A study on self-care practices and dietary barriers among type 2 diabetes patients attending outpatient department in Karnataka Institute of Medical Sciences, Hubballi
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20191375Keywords:
Diabetes, Self-care practices, Dietary barriersAbstract
Background: Diabetes is a chronic, progressive disease characterized by elevated levels of blood glucose and is recognized as an important cause of premature mortality and morbidity. Self-care practice in diabetes patient is a critical factor to achieve glycaemic control thus in preventing or delaying its complications.
Methods: A cross sectional study was conducted among 140 type 2 diabetic patients attending the outpatient department in Karnataka Institute of Medical Sciences, Hubballi during the period of June-July 2018. Diabetic patients diagnosed more than 3 months were included. Data was collected by interview method using pre-designed, pre-tested and semi-structured questionnaire which consists of information on socio-demographic data, diabetic profile, self-care practices and dietary barriers. Statistical analysis was done using SSPS package.
Results: This study showed that 67.9% of study participants were consuming diabetic diet, 17.1% practice exercise for more than 3 days a week, 93.6% were taking medication regularly, 15% practised foot care for >3times a week and 89.3% monitored their blood glucose regularly. The main barriers for dietary practices were lack of knowledge (24%) and lack of motivation (18%). Compliance to diabetic diet was more among the urban population compared to rural (p=0.025).
Conclusions: Study concludes that the practice of self-care activities was poor in almost all aspects except for blood sugar monitoring and adherence to medication which necessitates the need to create awareness regarding self-care practices and its importance among diabetic patients.
References
World Health Organization. Global Report on Diabetes. Geneva: World Health Organization; 2016.
Global status report of NCD, 2014. Available at: http://www.who.int/nmh/publications/ncd-status-report-2014/en/. Accessed on 5 June 2018.
Federation ID. IDF Diabetes Atlas, 7th edn. Brussels, Belgium; 2015.
Fowler MJ. Microvascular and macrovascular complications of diabetes. Clin Diabetes. 2008; 26:77-82.
Moxey PW, Gogalniceanu P, Hinchliffe RJ, Loftus IM, Jones KJ, Thompson MM, et al. Lower extremity amputations – a review of global variability in incidence. Diabetic Med. 2011;28:(10):1144–53.
Mohandas A, Bhasin SK, Upadhyay M, Madhu SV. Diabetes Self Care Activities among Adults 20 Years and Above Residing in a Resettlement Colony in East Delhi. Indian J Public Health. 2018;62(2):104-10.
Cooper HC, Booth K, Gill G. Patients’ perspectives on diabetes health care education. Health Educ Res. 2003;18:191-206.
Paterson B, Thorne S. Developmental evolution of expertise in diabetes self-management. Clin Nurs Res. 2000;9:402-19.
Cheng L, Leung DY, Sit JW, Li XM, Wu YN, Yang MY, et al. Factors associated wih diet barriers in patients with poorly controlled type 2 diabetes. Patient Prefer Adherence. 2016;10:37-44.
Anderson RM, Funnell MM, Butler PM, Arnold MS, Fitzgerald JT, Feste CC, et al. Patient empowerment: results of a randomized controlled trial. Diabetes Care. 1995;18(7):943–9.
Loganathan A, John K. Economic burden of diabetes in people living with the disease; a field study. J Diabetol. 2013;4(3):5.
Srinath K, Basavegowda M, Tharuni N. Diabetic self-care practices in rural Mysuru, Southern Karnataka, India — A need for Diabetes Self-Management Educational (DSME) program. Diabetes Metab Syndr. 2017;11(1):S181-6.
Arulmozhi S, Mahalakshmy T. Self-Care and Medication Adherence among Type 2 Diabetics in Puducherry, Southern India : A Hospital Based Study. J Clin Diagn Res. 2014;8(4):9–11.
Rajasekharan D, Kulkarni V, Unnikrishnan B, Kumar N, Holla R, Thapar R. Self-care activities among patients with diabetes attending a tertiary care hospital in Mangalore Karnataka, India. Ann Med Health Sci Res. 2015;5(1):59-64.
Dinesh P, Kulkarni A, Gangadhar N. Knowledge and self-care practices regarding diabetes among patients with Type 2 diabetes in Rural Sullia, Karnataka: A community-based, cross-sectional study. J Family Med Primary Care. 2016;5(4):847.
Ghimire S. Barriers to Diet and Exercise among Nepalese Type 2 Diabetic Patients. International Scholarly Research Notices. 2017;2017:1-9.
