Self-management activities in diabetes care: a systematic review.

Conclusions The review suggests that the majority of people with diabetes self-manage, although there is variation in adherence to key self-management activities. How self-management practices change over time and whether this impacts on health outcomes is an area for future research. What is known about the topic? Self-management is key to diabetes control; however, many papers have described adherence as variable. Although there is a growing body of knowledge on adherence to self-management strategies, the question of whether self-management practices change over time has not been explored. What does this paper add? This review found that adherence to medication regimes was highest of all self-management strategies, whereas considerable variation exists for self-monitoring of blood glucose, dietary changes, physical activity and foot care. The findings suggest that adherence varies under special circumstances; however, the question of whether self-management practices change over time remains unanswered. What are the implications for practitioners? Continued efforts are necessary to promote awareness of the importance of diabetes self-management and adherence to regular self-care.
PMID: 24018058 [PubMed - in process]

Source: Australian Health Review - September 1, 2013 Category: Hospital Management Authors: Coyle ME, Francis K, Chapman Y Tags: Aust Health Rev Source Type: research