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Background <p>The ability of people with diabetes to perform diabetes self-care activities may influence treatment outcomes.</p> Objectives <p>To evaluate diabetes management self-efficacy (DMSE) and short-term glycaemic control among people with type 2 diabetes (PWT2D).</p> Methods <p>This was a cross-sectional survey of 238 PWT2D at the University of Uyo Teaching Hospital, Nigeria. DMSE was assessed using the Diabetes Management Self-Efficacy Scale—UK version (DMSES UK). Glycaemic control was assessed with fasting blood glucose (FBG). Data were analysed using SPSS v.25.0.</p> Results <p>The median (IQR) self-efficacy score was 115 (91–125) out of 150. DMSE was highest for blood/urine sugar testing, hypoglycaemia correction, feet examination, and medication taking (median score = 10 out of 10). Only 6.3% and 11.3% of participants, respectively, reported high self-efficacy for adjusting their eating pattern/plan when stressed/anxious or when exercising more. The mean FBG was 8.5 ± 4.3&#xa0;mmol/L, with 45% of participants having good glycaemic control (4.4–7.2&#xa0;mmol/L). Participants’ sex (<i>p</i> = 0.001) and education (<i>p</i> = 0.031) were significantly associated with DMSE. DMSE showed a negative correlation with FBG (r<i>s</i> = −&#xa0;0.68, <i>p</i> &lt; 0.001).</p> Conclusion <p>Efforts to promote self-efficacy in healthy eating in various situations may&#xa0;improve glycaemic control&#xa0;in PWT2D, especially women and those with low levels of education.</p>

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Diabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited setting

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月29日

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  • Idongesit L. Jackson,
  • Unyime I. Eshiet,
  • Samuel I. Onung,
  • Esther S. Egbe

摘要

Background

The ability of people with diabetes to perform diabetes self-care activities may influence treatment outcomes.

Objectives

To evaluate diabetes management self-efficacy (DMSE) and short-term glycaemic control among people with type 2 diabetes (PWT2D).

Methods

This was a cross-sectional survey of 238 PWT2D at the University of Uyo Teaching Hospital, Nigeria. DMSE was assessed using the Diabetes Management Self-Efficacy Scale—UK version (DMSES UK). Glycaemic control was assessed with fasting blood glucose (FBG). Data were analysed using SPSS v.25.0.

Results

The median (IQR) self-efficacy score was 115 (91–125) out of 150. DMSE was highest for blood/urine sugar testing, hypoglycaemia correction, feet examination, and medication taking (median score = 10 out of 10). Only 6.3% and 11.3% of participants, respectively, reported high self-efficacy for adjusting their eating pattern/plan when stressed/anxious or when exercising more. The mean FBG was 8.5 ± 4.3 mmol/L, with 45% of participants having good glycaemic control (4.4–7.2 mmol/L). Participants’ sex (p = 0.001) and education (p = 0.031) were significantly associated with DMSE. DMSE showed a negative correlation with FBG (rs = − 0.68, p < 0.001).

Conclusion

Efforts to promote self-efficacy in healthy eating in various situations may improve glycaemic control in PWT2D, especially women and those with low levels of education.