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Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal
OBJECTIVE/INTRODUCTION: It is known that knowledge, awareness, and practice influence diabetic control. We compared factors pertaining to healthy lifestyle (exercising, avoiding smoking), self-help (attending appointments, following treatment regimens), and diabetic awareness in high-risk patients f...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942410/ https://www.ncbi.nlm.nih.gov/pubmed/29755757 http://dx.doi.org/10.1136/bmjdrc-2018-000525 |
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author | Sapkota, Raju P Upadhyaya, Tirthalal Gurung, Govind Parker, Mike Raman, Rajiv Pardhan, Shahina |
author_facet | Sapkota, Raju P Upadhyaya, Tirthalal Gurung, Govind Parker, Mike Raman, Rajiv Pardhan, Shahina |
author_sort | Sapkota, Raju P |
collection | PubMed |
description | OBJECTIVE/INTRODUCTION: It is known that knowledge, awareness, and practice influence diabetic control. We compared factors pertaining to healthy lifestyle (exercising, avoiding smoking), self-help (attending appointments, following treatment regimens), and diabetic awareness in high-risk patients for diabetic complications, specifically, those on insulin versus non-insulin treatment, and also those with a longer diabetic duration (≥5 years) versus a shorter duration. METHODS: 200 consecutive patients with type 2 diabetes (52.0±11.6 years) attending diabetic clinic at a referral hospital in Nepal were recruited. A structured questionnaire explored non-clinical parameters including age, gender, diabetic duration, awareness about diabetes control, self-help, and lifestyle. Clinical data were also measured: HbA1c, fasting blood sugar (FBS), blood pressure, and treatment type (insulin, diet/tablet). RESULTS: A significantly higher proportion of patients on insulin (vs non-insulin) or with diabetic duration ≥5 years (vs <5 years) self-reported not doing regular exercise, forgetting to take medicine, and not knowing whether their diabetes was controlled (p≤0.005). HbA1c/FBS levels were significantly higher for patients on insulin or with a longer diabetic duration (p≤0.001). 92% of those on insulin (vs 31% on non-insulin) and 91% with diabetic duration ≥5 years (vs 28% of <5 years) self-reported to seeking medical help due to episodes of uncontrolled blood sugar in the last year (p<0.001). CONCLUSION: Poor self-help/lifestyle and reduced knowledge/awareness about diabetic control was found in patients on insulin or with longer diabetic duration. This is a worrying finding as these patients are already at high risk for developing diabetic complications. The findings highlight need for targeting this more vulnerable group and provide more support/diabetic educational tools. |
format | Online Article Text |
id | pubmed-5942410 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-59424102018-05-11 Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal Sapkota, Raju P Upadhyaya, Tirthalal Gurung, Govind Parker, Mike Raman, Rajiv Pardhan, Shahina BMJ Open Diabetes Res Care Clinical Care/Education/Nutrition OBJECTIVE/INTRODUCTION: It is known that knowledge, awareness, and practice influence diabetic control. We compared factors pertaining to healthy lifestyle (exercising, avoiding smoking), self-help (attending appointments, following treatment regimens), and diabetic awareness in high-risk patients for diabetic complications, specifically, those on insulin versus non-insulin treatment, and also those with a longer diabetic duration (≥5 years) versus a shorter duration. METHODS: 200 consecutive patients with type 2 diabetes (52.0±11.6 years) attending diabetic clinic at a referral hospital in Nepal were recruited. A structured questionnaire explored non-clinical parameters including age, gender, diabetic duration, awareness about diabetes control, self-help, and lifestyle. Clinical data were also measured: HbA1c, fasting blood sugar (FBS), blood pressure, and treatment type (insulin, diet/tablet). RESULTS: A significantly higher proportion of patients on insulin (vs non-insulin) or with diabetic duration ≥5 years (vs <5 years) self-reported not doing regular exercise, forgetting to take medicine, and not knowing whether their diabetes was controlled (p≤0.005). HbA1c/FBS levels were significantly higher for patients on insulin or with a longer diabetic duration (p≤0.001). 92% of those on insulin (vs 31% on non-insulin) and 91% with diabetic duration ≥5 years (vs 28% of <5 years) self-reported to seeking medical help due to episodes of uncontrolled blood sugar in the last year (p<0.001). CONCLUSION: Poor self-help/lifestyle and reduced knowledge/awareness about diabetic control was found in patients on insulin or with longer diabetic duration. This is a worrying finding as these patients are already at high risk for developing diabetic complications. The findings highlight need for targeting this more vulnerable group and provide more support/diabetic educational tools. BMJ Publishing Group 2018-05-05 /pmc/articles/PMC5942410/ /pubmed/29755757 http://dx.doi.org/10.1136/bmjdrc-2018-000525 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Clinical Care/Education/Nutrition Sapkota, Raju P Upadhyaya, Tirthalal Gurung, Govind Parker, Mike Raman, Rajiv Pardhan, Shahina Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal |
title | Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal |
title_full | Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal |
title_fullStr | Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal |
title_full_unstemmed | Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal |
title_short | Need to improve awareness and treatment compliance in high-risk patients for diabetic complications in Nepal |
title_sort | need to improve awareness and treatment compliance in high-risk patients for diabetic complications in nepal |
topic | Clinical Care/Education/Nutrition |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942410/ https://www.ncbi.nlm.nih.gov/pubmed/29755757 http://dx.doi.org/10.1136/bmjdrc-2018-000525 |
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