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...
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2025-01-01
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Online Access: | https://doi.org/10.1186/s12982-025-00423-x |
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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. |
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institution | Kabale University |
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language | English |
publishDate | 2025-01-01 |
publisher | Springer |
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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 |
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