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Title:  Role of self-care in management of diabetes mellitus

Authors:  Saurabh RamBihariLal Shrivastava1Email author,

Prateek Saurabh Shrivastava1 and

Jegadeesh Ramasamy1

Journal:  Journal of Diabetes & Metabolic Disorders201312:14

DOI: 10.1186/2251-6581-12-14

"Diabetes mellitus (DM) is a chronic progressive metabolic disorder characterized by hyperglycemia mainly due to absolute (Type 1 DM) or relative (Type 2 DM) deficiency of insulin hormone. World Health Organization estimates that more than 346 million people worldwide have DM. This number is likely to more than double by 2030 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. All these seven behaviors have been found to be positively correlated with good glycemic control, reduction of complications and improvement in quality of life. Individuals with diabetes have been shown to make a dramatic impact on the progression and development of their disease by participating in their own care. Despite this fact, compliance or adherence to these activities has been found to be low, especially when looking at long-term changes. Though multiple demographic, socio-economic and social support factors can be considered as positive contributors in facilitating self-care activities in diabetic patients, role of clinicians in promoting self-care is vital and has to be emphasized. Realizing the multi-faceted nature of the problem, a systematic, multi-pronged and an integrated approach is required for promoting self-care practices among diabetic patients to avert any long-term complications."

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Journal:  Qualitative Health Research

Title:  The Experience of Living With Diabetes Following a Self-Management Program Based on Motivational Interviewing

Authors:  Lisbeth K. Rosenbek Minet Lisbeth K. Rosenbek Minet

University of Southern Denmark, Odense, Denmark, [email protected]

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, Else-Marie Lønvig Else-Marie Lønvig

Odense University Hospital, Odense, Denmark

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, Jan Erik Henriksen Jan Erik Henriksen

University of Southern Denmark, Odense, Denmark

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, Lis Wagner Lis Wagner

University of Southern Denmark, Odense, Denmark

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...

First Published April 6, 2011 Research Article DOI: http://dx.doi.org/10.1177/1049732311405066

Article Information

Volume: 21 issue: 8, page(s): 1115-1126

Article first published online: April 6, 2011;Issue published: August 1, 2011

DOI: https://doi.org/10.1177/1049732311405066 

Lisbeth K. Rosenbek MinetUniversity of Southern Denmark, Odense, Denmark, lisbeth. minet@ouh. regionsyddanmark. dk

Else-Marie LønvigOdense University Hospital, Odense, Denmark

Jan Erik HenriksenUniversity of Southern Denmark, Odense, Denmark

Lis WagnerUniversity of Southern Denmark, Odense, Denmark

Abstract

Self-management is an important part of diabetes treatment, but the promotion of self-care activities is still a challenge. In this study, we explored how living with diabetes in everyday life was experienced following a self-management intervention program based on motivational interviewing. We conducted seven focus group interviews, each comprising 3 to 5 participants diagnosed with type 1 or type 2 diabetes. Data analysis based on a phenomenological method revealed three main themes concerning diabetes self-management: becoming a self-regulating practitioner, managing the rules of self-management, and creating a supportive social network. Narrative analysis revealed a divergence in patients’ self-perceived competence in handling diabetes. The study findings indicate that people with diabetes have specific needs for support in the daily responsibility of managing diet, exercise, medication, and blood glucose monitoring. A meaningful treatment from the patient’s perspective would appear to be one aimed at overcoming problems the patient experiences in self-management of diabetes.

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