PMID- 38348008
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240214
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 16
IP  - 1
DP  - 2024 Jan
TI  - Effect of Self-Care Activities and Behaviors on Glycemic Control in Patients With 
      Diabetes at a Tertiary Care Hospital in Perambalur, South India: A 
      Cross-Sectional Study.
PG  - e52188
LID - 10.7759/cureus.52188 [doi]
LID - e52188
AB  - Background The complications of type 2 diabetes mellitus (T2DM) continue to cause 
      significant morbidity and mortality, resulting in a substantial economic burden 
      on both individual patients and society. The adoption of self-care practices 
      leads to enhanced glycemic control, decreased complications, and an elevated 
      quality of life. This study aimed to examine self-care activities and their 
      association with glycemic control among individuals with diabetes. Materials and 
      methods A cross-sectional study was conducted, involving 150 previously diagnosed 
      T2DM patients who visited the tertiary care hospital in Perambalur, Tamilnadu, 
      India, from March 2023 to May 2023. The collection of data involved conducting a 
      semi-structured interview using the diabetes self-management questionnaire (DSMQ) 
      over an eight-week period. Following the input of the data into MS Excel 
      (Microsoft(R) Corp., Redmond, WA), SPSS Statistics version 26.0 (IBM Corp. Released 
      2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp) was 
      used for data analysis. Results The mean age of the patients was 58.35+/-11.97 
      years, and 54.7% (n=82) of them were male. Nearly 65% of diabetic patients (n=98) 
      were on orally administered antihyperglycemic agents. Fifty-nine percent (n=89) 
      of the patients were observed to possess self-care behaviors that met the 
      criteria for adequacy, as the DSMQ scores were dichotomized into "adequate" (>/=6) 
      and "inadequate" (<6) categories. We observed that 65% (n=98) of the patients had 
      uncontrolled T2DM, characterized by an HbA1C level above 7.5%. Out of the four 
      subscales of self-care behaviors assessed in this study, "glucose management" 
      scored the highest (5.27+/-1.30), followed by "dietary control" (5.09+/-1.53), 
      "healthcare use" (4.86+/-1.50), and "physical activity" (3.27+/-1.42). The proportion 
      of diabetic patients who had adequate self-management (55%, n=49) had better 
      glycemic control compared to diabetic patients who had inadequate self-management 
      (4.91%, n=3), and this difference in proportion was statistically significant by 
      the chi-square test (p-value 0.001). Similarly, a statistically significant 
      association was noted between glycemic control and the subscales of DSMQ, namely 
      glucose management, dietary control, physical activity, and healthcare 
      utilization. Conclusion The findings in this study indicate that a noticeable 
      proportion of T2DM patients practice inadequate self-care behaviors. According to 
      the DSMQ, diabetic patients with adequate self-management had better glycemic 
      control than diabetic patients with inadequate self-management. According to this 
      research, patients with good glycemic control also tend to exercise better 
      self-care management and show a greater concern for their illness.
CI  - Copyright (c) 2024, Muniyapillai et al.
FAU - Muniyapillai, Tamilarasan
AU  - Muniyapillai T
AD  - Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, 
      Perambalur, IND.
FAU - Kulothungan, Karthikeyan
AU  - Kulothungan K
AD  - Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, 
      Perambalur, IND.
FAU - Aswin, A
AU  - Aswin A
AD  - Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, 
      Perambalur, IND.
FAU - R, Abinaya
AU  - R A
AD  - Community Medicine, Panimalar Medical College Hospital and Research Institute, 
      Chennai, IND.
FAU - G, Guruvenkat
AU  - G G
AD  - Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, 
      Perambalur, IND.
FAU - Z, Hafeeza Kulthum
AU  - Z HK
AD  - Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, 
      Perambalur, IND.
FAU - M, Hajira Beevi
AU  - M HB
AD  - Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, 
      Perambalur, IND.
FAU - B, Harigovindh
AU  - B H
AD  - Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, 
      Perambalur, IND.
LA  - eng
PT  - Journal Article
DEP - 20240112
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10859554
OTO - NOTNLM
OT  - diabetes self-management questionnaire
OT  - dietary control
OT  - glucose management
OT  - self-care
OT  - type 2 diabetes mellitus
COIS- The authors have declared that no competing interests exist.
EDAT- 2024/02/13 06:45
MHDA- 2024/02/13 06:46
PMCR- 2024/01/12
CRDT- 2024/02/13 03:38
PHST- 2024/01/12 00:00 [accepted]
PHST- 2024/02/13 06:46 [medline]
PHST- 2024/02/13 06:45 [pubmed]
PHST- 2024/02/13 03:38 [entrez]
PHST- 2024/01/12 00:00 [pmc-release]
AID - 10.7759/cureus.52188 [doi]
PST - epublish
SO  - Cureus. 2024 Jan 12;16(1):e52188. doi: 10.7759/cureus.52188. eCollection 2024 
      Jan.