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

Abstract 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-sect...

Full description

Saved in:
Bibliographic Details
Main Authors: Idongesit L. Jackson, Unyime I. Eshiet, Samuel I. Onung, Esther S. Egbe
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12982-025-00423-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832572009300623360
author Idongesit L. Jackson
Unyime I. Eshiet
Samuel I. Onung
Esther S. Egbe
author_facet Idongesit L. Jackson
Unyime I. Eshiet
Samuel I. Onung
Esther S. Egbe
author_sort Idongesit L. Jackson
collection DOAJ
description Abstract 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.
format Article
id doaj-art-74e2cea25f70434694218e6008798e8a
institution Kabale University
issn 3005-0774
language English
publishDate 2025-01-01
publisher Springer
record_format Article
series Discover Public Health
spelling doaj-art-74e2cea25f70434694218e6008798e8a2025-02-02T12:09:12ZengSpringerDiscover Public Health3005-07742025-01-0122111010.1186/s12982-025-00423-xDiabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited settingIdongesit L. Jackson0Unyime I. Eshiet1Samuel I. Onung2Esther S. Egbe3Department of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, University of UyoDepartment of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, University of UyoDepartment of Internal Medicine, Endocrine and Metabolism Unit, University of Uyo Teaching HospitalDepartment of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, University of UyoAbstract 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.https://doi.org/10.1186/s12982-025-00423-xSelf-managementSelf-efficacyType 2 diabetesNigeria
spellingShingle Idongesit L. Jackson
Unyime I. Eshiet
Samuel I. Onung
Esther S. Egbe
Diabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited setting
Discover Public Health
Self-management
Self-efficacy
Type 2 diabetes
Nigeria
title Diabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited setting
title_full Diabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited setting
title_fullStr Diabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited setting
title_full_unstemmed Diabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited setting
title_short Diabetes management self-efficacy and glycaemic control among people with type 2 diabetes in a resource-limited setting
title_sort diabetes management self efficacy and glycaemic control among people with type 2 diabetes in a resource limited setting
topic Self-management
Self-efficacy
Type 2 diabetes
Nigeria
url https://doi.org/10.1186/s12982-025-00423-x
work_keys_str_mv AT idongesitljackson diabetesmanagementselfefficacyandglycaemiccontrolamongpeoplewithtype2diabetesinaresourcelimitedsetting
AT unyimeieshiet diabetesmanagementselfefficacyandglycaemiccontrolamongpeoplewithtype2diabetesinaresourcelimitedsetting
AT samuelionung diabetesmanagementselfefficacyandglycaemiccontrolamongpeoplewithtype2diabetesinaresourcelimitedsetting
AT esthersegbe diabetesmanagementselfefficacyandglycaemiccontrolamongpeoplewithtype2diabetesinaresourcelimitedsetting