The association between diabetes knowledge and diabetic self-management to glycemic control in diabetes patients
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Abstract
Background: Diabetes is a part of the most common non-communicable diseases in the Thai and worldwide health systems. Glycemic control in diabetes can reduce its complications through self-care behaviors which are a way for patients to independently reduce plasma glucose levels. Successful glycemic control depends on the level of diabetic knowledge and self-management. The goal of this study was to examine the relationship between diabetic knowledge levels and self-management in controlled and uncontrolled diabetic patients.
Method: Type 2 diabetic patients were recruited from the Kampangphet Primary Care Clinics. One hundred and sixty patients were divided into well-controlled (HbA1C < 7mg%) and uncontrolled (HbA1C 7mg%). Chi-square, T-test, Pearson’s correlation, Scatter plot, and Multiple regression were assessed in this trial. Diabetes knowledge and diabetic self-management questionnaires were utilized to collect data. Primary outcomes are levels of diabetes knowledge and diabetic self-management.
Results: Seventy-two patients well controlled, diabetes knowledge 12.76 ± 3.22 and diabetic self-management 8.36 ± 0.69. 88 patients uncontrolled, diabetes knowledge 12.27 ± 3.90 and diabetic self-management 7.30 ± 1.05. Diabetic self-management was statistically significant between 2 groups regardless was not statistically significant in diabetes knowledge. An association between diabetes self-management and diabetes knowledge in low-level (r = 0.1908) was noted.
Conclusion: This study found a relationship between diabetic self-management and glycemic control, but it was not found in diabetes knowledge. Therefore, self-care in diabetes is more important than knowledge of diabetes.
Keywords: diabetes, diabetes knowledge, diabetes self-management, glycemic control
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