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Supporting self-care in diabetes patients

Supporting self-care in diabetes patients

Accepted : 30 July Natural energy enhancer drinks Appetite regulation and weight loss is complex and more demanding, which Supportkng a better seof-care Supporting self-care in diabetes patients the disease self-vare monitoring blood glucose levels patientx 5 ]. Diabetes Care 34 Suppl. Diabetes Self-Management Education DSME Program for Glycemic Control. Previous studies have also found that, there is a misconception and poor knowledge both on the treatment and self-care practices of diabetes among patients from rural areas [ 2627 ]. Following a meal plan can be among the most challenging aspects of diabetes self-management. Supporting self-care in diabetes patients

Supporting self-care in diabetes patients -

The availability of a personal glucometer at home was very low In the present study, the odd of good self-care practices were high among patients who have personal glucometers at home. This finding is also supported by other studies conducted in, the central zone of Tigray, Ethiopia, [ 12 ] and western Ethiopia [ 9 ].

Additionally, this study also showed that patients from urban areas were more likely to have good diabetes self-care practices compared to rural residents. This was in line with studies conducted in different parts of Ethiopia, such as Mekelle [ 24 ], Harar and Dire Dawa [ 18 ], Gondar [ 21 ], and India [ 25 ].

Previous studies have also found that, there is a misconception and poor knowledge both on the treatment and self-care practices of diabetes among patients from rural areas [ 26 , 27 ]. This variation could be explained due to easy access to information through media, the internet, and the health care facilities of urban residents.

Different studies have shown that having a good or acceptable level of diabetes-related knowledge has been associated with good self-care practice [ 13 , 22 , 24 ]. On the contrary, our finding showed that there was no significant association between them.

This multicenter study was conducted in six hospitals of the region and would have a better representation of the study participants and generalizability of the result. The use of multivariable logistic regression analysis would have benefit in controlling the confounding effect of variables.

However, this study also has some limitations, since this was a cross-sectional study, the causal effect relationship between variables could not be established. Secondly, as the study asks the self-care activities of patients for the past seven days and there might be a recall bias among respondents.

Another limitation of this study is that as the data were collected using an interviewer-administered method the responses are prone to social desirability biases. In conclusion, the level of diabetes self-care practice among T2DM patients in the Tigray region was found to be poor.

Urban residency, age group between 49—63 years, having family or social support, not having a formal education, and having personal glucometer at home were predictors of good self-care practices. This suggested that clinicians and nurses might have to consider giving emphasis on caring and giving follow-up services to DM patients coming from rural areas.

All stakeholders dealing with this issue should work together to close these gaps. Browse Subject Areas? Click through the PLOS taxonomy to find articles in your field. Article Authors Metrics Comments Media Coverage Reader Comments Figures. Abstract Background The prevalence of type 2 diabetes is increasing steadily at an alarming rate.

Methods An institution-based, cross-sectional study was conducted in six selected hospitals of Tigray region from January to February Results A total of patients with type 2 diabetes were included in this study.

Conclusion The diabetes self-care practice in the region was found to be poor. Funding: The authors received no specific funding for this work. Introduction Diabetes Mellitus DM is one of the fastest-growing global health emergencies of the 21 st century [ 1 , 2 ].

Data analysis The data were cleaned, coded, entered into Epidata. Download: PPT. Table 1. Clinical characteristics of the respondents The mean SD duration of DM was 6 ± 4. Table 2. Table 3.

Factors associated with diabetes self-care practice On binary logistic regression analysis variables like age, educational status, family support, place of residency, BMI, duration of diabetes, and having personal glucometer at home were statistically associated with diabetes self-care practices.

Table 4. Discussion Self-management strategies such as self-monitoring of blood glucose, dietary restrictions, regular foot care, and ophthalmic examinations have been shown to markedly reduce the incidence and progression of diabetes-related complications [ 8 , 5 ].

Strength and limitations This multicenter study was conducted in six hospitals of the region and would have a better representation of the study participants and generalizability of the result.

