The Role of Diabetes-Related Self-Management in Type II Diabetes Mellitus and Impact on HbA1c

The Role of Diabetes-Related Self-Management in Type II Diabetes Mellitus and Impact on HbA1c

Author Info

Corresponding Author
Sakineh Rakhshanderou
Assistant Professor of Health Education & Health Promotion, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Background: The most important factor in controlling diabetes is self-management behaviour and its development is the first step toward helping the patients to successfully control their disease. The current study was conducted so as to investigate self-management behaviour and its Impact on HbA1c. Methods: This study was carried out on 220 type-2 diabetic patients in 2020. The data was gathered through demographic and diabetes self-management questionnaire (DSMQ) and it included 16 items at four dimensions. The data analysed by independent t-test, One-way ANOVA, Multiple Linear Regression and Logistic Regression. Results: There was a significant relationship between gender and physical activity, diet, and diabetic self-management (P-value> 0/001). Also, there was a significant relationship between economic status and glycemic control, diet, and diabetic self-management (P-value>0/05). In addition, family history of the disease and glycemic control, diet, and diabetic self-management were found to be meaningfully related (P-value> 0/05). Smoking and glycemic control on the one hand and diabetic self-management and BMI, on the other, experienced meaningful relationship (P-value >0/05). The most adverse effects were among patients who had unfavourable or minimum self-management: 10.7% kidney complications and 17.9% visual impairment (P-value>0/05). Dietary control is the strongest predictor of HbA1c in all diabetics and people with borderline self-management and diabetics without complications (P-value> 0/000). Conclusion: Diabetes-related self-management predicted HbA1c levels and type-2 diabetic complications and intervention programmes crucial in increasing patients’ awareness, learning, and participation.

Article Info

Article Type
Research Article
Publication history
Received: Mon 18, Apr 2022
Accepted: Mon 09, May 2022
Published: Mon 20, Jun 2022
© 2021 Sakineh Rakhshanderou. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JDMC.2022.01.01