Current status of self-management behaviors among patients with type 2 diabetes mellitus in community

Abstract

Two hundred and thirty nine patients with type 2 diabetes mellitus (T2DM) managed in the community health service centers of Huai′an city were selected for survey by random sampling method between January and December 2017. A self-designed questionnaire was used to assess self-management prescription. Patients received community management for 3 months. The rates of patients with not receiving diabetes health education, with healthy diet, with regular exercise, without monitoring blood glucose, with repeated hypoglycemic attacks were 44.8% (107/239), 23.0% (55/239), 46.4% (111/239), 54.8% (131/239) and 21.3%(23/108), respectively; and 51.9% (124/239) of the participants did not adhere to medication. The awareness rate of diabetic complications was 27.2% (65/239). Only 25.1% (60/239) and 15.1% (36/239) of the participants apply oral hypoglycemic agents and insulin rationally. The survey results indicate that the current status of self-management in community diabetic patients is relatively poor, it is necessary to strengthen standardized management of diabetic patients in community health institutions. Key words: Diabetes mellitus, type 2; Community health service; Self-management prescription; Blood glucose self-monitoring