It's up to me! Experiences of living with pre-diabetes and the increased risk of developing type 2 diabetes mellitus

Andersson, Susanne; Ekman, Inger; Lindblad, Ulf; Friberg, Febe

doi:10.1016/j.pcd.2008.09.001

Cited by 25 publications

(49 citation statements)

References 24 publications

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“…Knowledge about the increased risk for onset of T2D [14] for Assyrian immigrants, as well as for their own health, was high and the participants wanted to find out about metabolic risks in order to prevent the disease. These results are congruent with earlier research [25] showing that it can be distressing to have an increased risk of developing T2D. This feeling may naturally change over time.…”

Section: Discussionsupporting

confidence: 91%

Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden

Andersson

Karlsson

Bennet

et al. 2016

Nursing Research and Practice

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Immigrants from the Middle East have higher prevalence and incidence of type 2 diabetes (T2D) compared with native Swedes. The aim of the study was to describe and understand health beliefs in relation to T2D as well as attitudes regarding participation in a screening process in a local group of Assyrian immigrants living in Sweden. A qualitative and quantitative method was chosen in which 43 individuals participated in a health check-up and 13 agreed to be interviewed. Interviews were conducted, anthropometric measurements and blood tests were collected, and an oral glucose tolerance test was performed. In total, 13 of the 43 participants were diagnosed with impaired glucose metabolism, 4 of these 13 had TD2. The interviewed participants perceived that screening was an opportunity to discover more about their health and to care for themselves and their families. Nevertheless, they were not necessarily committed to taking action as a consequence of the screening. Instead, they professed that their health was not solely in their own hands and that they felt safe that God would provide for them. Assyrians' background and religion affect their health beliefs and willingness to participate in screening for TD2.

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Section: Discussionsupporting

confidence: 91%

Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden

Andersson

Karlsson

Bennet

et al. 2016

Nursing Research and Practice

Self Cite

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“…Nam and colleagues [64] argued that unsatisfactory medical outcomes in diabetes, such as glucose control, reflected a lack of patient knowledge, but also a failure of the professional to provide appropriate interventions. To combat lack of knowledge of pre-diabetes, professionals should focus on educational dialogues and personalised care plans developed by patients and providers [65]to avoid issues of lack of uptake and maintenance of lifestyle change [64]. …”

Section: Discussionmentioning

confidence: 99%

A narrative systematic review of factors affecting diabetes prevention in primary care settings

et al. 2017

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BackgroundType 2 diabetes is impacting millions of people globally; however, many future cases can be prevented through lifestyle changes and interventions. Primary care is an important setting for diabetes prevention, for at-risk populations, because it is a patient’s primary point of contact with the health care system and professionals can provide lifestyle counselling and support, as well as monitoring health outcomes. These are all essential elements for diabetes prevention for at-risk adults.AimTo understand the factors related to the delivery and uptake of type 2 diabetes prevention interventions within primary care in higher income countries.MethodsFor this narrative systematic review, we combined qualitative and quantitative studies of diabetes prevention within a primary care setting for patients at-risk of developing the condition. We used an iterative approach for evidence collection, which included using several databases (MEDLINE, Embase, Pysch info, BNI, SSCI, CINAHL, ASSIA), where we combined diabetes terms with primary care terms. Narrative and thematic synthesis were utilised to identify the prominent themes emerging from the data.ResultsA database of 6646 records was screened by the research team, and 18 papers were included. Three major themes were identified in this review. The first theme of context and setting of diabetes progression includes the risk and progression of diabetes, primary care as a setting, and where the responsibility for change is thought to lie. This review also found mixed views on the value of preventative services within primary care. The second theme focused on the various patient factors associated with diabetes prevention such as a patient’s motivation to modify their current lifestyle, perceptions and knowledge (or lack thereof) of the impacts of diabetes, lack of follow-up in healthcare settings, and trust in healthcare professionals. The third theme was centred on professional factors impacting on diabetes prevention which included workload, time constraints, resources, self-efficacy and knowledge as well as professionals’ perception of patient motivations towards change.ConclusionThis review explored the factors influencing diabetes prevention in primary care, and identified the context of prevention, as well as patient and professional factors related to preventative services being offered in primary care. This systematic review complements previous reviews of real-world settings by exploring the significant factors in prevention, and the findings are relevant to academics, policymakers, patients and practitioners interested in understanding the factors associated with the delivery and uptake of diabetes prevention interventions.

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“…As Adriaanse et al [17] state, a person recently struck by T2DM may experience it as a heavy burden, which increases the likelihood of associating that which is experienced in the body as symptoms more often than is the case with nondiabetic persons. Moreover, in a study about living with prediabetes, Andersson et al [18] show that this means living on the borderline of either being healthy or suffering from T2DM. Being on the borderline and balancing between possibilities and obstacles was interpreted as a distressing feeling.…”

Section: Introductionmentioning

confidence: 99%

Perceived Symptoms in People Living with Impaired Glucose Tolerance

Andersson

Ekman

Lindblad

et al. 2011

Nursing Research and Practice

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The aim of the study was to identify symptoms in people with impaired glucose tolerance (IGT) and describe their experiences of living with the symptoms which they related to their condition. Twenty-one participants, from a cross-sectional population-based study, diagnosed as having IGT, were invited for an interview. The interviews were analyzed in two phases by means of a manifest and latent content analysis. The narratives included seven categories of symptoms (and more than 25 different symptoms) presented by the respondents. This study shows that symptoms such as the patient's own interpretation of different perceptions in the body must be considered, as well as signs and/or objective observations. Symptoms ought to be seen as complementary components in the health encounter and health conversation. The results of this study indicate that health professionals should increase their awareness of the balance between the implicit and the explicit bodily sensations that individuals communicate. Further studies are needed.

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It's up to me! Experiences of living with pre-diabetes and the increased risk of developing type 2 diabetes mellitus

Cited by 25 publications

References 24 publications

Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden

Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden

A narrative systematic review of factors affecting diabetes prevention in primary care settings

Perceived Symptoms in People Living with Impaired Glucose Tolerance

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