Diabetes self-care activities and perception and glycemic control in adult Puerto Rican residents with Type 2 Diabetes: The LLIPDS Study

Author:

Llera-Fábregas Alejandro1ORCID,Pérez-Ríos Naydi2,Camacho-Monclova Dahianira M1,Ramirez-Vick Margarita3,Andriankaja Oelisoa M4

Affiliation:

1. Center for Clinical Research and Health Promotion, School of Dental Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico

2. Hispanic Alliance for Clinical and Translational Research, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico

3. Endocrinology Section, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico

4. Center for Oral Health Research, University of Kentucky College of Dentistry, Lexington, KY, USA

Abstract

Background: Individuals with diabetes frequently have comorbid health conditions and suffer longer term complications. The control of blood glucose relies on diabetes management/self-care behaviors. Poor glycemic control, commonly encountered in underserved populations with type 2 diabetes (T2D) often results from inadequate diabetes self-care activities and/or perception. We aimed to assess the association between diabetes self-care activities/perception and glycemic control in adult Puerto Rican residents with T2D. Design and methods: We used a cross-sectional study design; our sample population was 260 individuals aged 40–65 years with T2D. We asked participants about their diabetes self-care over 8 weeks. High fasting blood glucose (≥130 mg/dL) and glycated hemoglobin (HbA1c; ≥7%) measures were defined. We estimated the strength of the following associations using logistic regression: each of three self-care activities and fasting glucose or HbA1c, adjusting for confounders. Results: Nearly 27% of the participants reported not checking their glucose levels, 7% did not take their medications as prescribed and 31% perceived their diabetes self-care as poor. Participants with less education perceived their diabetes self-care as poor more often than their counterparts (44% vs 25%; p = 0.003). Most participants had high glycemic levels (60%) or hbA1c levels (65%). Participants who perceived their diabetes self-care as poor had higher HbA1c levels than their counterparts (adj. odds ratio: 2.14, 95% CI (1.13, 4.08)). Conclusion: Poor diabetes self-care perception, possibly related to less education, likely explains poor glycemic control among adult Puerto Rican residents with T2D.

Publisher

SAGE Publications

Reference41 articles.

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2. America Diabetes Association. Statistics about diabetes, https://www.diabetes.org/resources/statistics/statistics-about-diabetes (2020, accessed 2 November 2020).

3. Center for Disease Control and Prevention. National Diabetes Statistics Report 2020: estimates of diabetes and its burden in the United States, 2020.

4. Innovative Diabetes Interventions in the U.S. Hispanic Population

5. International Diabetes Federation. IDF SACA region, https://idf.org/our-network/regions-members/south-and-central-america/members/90-puerto-rico.html (accessed 29 October 2020).

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