Cent Eur J Public Health 2011, 19(1):35-41 | DOI: 10.21101/cejph.a3573

Compliance to Diabetes Self-Management in Rural El-Mina, Egypt

Eman M. Mahfouz1, Hala I. Awadalla2
1 Department Public Health, Faculty of Medicine, El Minia University, Egypt
2 Institute of Environmental Studies and Research, Ain Shams University, Egypt

Background: Diabetes is a serious public health problem that threatens the quality of life of patiens with diabetes, the success of long-term maintenance therapy for diabetes depends largely on the patients' compliance with a therapeutic plan. Aim of this study: to assess compliance of diabetic patients to diabetes self-Management in rural El Minia, and to determine the associated factors related to it. Subjects and Method: Cross sectional analytic study. Rural adults identifed as having previously diagnosed diabetes were recruited to participate in this study. A total of 206 rural community diabetics were randomly chosen and subjected to interview questionnaire on history of diabetes, type of medication, self-management of diabetes as glucose examination, dietary modification, and eye examination.

Results: Mean age of participants was 54±6.3 years and mean duration of diabetes was 12±8 years. Nearly one third of the patients used insulin and more than half used oral hypoglycemic. The results of this study revealed that good adherence to diabetes self-management was reported among 41.7% of adult diabetic patients who show good adherence to diet instructions, but only 21.4% to blood glucose test. There was no gender difference regarding self care of diabetes. Younger age group had more glycemic control than older age; longer duration of diabetes was significantly associated with poor glycemic control.

Conclusion: Compliance to self-management of diabetes is suboptimal among rural adult community diabetic.

Keywords: adherence, diabetic self-care, blood glucose, diet

Received: June 19, 2010; Revised: November 29, 2010; Accepted: November 29, 2010; Published: March 1, 2011  Show citation

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Mahfouz EM, Awadalla HI. Compliance to Diabetes Self-Management in Rural El-Mina, Egypt. Cent Eur J Public Health. 2011;19(1):35-41. doi: 10.21101/cejph.a3573. PubMed PMID: 21526654.
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