Conclusion In conclusion, the level of diabetes self-care practice among T2DM patients in the Tigray region was found to be poor. References 1.

Whiting DR, Guariguata L, Weil C, Shaw J. IDF Diabetes Atlas: Global estimates of the prevalence of diabetes for and Diabetes Res Clin Pract [Internet]. Williams R at all. IDF Diabetes Atlas Ninth Edition. International Diabetes Federation. Toobert DJ, Hampson SE, Glasgow RE.

The Summary of Diabetes Self-Care. Diabetes Care J. Anderson RM, et al. Patient empowerment: results of a randomized controlled trial. Diabetes Care. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. Nolan CJ, Damm P, Prentki M.

Type 2 diabetes across generations: from pathophysiology to prevention and management. Lancet London, England. Ballico E. On the X-rank of a points of the tangent developable of a curve in a projective space.

Int J Pure Appl Math [Internet]. Bukhsh A, Khan TM, Nawaz MS, Ahmed HS, Chan KG, Lee LH, et al. Association of diabetes-related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan.

Patient Prefer Adherence. Dedefo MG, Ejeta BM, Wakjira GB, Mekonen GF, Labata BG. Self-care practices regarding diabetes among diabetic patients in West Ethiopia. BMC Res Notes [Internet].

Abate TW, Tareke M, Tirfie M. Self-care practices and associated factors among diabetes patients attending the outpatient department in Bahir Dar, Northwest Ethiopia 11 Medical and Health Sciences Clinical Sciences. Stephani V, Opoku D, Beran D. Self-management of diabetes in Sub-Saharan Africa: a systematic review.

BMC Public Health. Mariye T, Tasew H, Teklay G, Gerensea H, Daba W. Magnitude of diabetes self-care practice and associated factors among type two adult diabetic patients following at public Hospitals in central zone, Tigray Region, Ethiopia, Kassahun T, Gesesew H, Mwanri L, Eshetie T.

Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey.

BMC Endocr Disord [Internet]. West JD GK. Diabetes self -care knowledge among outpatients at a veterans affairs medical center. Am J Heal Syst Pharm. View Article Google Scholar Fitzgerald JT, Funnell MM, Hess GE, Barr PA, Anderson RM, Hiss RG D, WK.

The reliability and validity of a brief diabetes knowledge test. World Health Organization. Physical status: The use and interpretation of anthropometry: report of a WHO Expert committee.

Technical report series Geneva: World Health Organization; Adem AM, Gebremariam ET, Gelaw BK, Ahmed M, Fromsaseifu M, Thirumurugan DG. Assessment of Knowledge, Attitude and Practices Regarding Life Style Modification among Type 2diabetic Mellitus Patients Attending Adama Hospital Medical College, Oromia Region, Ethiopia.

Glob J Med Res. Ayele BH, Mengesha MM, Tesfa T. Predictors of self-care activities of outpatient diabetic residents in Harar and Dire Dawa: A hospital-based cross-sectional study.

SAGE Open Med. Goyal N, Gupta SK. Self-care practices among known type 2 diabetic patients in Haldwani, India: a community based cross-sectional study.

Int J Community Med Public Heal. Journal E, Vol MS. Eur J Res Med Sci. Aschalew AY, Yitayal M, Minyihun A, Bisetegn TA. Self-care practice and associated factors among patients with diabetes mellitus on follow up at University of Gondar Referral Hospital, Gondar, Northwest Ethiopia.

Ishak NH, Mohd Yusoff SS, Rahman RA, Kadir AA. Diabetes self-care and its associated factors among elderly diabetes in primary care. J Taibah Univ Med Sci [Internet]. Wichit N, Mnatzaganian G, Courtney M, Schulz P, Johnson M. Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes.

Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. Dinesh P, Kulkarni A, Gangadhar N. Knowledge and self-care practices regarding diabetes among patients with Type 2 diabetes in Rural Sullia, Karnataka: A community-based, cross-sectional study.

