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Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman
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2013 (English)In: PLoS ONE, ISSN 1932-6203, Vol. 8, no 2, e57400- p.Article in journal (Refereed) Published
Abstract [en]

Background: Although the prevalence of type 2 diabetes in Oman is high and rising, information on how people were self-managing their disease has been lacking. The objective of this study was therefore to assess diabetes self-management and education (DSME) among people living with type 2 diabetes in Oman. Methods: A questionnaire survey was conducted in public primary health care centres in Muscat. Diabetes self-management and education was assessed by asking how patients recognized and responded to hypo- and hyperglycaemia, and if they had developed strategies to maintain stable blood glucose levels. Patients' demographic information, self-treatment behaviours, awareness of potential long-term complications, and attitudes concerning diabetes management were also recorded. Associations between these factors and diabetes self-management and education were analysed. Results: In total, 309 patients were surveyed. A quarter (26%, n = 83) were unaware how to recognize hypoglycaemia or respond to it (26%, n = 81). Around half (49%, n = 151), could not recognize hyperglycaemia and more than half could not respond to it (60%, n = 184). Twelve percent (n = 37) of the patients did not have any strategies to stabilize their blood glucose levels. Patients with formal education generally had more diabetes self-management and education than those without (p<0.001), as had patients with longer durations of diabetes (p<0.01). Self-monitoring of blood glucose was practiced by 38% (n = 117) of the patients, and insulin was used by 22% (n = 67), of which about one third independently adjusted dosages. Patients were most often aware of complications concerning loss of vision, renal failure and cardiac problems. Many patients desired further health education. Conclusions: Many patients displayed dangerous diabetes self-management and education knowledge gaps. The findings suggest a need for improving knowledge transfer to people living with diabetes in the Omani clinical setting.

Place, publisher, year, edition, pages
2013. Vol. 8, no 2, e57400- p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-198934DOI: 10.1371/journal.pone.0057400ISI: 000316658800104OAI: oai:DiVA.org:uu-198934DiVA: diva2:618527
Available from: 2013-04-29 Created: 2013-04-29 Last updated: 2013-04-29Bibliographically approved

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Wahlström, Rolf
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Family Medicine and Clinical Epidemiology
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