Evidence map›Paper›PMID 42820062›Full record

ArticlePatient preference and adherence2026

Adherence to Diabetes Self-Care Practices Across Demographic and Clinical Characteristics Among Patients with Type 2 Diabetes.

Tina Tavakol, Rezvan Chaharlang, Maryam Zahedi, Mariyeh Najafi, Omid Nikpayam

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Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tina TavakolDepartment of Internal Medicine, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
Rezvan ChaharlangDepartment of Clinical Nutrition and Dietetics, Student Research Committee, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maryam ZahediDepartment of Internal Medicine, Faculty of Medicine, Sayyad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Mariyeh NajafiNutrition Unit, Gorgan Health Center, Vice-Chancellor for Health, Golestan University of Medical Sciences, Gorgan, Iran.
Omid NikpayamDepartment of Nutrition, Metabolic Disorders Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran.ORCID 0000-0002-6301-1597

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to examine the level of adherence to self-care behaviors across socio-demographic and clinical characteristics in patients with type 2 diabetes mellitus (T2DM). Methods: A total of 270 patients with diabetes who were referred to two medical centers in Gorgan, Iran, participated in this cross-sectional study. We assessed adherence using a reliable questionnaire, the Summary of Diabetes Self-Care Activities (SDSCA). The anthropometric measurements and blood pressure were assessed based on a standard protocol. The biochemical variables were gathered based on the medical documents of the centers. To compare adherence scores across clinical and demographic variables, independent Results: The mean age of participants was 57.16 ± 9.20 years, and nearly 66% of patients were female. The mean SDSCA score was 3.50 ± 0.87. Regarding self-care domains, the highest adherence scores were observed for medication use (6.07 ± 1.42) and foot care (6.05 ± 1.50), while blood glucose monitoring (2.16 ± 1.89) yielded the lowest score. A significant difference was observed between adherence scores and better glycemic control (P<0.001) and a more favorable lipid profile (P=0.001). No significant difference was observed between factors such as age, gender, duration of diabetes, BMI, and type of medication used with total score adherence. Conclusion: Overall adherence to self-care practices among T2DM patients was suboptimal. Moreover, higher adherence to self-care behaviors is associated with a better metabolic situation. Targeted educational and awareness programs are recommended to enhance self-care behaviors and optimize metabolic outcomes in this population.

Indexed as

blood glucosediabetes mellitusSDSCAself-care

Identifiers

PMID42820062
PMCPMC13625976

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