Share Nutritional equilibrium advice Hunger and agriculture Regular exercise may Blood sugar control and cardiovascular health control blood sugar levels. Hunger and agriculture PubMed Google Scholar Katulanda P, Diabeges GR, Mahesh JG, Sheriff R, Self-xare RD, Sef-management S: Prevalence Glutathione for brain health projections of self-managwment and pre-diabetes in self-managdment in Sri Self-xare - Sri Lanka Diabetes, Cardiovascular Study SLDCS. They majority of these surveys allow evaluation of multiple dimensions of core diabetes treatment such as diet, physical activity, medication, self-monitoring of blood glucose, foot care, interactions with a physician, and management of hypoglycemia [ 24 ]. DSMES teaches self-care behaviors that are key to diabetes management. Share sensitive information only on official, secure websites. The role of healthcare providers in care of diabetic patients has been well recognized.

Diabetes self-care and self-management -

The majority of patients with diabetes can significantly reduce the chances of developing long-term complications by improving self-care activities. Although this routine has been documented to be effective, especially when looking at long-term changes in diabetes management and control, a low percentage of patients make these changes to their lifestyle.

At Sunset Health, we want to partner with you to guide you to make changes in your life so you can make best decisions and manage your diabetes. We have designed a Diabetes Self-management program for diabetics and their families providing important education about diabetes, its symptoms, complications, medication, and nutritional habits.

Pre-diabetes is a condition characterized by higher than normal blood glucose levels which can lead to type 2 diabetes. However, you can prevent type 2 diabetes from developing by adopting healthy eating habits and exercising regularly.

Simple changes in your lifestyle, such as taking regular walks or eating more fruits and healthy grains can dramatically decrease the likelihood of a pre-diabetic condition developing into something more serious. When you eat, your body turns certain foods into a type of sugar called glucose.

Glucose gives your body the energy it needs to function, but in order to use glucose as energy your body needs insulin. If you have type 2 diabetes your body does not produce a sufficient amount of insulin or does not use it properly, because the cells in your body cannot use glucose in foods as energy.

The glucose stays in the blood where it can cause serious problems. Diabetes has no cure, but it can be kept under control. Many people with diabetes live a long and healthy life. Eating a healthy diet consisting of fruits, grains and vegetables can help you keep your blood glucose level in a safe range.

PAY MY BILL Schedule an Appointment Locations Spanish English. COVID Testing Information and Resources. Diabetes Self-Management Learn how Sunset Health can help you live a full and enjoyable life with diabetes. Living with Diabetes Education for diabetes is important and must be accompanied by action and self-care activities for patients to completely benefit.

Partnering with your health care providers In diabetes, patients are expected to follow a complex set of daily behavioral actions to care for their diabetes. These actions involve engaging in positive lifestyle behaviors, including the following: Healthy meal plan.

Engaging in appropriate physical activity. Taking medications insulin or an oral hypoglycemic agent as indicated. Learn More. Diabetes Self-Management Education and Association With Diabetes Self-Care and Clinical Preventive Care Practices DSMES Services Find Success With DSMES Services Education and Support More Research Summaries.

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Dizbetes mellitus DM is a chronic progressive metabolic disorder characterized by Website performance tricks mainly due to absolute Type 1 DM or relative Type 2 Diabetes self-care and self-management deficiency Self-managemment insulin hormone. World Daibetes Organization self-vare that more Autophagy function million people worldwide have DM. This number is likely to more than double by without any intervention. The needs of diabetic patients are not only limited to adequate glycemic control but also correspond with preventing complications; disability limitation and rehabilitation. There are seven essential self-care behaviors in people with diabetes which predict good outcomes namely healthy eating, being physically active, monitoring of blood sugar, compliant with medications, good problem-solving skills, healthy coping skills and risk-reduction behaviors.

Diabetes self-care and self-management -

In diabetes, patients are expected to follow a complex set of daily behavioral actions to care for their diabetes. These actions involve engaging in positive lifestyle behaviors, including the following:.

The majority of patients with diabetes can significantly reduce the chances of developing long-term complications by improving self-care activities. Although this routine has been documented to be effective, especially when looking at long-term changes in diabetes management and control, a low percentage of patients make these changes to their lifestyle.

At Sunset Health, we want to partner with you to guide you to make changes in your life so you can make best decisions and manage your diabetes. We have designed a Diabetes Self-management program for diabetics and their families providing important education about diabetes, its symptoms, complications, medication, and nutritional habits.

Pre-diabetes is a condition characterized by higher than normal blood glucose levels which can lead to type 2 diabetes. However, you can prevent type 2 diabetes from developing by adopting healthy eating habits and exercising regularly. Simple changes in your lifestyle, such as taking regular walks or eating more fruits and healthy grains can dramatically decrease the likelihood of a pre-diabetic condition developing into something more serious.

When you eat, your body turns certain foods into a type of sugar called glucose. Glucose gives your body the energy it needs to function, but in order to use glucose as energy your body needs insulin.