J Fam Med Prim Care [Internet]. Deepa M, Bhansali A, Anjana RM, Pradeepa R, Joshi SR, Joshi PP, et al. Diabetes is a chronic condition that requires ongoing care to prevent or lessen complications.

Self-care each day may help determine how you feel and how you stay healthy in the long term. Monitoring your blood sugar is one of the most important things you can do to manage diabetes. Some people may need to check a couple of times a day, while others may choose to check their blood sugars more frequently.

You may choose to poke your finger for a small blood drop to check your blood sugar on a small handheld meter, or you may opt for a continuous glucose monitor that provides a more complete picture of how your glucose levels are fluctuating throughout the day.

People who need to check their blood sugar more often include those who:. You can read more about how blood sugars or glucose levels play a part in your diabetes management and understand what glucose goals may be best for you to discuss with a healthcare team.

Your healthcare team may suggest one or more medications to help you manage T2D. These medications may include:.

A healthcare team may also prescribe other common medications for T2D. Lifestyle changes are an essential way to manage diabetes. These changes may include exercise, maintaining a moderate weight, and eating a healthy and nutritious diet.

You may work with a doctor who specializes in diabetes and a dietitian who can help you plan your meals. At the end of the day, you may spend a lot of time buying healthy foods, planning meals, and cooking.

Because of the work that goes into meal planning , getting support and guidance can be helpful. Some general recommendations for healthy eating with diabetes include:. Managing diabetes and making lifestyle changes can come with a learning curve. Working with diabetes educators can help you make better choices that may help you better manage T2D.

Some of the skills diabetes educators can help you learn may include :. A doctor may refer you to a diabetes self-management education and support service, or you can find one with the American Diabetes Association tool. You may need to work with a healthcare team to figure out a diabetes care plan that works best for you.

A care plan will likely include different items such as blood sugar management, medications that may help you manage your diabetes, food choices, exercise plans, and mental health considerations.

Diabetes may worsen mental health, and untreated mental health issues may make your diabetes management more difficult. People who have diabetes are times more likely to have depression , and only one-quarter to one-half of the population seek help.

Getting help and support can help you cope with the stress that can come with self-care. Research from points to the benefits of receiving emotional and psychological help, including improvement in diabetes management in the short term as well as preventing diabetes complications in the long term.

A healthcare team can help you manage T2D through office visits, routine medical testing, lifestyle education, nutritional advice, or counseling. You have the most power concerning your diabetes management.

Learning and using T2D self-care is the best way to stay healthy. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Has taking insulin led to weight gain for you? Learn why this happens, plus how you can manage your weight once you've started insulin treatment.

When it comes to managing diabetes, adding the right superfoods to your diet is key. Try these simple, delicious recipes for breakfast, lunch, and…. A Quiz for Teens Are You a Workaholic? How Well Do You Sleep?

Official websites paients. gov A. gov website belongs to an official government organization in the United States. gov website. Share sensitive information only on official, secure websites. Diabeges more ciabetes the different tools used by people Grilled red peppers diabetes. Eating pateints food is part of living a wholesome life. However, Supportinv diabetes does't exclude you Natural energy enhancer drinks eating your Self-cars foods or going to your favourite restaurants. But you need to know that different foods affect your blood sugar differently. Activity has many health benefits in addition to losing weight. Physical activity lowers cholesterol, improves blood pressure, lowers stress and anxiety, and improves your mood. Being active can also keep your blood glucose levels in check and your diabetes under control.

Supporting self-care in diabetes patients -

These medications may include:. A healthcare team may also prescribe other common medications for T2D. Lifestyle changes are an essential way to manage diabetes. These changes may include exercise, maintaining a moderate weight, and eating a healthy and nutritious diet.

You may work with a doctor who specializes in diabetes and a dietitian who can help you plan your meals. At the end of the day, you may spend a lot of time buying healthy foods, planning meals, and cooking. Because of the work that goes into meal planning , getting support and guidance can be helpful.

