The science of diabetes self-management and care最新文献

{"title":"Effects of Structured Physical Exercise Program and Medication on Glycemic Control in Type 2 Diabetes Mellitus in Bangladesh: A Randomized Controlled Trial.","authors":"Suraiya Yesmin Sharna, Kazi Md Azman Hossain, Md Feroz Kabir, Md Zahid Hossain, Sharmila Jahan, Ehsanur Rahman, Kazi Md Amran Hossain","doi":"10.1177/26350106261422666","DOIUrl":"10.1177/26350106261422666","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to investigate the effects of a 6-week physiotherapist-led structured physical exercise program (SPEP) alongside routine medication on glycemic control, physical fitness, and quality of life in adults with type 2 diabetes mellitus (T2DM) in Bangladesh.</p><p><strong>Methods: </strong>Ninety adults with T2DM for over 3 years were randomly assigned to an experimental (n = 45) or control group (n = 45). The experimental group performed 3 supervised SPEP sessions per week plus prescribed medication, and the control group continued routine medication with lifestyle guidance for 6 weeks. Glycemic control, assessed by capillary blood glucose (CBG), was the primary outcome. Secondary outcomes included physical fitness 6-minute walk test (6MWT), and quality of life (Short Form-36 [SF-36]). Assessments were conducted at baseline and postintervention by blinded assessors, and data were analyzed using the intention-to-treat principle.</p><p><strong>Results: </strong>Baseline characteristics were comparable. Both groups improved across outcomes, with greater gains in the experimental group, including reductions in CBG, increased 6MWT distance, and higher SF-36 scores. Adherence was high, and no serious adverse events occurred.</p><p><strong>Conclusions: </strong>Six weeks of physiotherapist-led SPEP added to routine medication improved glycemic control, physical fitness, and quality of life in adults with T2DM. These findings support the feasibility and short-term efficacy of structured exercise in this population. Future studies should assess long-term sustainability and metabolic benefits.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"138-149"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Work of Faith Care: An Interpretive Phenomenological Analysis on the Role of Spirituality and Religion in Diabetes Self-Management Among Black Older Adults in the Greater Toronto Area.","authors":"Kristina M Kokorelias, Chukwuebuka Prince Onyekere, Hardeep Singh, Sarah E P Munce, Sachindri Wijekoon, Michael E Kalu, Maurita T Harris","doi":"10.1177/26350106261422687","DOIUrl":"10.1177/26350106261422687","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to explore how faith and spirituality influence diabetes self-management among older Black adults with type 2 diabetes.</p><p><strong>Methods: </strong>The researchers conducted in-depth interviews with 21 older Black adults (ages 55+) living with type 2 diabetes or prediabetes in the Greater Toronto Area. Guided by Van Manen's interpretive phenomenology and analyzed thematically using NVivo, the researchers examined lived experiences through 4 lifeworld themes: corporeality, spatiality, relationality, and temporality.</p><p><strong>Results: </strong>Four themes emerged: faith as inner strength (spiritual resilience), sanctuaries of the soul (sacred spaces for healing), guided by faith (faith in relationships and community), and faith through time (spiritual continuity and hope). Faith helped participants manage stress, regulate emotions, sustain self-care, and strengthen social and familial bonds while providing hope across the course of illness.</p><p><strong>Conclusion: </strong>Spirituality serves as a multidimensional resource in culturally responsive, person-centered diabetes care. Integrating faith-based perspectives into interventions can foster more holistic, contextually grounded approaches that enhance well-being and long-term adherence to self-management.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"113-123"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Effects of Diabetes-Specific and Overall Medication Regimen Complexity on Diabetes Distress.","authors":"Kaye Min Teo, Ryan J Shaw, Anastasia-Stefania Alexopoulos, Gina Pennington, Daniel Hatch, Qing Yang, Matthew J Crowley","doi":"10.1177/26350106261422676","DOIUrl":"10.1177/26350106261422676","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the association between diabetes-specific and overall medication regimen complexity and diabetes distress among adults with type 2 diabetes.</p><p><strong>Methods: </strong>This study examined data from 220 patients with type 2 diabetes and hypertension and persistently elevated A1C, who were recruited for a remote monitoring-enabled telehealth trial (Clinicaltrials.gov NCT05120544). Chart review was performed to obtain prescription data to determine medication regimen complexity using the validated medication regimen complexity index. Multiple regression models were used to investigate the link between regimen complexity and Diabetes Distress Scale and subscale scores, adjusting for sociodemographic variables and comorbidities.