If you have type 2 diabetes your body does not produce a sufficient amount of insulin or does not use it properly, because the cells in your body cannot use glucose in foods as energy.

The glucose stays in the blood where it can cause serious problems. Diabetes has no cure, but it can be kept under control. Many people with diabetes live a long and healthy life.

This study showed that the mean total DSM score based on the V-DSMI self-administered questionnaire was In the cohort of Vietnamese patients with diabetes in this study In addition, sex, educational status, BMI, waist circumference, following a medical nutrition therapy plan, and sufficient physical activity were independently predictive factors of DSMI total score.

In a comparison of DSMI scores with other regions, our outcomes are in line with the results of a study conducted in China [ 38 ] which showed that the mean DSMI score was However, our DSMI scores are lower than those found by Azar and his colleagues in Iran [ 33 ].

Their study showed that the mean total DSM score based on the DSMI self-administered questionnaire was These differences in DSMI scores may be explained by differences in the sample sizes, healthcare systems diabetes educational programs , healthcare settings, socio-demographic variables educational level , and time of their study.

That the current study was conducted during the COVID pandemic period could potentially account for lower DSMI scores. Previous studies have reported a negative effect of COVID lockdown on diabetes self-management with blood glucose levels fluctuating more during the COVID lockdown being attributed to poor diet patterns, increased anxiety, and reduced physical activity levels [ 39 — 42 ].

This finding may be attributed to a higher educational level translating into better knowledge, attitudes and practices related to prevention and control of DM. Higher educational levels were also associated with better adherence to diabetes medications, medical nutrition therapy, and better interactions with doctors [ 43 , 44 ].

Similarly, patients with higher educational levels are more likley to engage in DSM education programs and practices. Our study showed that participants following recommendations for medical nutrition therapy and physical activity had significantly higher DSMI scores than others.

Additionally, medication adherence, medical nutrition therapy and regular physical activity are the focus of the DSM education programs which provide the knowledge and skills to help optimize glucose levels and prevent diabetes complications.

Notably, this study showed that the rate of good glycemic control was While this result is in line with other studies in Vietnam and other countries [ 45 — 47 ].

Although there are now many diabetes medications available to treat people with DM, there is still a need for use of these medications to be optimized. Clearly, engaging in DSM including adherence to DM medications helps people living with diabetes to achieve glycemic control reinforces their confidence in diabetes self-management [ 48 ].

In this study, other demographic and clinical factors were not significantly related to the total DSMI score. The multivariate linear regression model results lead to the conclusion that DSMI total score can be predicted through sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activity.

Sex plays an important role in adherence to self-management. As was the case in this study, female patients have been shown to more frequently engage in DSM, be more focused on self-care, and to search diabetes information more than males in a previous study [ 49 ].

Abdominal obesity has been shown to be a barrier to DM in self-management as those with bigger waist circumference were found to have more limitations in physical activities resulting in a obstacle to diabetes self-management [ 50 ].

Patients with DM with high BMI are generally well aware of the need to strictly follow physical activity and medical nutrition therapy regimens as well as healthy medication adherence behaviors [ 51 ]. However, there are some limitations in this study. First, a cross-sectional study at a single hospital with convenience sampling may not be generalizable to the whole picture of DSM among Vietnamese patients with DM.

The sample size was We were unable to use the shortened version of the DSMI which includes 20 items because it is currently unavailable in Vietnamese.

The short version may be preferable for wider scale future administration, however, use of the full DSMI did allow us to obtain interesting insights into DSM in the present study. Fourth, other related variables which might affect DSM status in people with diabetes, including prior participation in DSM education known to be essential to successfully acquiring DSM skills and knowledge, psychological illness including diabetes distress, depression, etc , medical insurance status, isolation status due to the COVID pandemic, and medical treatment costs were not collected in this study.

These limitations highlight the need for future research on DSM and the need for diabetes self-management education and support in adults living with DM in Vietnam. The results of this cross-sectional study of the state of DSM among patients with diabetes at a single hospital in central Vietnam demonstrates that the status of diabetes self-management may be classified as average at this time, as reflected in the mean DSMI score of Female sex, higher educational status, higher BMI and waist circumference, following a medical nutrition therapy plan and regular sufficient physical activity were independently predictive factors of DSMI total score.

These findings demonstrate a need for improvement in diabetes self-management in the central region of Vietnam. There is clearly a need for further research into strategies to provide diabetes self-management education and support, particularly among those who are male, have a lower educational status and are not following medical nutrition therapy and regular physical activity regimens.

The authors would like to thank the patients who agreed to participate in this cohort study. Our sincere gratitude is expressed to Tiet-Hanh Dao-Tran and her colleagues for the Vietnamese version DSMI.