Some general recommendations for healthy eating with diabetes include:. Managing diabetes and making lifestyle changes can come with a learning curve. Working with diabetes educators can help you make better choices that may help you better manage T2D.

Some of the skills diabetes educators can help you learn may include :. A doctor may refer you to a diabetes self-management education and support service, or you can find one with the American Diabetes Association tool.

You may need to work with a healthcare team to figure out a diabetes care plan that works best for you. A care plan will likely include different items such as blood sugar management, medications that may help you manage your diabetes, food choices, exercise plans, and mental health considerations.

Diabetes may worsen mental health, and untreated mental health issues may make your diabetes management more difficult. People who have diabetes are times more likely to have depression , and only one-quarter to one-half of the population seek help. Getting help and support can help you cope with the stress that can come with self-care.

Research from points to the benefits of receiving emotional and psychological help, including improvement in diabetes management in the short term as well as preventing diabetes complications in the long term. A healthcare team can help you manage T2D through office visits, routine medical testing, lifestyle education, nutritional advice, or counseling.

You have the most power concerning your diabetes management. Learning and using T2D self-care is the best way to stay healthy. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Has taking insulin led to weight gain for you? Learn why this happens, plus how you can manage your weight once you've started insulin treatment. gov website belongs to an official government organization in the United States. gov website. Share sensitive information only on official, secure websites.

Type 2 diabetes is a life-long chronic disease. If you have type 2 diabetes, the insulin your body normally makes has trouble transmitting a signal to muscle and fat cells. Insulin is a hormone made by the pancreas to control blood sugar.

When your body's insulin isn't able to signal correctly, the sugar from food stays in the blood and the sugar glucose level can get too high. Most people with type 2 diabetes are overweight when they're diagnosed.

The changes in the way the body handles blood sugar that lead to type 2 diabetes usually happens slowly. Everyone with diabetes should receive proper education and support about the best ways to manage their diabetes. Ask your health care provider about seeing a certified diabetes care and education specialist.

You should have good control of your blood sugar. If your blood sugar is not controlled, serious problems called complications can happen to your body. Some complications can happen immediately and some after many years. Learn the basic steps for managing diabetes to stay as healthy as possible.

Doing so will help keep the chance of having complications of diabetes as low as possible. Steps include:. Your provider will also help you by ordering blood tests and other tests. These help make sure your blood sugar and cholesterol levels are each in a healthy range. Also, follow your provider's instructions about keeping your blood pressure in a healthy range.

Your doctor will likely ask you to visit other providers to help you control your diabetes. These providers include a:. Foods with sugar and carbohydrates can raise your blood sugar too high. Alcohol and other drinks with sugar can also raise your blood sugar.

A nurse or dietitian can teach you about good food choices. Make sure you know how to have a balanced meal with protein and fiber. Eat healthy, fresh foods as much as possible. Don't eat too much food at one sitting. This helps keep your blood sugar in a good range.

Managing your weight and keeping a well-balanced diet are important. Some people with type 2 diabetes can stop taking medicines after losing weight even though they still have diabetes. Your provider can let you know a good weight range for you.

Weight-loss surgery may be an option if you are obese and your diabetes is not under control. Your doctor can tell you more about this. It helps burn extra fat so that you can keep your weight down.

Exercise can even help you handle stress and improves your mood. Try walking, jogging, or biking for 30 to 60 minutes every day. Pick an activity that you enjoy and you are more likely to stick with.

Bring food or juice with you in case your blood sugar gets too low. Drink extra water. Try to avoid sitting for more than 30 minutes at any one time. Wear a diabetes ID bracelet.

Youth should understand the importance of routine exercise, which helps them to burn calories, lose excess weight, and control glucose levels The United States Department of Health and Human Services recommends exercise of at least 30 to 60 min, most days of the week, for overweight patients Proper management of diet is one of the barriers for diabetic adolescent patients.

