Evidence map›Paper›PMID 34136579›Full record

ArticleJournal of diabetes research2021

Barriers to Diabetes Self-Management in a Subset of New Zealand Adults with Type 2 Diabetes and Poor Glycaemic Control.

Lynne Chepulis, Brittany Morison, Shemana Cassim, Kimberley Norman, Rawiri Keenan, Ryan Paul, Ross Lawrenson

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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  5. Diabetes knowledge levels among patients in Mhlontlo, South Africa: A quantitative study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Lynne ChepulisMedical Research Centre, University of Waikato, Hamilton, New Zealand.ORCID https://orcid.org/0000-0002-9661-4669
Brittany MorisonMedical Research Centre, University of Waikato, Hamilton, New Zealand.
Shemana CassimMedical Research Centre, University of Waikato, Hamilton, New Zealand.ORCID https://orcid.org/0000-0001-7027-3467
Kimberley NormanMedical Research Centre, University of Waikato, Hamilton, New Zealand.
Rawiri KeenanMedical Research Centre, University of Waikato, Hamilton, New Zealand.
Ryan PaulMedical Research Centre, University of Waikato, Hamilton, New Zealand.
Ross LawrensonMedical Research Centre, University of Waikato, Hamilton, New Zealand.
University of Waikato · NZWaikato District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the fact that there is an increasingly effective armoury of medications to treat diabetes, many people continue to have substantially elevated blood glucose levels. The purpose of this study was to explore what the barriers to diabetes management are in a cohort of people with diabetes and poor glycaemic control.

methodsQualitative semistructured interviews were carried out with 10 people with diabetes who had known diabetes and a recent HbA1c of >11.3% (100 mmol/mol) to explore their experiences of barriers to diabetes self-management and glycaemic control.

resultsBarriers to diabetes management were based around two key themes: biopsychosocial factors and knowledge about diabetes. Specifically, financial concerns, social stigma, medication side effects, and cognitive impairment due to hyperglycaemia were commonly reported as barriers to medication use. Other barriers included a lack of knowledge about their own condition, poor relationships with healthcare professionals, and a lack of relevant resources to support diet and weight loss.

conclusionPeople with diabetes with poor glycaemic control experience many of the same barriers as those reported elsewhere, but also experience issues specifically related to their severe hyperglycaemia. Management of diabetes could be improved via the increased use of patient education and availability of locally relevant resources.

Indexed as

Glycemic ControlPatient Education as TopicRisk Reduction BehaviorSelf CareBiomarkersBlood GlucoseDiabetes Mellitus, Type 2Diet, HealthyGlycated HemoglobinHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansHypoglycemic AgentsNew ZealandPatient Acceptance of Health CareWeight LossBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agents

Identifiers

PMID34136579
PMCPMC8177985
OpenAlexW3166578319

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.