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allied
academies
International Conference on
FAMILY MEDICINE AND FAMILY PHYSICIANS
October 16-17, 2017 | Toronto, Canada
Arch Gen Intern Med 2017 | Volume 1 Issue 3
Background:
Diabetes mellitus is a global health problem
that is associated with morbidity and mortality. Crucial to
the goal of management is active involvement in the process
of self- care practice (SCP). The objective of the study was to
assess the effect of change in diabetes SCP on blood glucose
control among Type 2 diabetes patients.
Methods:
A 12 week intervention study was conducted
among 80 previously diagnosed Type 2 diabetes patients
who were randomized into intervention and control groups.
Forty patients in the intervention group had three sessions
on diabetes self-care education while the control group
continued on previous plan of care until the end of study.
Data was collected on self-care practice and sample taken
for blood glucose both before and after three months
intervention. Categorical variables were tested using Chi
square, continuous data by t test and ANCOVA. Correlation
and linear regression were further done.
Results: Baseline parameters of the respondents were similar
in socio-demographics, clinical, biochemical and SCP. At the
end of 12 weeks, the mean of self-care practice increased
in all domains of SCP while means of fasting blood glucose,
two hours postprandial and glycated haemoglobin (HbA1c)
reduced with change in SCP per day among the intervention
compared to control group. In the study group, reduction in
HbA1c correlated significantly with mean increase in SCP, a
drop from baseline 7.72(2.09) % to end-line value 6.7 (1.85)
% ( p=0.01). Linear regression showed increase in average
number of days of physical activity and following healthy diet
were predictors of reduction in HbA1c.
Conclusion:
IncreaseinSCPresultedinsignificantimprovement
of glycaemic control, underscoring active patient participation
in comprehensive diabetes management.
e:
bimboolorunsola@gmail.comSelf-care practice and glycaemic control among Type 2 diabetes patients in a secondary health care in
south west, Nigeria
Olorunsola Abimbola Modupe
State Specialist Hospital Ondo, Nigeria