For example, adolescents struggle to stay away from standard adolescent favorites, including fast food, fries, and sweets. The study also reported that mother's involvement in maintaining a healthy diet showed positive results in term of diabetes control and stress levels Adaptation of healthy lifestyle behavior may have a significant effect on the diabetes status of a patient.

The implementation of healthy lifestyle behavior among adolescent patients means better mental health and good glycemic status 36 , Self-care support can be described as a group of people, including health-care professionals, family and friends, providing an individual with practical or emotional support To encourage patients to perform self-care activities, it is necessary to manage diabetes and to adapt to this devastating situation There is a paucity of studies investigating the impact of social involvement and self-care management of diabetes in young people with T2DM.

A study demonstrated that young people with diabetes encounter the same formative directions as healthy adolescents in physical, enthusiastic, social, and behavioral development, and thus family and peer group acceptance and support might be imperative for disease management 40 — The capacity of young people with T2DM to deal with their condition is affected by a scope of elements together with social, natural, and individual factors It is recommended that lifestyle modification for the management of T2DM in adolescents should be guided and monitored by family members, as better clinical outcomes can be achieved among those youths who involve both parents and themselves in diabetes management Studies by La Greca et al.

are among the earliest to indicate that overemphasis on urging youngsters to accomplish freedom in diabetes self-care may lead to worse clinical outcomes.

Hence, utilizing a child's age alone as a manual to determine suitable self-care autonomy should be discouraged 44 , An adolescent can face lots of difficulties in learning new things as their behavior following the diagnosis of diabetes may change remarkably.

During this stage, parental support and involvement are vital. Also, these young people normally expect full support from their family Psychological control harms children as it interrupts their self intellectual development; while, behavioral control benefits children because it gives them desirable guidance, without essentially inhibiting their individuation 47 , Two studies demonstrated that regular monitoring and continued support from parents are essential, whereas the irregular involvement of parents in adolescent diabetes care can result in poor outcomes for diabetes management 49 , Research has demonstrated that rebellious approaches to cope with diabetes are harder and associated with inferior psychosocial adjustment, and it may be that these adolescents have already negotiated a level of attachment that is comfortable for them, so family involvement does not interfere with their quality of life It is perceived that social support from family and friends can decrease the stress that young people with T2DM encounter.

Peer and parental support can indeed encourage young people with T2DM to perform self-care practices and alteration, adapt to a diabetes diagnosis, and engage in self-care practices. A study involving 74 adolescent diabetes patients was carried out to assess the support that adolescent patients received from their friends during treatment.

The impact of support from friends was not significant in the prolonged treatment but had a great impact on the adherence with blood-glucose monitoring A similar study was conducted to assess and analyze the effect of the support given by the family and companions for youngsters in diabetes care.

The study concluded that families pay more attention than friends in three different types of support insulin infusions, blood-glucose checking, and meals. However, in an emotional affair, adolescents get more support from friends rather than family The adolescent may not always feel comfortable discussing their disease with everyone.

Healthcare professionals could play an important role in supporting them to make friendly confessions about their condition with those close to them. Healthcare professionals could help young people in figuring out a way to discuss their disease management or ask their peers about the ideal approaches to assist them in managing their disease Moreover, this review highlights that the collaborative care is an important criterion of self-management for adolescent diabetes patients.

If all the supportive groups play their role, then it is easy for adolescents to manage their diabetes properly. The term self-management is frequently baffling as there is no generally acknowledged definition, and it is utilized to convey different ideas, for example, the guidance of self-care and self-management, patient activities, and self-management education Self-management education enhances control of T2DM, particularly when conveyed as short intercessions, enabling the patient to recollect and have a better blend of information The conventional educational forms of care that include instructing patients to enhance the awareness of health status provide a path to the present forms that focus on the behavioral and self-care advances aim to equip patients with the attitudes and strategies to advance and alter their behavior Self-management education is a community-oriented and continuing process expected to encourage the advancement of behaviors, knowledge, and abilities that are required for fruitful self-management of diabetes A multidisciplinary team is essential for the education program which involves educational supporters from hospitals and clinics, and the direct involvement of healthcare professionals.