</p><p><strong>Results: </strong>Study sample was 64% women, 68% Black, with a mean age of 54.5. The mean A1C was 9.8% (84 mmol/mol), and 63% reported moderate to high distress. The study population was prescribed a mean of 2.9 diabetes medications and 11.5 overall long-term medications. The mean diabetes-specific and overall Medication Regimen Complexity Index were 11.5 and 30.2, respectively. No statistically significant associations between diabetes-specific or overall medication regimen complexity and diabetes distress were identified. Overall medication regimen complexity was negatively associated with regimen-related diabetes distress. Medication regimen complexity did not significantly impact the association between diabetes distress and A1C.</p><p><strong>Conclusions: </strong>Participants with high overall medication regimen complexity had lower regimen-related diabetes distress. Further studies are needed to evaluate associations between medication regimen complexity and diabetes distress while ensuring sufficient statistical power.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"162-173"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Feasibility of an Integrative Online Tai Chi Easy Intervention Plus a Diabetes Self-Management Education and Support Program.","authors":"Ruth E Taylor-Piliae, Meghan B Skiba, Carlie M Felion, Elise Dando, Shravan Aras, Chiu-Hsieh Paul Hsu, Julio Loya","doi":"10.1177/26350106261426277","DOIUrl":"10.1177/26350106261426277","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the acceptability, appropriateness, and feasibility of adding a Tai Chi Easy (TCE) intervention to an asynchronously delivered online diabetes self-management education and support (DSMES) program for working adults ages 40 to 64 years old diagnosed with type 2 diabetes mellitus (T2DM).</p><p><strong>Methods: </strong>Participants attended the online intervention after providing informed consent. Recorded videos (45-minutes DSMES and 45-minutes TCE) were sent to participants via Research Electronic Data Capture twice weekly for 6 weeks. DSMES+TCE intervention acceptability, appropriateness, and feasibility was assessed postintervention using a validated tool. Using validated self-report measures and finger-worn sensors, physical health was assessed preintervention, and psychological health and health behaviors were assessed preintervention and postintervention.</p><p><strong>Results: </strong>Twenty-eight participants (mean age = 51, 68% females) completed the study. Participants mainly used diet and exercise (71%) and oral medication (75%) to treat their T2DM but had elevated A1C levels (6.74 ± 1.16) preintervention. Participants reported 89% acceptability, 85% appropriateness, and 100% feasibility of the online DSMES+TCE intervention. Compared to preintervention, there was a reduction in diabetes-related distress, depression, stressful life events, and perceived stress and greater diabetes quality of life postintervention. In addition, they increased their daily total fruit and vegetable intake, reduced added sugar intake, and increased daily sleep duration postintervention compared to preintervention.</p><p><strong>Conclusion: </strong>The addition of TCE to the standardized DSMES curriculum was found to be acceptable, appropriate, and feasible as a remotely delivered asynchronous online intervention for working adults ages 40 to 64 years with T2DM.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"124-137"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Management Experiences of Adolescents With Diabetes Mellitus After Participating in a Structured Diabetes Education Program: A Qualitative Systematic Review and Thematic Synthesis.","authors":"Paniarepa Saard, Albert Farre, Jan R Boehnke, Cari Malcolm","doi":"10.1177/26350106261422691","DOIUrl":"10.1177/26350106261422691","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this review was to systematically identify, explore, and synthesize findings from primary qualitative studies on adolescents' self-management experiences with type 1 diabetes (T1DM) and type 2 diabetes (T2DM) following participation in a structured diabetes education program.</p><p><strong>Methods: </strong>Systematic searches were conducted in CINAHL, MEDLINE, and PsycINFO without restrictions on publication dates or language. Any qualitative or mixed-methods studies reporting the self-management experience and/or perspectives of adolescents ages 10 to 24 with either T1DM or T2DM following participation in a structured diabetes education program were included. Tools from the Clinical Appraisal Skills Program were used to evaluate study quality, and thematic synthesis was employed to analyze the qualitative data.