International Journal of Advanced Research in Medicine
2021, Vol. 3, Issue 1, Part A
Identification of barriers to self-management for people with type II diabetes
Author(s): Dr. Harsha Kumar Gowardhan and Dr. Rajesh Kumar
Abstract:Background: Loss of β-cell function results in elevated blood sugar which is monitored with the help of HbA1c test, ideally people with diabetes should have an HbA1c level of below 6.5% for most people with diabetes and below 7.5% for those at severe risk of hypoglycaemia. These levels are open to negotiation between the individual patient and their doctor.
Objectives: analysing the risk of complications from the condition if hyperglycaemia continues, including retinopathy.
Methods: Participants were recruited globally using diverse recruitment strategies. The aim of this sampling method was to get a combination of participants with diverse experiences and identify common patterns that cut across the population sample with regards to the topic of interest. Additionally, the advertisement was placed in local digital newspapers, Twitter and Facebook pages that specialize in diabetes support. Data collection was conducted over a period of a year. There was no limit to sample size so as to capture the most number of individuals with type 2 diabetes.
Results: In addition, participants possessed a high ability to recognize the effect of missed physical activity or excess carbohydrate consumption on their health and knew the corrective steps to take. The lowest scores were in the areas of skills for: identifying and managing the impact of stress on diabetes exercise planning to avoid hypoglycemia and interpreting blood glucose patterns. In relation to participants’ self-efficacy levels, the highest scores were in confidence to reduce risk by preventing and monitoring diabetes complications.
Conclusion: Educational reinforcement using technological devices such as mobile application has been highlighted as an enabler of diabetes self-management and it could be employed as an intervention to alleviate identified gaps in diabetes self-management. Furthermore, improved approaches that address financial burden, work and environment-related factors as well as diabetes distress are essential for enhancing diabetes self-management.