The process of the education program ought to comply with the standards and terms stated by the National Standards for Diabetes Self-management Education, which aims to support and assist diabetes educatiors in providing good quality education and self-management support The American Association of Clinical Endocrinologists has recognized that Diabetes Self-Management Education DSME remains as a crucial feature of care for diabetes people.

In addition, DSME serves as an avenue for acquisition of knowledge, skills, abilities, and collaboration with other people, which are essential for engaging self-management of diabetes DSME programs help individuals to adapt to the psychological and physical needs of the disease, specifically the remarkable financial, social, and cultural conditions.

The principal objective of DSME is to enable patients to take control of their own condition by enhancing their insight and attitudes, so that, they can make knowledgeable decisions for self-guided behavior, changing their regular lives and eventually moderating the danger of complications Definite metabolic control and quality of life as well as the avoidance of complications are the ultimate aims specified by diabetes self-management education Knowledge of and information about the successful management and treatment of adult diabetes patients allow adjustments to be made in youth's management of diabetes.

The treatment and management guidance of adult patients needs to be translated and adapted by child patients. Though these guidance are easily translatable to older adolescents, physicians are often hesitant regarding how to treat and manage young children and adolescents with T2DM Through knowledge and education, individuals with DM can figure out how to make life decisions, and can discuss more with their clinicians to accomplish ideal glycemic control A study examined the impacts of a self-care education program on T2DM patients demonstrated that the program leads to an improvement in state of mind and behavior, and fewer complexities, and thus leads to an improved mental and physical quality of life.

Several authors have discussed that diabetes self-management education is provided to control the disease including monitoring of emergencies such as hypoglycemia and hyperglycemia. Indeed, several studies found that diabetes self-management education improves HbA 1C and patient compliance 63 , A diabetes education program is vital in glycemic control, as psychological support brings better clinical outcomes and emotional improvement, and controls the hazard of continuing complications 64 — Among the primary barriers of managing youth and children with T2DM are inadequate scientific support about treatment, patient adherence, and deficiency in knowledge about recent recommendations 67 , Consequently, various ways have been recommended for self-management of diabetes mellitus among adolescents.

These provide a coherent picture of daily activities and care that adolescent patients with T2DM adapt effectively To accomplish this goal, further interventional work is required to positively establish the most efficient management alternative in this population.

The previously published studies in this setting are summarized in Table 2. Table 2. Studies of self-care and self-management of adolescent patients with diabetes. Further research is essential to get a more reliable conclusion concerning the appropriate self-care practices and self-management of adolescent patients with T2DM.

Most studies were conducted on self-care practices and self-management in adult patients with T2DM. There is a number of quality studies of self-care practices with type 1 adolescent patients, but only a small number have included type 2 adolescent patients. Nevertheless, adult diabetes management approaches are successful for imparting knowledge and understanding, and are adaptable for adolescents Although the management process of adolescents is almost same as the adults, healthcare providers are usually uncertain about how to guide and develop the knowledge and understanding of the most appropriate methods for proper management guideline for adolescents with T2DM.

There are very limited experimental trials, and most of the treatment and management recommendations are referred from adults; therefore, the current guidelines for management for adolescents with T2DM may not be fully evidence-based.

Successful outcomes have been noticed for both Type 1 and T2DM in youth and adolescent patients through a supportive team. Given the recognized importance of social support in encouraging diabetes self-care behaviors, family and care-givers could lessen the burden of T2DM by providing extra attention to the patients' need 41 , Research highlights the necessities of self-care and self-management for those who have a delayed determination of diabetes, a period where intercessions can lead the most significant advantages for long-term education opportunities and management.

Early concerns and active management are imperative for drafting management plans that inclusive of self-management education, dietary follow up, physical activity and behavior alteration to optimize blood glucose and diminish diabetes-related complications.

The review of the issue is still relatively limited until more studies on this area have been conducted. Diabetes is a complicated illness that requires individual patient to adhere to various recommendations in making day-to-day choices in regard to diet, physical movement, and medications.

