Abstract

Background: Diabetes mellitus (DM) is a complex disease with most complications leading to morbidity and mortality amongst population subsets if not managed. In every six seconds, a person dies from DM or DM related complications. Type 2 diabetes mellitus (T2DM) has markedly increased necessitating active development and implementation of efficient management programs addressing sociodemographic characteristics of diabetic clients. The aim of this study was to determine the influence of socio-demographic characteristics on management of T2DM among type 2 diabetic clients in Nyandarua South sub-County, Kenya. Methods: A cross-sectional facility based study design was used. The study population comprised T2DM clients, aged above 18 years. Systematic random sampling technique was used to select the sample of 294 clients who consented to participate in the study. Data was collected by use of a semi-structured researcher administered questionnaire. Data was analysed using SPSS Version 21. Descriptive statistics were computed to generate frequencies, mean, median and standard deviation. Relationship between socio-demographic factors and management of T2DM was examined using chi-square and bivariate analyses. Results: Majority of the participants were females (59.5%). Slightly more than a quarter of the participants (28%) had good knowledge on management of T2DM. College/university education level was found to be significantly associated with participants’ management of T2DM (OR 5.3666 (1.47-19.58), 95% CI, 1.47-19.58, P=0.0109). Conclusions: Level of education significantly influenced participants’ management of T2DM. The study recommends creation of awareness on T2DM management in Nyandarua County so as to improve clients’ knowledge of management interventions for T2DM health education on T2DM management practices to empower clients to effectively manage the condition.

Highlights

  • Diabetes mellitus (DM) is a complex disease with most complications leading to morbidity and mortality amongst population subsets if not managed

  • In every six (6) seconds, a person dies from DM or dm related complications resulting to 5.0 million deaths by 2015 [1, 2]

  • A large proportion of the participants (46.6%) had poor dietary practices while the least (20.1%) indicated good practices. This was rated in reference to the diabetic plate outlining balanced diet for diabetics in the recommended nutrient proportions

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Summary

Introduction

Diabetes mellitus (DM) is a complex disease with most complications leading to morbidity and mortality amongst population subsets if not managed. Africa has a fast growth rate of childhood obesity and overweight which increase the risk of developing T2DM later in life. Implying a relationship between diabetics demographic characteristics and management of T2DM (11, 12). Type 2 diabetes mellitus (T2DM) has markedly increased necessitating active development and implementation of efficient management programs addressing sociodemographic characteristics of diabetic clients. The aim of this study was to determine the influence of socio-demographic characteristics on management of T2DM among type 2 diabetic clients in Nyandarua South sub-County, Kenya

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