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Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes
In this study, researchers compare and contrast issues regarding diabetes self-management between persons in good versus poor glycemic control. The sample comprises low-income racially diverse adults with diabetes from four mid-western community health centers; 44 patients participated in eight focu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476324/ https://www.ncbi.nlm.nih.gov/pubmed/28660239 http://dx.doi.org/10.1177/2333393617713097 |
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author | Reyes, Jimmy Tripp-Reimer, Toni Parker, Edith Muller, Brandi Laroche, Helena |
author_facet | Reyes, Jimmy Tripp-Reimer, Toni Parker, Edith Muller, Brandi Laroche, Helena |
author_sort | Reyes, Jimmy |
collection | PubMed |
description | In this study, researchers compare and contrast issues regarding diabetes self-management between persons in good versus poor glycemic control. The sample comprises low-income racially diverse adults with diabetes from four mid-western community health centers; 44 patients participated in eight focus groups divided by control status (HbA1c of > 9 [uncontrolled] or < 7 [controlled]). Themes common to both groups included the impact of dietary restrictions on social interactions, food cravings, the impact of mental health on self-management, and the importance of formal and informal (friends and family) support. Those in the uncontrolled groups described fear about being able to control their diabetes, confusion about self-management, and difficulty managing their diabetes while caring for family members. Although those in the controlled groups acknowledged difficulties, they discussed resisting cravings, making improvements with small changes, positive feelings about their ability to control their diabetes, and enjoying new foods and exercise. Interventions should include mental health support, incorporate formal and informal patient support structures, and address literacy issues. Health care providers and intervention personnel should be very concrete about how to do self-management tasks and guide patients on how to alter their diabetes regimens for social and other important life events. |
format | Online Article Text |
id | pubmed-5476324 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-54763242017-06-28 Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes Reyes, Jimmy Tripp-Reimer, Toni Parker, Edith Muller, Brandi Laroche, Helena Glob Qual Nurs Res Article In this study, researchers compare and contrast issues regarding diabetes self-management between persons in good versus poor glycemic control. The sample comprises low-income racially diverse adults with diabetes from four mid-western community health centers; 44 patients participated in eight focus groups divided by control status (HbA1c of > 9 [uncontrolled] or < 7 [controlled]). Themes common to both groups included the impact of dietary restrictions on social interactions, food cravings, the impact of mental health on self-management, and the importance of formal and informal (friends and family) support. Those in the uncontrolled groups described fear about being able to control their diabetes, confusion about self-management, and difficulty managing their diabetes while caring for family members. Although those in the controlled groups acknowledged difficulties, they discussed resisting cravings, making improvements with small changes, positive feelings about their ability to control their diabetes, and enjoying new foods and exercise. Interventions should include mental health support, incorporate formal and informal patient support structures, and address literacy issues. Health care providers and intervention personnel should be very concrete about how to do self-management tasks and guide patients on how to alter their diabetes regimens for social and other important life events. SAGE Publications 2017-06-14 /pmc/articles/PMC5476324/ /pubmed/28660239 http://dx.doi.org/10.1177/2333393617713097 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Reyes, Jimmy Tripp-Reimer, Toni Parker, Edith Muller, Brandi Laroche, Helena Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes |
title | Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes |
title_full | Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes |
title_fullStr | Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes |
title_full_unstemmed | Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes |
title_short | Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes |
title_sort | factors influencing diabetes self-management among medically underserved patients with type ii diabetes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476324/ https://www.ncbi.nlm.nih.gov/pubmed/28660239 http://dx.doi.org/10.1177/2333393617713097 |
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