Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan
Allah Bukhsh,1,2 Tahir Mehmood Khan,1,2 Muhammad Sarfraz Nawaz,3 Hafiz Sajjad Ahmed,4 Kok Gan Chan,5,6 Learn-Han Lee,1,2,7–10 Bey-Hing Goh1,2,7–10 1School of Pharmacy, Monash University, Jalan Lagoon Selatan 45700, Selangor, Malaysia; 2Institute of Pharmaceutical Sciences, Unive...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-11-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/association-of-diabetes-related-self-care-activities-with-glycemic-con-peer-reviewed-article-PPA |
| _version_ | 1818195160590188544 |
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| author | Bukhsh A Khan TM Sarfraz Nawaz M Ahmed HS Chan KG Lee LH Goh BH |
| author_facet | Bukhsh A Khan TM Sarfraz Nawaz M Ahmed HS Chan KG Lee LH Goh BH |
| author_sort | Bukhsh A |
| collection | DOAJ |
| description | Allah Bukhsh,1,2 Tahir Mehmood Khan,1,2 Muhammad Sarfraz Nawaz,3 Hafiz Sajjad Ahmed,4 Kok Gan Chan,5,6 Learn-Han Lee,1,2,7–10 Bey-Hing Goh1,2,7–10 1School of Pharmacy, Monash University, Jalan Lagoon Selatan 45700, Selangor, Malaysia; 2Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, 54000, Lahore, Pakistan; 3Department of Pharmacy, Quaid-i-Azam University Islamabad, Pakistan; 4Capital Hospital Islamabad, Pakistan; 5International Genome Centre, Jiangsu University, Zhenjiang, China; 6Division of Genetics and Molecular Biology, Faculty of Science, Institute of Biological Sciences, University of Malaya, Kuala Lumpur, Malaysia; 7Asian Centre for Evidence Synthesis in Population, Implementation and Clinical Outcomes (PICO), Health and Well-being Cluster, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia; 8Novel Bacteria and Drug Discovery Research Group, Microbiome and Bioresource Research Strength, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Malaysia; 9Biofunctional Molecule Exploratory Research Group, School of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia; 10Center of Health Outcomes Research and Therapeutic, Safety (Cohorts), School of Pharmaceutical Sciences, University of Phayao, Mueang Phayao, Thailand Objective: Association of various self-care activities on glycemic control of people with diabetes (PWD) in Pakistan is yet to be explored. The current study aimed to evaluate the association of various diabetes-related self-care activities with glycated hemoglobin (HbA1c) levels and to examine the predictive relationship of patients’ demographic variables with their self-care activities.Patients and methods: A cross-sectional study was conducted on adult PWD (N=218) who were diagnosed with type 2 diabetes mellitus of at least 1 year duration. Self-care activities were examined by using the Urdu version of Diabetes Self-management Questionnaire. Linear regression analysis was conducted to examine the significant predictors for diabetes-related self-care activities and glycemic control.Results: Mean age of the patients was 50.77±13.3 years. Poor glycemic control (HbA1c ≥7%) was observed in majority of the patients (83%). Linear regression analysis revealed that glucose management (β=-0.44; 95% CI -0.438, -0.209; P<0.001) was the strongest predictor for low levels of patients’ HbA1c, followed by dietary control (β=-0.19; 95% CI -0.248, -0.018; P=0.24) and physical activity (β=-0.17; 95% CI -0.165, -0.023; P=0.010), respectively. Linear regression analysis showed that use of oral hypoglycemic agents only (β=-0.218; 95% CI -0.956, -0.200; P=0.003) and higher education level (β=0.204; 95% CI 0.138, 0.777; P=0.005) were significant predictors for higher scores of patients’ self-care activities.Conclusion: The findings support that PWD having better self-reported self-care activities achieve better glycemic control. Patients’ self-care activities should be monitored on a regular basis, especially for those who are at risk of poor glycemic control. Keywords: self-care, self-management, glycemic control, glycated hemoglobin |
| first_indexed | 2024-12-12T01:13:46Z |
| format | Article |
| id | doaj.art-9730ec9568474394b44bb361383167bd |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-12T01:13:46Z |