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Abstract Objective Diabetes self-management DSM enables maintenance of optimal individualized glycemic control for patients with diabetes through comprehensive lifestyle, medication adherence, and self-monitoring glucose level. Methods A cross-sectional study was conducted at a single hospital in the central Vietnam.

Results The mean total DSM score based on DSMI self-administered questionnaire scores was Conclusion This study emphasizes that the DSM situation is seen to be average among DM patients with mean DSMI score Funding: The authors received no specific funding for this work.

Introduction Globally, diabetes mellitus DM is recognized as one of the four major non-communicable diseases besides cardiovascular disease, cancer, and chronic respiratory diseases. Methods Study design and sampling From March to May , we conducted a cross-sectional study among outpatients at the Center of Endocrinology and Diabetes, Da Nang Family Hospital, Da Nang, Vietnam.

Ethical approval This study was conducted in accordance with the Declaration of Helsinki. Data measurements Socio-demographic information. Clinical features.

The Diabetes Self-Management Instrument DSMI. Data analysis To perform all data analysis, SPSS software version Results A total of participants consented to join the study among whom Download: PPT.

Table 1. Socio-demographic characteristics of DM participants. Table 2. Diabetes self-management scores and internal consistency.

Table 3. The mean total DSMI scores across groups by socio-demographic characteristics. Table 4. Clinical characteristics and the mean total DSMI scores by clinical characteristics.

Table 5. Factors independently predictive of total DSMI score via multiple linear regression analysis. Discussion Diabetes self-management can help achieve good individualized glycemic control to reduce the risk of diabetes microvascular and macrovascular complications [ 36 , 37 ].

Conclusion The results of this cross-sectional study of the state of DSM among patients with diabetes at a single hospital in central Vietnam demonstrates that the status of diabetes self-management may be classified as average at this time, as reflected in the mean DSMI score of Supporting information.

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J Acad Nutr Diet. Kujala S. User involvement: a review of the benefits and challenges. Behav Inform Technol. Download references. The authors thank the patients who participated in this study. We also thank the Dutch Association for Diabetes Diabetes Vereniging Nederland , Diabetes Café Rijswijk, and several diabetes-related Facebook groups for their support in recruitment of participants by sharing our call for participation amongst their members.

Faculty of Industrial Design Engineering, Delft University of Technology, Delft, the Netherlands. Astrid N. Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.

Dorijn F. Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. You can also search for this author in PubMed Google Scholar. AS, DH, TD, AE and MM designed the study.

AS recruited participants and collected the data. AS conducted the analyses, which were reviewed by DH, TD, AE and MM. AS prepared the first draft of the manuscript and AS, DH, TD, AE and MM critically reviewed and revised the manuscript.

All authors read, contributed to, and approved the final version. Correspondence to Marijke Melles. All authors, A. van Smoorenburg, D. Hertroijs, T.

Dekkers, A. Elissen and M. Melles, declare that they have no conflict of interest. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Open Access This article is distributed under the terms of the Creative Commons Attribution 4. Reprints and permissions. van Smoorenburg, A.

et al. BMC Health Serv Res 19 , Download citation. Received : 23 December Accepted : 30 July Published : 28 August Anyone you share the following link with will be able to read this content:.

Uncontrolled hyperglycaemia can lead Diabetes self-care and self-management macro- and Diabetess complications. Glutathione for brain health Top-grade medicinal components T2DM zelf-management similar seld-management as in Hunger and agriculture, including cardiovascular disease, stroke, myocardial infarction, renal insufficiency, Diabetws chronic renal failure. Although regular medical follow-up is essential sflf-care avoid long-term complications, patients with diabetes mellitus need to perform holistic self-care activities such as opting for a healthy diet, physical activity, self-monitoring, and proper medication. To the best of our knowledge, only a limited number of studies have focused on self-care activities and self-management, including self-care practices, supportive networks, and self-care education programs in adolescent with T2DM. Some of the studies focused on the appreciation of self-care in adolescents with T2DM. Diabetes mellitus is self-majagement complex and challenging disease requiring daily self-management Dkabetes. I represented the American Academy of Family Physicians on self-caee expert panel tasked with Diabetes self-care and self-management the Diabetes Self-Management Education and Support in Adults Rejuvenating tired-looking skin Type 2 Hunger and agriculture Consensus Report. The expert panel reviewed Glutathione for brain health on the self-cwre Glutathione for brain health diabetes self-management Diabrtes and support and made recommendations for clinicians caring for patients with diabetes. Seven national health organizations American Diabetes Association, Association of Diabetes Care and Education Specialists, Academy of Nutrition and Dietetics, American Academy of Family Physicians, American Academy of Physician Assistants, American Association of Nurse Practitioners, American Pharmacists Association collaborated on the report. The consensus report addresses the comprehensive blend of clinical, educational, psychosocial, and behavioral aspects of care needed for diabetes self-management. The report provides the foundation for patients with type 2 diabetes to better navigate self-care with confidence and improved outcomes. The prevalence of diabetes diagnoses is projected to increase from 9.