Self-care behaviors and glycemic control in Nigerian patients with type 2
diabetes: a pilot cross-sectional study
#MMPMID41214836
Abdullahi MI
; Bi Y
; Wang M
; Ashiru MH
; Zheng ZJ
; Jin Y
Glob Health Res Policy
2025[Nov]; 10
(1
): 60
PMID41214836
show ga
BACKGROUND: Self-care behaviors are essential for managing type 2 diabetes
mellitus (T2DM), even among patients receiving specialized clinical care.
However, limited evidence exists on how these behaviors affect glycemic outcomes
in Nigerian patients already engaged with endocrinology services. This study
assessed self-care practices and their association with glycemic control among
T2DM patients attending two specialized clinics in Gusau, Nigeria. METHODS: A
cross-sectional study was conducted among 262 adult T2DM patients from two
endocrinology clinics in Gusau, Nigeria. Participants were recruited using a
convenience sampling approach during routine clinic visits. Each completed
questionnaires on demographics, the Summary of Diabetes Self-Care Activities
(SDSCA), and the Morisky Medication Adherence Scale (MMAS-4). Fasting blood
glucose levels were used to assess glycemic control. Logistic regression analyzed
the association between self-care behaviors and glycemic outcomes; linear
regression identified influencing factors. RESULTS: Among 262 participants, 45.8%
had uncontrolled fasting blood glucose (??7 mmol/L). Higher overall self-care
scores were significantly associated with better glycemic control (OR?0.83; 95%
CI 0.78-0.88; P?0.001). Dietary adherence (OR?0.72; 95% CI 0.61-0.85), physical
activity (OR?0.74; 95% CI 0.65-0.84), and blood glucose monitoring (OR?0.22; 95%
CI 0.09-0.54) were significantly associated with improved glycemic outcomes. Foot
care (OR?0.98; P?=?0.797) and medication adherence (OR?3.21; P?=?0.095) showed no
significant association. Males, older adults (??60 years), and Yoruba/Igbo
participants had lower dietary scores, while exercise scores were higher among
males, singles, and Igbo patients. Longer diabetes duration (??20 years) was
linked to better medication adherence and exercise. CONCLUSIONS: Self-care
behaviors were significantly associated with glycemic control among T2DM patients
attending two specialized endocrinology clinics in Gusau, Nigeria. Interventions
tailored to demographic and cultural contexts are essential to strengthen
adherence in key areas such as diet, physical activity, and glucose monitoring.
These findings underscore the importance of supporting self-management, even in
patients with established access to clinical care.
|*Diabetes Mellitus, Type 2/therapy
[MESH]
|*Glycemic Control/statistics & numerical data
[MESH]