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Objective. The objective of this study is to determine the level of adherence of T2DM patients to the recommended self-care behavior: healthy eating, being active, glucose monitoring, medication adherence, problem-solving, healthy coping and risks reduction.
Methodology. This is a cross-sectional study consisting of administration of the Behavior Score Instrument among 126 diagnosed T2DM patients in the Outpatient Department of the Philippine General Hospital. Data obtained were encoded and analysed using the Stata 12 program where a corresponding score was given to the answers to every question and the average was stratified by the level of adherence to the recommended self-care behaviors.
Results and Conclusion. Majority of the participants have good adherence in five of the seven identified self-care behaviors: medication taking (76.2%), healthy coping (65.9%), healthy eating (50.0%), problem solving (47.6%) and being active (46.0%). In terms of glucose monitoring and risks reduction, 63.5% and 55.6% of the participants have fair adherence respectively. Overall, 43.7% have good compliance to the self-care behaviors while 54.8% and 1.6% have fair and poor compliance respectively.
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Tan DA. Changing disease trends in the Asia-Pacific. Climacteric. 2011; 14(5):529-534.
Wild S, Roglic G, Green A, Sicree R, King H. Global Prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care. 2004; 27:1047–1053.
Food & Nutrition Research Institute – Department of Science and Technology (FNRI-DOST). Philippine Nutrition Facts & Figures 2008.
Department of Health – Division of Public Health Surveillance & Informatics Division. Field Health Services Information System (DOH-FHSIS) 2009.
Ismail-Beigi F. Pathogenesis and glycemic management of Type 2 Diabetes Mellitus: A physiological Approach. Archives of Iranian Medicine. 2012; 15(4):239-246.
American Diabetes Association. Standards of Medical Care in Diabetes. Diabetes Care. 2013; 36(1):S11-S66.
Nathan DM, Buse JB, Davidson MB, Heine RJ, Holman RR, Sherwin R, Zinman B. Management of hyperglycemia in type 2 diabetes: A consensus algorithm for the initiation and adjustment of therapy: A consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2006; 29(8):1963-1972.
Del Prato S, Penno G, Miccoli R. Changing the treatment paradigm for Type 2 diabetes. Diabetes Care. 2009; 32:217-222.
Boren SA. AADE7 self-care behaviors: Systematic reviews. The Diabetes Educator. 2007; 33(6):866-871.
Boren SA, Gunlock TL, Schaefer J, Albright A. Reducing risks in diabetes self-management: A systematic review of literature. The Diabetes Educator. 2007; 33(6): 1053-1077.
Kavookjian J, Elswick BM, Whetsel T. Interventions for being active among individuals with diabetes: A systematic review of the literature. The Diabetes Educator. 2007; 33: 962-988.
American Association of Diabetes Educators. Using the Behavior Score Dashboard from http://www.diabeteseducator.org, 2011.
Peyrot M, Peeples M, Tomky D, Charron-Prochownik D, Weaver T. Development of the American Association of Diabetes Educators’ Diabetes self-management assessment report tool. The Diabetes Educator. 2007; 33:818.
Bowling A. Research Methods in Health. In Investigating health and health services. Second edition. Buckingham: Open University Press, 2002.
Field AP. Discovering statistics using SPSS 2nd edition. London: Sage, 2005.
Baltazar JC, Ancheta AC, Aban IB. Prevalence and correlates of diabetes mellitus and impaired glucose tolerance among adults in Luzon, Philippines. Diabetes Research and Clinical Practice. 2004; 64:107-115.
Jimeno CA, Sobrepena LM, Mirasol RC. DiabCare 2008: Survey on glycaemic control and the status of diabetes care and complications among patients with type 2 diabetes mellitus in the Philippines. Philippine Journal of Internal Medicine. 2012; 50(1): 15-22.
Euala K, Schneiderman J (Novartis Pharmaceuticals Canada Inc.). Angus Reid Vision Critical poll. December 2011.
Povey RC, Clark-Carter D. Diabetes and healthy eating: A systematic review of literature. The Diabetes Educator. 2007; 33(6):931-959.
Perry TL, Mann JI, Lewis-Barned NJ, Duncan AW, Waldron MA, Thompson C. Lifestyle intervention in people with insulin-dependent diabetes mellitus (IDDM). European Journal of Clinical Nutrition. 1997; 51:757-763.
Boule N, Kenny G, Haddad E, Wells G, Sigal R. Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in type 2 diabetes mellitus. Diabetologia 2003; 46:1071-1081.
Boyle R, O’Connor P, Pronk N, Tan A. Stages of Change for physical activity, diet and smoking among HMO members with chronic conditions. American Journal of Health Promotion. 1998; 12(1):25-30.
Albright A, Franz M, Hornsby G. American College of Sports Medicine position stand: Exercise and type 2 Diabetes. Medicine & Science in Sports & Exercise. 2000; 32(7):1345-1360.
McAndrew L, Schneider SH, Burns E, Leventhal H. Does patient blood glucose monitoring improve diabetes control?: A systematic review of literature. The Diabetes Educator 2007; 33(6):991-1011.
Farmer AJ, Perera R, Ward A. Metaanalysis of individual patient data in randomized trials of self-monitoring of blood glucose in people with non-insulin treated type 2 diabetes. British Medical Journal. 2012; 344:e486.
Schwedes U, Siebolds M, Mertes G, Group SS. Meal-related structured self-monitoring of blood glucose: Effect on diabetes control in non-insulin-treated type 2 diabetic patients. Diabetes Care 2002; 25:1928-1932.
Mason BJ, Matsuyama JR, Jue SG. Assessment of sulfonylurea adherence and metabolic control. Diabetes Educator. 1995; 21:52–57.
Odegard PS, Capoccia K. Medication taking and diabetes: A systematic review of literature. The Diabetes Educator. 2007; 33(6):1014-1029.
Mulcahy K, Maryniuk M, Peeples M. Diabetes Self-management education core outcomes measures. Diabetes Education. 2003; 29:768-784.
Bonnet C, Gagnayre R, d’Ivernois JF. Learning difficulties of diabetic patients: A survey of educators. Patient Education and Counseling. 1998; 35:139-147.
Hill-Briggs F, Gemmell L. Problem Solving in Diabetes Self-management and Control: A systematic review of literature. The Diabetes Educator. 2007; 33(6):1032-1150.
Kent D, et al. Healthy coping: Issues and implications in diabetes education and care. Population Health Management. 2010; 13(5):227-233.
Beeney L, Bakry A, Dunn S. Patient psychological and information needs when the diagnosis is diabetes. Patient Education and Counseling. 1996; 29(1):109-116.
Rubin R. Adherence to pharmacologic therapy in patients with Type 2 diabetes mellitus. American Journal of Medicine. 2005; 18(suppl 5A):27S-34S.
Aguilar F. Filipinos in global migrations: At home in the world? Philippine Social Science Council. 2002.
Oka Y. Self-reliance in interdependent communities: Independent living of disabled persons in the Asia-Pacific region. http://www.independentliving.org/LibArt/oka.html. 1988Tables