Lifestyle Management: Differences in Knowledge, Physical Activity and Diet Compliance with Diabetes Self-Management Education (DSME) Principles

Abstract

: Lifestyle Management is the foundation for diabetes care including DSME, Medical Nutrition Therapy (MNT), physical activity, smoking cessation counseling, and psychosocial care. DSME facilitates increasing the knowledge and skills of people with diabetes to be able to manage diabetes care independently. This study is to analyze differences in knowledge, physical activity, and dietary compliance with the provision of Diabetes Self-Management Education (DSME). A pre-experimental study with one group pretest-posttest design was conducted on 23 patients with type 2 DM, was carried out at a special DM clinic at Fatmawati Hospital, Jakarta. Subjects were selected by consecutive sampling and received an education with the DSME method 6 times for 6 weeks. Data were analyzed by paired t-test to determine the difference between the mean of variables. There were significant differences before and after the DSME intervention in knowledge (p =0.000), physical activity (p= 0.001) , and diet compliance (0.000). This study showed that there was a significant increase in outcome data of patients who have been given the intervention of the Diabetes Educator team. To increase access to DSME for patients, family support and motivation from the Diabetes Educator team are needed.