Yes / Background: Individuals with type 2 diabetes play a pivotal role in their health. Enhancing the self-management
of diabetes can improve blood glucose control, and quality of life, and reduce diabetes-related complications. We
have identified factors influencing the self-management of type 2 diabetes to inform strategies that may be applied
in the long-term management of blood glucose control.
Methods: We conducted a systematic literature review of recent studies published between January 2010 to
December 2020 to identify the available evidence on effective self-management strategies for type 2 diabetes. The
databases used for the searchers were Scopus, PubMed, Science Direct, CINAHL, and Google Scholar. We
assessed English language publications only. The screening of titles was duplicated by two researchers. We then
conducted a thematic analysis of the key findings from eligible publications to identify reoccurring messages that
may augment or abate self-management strategies.
Results: We identified 49 relevant publications involving 90,857 participants. Four key themes were identified
from these publications: Individual drive, social capital, Knowledge base, and Insufficient health care. High
motivation and self-efficacy enabled greater self-management. The importance of family, friends, and the health
care professional was salient, as were the negative effects of stigma and labelling. Enablers to good self-management were the level of support provided and its affordability. Finally, the accessibility and adequacy of the
health care services emerged as fundamental to permit diabetes self-management.
Conclusions: Self-management of type 2 diabetes is an essential strategy given its global presence and impact,
and the current resource constraints in health care. Individuals with type 2 diabetes should be empowered and
supported to self-manage. This includes awareness raising on their role in self-health, engaging broader support
networks, and the pivotal role of health care professionals to inform and support. Further research is needed into
the capacity assessment of healthcare systems in diabetes medicine, targeted low-cost resources for self-management, and the financial requirements that enable self-management advice to be enacted. / While this research did not receive any specific project funding, KRB is funded by a University of Otago Pacific Ph.D. Scholarship. ANR is funded as a Research Fellow by the National Heart Foundation.
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/19259 |
| Date | 04 December 2022 |
| Creators | Bako, K.R., Reynolds, A.N., Sika-Paotonu, D., Signal, L., Mohammadnezhad, Masoud |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Article, Published version |
| Rights | © 2022 The Authors. This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/)., CC-BY |
Page generated in 0.0028 seconds