| publishDate | 2018-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-9730ec9568474394b44bb361383167bd2022-12-22T00:43:24ZengDove Medical PressPatient Preference and Adherence1177-889X2018-11-01Volume 122377238542140Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in PakistanBukhsh AKhan TMSarfraz Nawaz MAhmed HSChan KGLee LHGoh BHAllah Bukhsh,1,2 Tahir Mehmood Khan,1,2 Muhammad Sarfraz Nawaz,3 Hafiz Sajjad Ahmed,4 Kok Gan Chan,5,6 Learn-Han Lee,1,2,7–10 Bey-Hing Goh1,2,7–10 1School of Pharmacy, Monash University, Jalan Lagoon Selatan 45700, Selangor, Malaysia; 2Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, 54000, Lahore, Pakistan; 3Department of Pharmacy, Quaid-i-Azam University Islamabad, Pakistan; 4Capital Hospital Islamabad, Pakistan; 5International Genome Centre, Jiangsu University, Zhenjiang, China; 6Division of Genetics and Molecular Biology, Faculty of Science, Institute of Biological Sciences, University of Malaya, Kuala Lumpur, Malaysia; 7Asian Centre for Evidence Synthesis in Population, Implementation and Clinical Outcomes (PICO), Health and Well-being Cluster, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia; 8Novel Bacteria and Drug Discovery Research Group, Microbiome and Bioresource Research Strength, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Malaysia; 9Biofunctional Molecule Exploratory Research Group, School of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia; 10Center of Health Outcomes Research and Therapeutic, Safety (Cohorts), School of Pharmaceutical Sciences, University of Phayao, Mueang Phayao, Thailand Objective: Association of various self-care activities on glycemic control of people with diabetes (PWD) in Pakistan is yet to be explored. The current study aimed to evaluate the association of various diabetes-related self-care activities with glycated hemoglobin (HbA1c) levels and to examine the predictive relationship of patients’ demographic variables with their self-care activities.Patients and methods: A cross-sectional study was conducted on adult PWD (N=218) who were diagnosed with type 2 diabetes mellitus of at least 1 year duration. Self-care activities were examined by using the Urdu version of Diabetes Self-management Questionnaire. Linear regression analysis was conducted to examine the significant predictors for diabetes-related self-care activities and glycemic control.Results: Mean age of the patients was 50.77±13.3 years. Poor glycemic control (HbA1c ≥7%) was observed in majority of the patients (83%). Linear regression analysis revealed that glucose management (β=-0.44; 95% CI -0.438, -0.209; P<0.001) was the strongest predictor for low levels of patients’ HbA1c, followed by dietary control (β=-0.19; 95% CI -0.248, -0.018; P=0.24) and physical activity (β=-0.17; 95% CI -0.165, -0.023; P=0.010), respectively. Linear regression analysis showed that use of oral hypoglycemic agents only (β=-0.218; 95% CI -0.956, -0.200; P=0.003) and higher education level (β=0.204; 95% CI 0.138, 0.777; P=0.005) were significant predictors for higher scores of patients’ self-care activities.Conclusion: The findings support that PWD having better self-reported self-care activities achieve better glycemic control. Patients’ self-care activities should be monitored on a regular basis, especially for those who are at risk of poor glycemic control. Keywords: self-care, self-management, glycemic control, glycated hemoglobinhttps://www.dovepress.com/association-of-diabetes-related-self-care-activities-with-glycemic-con-peer-reviewed-article-PPASelf-careself-managementglycemic controlglycated hemoglobinHbA1c. |
| spellingShingle | Bukhsh A Khan TM Sarfraz Nawaz M Ahmed HS Chan KG Lee LH Goh BH Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan Patient Preference and Adherence Self-care self-management glycemic control glycated hemoglobin HbA1c. |
| title | Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan |
| title_full | Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan |
| title_fullStr | Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan |
| title_full_unstemmed | Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan |
| title_short | Association of diabetes related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan |
| title_sort | association of diabetes related self care activities with glycemic control of patients with type 2 diabetes in pakistan |
| topic | Self-care self-management glycemic control glycated hemoglobin HbA1c. |
| url | https://www.dovepress.com/association-of-diabetes-related-self-care-activities-with-glycemic-con-peer-reviewed-article-PPA |
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