Glycemic control and association with diabetes-related distress, self-management behavior, financial toxicity, and cost-related non-adherence: a mixed-methods study - Report - MDSpire
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Glycemic control and association with diabetes-related distress, self-management behavior, financial toxicity, and cost-related non-adherence: a mixed-methods study
Clinical Report: Glycemic Management and Its Relationship with Diabetes-Related Distress
Overview
This study investigates the interplay between glycemic control, diabetes-related distress, self-care practices, and financial strain among patients with type 2 diabetes in Nigeria. Findings indicate that poor self-management and diabetes-related distress are significant predictors of poor glycemic control, highlighting the need for integrated care approaches.
Background
Diabetes mellitus poses a significant public health challenge, particularly in Nigeria, which has the highest diabetes burden in sub-Saharan Africa. The increasing prevalence of diabetes necessitates a comprehensive understanding of the psychosocial and financial factors influencing glycemic control. Poor glycemic management can lead to severe complications, underscoring the importance of addressing both emotional and behavioral determinants in diabetes care.
Data Highlights
Measure
Value
Mean HbA1c
7.04% (SD: 2.2)
HbA1c ≥7%
43% (n=152)
Diabetes-related distress
32%
Poor self-management
56%
Financial toxicity
54%
Cost-related non-adherence
48.3%
Key Findings
43% of participants had HbA1c levels ≥7%, indicating poor glycemic control.
32% of participants reported diabetes-related distress.
56% exhibited poor self-management practices.
Financial toxicity and cost-related non-adherence were prevalent but not significantly associated with glycemic control.
Younger age, multiple antidiabetic medications, and lack of access to an endocrinologist were linked to poor glycemic control.
Qualitative interviews revealed difficulties in adapting to lifestyle changes and medication non-adherence among those with poor glycemic control.
Clinical Implications
Healthcare providers should prioritize diabetes education that incorporates behavioral modification strategies and psychological support. Additionally, improving access to endocrinologists and addressing financial barriers are crucial for enhancing glycemic management in patients with diabetes.
Conclusion
The study underscores the critical role of self-management and emotional well-being in achieving glycemic control among diabetes patients. Integrated care approaches that address both psychological and financial factors are essential for improving outcomes.
