Self-Care Behaviours and Glycemic Control among Adults with Type 2 Diabetes

D’Souza, Melba Sheila; Karkada, Subrahmanya N.; Venkatesaperumal, Ramesh; Natarajan, Jansirani

doi:10.5176/2345-718x_2.1.60

Cited by 12 publications

(17 citation statements)

References 31 publications

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“…This may be due to lack of foot care clinics in Sri Lanka. As similar to the present study, the same Omani survey has shown, significant associations between gender and foot care [26].…”

Section: Discussionsupporting

confidence: 92%

“…Even though the present study showed the majority of the participants (80%) adhered to medication regularly, in contrast to these results another Sri Lankan study revealed, among the participants, 59.73%, showed poor medication practices [21]. According to the Omani study medication adherence was 77%, 3 or more than 3 days in the past 7 days [26]. The Omani study further reviled, less than half percentage (45.5%) of the adults smoked at least 1 puff in the past 7…”

Section: Discussioncontrasting

confidence: 90%

“…This may be due to, females more concern of their body and as most of the women in the sample are housewives as they have more time to engage foot care practices. In Oman, of 350 adults with T2DM, 73.9% followed foot care practices and Omani adults' foot care practices were high when comparing to the current study [26]. This may be due to lack of foot care clinics in Sri Lanka.…”

Section: Discussioncontrasting

confidence: 52%

See 2 more Smart Citations

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Saumika¹,

Amarasekara²,

Jayasekara³

2019

JBM

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The prevalence of Type 2 Diabetes Mellitus (T2DM) and its complications continue to rise across the globe including Sri Lanka. Diabetes Self-care activities (DSCA) are promising behaviors to reduce complications and to achieve good glycaemic control. There is a lack of data regarding DSCA and its association with glycaemic control among adults with T2DM in Sri Lanka. A descriptive cross-sectional study was conducted among purposively selected adults with T2DM (n = 300) in a teaching hospital, Sri Lanka to determine the association between DSCA and glycaemic control. Apre-tested interviewer-administered questionnaire which includes socio-demographic, diabetes-related information and Summary of Diabetes Self-care activities questionnaire was used to collect data. Data were analyzed by using descriptive statistics and Chi-square test. General diet (Healthy eating plan) (OR = 3.04, 95% CI = 1.04-8.88, p = 0.034), Physical activities (OR = 2.26, 95% CI = 1.29-3.97, p = 0.004), Medication adherence (OR = 2.87, 95% CI = 1.24-6.64, p = 0.011) were significantly associated with HbA1c. Medication adherence was significantly associated with poor fasting blood sugar (FBS) (OR = 1.90, 95% CI = 1.07-3.37, p = 0.028). The findings highlight the need for health professionals to implement health education programs on diabetes self-care activities for adults with T2DM to enhance their adherence to DSCA, as well as to maintain glycemic control.

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“…This may be due to lack of foot care clinics in Sri Lanka. As similar to the present study, the same Omani survey has shown, significant associations between gender and foot care [26].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 90%

Section: Discussioncontrasting

confidence: 52%

See 1 more Smart Citation

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Saumika¹,

Amarasekara²,

Jayasekara³

2019

JBM

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“…Lack of physical activity is the major root cause of all chronic diseases. It has been observed that the elderly population does not comply with exercise leading to a high rate of diabetes-related complications [7][8].…”

Section: Introductionmentioning

confidence: 99%

Diabetes Self-care Activities and Their Relation with Glycemic Control in Patients Presenting to The Indus Hospital, Karachi

Hai

Iftikhar

Latif

et al. 2019

Cureus

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“…6 This significant increase is attributed to rapid economic prosperity and urbanization, 7 lifestyle and sedentary behaviours. 8 Diabetes mellitus is a challenge to health professionals, including nurses as the adults need to be empowered for a lifelong self-care management. Socio-cultural factors influence an individual's actions towards goal attainment and outcomes like body mass index, fasting blood glucose, blood pressure and glycemic control.…”

Section: Introductionmentioning

confidence: 99%

How do multi-modality strategies affect outcomes in T2D using a randomized control trial?

D’Souza

Karkada

Labrague

et al. 2019

Clinical Epidemiology and Global Health

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A randomized clinical trial to examine the levels of body mass index, fasting blood glucose, blood pressure and glycemic control using multi-modality strategies among adults with type 2 diabetes. Methods: A randomized control trial (RCT), two-arm, prospective, and an interventional was designed with an intervention group (IG) and a control group (CG) using stratified block randomization and triple-blinding. Adults with T2D (N = 200) were randomly assigned to an intervention group (IG, n = 100) and a control group (CG, n = 100) in a single site trial. The adults with T2D in the IG were exposed to multi-modality strategies using an animated digital video, motivational interviewing, telephone counseling and the structured diabetes education by the diabetes nurse educator. Adults in the CG were only exposed to the structured diabetes education. Body mass index (BMI), fasting blood glucose (FBG), blood pressure (BP), and glycosylated hemoglobin (HbA1c) were measured as primary outcomes. Results: The adults with T2D in the IG had significant improvements in the HbA1c (2.4%), BMI (2.8 kg/m 2), and a FBG (1.8 mmol/L); and they achieved lower HbA1c levels compared to the CG. Conclusion: Multi-modality strategies were effective for lowering HbA1c and reducing BMI among adults with T2D. Implications. Integration of cognitive behavioural educational using multi-modality strategies promoted better primary outcomes among adults with T2D.

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Self-Care Behaviours and Glycemic Control among Adults with Type 2 Diabetes

Cited by 12 publications

References 31 publications

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Diabetes Self-care Activities and Their Relation with Glycemic Control in Patients Presenting to The Indus Hospital, Karachi

How do multi-modality strategies affect outcomes in T2D using a randomized control trial?

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