Profiles of people with type 2 diabetes mellitus

For people with diabetes, hemoglobin A1c (HbA1c) is a measure of blood glucose control and an indication of the risk of developing diabetes complications. However, a given HbA1c value does not provide information about the diabetes self-management practices or philosophies of individuals in poor (HbA1c > 8.0%) or excellent (HbA1c < 6.5%) control. To contrast the experiences and attitudes of people at the extremes of glycemic control, interviews were conducted among 44 individuals (40-65 years old) diagnosed with diabetes for over 1 year. The participants were identified based upon their HbA1c value from a larger sample of people with type 2 diabetes that included African Americans, women, and persons with low income. Narratives were analyzed using a case-based and conceptually clustered matrix approach. The life course concept (life histories and natural transitions in roles and responsibilities across the life span) and the explanatory model of illness (individuals' beliefs about the causes, consequences, and treatment of a disease) provided the framework for the interview guide and the analysis of the narratives. Two self-management philosophy groups emerged from participants with excellent control (Committed [n = 15] and Tentative [ n = 7]) and three groups were identified among the poorly controlled group (Hopeful [n = 8], Hassled [n = 6 ], and Overwhelmed [n = 8]). Perseverance, coping skills, and age at diagnosis were life course concepts that distinguished participants within these groups. From the explanatory model of illness, beliefs about the cause of the disease, physical changes, and accepting the consequence of the disease influenced differences in these self-management philosophies. The profiles of people at the extremes of glycemic control can help those treating people with diabetes or seeking to improve self-management interventions understand differences in self-management philosophies and concentrate on specific issues hindering self-care control

Coping (psychology · Diabetes mellitus · Disease · Glycemic · Narrative · Chronic Disease Management Strategies · Clinical Psychology · Diabetes Management and Education · Diabetes Management and Research · Medicine · Psychology · Gerontology · Internal Medicine

• Statin-use and perceptions of high cholesterol as predictors of healthy lifestyle behaviours in Nigerians

  Open Access•Joyce F Coker, Kate Hill et al.•PLOS Global Public Health•2022

  Añadir item

• Evidence produced by qualitative investigations on type 2 diabetes

  Open Access•Marcelo Eduardo Pfeiffer Castellanos, Nelson Filice De Barros et al.•Interface - Comunicação Saúde…•2011

  Añadir item

• Effects of Point-Of-Care Testing in General Practice for Type 2 Diabetes Patients on Ambulatory Visits and Hospitalizations

  Open Access•Troels Kristensen, Kenneth R Olsen et al.•International Journal of…•2020

  Añadir item

• We are out of balance here”

  Open Access•Kathleen A Culhane‐Pera, Cheng Her et al.•Journal of Immigrant and Minority…•2007

  Añadir item

• Living with HIV infection

  Nalini Tarakeshwar, Archana Krishnan et al.•Culture Health & Sexuality•2006

  Añadir item

• Gender, Illness-Related Diabetes Social Support, and Glycemic Control Among Middle-Aged and Older Adults

  Favel L Mondesir, K White et al.•The Journals of Gerontology…•2015

  Añadir item

• Diabetes is my companion

  Open Access•Javier Garcia De Alba Garcia, Javier García et al.•Social Science & Medicine•2007

  Añadir item

• Life-Course Influences on Fruit and Vegetable Trajectories

  Open Access•Carol M Devine, Margaret Connors et al.•Journal of Nutrition Education…•1998

  Añadir item

• The Prevalence of Comorbid Depression in Adults With Diabetes

  Ryan J Anderson, Kenneth E Freedland et al.•Diabetes Care•2001

  Añadir item

• Common-sense models of illness

  Daniel Meyer, Daniel Francois Meyer et al.•Health Psychology•1985

  Añadir item

• Depression and Diabetes

  Paul Ciechanowski, Paul S Ciechanowski et al.•A.M.A. Archives of Internal…•2000

  Añadir item

• Qualitative Data Analysis in Health Psychology

  Toby Ro Newton-John, Toby Newton‐john•Qualitative Data Analysis in…•2018

  Añadir item

• Participant Recruitment for Qualitative Research

  T A Arcury, Thomas Arcury et al.•Human Organization•1999

  Añadir item

• Barriers to Non–Insulin Dependent Diabetes Mellitus (NIDDM) Self-Care Practices among Older Women

  Open Access•Nancy Schoenberg, Nancy E Schoenberg et al.•Journal of Aging and Health•2001

  Añadir item

• Meal Patterns of the Elderly in Rural Kentucky

  Open Access•Gun Roos, G M Roos et al.•Appetite•1993

  Añadir item

• Improving dietary behavior

  Marci K Campbell, Brenda M DeVellis et al.•American Journal of Public Health•1994

  Añadir item

• The treatment strategies of arthritis sufferers

  Open Access•D Gray•Social Science & Medicine•1985

  Añadir item

• Stories of meaning

  Open Access•Nancy Schoenberg, Nancy E Schoenberg et al.•Social Science & Medicine•1998

  Añadir item

• Medication, chronic illness and identity

  Open Access•Stephanie Adam, Stephanie Adams et al.•Social Science & Medicine•1997

  Añadir item

• Porque me tocó a mi ? Mexican American diabetes patients' causal stories and their relationship to treatment behaviors

  Open Access•L M Hunt, Miguel A Valenzuela et al.•Social Science & Medicine•1998

  Añadir item

• It's like you're down on a bed of affliction

  Open Access•Barbara V Reid•Social Science & Medicine•1992

  Añadir item

• Life Course Dynamics

  Kenneth S Y Chew, Glen H Elder•Social Forces•1987

  Añadir item