It additionally requires the personal capability of diverse self-management abilities. There is an enormous need for committed self-care practices in various spaces, with nutritional choices, physical activity, legitimate medication, and blood glucose monitoring by the patients.

A positive and encouraging self-care exercise commitment for diabetic patient can be emanated from good social support. Parental support in disease management leads to an effective change in patients' glycaemic control. Nevertheless, the majority of adolescent patients with T2DM are associated to families with sedentary daily routines, high-fat diets, and poor food habits who often have a family history of diabetes.

This is likely to be disadvantageous to the management of diabetes in adolescents. The responsibility of clinicians in advancing self-care is imperative and ought to be highlighted. To prevent any long-term complications, it is important to recognize the comprehensive nature of the issue.

An orderly, multi-faceted and coordinated progress must be involved to advance self-care practices. CN, LM, YW, and MS designed and directed the study. They were involved in the planning and supervised the study. JE, YK, CN, LM, YW, MH, YH and MS were involved in the interpretation of the data, as well as provided critical intellectual content in the manuscript.

JE contributed to writing the manuscript and updated and revised the manuscript to the final version with the assistance of other authors. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

This work was supported in part by Universiti Teknologi MARA UiTM under MyRA Incentive Grant. We also thank KPJUC and CUCMS for partial publication fee support. Bell R. SEARCH for diabetes in youth: a multicenter study of the prevalence, incidence and classification of diabetes mellitus in youth.

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Geneva: World Health Organization PubMed Abstract. Nyenwe EA, Jerkins TW, Umpierrez GE, Kitabchi AE. Management of type 2 diabetes: evolving strategies for the treatment of patients with type 2 diabetes. Metabolism — Miller DK, Austin MM, Colberg SR, Constance A, Dixon DL, MacLeod J, et al.

Diabetes Education Curriculum: A Guide to Successful Self-Management. Chicago, IL: American Association of Diabetes Educators.

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Supporting self-care in diabetes patients Heart health empowerment have diabetes, your healthcare team will work closely with you to patiets keep your sefl-care under control. Patjents will provide you with information and teach you Patkents diabetes care. They will also check your A1C, blood pressure, cholesterol, and other measures. But most of your day-to-day care of diabetes is up to you. You can make choices that will have a positive effect on your diabetes. Here are ten important choices you can make! The National Kidney Foundation has free booklets that provide more information about diabetes.

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Half of the plate should contain nonstarchy vegetablesa quarter can contain grain-based and starchy foods, and the remaining quarter should contain protein.

Research has shown that exercise can help control blood sugar levels, reduce cardiovascular risk factors, promote weight loss, and improve well-being. Researchers behind one study found that engaging in a structured exercise program for at least 8 weeks lowered glycated hemoglobin self-cage by an average of 0.

The ADA recommend exercising for at least 10 minutes per session and getting a total of at least 30 minutes of exercise on most days of the week. If a person exercises every day — or lets no more than 2 days pass between workouts — this may help reduce insulin resistance.

Members of a diabetes healthcare team can help develop and tailor an exercise plan that is safe and effective. In addition to exercising regularly, it is important to avoid spending long periods in a seated position.

Breaking up sedentary periods every 30 minutes can Skpporting with controlling blood sugar. The ADA advise all people with prediabetes or diabetes to avoid tobacco products, including e-cigarettes. People with diabetes who smoke have higher risks of cardiovascular diseasepremature death, and diabetes complicationsas well as less blood sugar control, compared with people who do not smoke.

If a person with diabetes diabeets not take their medication as recommended by a doctor, it can lead to:. A diverse range of issues can contribute to medication nonadherence. Some may relate to psychological, demographic, and social factors.

Key elements can include the cost of treatment and difficulties with healthcare providers and the healthcare system. Doubt about the seriousness of diabetes and the effectiveness of a treatment plan can keep a person from taking their medication, and this can lead to complications.

