Glycaemic control mediates the relationships of employment status and self‐stigma with self‐care behaviours in young adults with type 2 diabetes

Author(s):  
May‐Hung Lin ◽  
Horng‐Yih Ou ◽  
Ruey‐Hsia Wang ◽  
Ching‐Han Lin ◽  
Hsiu‐Yun Liao ◽  
...  
Author(s):  
Nnena Osuji ◽  
Oluwaseun Ojo ◽  
Sunday Malomo ◽  
Adegbola Ige ◽  
Ademola Egunjobi ◽  
...  

2018 ◽  
Vol 48 (6) ◽  
pp. 728-731 ◽  
Author(s):  
Shalini Kunasegaran ◽  
Junaid Beig ◽  
Manish Khanolkar ◽  
Tim Cundy

Nursing Open ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. 1453-1467
Author(s):  
Fekadu Aga ◽  
Sandra B. Dunbar ◽  
Tedla Kebede ◽  
Melinda Kay Higgins ◽  
Rebecca Gary

2018 ◽  
Vol 21 (17) ◽  
pp. 3237-3244 ◽  
Author(s):  
Rebekah J Walker ◽  
Joni Strom Williams ◽  
Leonard E Egede

AbstractObjectiveFood insecurity is reported in approximately 28 % of individuals with diabetes in the USA and is associated with poor glycaemic and lipid control. The present study aimed to understand the direct and indirect pathways through which food insecurity impacts glycaemic control in individuals with diabetes.Design/Setting/SubjectsAdults (n 615) with type 2 diabetes completed validated questionnaires after recruitment from two primary care clinics. Structural equation modelling was used to investigate mechanisms through which food insecurity influences diabetes self-care behaviours and glycaemic control, including investigation into possible direct and indirect effects of perceived stress and social support.ResultsThe final model showed that higher food insecurity was directly significantly related to increased stress (r=0·14, P<0·001) and increased glycosylated Hb (r=0·66, P=0·03). Higher stress was significantly related to poorer self-care (r=−0·54, P<0·001) and lower social support (r=−0·41, P<0·001). There was no significant direct association between food insecurity and self-care, or between perceived stress and glycaemic control.ConclusionsFood insecurity had both a direct effect on glycaemic control and an indirect effect on self-care through stress. The indirect pathway suggests that efforts to address stress may influence the ability of individuals to perform diabetes self-care behaviours. The direct effect on glycaemic control suggests that pathways independent of self-care behaviours may also be necessary to improve diabetes outcomes. Results from the study suggest a multipronged approach is necessary to address food insecurity in individuals with diabetes.


2019 ◽  
Vol 07 (05) ◽  
pp. 99-111
Author(s):  
Meerigama Arachchige Rasoda Saumika ◽  
Thamara Dilhani Amarasekara ◽  
Rasika Jayasekara

Medicina ◽  
2019 ◽  
Vol 55 (1) ◽  
pp. 21
Author(s):  
Muhammad Atif ◽  
Quratulain Saleem ◽  
Saima Asghar ◽  
Iram Malik ◽  
Nafees Ahmad

Objectives: This study aimed to explore the relationship between glycaemic control and factors that may influence this among elderly type 2 diabetes mellitus (T2DM) patients in Lahore, Pakistan. Methods: This descriptive, cross-sectional study was conducted at the Jinnah and Sir Ganga Ram Hospitals, Lahore using convenience sampling techniques between 1 December 2015 and 28 February 2016. The sample consisted of elderly (>65 years) T2DM patients. Glycaemic values and patient characteristics were obtained from medical charts. Consenting patients were interviewed to complete the Barthel Index, Lawton Instrumental Activities of Daily Living Scale, Clinical Frailty Scale, Iowa Pain Thermometer Scale, Geriatric Depression Scale, Montreal Cognitive Assessment tool, Mini Nutritional Assessment Scale—Short Form and Self Care Inventory—Revised Version. Multiple logistic regression analysis was carried out to determine the predictors of poor glycaemic control. Results: A total of 490 patients were approached and 400 agreed to participate. Overall, nearly one-third (32.2%, n = 129) of patients had glycated haemoglobin (HbA1c) at the target level. Fasting and random plasma glucose levels were within the target range to much the same extent; (36.8%, n = 147) and (27%, n = 108), respectively. HbA1c levels were also higher in patients with co-morbidities (67.4%, n = 229) with diabetes-related complications (73.5%, n = 227). Significant predictors of impaired glycaemic control (HbA1c) included poor diabetes self-care (adjusted odds ratio (AOR) 0.96; 95% confidence interval (CI) 0.95, 0.98), not being prescribed oral hypoglycaemic agents (OHA) (AOR 6.22; 95% CI 2.09, 18.46), regular hypoglycaemic attacks (AOR 2.53; 95% CI 1.34, 4.81) and falling tendency (AOR 0.19; 95% CI 0.10, 0.36). Conclusions: Poor glycaemic control prevailed among the majority of elderly Pakistani diabetic patients in this study. Triggering factors of poor glycaemic control should be taken into consideration by the healthcare professionals in targeting multifaceted interventions to achieve good glycaemic control.


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