Patients' concepts and attitudes about diabetes

Sircar, A. R.; Sircar, Sudeep; Sircar, Joydeep; Misra, Sheela

doi:10.1016/j.jdiacomp.2009.07.004

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…The significant difference found in the current study, is however consist with the finding of the Al-Adsani et al study in Kuwait (13). This might be due the fact that the number of patients with low level of literacy in these countries was higher than those in Sircar et al study (25). A strong positive relationship between selfefficacy and good adherence to medical advice has been reported in the literature (26,27).…”

Section: Discussioncontrasting

confidence: 59%

Knowledge of and adherence to health advice among adults with diabetes in Libya

Elkharam

Khatri

Wallymahmed

et al. 2013

Ibnosina Journal of Medicine and Biomedical Sciences

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Knowledge of and Adherence to Health Advice among Adults with Diabetes in Libyahttp://researchonline.ljmu.ac.uk/id/eprint/2208/ Article LJMU has developed LJMU Research Online for users to access the research output of the University more effectively. Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Users may download and/or print one copy of any article(s) in LJMU Research Online to facilitate their private study or for non-commercial research. You may not engage in further distribution of the material or use it for any profit-making activities or any commercial gain.The version presented here may differ from the published version or from the version of the record. Please see the repository URL above for details on accessing the published version and note that access may require a subscription. Background: Non-adherence to medical and health care advice is a common problem, though reasons for non-adherence can differ across different groups and societies as well as between individuals. Objective: to examine diabetes knowledge among people with both type1 and type2 diabetes in Libya and explore any other factors that enhance adherence to treatment and management of the condition. Methods: A cross-sectional survey design was used to collect data from adults with type1 or type2 diabetes who have been diagnosed for 12 months or more, in Benghazi Diabetes Centre, which is one of the oldest and largest diabetes registries in Libya. A total of 855 participants were asked to fill in two questionnaires; the "Michigan Diabetes Knowledge Test" to investigate the level of diabetes knowledge and the Confidence in Diabetes Self-care Scale to assess self-efficacy. For the purpose of the study descriptive statistics and inferential statistical tests were conducted. Results: Diabetes knowledge is very poor especially among females and those classed as illiterate within the sample. The mean HbA 1c of 9.4 was higher than the recommended levels. Four variables namely knowledge about diabetes, duration of illness, family history and self-efficacy significantly predicted levels of HbA 1c . Conclusion: Based on the above findings, two different program of diabetes education would be recommended. The first would target those with inadequate levels of knowledge about diabetes, particularly women and people with long duration diabetes. The second would be for both healthcare professionals and people with type 1 and type 2 diabetes considering the psychological factors that are involved in diabetes management.

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Section: Discussioncontrasting

confidence: 59%

Knowledge of and adherence to health advice among adults with diabetes in Libya

Elkharam

Khatri

Wallymahmed

et al. 2013

Ibnosina Journal of Medicine and Biomedical Sciences

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“…In addition, there is lack of awareness and misconceptions about their concepts and attitudes toward diabetes, its complications, diet, exercise, drug therapy, understanding about insulin, and treatment among patients and as well their family members. [4]…”

Section: Challenges Of Diabetes Management In Indiamentioning

confidence: 99%

Pragmatic dietary advice for diabetes during Navratris

Gupta

Khandelwal

Singla

et al. 2017

Indian J Endocr Metab

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Navratri is one of the most common religious fasts observed among Hindus. A large number of people with diabetes follow Navratris fast irrespective of its health implications, often without proper education and medical advice. The quest for the scientific research on dietary advices for Hindu fasts including Navratris shows paucity of literature comparative to the dietary advices advocated during Ramadan. The eating and physical activity patterns during different fasts vary a lot depending up on social and cultural factors. Even eating pattern is not uniform among all persons following Navratris and is modified as per their region, local culture, and religious beliefs. Dietary advice during Navratris depends upon pattern of fasting, religious beliefs, and local sociocultural factors. In this review, efforts are made to provide pragmatic dietary advice for people with diabetes, modifications in the menus and cooking practices, and timings of the meals for successful blood glucose management during Navratris. This review will also help plan diet and physical activity advice for persons observing other fasts as well.