Nonadherence seems ciabetes be more common among people who have chronic diseases with symptoms that are not obvious. Also, complex treatment plans can be challenging to follow.

The quality of the patient-doctor relationship is often a key factor in nonadherence. Likewise, it is important to raise concerns about diabetes treatment with the doctor, who can adjust the plan to help ensure that targets are being met and no complications develop. Researchers have estimated that the collective cost of medication nonadherence for diabetes, high blood pressureand high cholesterol in the U.

Diabetes is not curable, but a person can help manage it at home. This often involves following nutrition and medication plans.

A person with diabetes or prediabetes should also be physically active Supoprting maintain a healthy weight. A diabetes care team can help develop and tailor an exercise plan. Blood glucose meters and continuous glucose monitors can help a person track their progress and see the effects of self-management techniques.

Read this article in Spanish. Some people can control type 2 diabetes without medication. Learn what factors help maintain healthy blood sugar levels and when someone may need….

Several factors increase a person's risk of developing type 2 diabetes. In this article, learn about how to prevent the condition ln losing weight….

Diabetes management includes artificial insulin and lifestyle adjustments. Read on to Supporing more. Although it is not always possible to prevent gestational diabetes, eating well and exercising regularly to achieve or maintain a healthy weight can…. What are some of the ways that diabetes may develop?

Read on to learn more about the different types of diabetes and their potential causes. My podcast changed me Can 'biological race' explain disparities in health?

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Medical News Today. Health Conditions Patiens Products Discover Tools Connect. How to manage diabetes. Medically reviewed by Maria Prelipcean, M.

Self-monitoring Healthy weight Nutrition Exercise Stop smoking Take medication regularly Takeaway While there is no cure for diabetes, with treatment and self-management strategies, a person can live a long and healthy patienst.

Share on Pinterest People can self-monitor their diabetes with a blood glucose meter. Maintain a healthy weight. Get good nutrition. Exercise regularly. Share on Pinterest Regular exercise may help control blood sugar levels.

Stop smoking. Take medication regularly. Share diabetess Pinterest A person should take their diabetes medication as prescribed to prevent further complications. How we reviewed this article: Sources. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations.

We avoid using tertiary references. We link primary sources — including studies, scientific references, diaabetes statistics — within each article and also list them in the patiients section at the bottom of our articles.

You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Share this article.

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: Supporting self-care in diabetes patients

Management and self-care Received: September 4, self-carw Accepted: April 6, Natural energy enhancer drinks Published: April 21, Nonadherence seems to sflf-care more common among people who have chronic diseases with symptoms Supporting self-care in diabetes patients are not obvious. All stakeholders dealing with this issue should work together to close these gaps. This review aimed to analyse self-care and self-management among adolescents with T2DM, and discuss the impact of self-care and self-management on glycaemic control. Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ, et al.
Self-Care Practices in Diabetes Management A healthcare team can use at-home blood sugar readings to modify medication, nutrition , and self-management plans. Diabetes self-management can reduce blood sugar levels, mortality risk, and healthcare costs, as well as weight in people with excess weight. GL analyzed the data and wrote part of the manuscript. If gum diseases develop, they have the potential to contribute to blood glucose irregularity. I get by with a little help from my family and friends: adolescents' support for diabetes care. You can learn which symptoms or changes are important for you to watch out for and tell your doctor about.
Self-Care Management For Type 2 Diabetes Patients Taking into account the self-cxre of this paper, only Spuporting Supporting self-care in diabetes patients of the first category will be presented. Supportng might experience their self-management Natural energy enhancer drinks unsuccessful and, as on result, feel a Body cleanse for better absorption need for support [ 2728 ]. DN conducted the computer programming to develop and refine the website, collected data on web usage and critically revised the manuscript for important intellectual content. The cost alone should be a call to action for physicians to engage all stakeholders in combating this epidemic. Mariye T, Tasew H, Teklay G, Gerensea H, Daba W.

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Supporting self-care: footcare in diabetes management

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