Natarajan Lakshmi, Ranjit Mohan Anjana, Hari Rakesh, Colin NA Palmer, Viswanathan Mohan, Rajendra Pradeepa
{"title":"Challenges and lessons learnt in the recruitment of rural residents for a diabetes screening program — the TREND project","authors":"Natarajan Lakshmi, Ranjit Mohan Anjana, Hari Rakesh, Colin NA Palmer, Viswanathan Mohan, Rajendra Pradeepa","doi":"10.1007/s13410-024-01342-4","DOIUrl":"https://doi.org/10.1007/s13410-024-01342-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>Conducting diabetes screening programs in rural areas represents unique challenges with respect to participation of the rural residents. This study focussed on understanding the real-life challenges encountered and lessons learnt in the recruitment of rural residents for a population-based cross-sectional study in Tamil Nadu, South India.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In-depth interviews (IDIs) were conducted among a multidisciplinary research team comprised of field investigators (<i>n</i> = 8), field technicians (<i>n</i> = 8), telemedicine technicians (<i>n</i> = 2), and site coordinator (<i>n</i> = 1) who worked in the TREND study (Telemedicine PRoject for screENing Diabetes and its complications in rural Tamil Nadu). The IDIs explored the real-life challenges and potential strategies used to facilitate a high response rate in the recruitment of rural participants through a semi-structured guide. IDIs are conducted for 35–40 min and recorded after obtaining consent from each staff. The recordings were then transcribed into text, coded, and analysed using thematic analysis through NVIVO software version 10.0.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A total of 10 IDIs were conducted. Seven major themes such as lack of awareness; transportation issues; stigma — fear of being diagnosed with diabetes; distrust on healthcare providers; cultural beliefs and practices; language barriers; and competing priorities were identified as the reasons for inactive participation. Building rapport and trust, patience and counselling skills aided the staff to handle non-respondents. Display of pamphlets in the public places, the village head’s support in campaigning, helped in the active participation of rural residents.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>By identifying and addressing barriers to participation, healthcare providers and community stakeholders can work together to improve the health of rural communities.</p>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"9 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140833222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prediction of type II diabetes mellitus based on demographic features by the use of machine learning classification algorithms — a study across Assam, India","authors":"Partha Pratim Sarkar, Snigdha Jyoti Das","doi":"10.1007/s13410-024-01334-4","DOIUrl":"https://doi.org/10.1007/s13410-024-01334-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>The incidence of type II diabetes mellitus (T2DM) has quadruplicated in the recent decades and Prevention of T2DM cases is possible by changing lifestyle practices. The process of diagnosis of diabetes is a tedious one. The advent and advancement in (AI) techniques presents a probable solution to this critical problem. </p><h3 data-test=\"abstract-sub-heading\">Objective</h3><p>The study aims to assess the diverse attributes of the test sample population across Assam and enhance the early prediction of Type II Diabetes Mellitus by employing artificial neural networks.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The aim of this study is to design a suitable AI model that prognosticates the likelihood of diabetes in individuals with maximum accuracy based on the levels of liver enzymes. This work also analyzes the effect of fast food intake, sleeping patterns, and consumption of alcohol on healthy controls and contemplates their susceptibility to contract T2DM.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The AI model accurately predicted T2DM likelihood and revealed significant links between unhealthy behaviors and increased T2DM risk among healthy individuals.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The study underscores lifestyle modifications for T2DM prevention, highlighting AI’s potential in diagnosis and the impact of unhealthy habits on T2DM susceptibility.</p>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"301 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140608735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing glycemic and weight-lowering potential of oral semaglutide in type 2 diabetes compared to other GLP-1 receptor agonists in Indian context","authors":"Awadhesh Kumar Singh, Rajeev Chawla","doi":"10.1007/s13410-024-01337-1","DOIUrl":"https://doi.org/10.1007/s13410-024-01337-1","url":null,"abstract":"","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"57 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140608738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashu Rastogi, Raveena Singh, Umanath Adhikari, Sudhir A. Kulkarni, Supreet K. Deshpande