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“…Furthermore, there is very limited evidence about the effects of fruit consumption on risks of death and major vascular complications among people with established diabetes [10–12]. Reliable assessment of the effects of fruit consumption on risks of incident diabetes and, among those who have already developed diabetes, on diabetic complications is urgently needed to improve dietary recommendations, especially in low- and middle-income countries such as China and other Asian countries where avoidance of sweet-tasting food (including fresh fruit) is common among diabetic patients [13–15]. …”

Section: Introductionmentioning

confidence: 99%

Fresh fruit consumption in relation to incident diabetes and diabetic vascular complications: A 7-y prospective study of 0.5 million Chinese adults

Bennett

et al. 2017

PLoS Med

116

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BackgroundDespite the well-recognised health benefits of fresh fruit consumption, substantial uncertainties remain about its potential effects on incident diabetes and, among those with diabetes, on risks of death and major vascular complications.Methods and findingsBetween June 2004 and July 2008, the nationwide China Kadoorie Biobank study recruited 0.5 million adults aged 30–79 (mean 51) y from ten diverse localities across China. During ~7 y of follow-up, 9,504 new diabetes cases were recorded among 482,591 participants without prevalent (previously diagnosed or screen-detected) diabetes at baseline, with an overall incidence rate of 2.8 per 1,000 person-years. Among 30,300 (5.9%) participants who had diabetes at baseline, 3,389 deaths occurred (overall mortality rate 16.5 per 1,000), along with 9,746 cases of macrovascular disease and 1,345 cases of microvascular disease. Cox regression yielded adjusted hazard ratios (HRs) associating each disease outcome with self-reported fresh fruit consumption, adjusting for potential confounders such as age, sex, region, socio-economic status, other lifestyle factors, body mass index, and family history of diabetes. Overall, 18.8% of participants reported consuming fresh fruit daily, and 6.4% never/rarely (non-consumers), with the proportion of non-consumers about three times higher in individuals with previously diagnosed diabetes (18.9%) than in those with screen-detected diabetes (6.7%) or no diabetes (6.0%). Among those without diabetes at baseline, higher fruit consumption was associated with significantly lower risk of developing diabetes (adjusted HR = 0.88 [95% CI 0.83–0.93] for daily versus non-consumers, p < 0.001, corresponding to a 0.2% difference in 5-y absolute risk), with a clear dose–response relationship. Among those with baseline diabetes, higher fruit consumption was associated with lower risks of all-cause mortality (adjusted HR = 0.83 [95% CI 0.74–0.93] per 100 g/d) and microvascular (0.72 [0.61–0.87]) and macrovascular (0.87 [0.82–0.93]) complications (p < 0.001), with similar HRs in individuals with previously diagnosed and screen-detected diabetes; estimated differences in 5-y absolute risk between daily and non-consumers were 1.9%, 1.1%, and 5.4%, respectively. The main limitation of this study was that, owing to its observational nature, we could not fully exclude the effects of residual confounding.ConclusionIn this large epidemiological study in Chinese adults, higher fresh fruit consumption was associated with significantly lower risk of diabetes and, among diabetic individuals, lower risks of death and development of major vascular complications.

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Patients' concepts and attitudes about diabetes

Cited by 16 publications

References 13 publications

Knowledge of and adherence to health advice among adults with diabetes in Libya

Knowledge of and adherence to health advice among adults with diabetes in Libya

Pragmatic dietary advice for diabetes during Navratris

Fresh fruit consumption in relation to incident diabetes and diabetic vascular complications: A 7-y prospective study of 0.5 million Chinese adults

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