TITLE:
Associations between Diabetes Self-Management and Microvascular Complications among Patients Living in Rural Areas, in Kenya
AUTHORS:
Rachael Ireri, Gideon Kikuvi, Susan Mambo, Betsy C. Rono Cheriro
KEYWORDS:
Self-Management Activities, Diabetes, Microvascular Complications, Summary of Diabetes Self-Care Activities
JOURNAL NAME:
Open Journal of Epidemiology,
Vol.15 No.1,
February
8,
2025
ABSTRACT: Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cross-sectional study was conducted at the outpatient department of a county referral hospital in Kenya, from 1st August 2022 to 30th October 2022. Patients with known type II diabetes of age ≥ 20 years visiting the hospital for routine follow-up visits were included. A 7-tem Summary of Diabetes Self-care Activities (SDSAC) Questionnaire was used to assess Diabetes self-care activities. For data entry and statistical analysis, SPSS for Windows version 27.0 was used. There were 96 (39.2%) males and 149 (60.8%) females. Most of the participants were more than 61 years, 148 (60.4%). Significant association was found between the sum scale scores of dietary activities, blood glucose testing, physical activity, foot care, and neuropathy at 95% CI and (p Conclusions: Diabetes self-management activities have an impact on microvascular complications in patients with diabetes.