Barriers to Diabetes Self-Management in a Subset of New Zealand Adults with Type 2 Diabetes and Poor Glycaemic Control

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Hindawi Limited
(c) 2021 The Author/s
CC BY 4.0
Background. Despite the fact that there is an increasingly effective armoury of medications to treat diabetes, many people continue to have substantially elevated blood glucose levels. The purpose of this study was to explore what the barriers to diabetes management are in a cohort of people with diabetes and poor glycaemic control. Methods. Qualitative semistructured interviews were carried out with 10 people with diabetes who had known diabetes and a recent HbA1c of >11.3% (100 mmol/mol) to explore their experiences of barriers to diabetes self-management and glycaemic control. Results. Barriers to diabetes management were based around two key themes: biopsychosocial factors and knowledge about diabetes. Specifically, financial concerns, social stigma, medication side effects, and cognitive impairment due to hyperglycaemia were commonly reported as barriers to medication use. Other barriers included a lack of knowledge about their own condition, poor relationships with healthcare professionals, and a lack of relevant resources to support diet and weight loss. Conclusion. People with diabetes with poor glycaemic control experience many of the same barriers as those reported elsewhere, but also experience issues specifically related to their severe hyperglycaemia. Management of diabetes could be improved via the increased use of patient education and availability of locally relevant resources.
Biomarkers, Blood Glucose, Diabetes Mellitus, Type 2, Diet, Healthy, Glycated Hemoglobin, Glycemic Control, Health Care Surveys, Health Knowledge, Attitudes, Practice, Humans, Hypoglycemic Agents, New Zealand, Patient Acceptance of Health Care, Patient Education as Topic, Risk Reduction Behavior, Self Care, Weight Loss
Chepulis L, Morison B, Cassim S, Norman K, Keenan R, Paul R, Lawrenson R. (2021). Barriers to Diabetes Self-Management in a Subset of New Zealand Adults with Type 2 Diabetes and Poor Glycaemic Control.. J Diabetes Res. 2021. (pp. 5531146-).