Successful self-management among non-insulin-treated adults with Type 2 diabetes: a self-regulation perspective

Diabetic Medicine : a Journal of the British Diabetic Association
M L TanenbaumJ S Gonzalez

Abstract

To clarify the role of self-monitoring of blood glucose (SMBG) in the self-management of Type 2 diabetes from the patient's perspective, using in-depth interviews with non-insulin-treated adults to investigate how they learned to manage their diabetes effectively and whether SMBG played a significant role in this process. Individual interviews were conducted with 14 non-insulin-treated adults with Type 2 diabetes who had significantly improved their glycaemic control [64% women; 50% black; 21% Hispanic; mean age 60 years; mean HbA(1c) concentration 43 mmol/mol (6.1%)]. Interviews were transcribed and analysed by a coding team, applying the concept of illness coherence from the Common Sense Model of Self-Regulation. The majority of participants relied on SMBG to evaluate their self-management efforts. Key themes included: adopting an experimental approach; experiencing 'a-ha' moments; provider-assisted problem-solving; using SMBG and other feedback to evaluate when their efforts were working; and normalizing diabetes-specific behaviour changes as being healthy for everyone. Our qualitative data are consistent with the argument that SMBG, if implemented appropriately with enough education and provider access, can be a powerful to...Continue Reading

References

Apr 25, 2003·Evidence-based Nursing·Cynthia K Russell, David M Gregory
Dec 4, 2003·Social Science & Medicine·Carol R HorowitzHoward Leventhal
Sep 24, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·K Anders Ericsson
Mar 27, 2007·Social Science & Medicine·Javier Garcia de Alba GarciaSusan C Weller
Mar 23, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·J Mc SharryT Kendrick
Apr 30, 2011·Journal of Diabetes Science and Technology·Robert A Vigersky
Dec 21, 2013·Diabetes Care·UNKNOWN American Diabetes Association
Aug 6, 2014·Journal of General Internal Medicine·Taylor L BrooksAlex D Federman
Aug 12, 2014·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Jeffrey S GonzalezSteven A Safren

❮ Previous
Next ❯

Citations

Mar 17, 2016·Journal of Behavioral Medicine·L Alison PhillipsSteffi Renninger
Sep 23, 2016·Journal of Diabetes and Its Complications·Akiko NishimuraNobuya Inagaki
Nov 20, 2018·Qualitative Health Research·Humberto Gonzalez RodriguezClare Barrington
Jul 25, 2019·Health Psychology Review·Yael Benyamini, Evangelos C Karademas
Sep 15, 2020·Breast Cancer Research and Treatment·Richard R LoveAndrea M Straus
Dec 22, 2017·Psicologia, Reflexão E Crítica : Revista Semestral Do Departamento De Psicologia Da UFRGS·Gerusa Estelita PiresElisa Kern Castro
Jul 19, 2020·International Journal of Behavioral Medicine·Yang YuLora E Burke
Jun 28, 2018·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Akiko NishimuraNobuya Inagaki
Aug 15, 2021·Journal of General Internal Medicine·Elizabeth R PfohMichael B Rothberg

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomarkers for Type 2 Diabetes

Biomarkers can help understand chronic diseases and assist in risk prediction for prevention and early detection of diseases. Here is the latest research on biomarkers in type 2 diabetes, a disease in which the body is unable to produce or properly use insulin.