{"title":"Effect of patient and wound characteristics on diabetic foot ulcer healing in phase 3 study of novel topical esmolol hydrochloride","authors":"Ashu Rastogi, Raveena Singh, Umanath Adhikari, Sudhir A. Kulkarni, Supreet K. Deshpande","doi":"10.1007/s13410-024-01336-2","DOIUrl":"https://doi.org/10.1007/s13410-024-01336-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Novel topical esmolol is shown to significantly improve wound healing than standard of care. Certain patient-related factors especially anemia and poor glycemic control may impede wound healing.</p><h3 data-test=\"abstract-sub-heading\">Objective</h3><p>To study whether novel topical esmolol may circumvent patient-related factors to improve wound healing in diabetic foot ulcer (DFU).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The present study is a double-blind, vehicle (placebo)-controlled, randomized clinical trial in subjects with non-infected DFU of University of Texas grade 1A and 1C. Participants were randomized to receive either topical esmolol gel (Galnobax) with standard of care (SoC), SoC only, and vehicle (Placebo) with SoC in 3:3:1 proportion. The hematologic and biochemistry parameters were evaluated at the screening visit and at every 4 weeks after randomization during treatment phase and at the end of the study (EOS). Outcome was the proportion of complete ulcer closure with reference to baseline hemoglobin, albumin, and HbA1c during the 12-week treatment phase.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A total of 176 subjects were included. Ninety-four out of 140 participants (67.1%) had anemia at baseline. Among anemic participants, 57.4% ulcers closed in the Galnobax group whereas 42.6% closed in the SoC only group during the 12-week treatment phase (<i>p</i> = 0.148, OR = 1.823, 95% CI = 0.80–4.13). One-third participants reported albumin < 4.0 g/dL. Among participants having albumin < 4.0 g/dL (one-third of participants), the proportion of ulcer closure was 60.9% in the Galnobax group compared to 42.1% in the SoC only group (<i>p</i> = 0.225, OR = 2.139, 95% CI = 0.62–7.37). The proportion of ulcer closure in Galnobax with the SoC group was higher (72.5%) compared to the SoC only group (43.5%) (<i>p</i> = 0.0067, OR = 3.427, 95% CI = 1.38–8.48) in participants with poor glycemic control (HbA1c > 8%).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Novel topical esmolol with SoC treatment exhibited significant DFU healing independent of patient-related factors including anemia, hypoalbuminemia, and poor glycemic control.</p>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"10 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140570430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ananyaa Dixit, Sumithra N. Unni, Sumitha Prabhu, Sajitha Krishnan PP, Greeshma C. Ravindran
{"title":"Role of serum pentraxin-3 levels in patients with and without diabetic nephropathy","authors":"Ananyaa Dixit, Sumithra N. Unni, Sumitha Prabhu, Sajitha Krishnan PP, Greeshma C. Ravindran","doi":"10.1007/s13410-024-01335-3","DOIUrl":"https://doi.org/10.1007/s13410-024-01335-3","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Several studies have reported that increased pentraxin-3 (PTX3) levels are associated with impaired renal function in chronic kidney disease (CKD). PTX3 levels increase progressively with diabetic nephropathy (DN) and may be a biomarker for early diagnosis of DN.</p><h3 data-test=\"abstract-sub-heading\">Objective</h3><p>The study evaluates serum PTX3 levels and their association with the development of DN. We also aim to find out whether serum PTX3 is a better marker than high-sensitive CRP (hs-CRP) for DN.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In this study, we evaluated serum PTX3 levels in 150 patients which were distributed into three groups that are 50 patients with DN, 50 patients with diabetes mellitus (DM) without DN and 50 controls (not any evidence of DM). DN patients were subdivided: 32 patients with microalbuminuria and 18 patients with macroalbuminuria. Serum PTX3 levels were evaluated using an enzyme-linked immunosorbent assay (ELISA) kit.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>DN group patients had a higher value of PTX3 (<i>p</i> < 0.001) as compared to DM without DN and control groups. hs-CRP levels were higher in DM without DN patients compared to DN patients and controls. PTX3 (<i>p</i> = 0.33) and hs-CRP (<i>p</i> = 0.10) levels among microalbuminuria and macroalbuminuria patients were statistically not significant.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>This study concludes that serum PTX3 can be used as a diagnostic marker for DN before the development of apparent chronic kidney disease and PTX3 was found to be a better marker than hs-CRP for diagnosing DN.</p>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"32 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unveiling the link between lifestyle risk factors and diabetic retinopathy","authors":"","doi":"10.1007/s13410-024-01332-6","DOIUrl":"https://doi.org/10.1007/s13410-024-01332-6","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Introduction</h3> <p>Diabetic retinopathy (DR) is recognized as a significant complication of diabetes and continues to be a prominent contributor to global blindness. Epidemiological investigations have pinpointed various lifestyle risk factors accountable for the onset and progression of DR. However, pinpointing the most influential factors is challenging due to variability in ethnic background, study design, and sample size in previous research.