Diabetes self-care activities and perception and glycemic control in adult Puerto Rican residents with Type 2 Diabetes: The LLIPDS Study
Background: Individuals with diabetes frequently have comorbid health conditions and suffer longer term complications. The control of blood glucose relies on diabetes management/self-care behaviors. Poor glycemic control, commonly encountered in underserved populations with type 2 diabetes (T2D) oft...
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Published in | Journal of public health research Vol. 11; no. 4; p. 227990362211253 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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London, England
SAGE Publications
01.10.2022
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Abstract | Background:
Individuals with diabetes frequently have comorbid health conditions and suffer longer term complications. The control of blood glucose relies on diabetes management/self-care behaviors. Poor glycemic control, commonly encountered in underserved populations with type 2 diabetes (T2D) often results from inadequate diabetes self-care activities and/or perception. We aimed to assess the association between diabetes self-care activities/perception and glycemic control in adult Puerto Rican residents with T2D.
Design and methods:
We used a cross-sectional study design; our sample population was 260 individuals aged 40–65 years with T2D. We asked participants about their diabetes self-care over 8 weeks. High fasting blood glucose (≥130 mg/dL) and glycated hemoglobin (HbA1c; ≥7%) measures were defined. We estimated the strength of the following associations using logistic regression: each of three self-care activities and fasting glucose or HbA1c, adjusting for confounders.
Results:
Nearly 27% of the participants reported not checking their glucose levels, 7% did not take their medications as prescribed and 31% perceived their diabetes self-care as poor. Participants with less education perceived their diabetes self-care as poor more often than their counterparts (44% vs 25%; p = 0.003). Most participants had high glycemic levels (60%) or hbA1c levels (65%). Participants who perceived their diabetes self-care as poor had higher HbA1c levels than their counterparts (adj. odds ratio: 2.14, 95% CI (1.13, 4.08)).
Conclusion:
Poor diabetes self-care perception, possibly related to less education, likely explains poor glycemic control among adult Puerto Rican residents with T2D. |
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AbstractList | Background:
Individuals with diabetes frequently have comorbid health conditions and suffer longer term complications. The control of blood glucose relies on diabetes management/self-care behaviors. Poor glycemic control, commonly encountered in underserved populations with type 2 diabetes (T2D) often results from inadequate diabetes self-care activities and/or perception. We aimed to assess the association between diabetes self-care activities/perception and glycemic control in adult Puerto Rican residents with T2D.
Design and methods:
We used a cross-sectional study design; our sample population was 260 individuals aged 40–65 years with T2D. We asked participants about their diabetes self-care over 8 weeks. High fasting blood glucose (≥130 mg/dL) and glycated hemoglobin (HbA1c; ≥7%) measures were defined. We estimated the strength of the following associations using logistic regression: each of three self-care activities and fasting glucose or HbA1c, adjusting for confounders.
Results:
Nearly 27% of the participants reported not checking their glucose levels, 7% did not take their medications as prescribed and 31% perceived their diabetes self-care as poor. Participants with less education perceived their diabetes self-care as poor more often than their counterparts (44% vs 25%; p = 0.003). Most participants had high glycemic levels (60%) or hbA1c levels (65%). Participants who perceived their diabetes self-care as poor had higher HbA1c levels than their counterparts (adj. odds ratio: 2.14, 95% CI (1.13, 4.08)).
Conclusion:
Poor diabetes self-care perception, possibly related to less education, likely explains poor glycemic control among adult Puerto Rican residents with T2D. |
Author | Pérez-Ríos, Naydi Llera-Fábregas, Alejandro Ramirez-Vick, Margarita Camacho-Monclova, Dahianira M Andriankaja, Oelisoa M |
AuthorAffiliation | 1 Center for Clinical Research and Health Promotion, School of Dental Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico 4 Center for Oral Health Research, University of Kentucky College of Dentistry, Lexington, KY, USA 2 Hispanic Alliance for Clinical and Translational Research, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico 3 Endocrinology Section, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico |
AuthorAffiliation_xml | – name: 1 Center for Clinical Research and Health Promotion, School of Dental Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico – name: 3 Endocrinology Section, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico – name: 2 Hispanic Alliance for Clinical and Translational Research, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico – name: 4 Center for Oral Health Research, University of Kentucky College of Dentistry, Lexington, KY, USA |
Author_xml | – sequence: 1 givenname: Alejandro orcidid: 0000-0001-5984-9808 surname: Llera-Fábregas fullname: Llera-Fábregas, Alejandro – sequence: 2 givenname: Naydi surname: Pérez-Ríos fullname: Pérez-Ríos, Naydi – sequence: 3 givenname: Dahianira M surname: Camacho-Monclova fullname: Camacho-Monclova, Dahianira M – sequence: 4 givenname: Margarita surname: Ramirez-Vick fullname: Ramirez-Vick, Margarita – sequence: 5 givenname: Oelisoa M surname: Andriankaja fullname: Andriankaja, Oelisoa M email: oelisoa.Andriankaja@uky.edu |
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Cites_doi | 10.1016/j.diabres.2018.04.028 10.1186/2251-6581-12-14 10.1007/s11892-016-0796-5 10.1155/2017/1298315 10.1136/bmjdrc-2017-000429 10.2337/ds19-0006 10.1155/2017/2804178 10.1016/j.apnr.2017.05.004 10.1186/s12902-016-0114-x 10.1111/jdi.12827 10.1111/j.1525-1446.1986.tb00464.x 10.1016/j.diabres.2017.12.014 10.1371/journal.pmed.1002751 10.2337/dc19-1782 10.1016/S2666-7568(21)00089-1 10.1097/NNR.0000000000000401 10.1089/dia.2010.0160 10.2147/PPA.S292086 10.1186/s13104-017-2707-5 10.2147/DMSO.S253607 10.1001/jama.288.4.475 10.2310/6650.2005.53509 10.1007/s13300-013-0034-y 10.1016/j.clinthera.2011.01.019 10.1001/jamainternmed.2018.5700 10.1016/j.pec.2016.03.020 10.1093/jpepsy/27.8.759 10.1177/0145721713486200 10.2217/dmt.11.5 10.1016/j.cegh.2021.100742 10.1016/j.jbi.2008.08.010 10.1111/1753-0407.12651 |
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Keywords | monitory health glycemic control Diabetes mellitus self-care perception |
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Individuals with diabetes frequently have comorbid health conditions and suffer longer term complications. The control of blood glucose relies on... |
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Title | Diabetes self-care activities and perception and glycemic control in adult Puerto Rican residents with Type 2 Diabetes: The LLIPDS Study |
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