Relationship between Self Care Management with Glycemic Control in Type 2 Diabetic Patients

Mozhgan Modarresi, Somaye Gholami, Parnian Habibi, Akram Ghadiri- Anari


Background: The purpose of this study was to investigate the relationship between self‑care
management and HbA1c level of the patients with type 2 diabetes in YAZD.

Methods: This study was a cross‑sectional study. The number of 376 diabetic patients referred to the Diabetes Research
Center in Yazd entered the study. The data collection tool was a summary of Diabetes Self Care
Activity questionnaire (SDSCA), which was collected through interviews with patients. Data
analysis was performed using SPSS software V 16 and kruskalwallis and independent sample t tests.

Results: The results showed that of 376 patients, 218 (%58) were women and 158 (%42) were male.
The mean age of the participants in the study was 54.5 ± 10.9 years old and the mean duration
of the disease was 9.53 ± 8.39 years. The mean HbA1C in the patients was 7.93% ± 1.38%. The
mean of BMI was 28.93 ± 6 kg/ m2. The mean of self‑care score in the patients under study was
30.53 ± 11.4. There was a significant relationship between the mean of self‑care score, BMI, age and
HbA1C (P value <0.05).

Conclusions: According to the results of the study, it can be concluded
that the level of self‑care in patients with controlled diabetes mellitus (HbA1C <7%) is more than
patients with uncontrolled diabetes mellitus (HbA1c ≥9%).


Diabetes mellitus; diabetes self‑care activity questionnaire; HbA1C

Full Text:



World Health Organization. Definition, Diagnosis and

Classification of Diabetes Mellitus and Its Complications: Report

of a WHO Consultation. Part 1, Diagnosis and Classification of

Diabetes Mellitus. Geneva: World Health Organization; 1999.

Zucchi P, Ferrari P, Spina ML. Diabetic foot: From diagnosis to

therapy. GItal Nefrol 2005;22(Suppl 31):S20‑2.

American Diabetes Association. Implications of the

United Kingdom Prospective Diabetes Study. Diabetes Care

;27(Suppl 1):28‑32.

World health organization: Diabetes – Factsheet. 2012. Available


html. [Last accessed on 2019 Oct 09].

UKPDS: Intensive blood‑glucose control with sulphonylureas

or insulin compared with conventional treatment and risk of

complications in patients with type 2 diabetes (UKPDS 33).

Lancet 1998;352:837‑53.

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of

self‑care in management of diabetes mellitus. J Diabetes

Metab Disord 2013;12:14.

Askari A, Jeihooni AK, Kashfi SM, Marzban A, Khiyali Z. The

effect of educational program based on belief, attitude, subjective

norm, and enabling factors model on changing the metabolic

indices in elderly patients with type II diabetes. Int J Prev Med


Sigurðardóttir ÁK. Self‑care in diabetes: Model of factors

affecting self‑care. J Clin Nurs 2005;14:301‑14.

Bonner T, Foster M, Spears‑Lanoix E. Type 2 diabetes‑related

foot care knowledge and foot self‑care practice interventions in

the United States: A systematic review of the literature. Diabet

Foot Ankle 2016;7:29758.

Kusniyah Y, Nursiswati RU. Hubungan Tingkat Self Care

Dengan Tingkat HbA1C PadaKlien Diabetes MelitusTipe 2 di

PoliklinikEndokrin RSUP DR. HasanSadikin Bandung. Bandung:

UniversitasPadjadjaran; 2016.

American Association of Diabetes Educators. AADE7 Self‑Care

Behaviors. Diabetes Educ 2008;34:445‑9.

American Diabetes Association. Standards of medical care in

diabetes‑2009. Diabetes Care 2009;32(Suppl 1):S13‑61.

Odegard PS, Capoccia K. Medication taking and diabetes:

A systematic review of the literature. Diabetes Educ


Lotfi MH, Saadati H, Afzali M. Prevalence of diabetes in people

aged ≥30 years: The results of screening program of Yazd

Province, Iran, in 2012. J Res Health Sci 2013;14:88‑92.

Nikoogoftar M, Eshaghi F. Prediction of self‑care behaviors of

patients with diabetes based on attachment styles and health

control center: Moderator role of gender. Health Psychol

;1:84‑96. [Persian]

Toobert DJ, Hampson SE, Glasgow RE. The summary of

diabetes self‑care activities measure: Results from 7 studies and

a revised scale. Diabetes Care 2000;23:943‑50.

Ayele K, Tesfa B, Abebe L, Tilahun T, Girma E. Self care

behavior among patients with diabetes in Harari, Eastern Ethiopia:

The health belief model perspective. PloS One 2012;7:e35515.

Amelia R, Damanik HA, Lindarto D, Mutiara E. The correlation

between self care behavior and the level of Hba1c of the patients

with diabetes mellitus type 2 in Binjai City, Sumatera Utara

Province. doi: 10.2991/phico‑16.2017.39.

GB M, Premkumar J. Self efficacy and self care behaviour

among patients with type 2 diabetes mellitus. Int J Sci Res


Farahani MF, Purfarzad Z, Ghorbani M, Zare ZG, Ghorbani F.

The impact of multimedia software support on the knowledge

and SelfCare behaviors of patients with type 2 diabetes:

A randomized clinical trial. J Caring Sci 2016;5:111‑20.

Shayeghian Z, Aguilar‑Vafaie M, Besharat MA, Parvin M,

RoohiGilani K. The association between self‑care and

control of blood sugar and health‑related quality of life

in type II diabetic patients. Iranian J Endocrinol Metabol


Sharoni SA, Shdaifat EA, Majid HM, Shohor NA, Ahmad F,

Zakaria Z. Social support and self‑care activities among the

elderly patients with diabetes in Kelantan. Malay Fam Physician


von Arx LB, Gydesen H, Skovlund S. Treatment beliefs, health

behaviors and their association with treatment outcome in type 2

diabetes. BMJ Open Diabetes Res Care 2016;4:e000166.

Rusdiana MS, Amelia R. The effect of diabetes self‑management

education on Hba1c level and fasting blood sugar in type 2

diabetes mellitus patients in primary health care in Binjai City

of North Sumatera, Indonesia. Open Access Maced J Med Sci


Baghaei P, Zandi M, Vares Z, MasoudiAlavi N,

Adib‑Hajbaghery M. Self care situation in diabetic patients

referring to Kashan Diabetes Center, in 2005. Feyz


Emami S, Saraf‑Bank S, Rouhani MH, Azadbakht L. Diet quality

and total daily price of foods consumed among Iranian diabetic

patients. Int J Prev Med 2019;10:50.