</p> </span> <span> <h3>Methodology</h3> <p>In the present study, a systematic and comprehensive review was conducted to identify significant factors contributing to DR development. Following the PRISMA guidelines, 322 articles were screened, and six articles discussing various lifestyle factors were included.</p> </span> <span> <h3>Result</h3> <p>Elevated blood sugar levels (hyperglycemia), abnormal lipid profiles (dyslipidemia), high blood pressure (hypertension), and the duration of diabetes have been identified as the predominant lifestyle risk factors associated with the development and progression of DR. Furthermore, male gender was also linked to the occurrence of DR.</p> </span> <span> <h3>Conclusion</h3> <p>While gender is beyond control, the other identified factors associated with DR can be managed through improved eating habits and regular exercise. Future investigations should prioritize exploring the collective influence of these factors on the development and progression of DR.</p> </span>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"25 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140570020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal and neonatal outcomes of deliveries at 39 weeks compared to deliveries at 40 weeks in pregnant women with diet controlled gestational diabetes mellitus","authors":"","doi":"10.1007/s13410-024-01333-5","DOIUrl":"https://doi.org/10.1007/s13410-024-01333-5","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Objective</h3> <p>Current guidelines do not provide convincing conclusions for the ideal time of delivery in women with diet-controlled gestational diabetes mellitus (GDM). We aim to compare maternal and neonatal outcomes of deliveries at 39 weeks compared to deliveries at 40 weeks in pregnant women with diet-controlled gestational diabetes mellitus.</p> </span> <span> <h3>Methods</h3> <p>This prospective observational cohort study included 219 pregnant women with diet-controlled gestational diabetes who delivered at 39 weeks (106 patients) or 40 weeks (113 patients) in our center from January 2017 to January 2018. Maternal and neonatal characteristics and outcomes were collected and compared between these two groups based on gestational age.</p> </span> <span> <h3>Results</h3> <p>There was no statistically significant difference between these two groups in delivery mode (<em>p</em> = 0.581), macrosomia (6.6% vs. 10.6%, <em>p</em> = 1). The rate of postpartum hemorrhage, uterine atony, and perineal laceration (3rd and 4th grades) of the study groups was not significantly different. Considering neonatal outcomes, there were no significant differences in the incidence of intrauterine growth restriction, low Apgar score, neonatal intensive care unit admission, and thick meconium between two groups (<em>p</em> > 0.05). The incidence of shoulder dystocia and preeclampsia in women who delivered at 40 weeks was slightly higher than in women who delivered at 39 weeks (0% vs. 3.5% (<em>p</em> = 0.122) and 2.8% vs. 9.7% (<em>p</em> = 0.051), respectively). Neither of these differences was statistically significant.</p> </span> <span> <h3>Conclusion</h3> <p>There were no statistically significant differences in maternal and neonatal adverse outcomes in women with diet-controlled gestational diabetes who delivered at 39 weeks compared to women who delivered at 40 weeks. However, the observed higher rate of shoulder dystocia and preeclampsia among women who delivered at 40 weeks might need to be investigated further in larger studies while it might indicate the need for iatrogenic intervention at 39 weeks.</p> </span>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"63 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140593827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Classification of diabetic retinopathy severity level using deep learning","authors":"Santhi Durairaj, Parvathi Subramanian, Carmel Sobia Micheal Swamy","doi":"10.1007/s13410-024-01329-1","DOIUrl":"https://doi.org/10.1007/s13410-024-01329-1","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Diabetic retinopathy (DR) is an eye disease developed due to long-term diabetes mellitus, which affects retinal damage. The treatment at the right time supports people in retaining vision, and the early detection of DR is the only solution to prevent blindness.</p><h3 data-test=\"abstract-sub-heading\">Objective</h3><p>The development of DR shows few symptoms in the early stage of progression; it is difficult to identify the disease to give treatment from the beginning. Manual diagnosis of DR on fundus images is time-consuming, costly, and liable to be misdiagnosed when compared to computer-aided diagnosis systems.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In this work, we proposed a deep convolutional neural network for the recognition and classification of diabetic retinopathy lesions to identify the severity of the disease. The performance evaluation of the proposed model was tested with other machine learning classifiers such as K-nearest neighbor (KNN), Naïve Bayes (NB), logistic regression (LR), support vector machine (SVM), decision tree (DT), and random forest (RF).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Our proposed model achieves 98.5% accuracy for the recognition and classification of the severity level of DR stages such as no DR, mild DR, moderate DR, severe DR, and proliferative DR.