Document Type : Original Article
Authors
- . Vanitha Durai
- . V. Samya
- . G. V. Akila
- . Vanishree Shriraam
- . Aliya Jasmine
- . Anitha Rani Muthuthandavan
- . T. Gayathri
- . Shriraam Mahadevan
Department of Endocrinology and Metabolism, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
Abstract
BACKGROUND: Self-care for diabetes is very important in preventing complications of diabetes
and also improving quality of life. This study aims to find the various self‑care practices of type 2
diabetes patients who are being treated at a rural health center of a medical college and the factors
influencing self‑care.
MATERIALS AND METHODS: This is a hospital‑based cross‑sectional study. Type 2 diabetes
patients registered and receiving treatment from the noncommunicable disease clinic of a rural health
center were administered a pretested questionnaire, developed based on different diabetes self-care
questionnaires making changes as appropriate and including most aspects of self-care practices. The
proportion of compliant was then cross-tabulated with background characteristics and their glycated
hemoglobin (HbA1c) levels. SPSS version 16.0 was used for the analysis.
RESULTS: Among 390 patients with a mean age 56 years, 25.5% adhered to at least four dietary
modifications, 46% were physically active, and 57% had good compliance to drugs; hypoglycemia
prevention practices ranged from 21% to 51%. Except for avoiding barefoot walking (90%), other
foot‑care practices were followed by only a quarter of them. Among ever users, 69.2%, 64.3%, and
29.4% have quit smoking, alcohol, and tobacco use, respectively. Adherence to dietary modifications
and drug compliance were associated with a lower HbA1c level of ≤7 g% (P < 0.05).
CONCLUSION: In this study, the compliance to physical activity or medications is much better
than dietary changes and foot-care practices. Focused education programs and monitoring during
follow-up visits will improve self-care in the less adhered to aspects. Those who are adherent to
dietary modifications and drugs have better glycemic control.
Keywords
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