</p><p><strong>Results: </strong>Four studies focused on adolescents with T1DM were included, with no studies found addressing the experiences of adolescents with T2DM. Thematic synthesis revealed 6 analytical themes. Three themes related to experiences of T1DM self-management: (1) self-confidence in diabetes self-management, (2) improving diabetes self-management practice, and (3) coping with diabetes; three further themes related to the barriers and facilitators to T1DM self-management: (1) parents' attitude and understanding of the condition, (2) peer support, and (3) communication with health care providers.</p><p><strong>Conclusion: </strong>Several factors were identified as valuable in helping adolescents with T1DM improve self-management adherence. However, evidence on self-management experiences after participating in a structured diabetes education program for adolescents with T2DM remains limited. There is urgent need for future research to find the best ways to support and empower young people in self-managing their diabetes through tailored education.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"174-189"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconsidering Intermittent CGM Use in Type 2 Diabetes: A View From Meta-Analytic Evidence.","authors":"Abhijit Pratap, Pradnya Phalak, Anjali Garg","doi":"10.1177/26350106251397922","DOIUrl":"10.1177/26350106251397922","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"10-11"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Divide and Diabetes Self-Management Education and Support Among Medicare Beneficiaries.","authors":"Boon Peng Ng, Jacqueline B LaManna, Michael T Hsieh, Georgianne Tiu Hawkins, Chanhyun Park","doi":"10.1177/26350106251401498","DOIUrl":"10.1177/26350106251401498","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to determine whether sociodemographic characteristics were associated with access to digital resources among Medicare beneficiaries ages ≥65 years with reported diabetes and no prior diabetes self-management training (DSMT).</p><p><strong>Methods: </strong>The 2022 nationally representative Medicare Current Beneficiary Survey was analyzed. A 3-level categorical dependent variable was created (n = 1783): (1) has a computer/laptop/tablet and internet access, (2) has a computer/laptop/tablet or internet access, and (3) has no access to either (reference group). A survey-weighted multinomial logit model was conducted to examine associations between sociodemographics and the dependent variable.</p><p><strong>Results: </strong>Among study beneficiaries, 15.7% had no computer/laptop/tablet and no internet access, 15.8% had a computer/laptop/tablet or internet access, and 68.5% had a computer/laptop/tablet and internet access. Hispanic, non-Hispanic Black (NHB), and other minority beneficiaries were less likely than non-Hispanic White beneficiaries to have a computer/laptop/tablet and internet access (for NHB, odds ratio [OR] = 0.40, 95% CI, 0.23-0.71). Beneficiaries with less than high school (HS) or HS education were less likely to have a computer/laptop/tablet and internet access (for < HS, OR = 0.07, 95% CI, 0.04-0.12) or to have a computer/laptop/tablet or internet access (for < HS, OR = 0.41, 95% CI, 0.21-0.79). Beneficiaries with lower incomes (< $25,000) were less likely to have a computer/laptop/tablet and internet access (OR = 0.25, 95% CI, 0.15-0.41) or to have a computer/laptop/tablet or internet access (OR = 0.51, 95% CI, 0.32-0.81).</p><p><strong>Conclusions: </strong>Approximately one-third (or 3.4 million) of potential DSMT-eligible beneficiaries lacked the digital resources necessary to receive a full-service virtual DSMT. Efforts to promote enrollment in virtual DSMT must address the complexities of the digital divide for at-risk beneficiaries.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"25-34"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Diabetes Education Arena: Results of the 2025 ADCES National Practice Survey of Diabetes Care and Education Specialists.","authors":"Dana E Brackney, Mayra Cantazaro, Paulina Duker, Sarah Hormachea, Leslie E Kolb, Jodi Lavin-Tompkins, Ruth D Lipman, Michael Ross","doi":"10.1177/26350106251401514","DOIUrl":"10.1177/26350106251401514","url":null,"abstract":"<p><strong>Purpose: </strong>This article reports the results of the 2025 National Practice Survey (NPS), documenting professional engagement in the diabetes care and education specialist (DCES) specialty, conducted by the Association of Diabetes Care & Education Specialists (ADCES).</p><p><strong>Methods: </strong>The quantitative NPS survey was administered online using email addresses compiled from ADCES and Certification Board for Diabetes Care and Education. Data were collected over a 4-week period in 2025. Descriptive and correlative statistics were used to identify relationships between variables and are discussed in the context of existing literature and previous NPS surveys.