlated with self-care and glycemic control levels among patients with type 2 diabetes mellitus. Efforts for generalization and standardized education for all diabetes patients are necessary.

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Amaç: Bu çalışma diabetes mellitus nedeniyle izlenen hastalarda kan şekeri ölçüm sıklığı ile diyabet regülasyonu ve diyabetin komplikasyonları arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Bireyler ve Yöntem: Çalışma 951 diyabetli hastanın (tip1= 90, tip2= 861) dosyalarının retrospektif olarak incelenmesi ile gerçekleştirilmiştir. Hastaların yaşı, cinsiyeti, boyu, ağırlığı, diyabet tipi, diyabet süresi, diyabet tedavisi, hemoglobin A1c (HbA1c) değeri, nöropati varlığı, nefropati varlığı, diyabetik ayak varlığı, hipertansiyon varlığı, kan şekeri ölçüm sıklığı bilgileri not edilmiştir. Kan şekeri ölçüm sıklıklarına göre hastalar 3 gruba ayrılmıştır: haftada en az iki gün toplam 8 kez kan şekeri ölçümü yapanlar (grup 1), haftada iki günden az ve 8 ölçümden az kan şekeri ölçümü yapanlar (grup 2), düzensiz kan şekeri ölçümü yapmalarına rağmen doktor kontrolüne gelmeden önceki 2 gün içerisinde 8 kez kan şekeri ölçümü yapanlar (grup 3). Bulgular: Hastaların 548’i kadın, 403’ü erkek, ortalama yaş 58.12±13.17 yıldır. Gruplar arasında HbA1c (p<0.001) ve diyabet süresi (p<0.001) parametrelerinde anlamlı fark belirlenmiştir. Hastaların kan şekeri ölçüm sıklığı ile diyabet tipi (p<0.001), diyabet tedavi şekli (p<0.001), retinopati varlığı (p<0.001), nefropati varlığı (p<0.001), hipertansiyon varlığı (p<0.001) arasında anlamlı bir fark olduğu saptanmıştır. Sonuç: Doğru ölçüm tekniği ve güvenilir kan şekeri ölçüm aletleri ile yapılan kan şekeri ölçümü, hastanın diyabeti tanıması ve yönetmesine imkân tanımakla birlikte diyabete bağlı gelişebilecek komplikasyonların önüne geçilmesinde yardımcı olmaktadır.

Objective: Regular foot care is the most effective method in preventing diabetic foot. This study was carried out to determine foot care behaviors and related factors in individuals diagnosed with diabetes. Method: Descriptive and correlational study included 520 diabetic individuals who applied to the diabetes outpatient clinic of a university hospital. The data were obtained by using patient diagnosis form and Foot Self Care Observation Guide. Results: When the distribution of the Foot Self Care Observation Guide mean scores of individuals with diabetes was examined, a mean score of 43.16±5.70 was found. It has been determined that the individuals adapted to the "I don't use sharp tools while caring for my feet" behavior at least. It was determined that the individuals who have higher education level, who work, who have good economic situation, who are on diet, and whose HbA1c value is 7% or less, have better foot care behaviors (p<0.05). In addition, it was determined that the level of education and treatment of individuals are the factors that significantly affected the foot care behavior (p<0.01) and these factors explained 7% of the total variance at the foot care behavior level. Conclusion: Foot care behavior of individuals with diabetes is inadequate; It has been determined that the level of education and treatment is an important determinant in applying foot care behaviors. In this regard, since the diagnosis of diabetes is made, it is important to provide individuals with training on foot care and protection in addition to disease management.

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