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The training and testing of our model are carried out on images from the Kaggle APTOS dataset, and this work can act as a base for the autonomous screening of DR.</p>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"33 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140312031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of life assessment and therapeutic adherence in Mexican patients with type 2 diabetes","authors":"","doi":"10.1007/s13410-024-01331-7","DOIUrl":"https://doi.org/10.1007/s13410-024-01331-7","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background</h3> <p>Patients with diabetes mellitus experience physical health needs, but also psychological health needs, as some studies have suggested that addressing the psychological variables associated with diabetes mellitus may improve the biochemical parameters of the disease.</p> </span> <span> <h3>Objectives</h3> <p>To assess the quality of life (QoL) and therapeutic adherence (TA) in Mexican patients with controlled and uncontrolled type 2 diabetes mellitus (T2DM), as well as related QoL sociodemographic and clinical variables.</p> </span> <span> <h3>Methods</h3> <p>201 people with T2DM answered a battery of psychological tests to assess TA (<em>Therapeutic Adherence Survey</em> or TAS-15), QoL (WHOQOL-BREF-16) and disease-related quality of life (DRQoL-27), aside from an expressly designed questionnaire that gathered sociodemographic data and took information from medical records into consideration. The average age of the participants was 65.12 ± 11.617 years and 57.2% were female, who have suffered from diabetes for 13.4 years on average ± 8.088 and an average 158.84 mg/dL ± 61.913 fasting plasma glucose.</p> </span> <span> <h3>Results</h3> <p>The correlation analyses revealed that a higher perception of QoL, the lower the perception that having diabetes affected QoL (p<0.01); the higher the TA, the lower the QoL (p<0.01); and the higher the TA, the lower the perception that having diabetes affected QoL (p<0.01). The participants with an uncontrolled T2DM exhibited a better QoL than those that manage their glucose levels (<em>p</em> = 0.015). The participants’ level of education had a positive effect on QoL (<em>β</em> = 0.163, IC 95%: 0.429─3.415, <em>p</em> = 0.012), whereas the DRQoL had a negative effect (<em>β</em> = -0.546, IC 95%: -0.127─-0.080, <em>p</em> = 0.001).</p> </span> <span> <h3>Conclusions</h3> <p>If the TA of patients with T2DM increases, the overall QoL as well as the DRQoL will improve. Hence, these variables must be considered as therapeutic targets in clinical practice.</p> </span>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"69 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140312010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dona Sumi Sunny, Arathi U Shetty, Pooja Arvind Oswal, Surya Suresh, Anushree Deshpande
{"title":"Knowledge assessment of self-care activities of diabetes mellitus in a tertiary care hospital","authors":"Dona Sumi Sunny, Arathi U Shetty, Pooja Arvind Oswal, Surya Suresh, Anushree Deshpande","doi":"10.1007/s13410-024-01330-8","DOIUrl":"https://doi.org/10.1007/s13410-024-01330-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Diabetes self-care has been described as an evolutionary, sustainable process of knowledge development in chronic medical conditions. It has been discovered that there is a positive correlation between glycemic control and improvement in quality of life.</p><h3 data-test=\"abstract-sub-heading\">Objective</h3><p>This study aims to evaluate the knowledge of self-care activities in type 2 diabetes mellitus(T2DM) and the effect of pharmacist-led intervention in glycemic control using Diabetes Self-Care Management Questionnaire-Revised (DSMQ-R).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The interventional study was conducted among diabetics in a tertiary care hospital for over 6 months. Baseline and follow-up data were analysed using <i>t</i>-tests and linear regression to assess changes in knowledge and their relationship with fasting blood sugar (FBS).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>This study recruited 179 participants, predominantly in the 56–65 age group and mostly male (53%). Importantly 85% with prior T2DM diagnoses, addressing a specific population. The study successfully investigated the link between self-care knowledge and blood sugar control in T2DM patients. While the initial correlation between questionnaire data and fasting blood sugar was moderate (<i>r</i> = 0.027, <i>p</i> = 0.358), a meaningful 30.46% improvement in participants’ knowledge was observed (<i>p</i> < 0.05). Notably, half achieved good glycemic control, highlighting the positive impact of education on self-care practices. This confirms the potential of such interventions to empower individuals with T2DM management tools.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>By demonstrating a significant improvement in knowledge and observing good glycemic control in a substantial portion of participants, the study highlights its potential to empower individuals with T2DM.</p>","PeriodicalId":50328,"journal":{"name":"International Journal of Diabetes in Developing Countries","volume":"9 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140204503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}