</p><p><strong>Results: </strong>The responses from the 2479 respondents to this NPS find those serving as DCESs to be a diverse group of professionals, working within the context of both an expanding diabetes care team and population with diabetes. While serving disparate populations, they appear, as a group, to actively seek out training opportunities to further their understanding of those they work with and professional credentialing and other educational advancement. DCESs appear to have an expanded role in patient care and increased responsibility in providing colleagues and people with diabetes with guidance on diabetes-related technology.</p><p><strong>Conclusions: </strong>Given the advances in the care and treatment of diabetes, DCESs are an important conduit for patient-centered care. Understanding the current practice of the DCES provides insights to address the evolving needs of diabetes prevention, diabetes and cardiometabolic syndrome care, treatment, and education with a workforce prepared to integrate technology and best practices for people living with diabetes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"12-24"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Family Members Supporting Adults With Type 1 Diabetes: A Qualitative Study.","authors":"Peter Hellman, Anna Carin Aho, Charlotte Gillrell, Anne Wennick, Malin Axelsson","doi":"10.1177/26350106251397924","DOIUrl":"10.1177/26350106251397924","url":null,"abstract":"<p><p>PurposeThe purpose of the current study was to explore family members' experiences of how to support an adult person with type 1 diabetes (T1D).MethodsA qualitative descriptive study with thematic analysis was conducted in Sweden between 2020 and 2021. Interview transcripts were analyzed from 13 people who are a family member (≥18 years) of an adult with T1D, and inductive coding identified salient themes. Family members were recruited via social media, and their length of time as a family member to an individual with the T1D ranged between 3 and 38 years (median 24).ResultsThe analysis and coding identified 4 salient themes: (1) searching for knowledge in unfamiliar situations, (2) applying new knowledge in everyday life, (3) balancing support to fit need and situation, and (4) over time, the support role matures.ConclusionsFamilies with members with T1D are complex, with relational and behavioral challenges arising as the members live their lives. Routines, habits, and unexpected events become especially challenging for families with a member with T1D. Because most self-care activities for adults are carried out within the family, directly involving family members in educational interventions is important. These interventions should include providing information about the symptoms and treatment for T1D, developing knowledge about how families can be affected, but also providing strategies for how families optimally implement necessary daily changes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"54-65"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12796014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous Glucose Monitor Use and Diabetes Self-Management Behaviors in Adults Managed in Specialty Clinic: Qualitative Descriptive Study.","authors":"Patricia C Underwood, Viktoriya Babicheva, Jordan Keels, Caitlin Flewelling, Victor Petreca, Cherlie Magny-Normilus, Jagriti Upadhay","doi":"10.1177/26350106251405751","DOIUrl":"10.1177/26350106251405751","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to explore perceptions of using continuous glucose monitor (CGM) use and how it affects diabetes self-management behaviors in adult patients with diabetes.</p><p><strong>Methods: </strong>Individual qualitative interviews following a structured script were conducted with 10 adult patients (mean age 31.2, ±14.5 SD) with type 1 or type 2 diabetes seen in an endocrine specialty clinic in the United States.</p><p><strong>Results: </strong>Multiple themes related to diabetes self-management were reported, including nutrition choices, exercise engagement, medication management, endocrine provider communication, and managing hypoglycemia. Furthermore, themes of diabetes distress, including financial concerns over health insurance coverage of CGM supplies and provider communication over supply refills, emerged.</p><p><strong>Conclusion: </strong>Study interviews highlight several areas of focus that may help providers incorporate CGM use into diabetes self-management education and management plans. To validate these findings, future quantitative research is needed to better understand how to incorporate CGM use into diabetes self-management education interventions to support healthy behavior change in adults with diabetes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"66-75"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}