Subjective Assessment of Diabetes Self-Care Correlates with Perceived Glycemic Control but not with Actual Glycemic Control.
- Author:
Jung Hun OHN
1
;
Ju Hee LEE
;
Eun Shil HONG
;
Bo Kyung KOO
;
Sang Wan KIM
;
Ka Hee YI
;
Min Kyong MOON
Author Information
- Publication Type:Original Article
- Keywords: Perceived glycemic control; Actual glycemic control; Diabetes self-care
- MeSH: Ambulatory Care; Ambulatory Care Facilities; Blood Glucose; Diabetes Mellitus; Diet; Fasting; Hemoglobin A, Glycosylated; Humans; Motor Activity; Self Care*; Surveys and Questionnaires
- From:Diabetes & Metabolism Journal 2015;39(1):31-36
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: We investigated whether patients' perceived glycemic control and self-reported diabetes self-care correlated with their actual glycemic control. METHODS: A survey was administered among patients with diabetes mellitus at an outpatient clinic with structured self-report questionnaires regarding perceived glycemic control and diabetes self-management. Actual glycemic control was defined as a change in glycated hemoglobin (A1C) or fasting plasma glucose (FPG) since the last clinic visit. RESULTS: Patients who perceived their glycemic control as "improved" actually showed a mild but significant decrease in the mean A1C (-0.1%, P=0.02), and those who perceived glycemic control as "aggravated" had a significant increase in the mean FPG (10.5 mg/dL or 0.59 mmol/L, P=0.04) compared to the "stationary" group. However, one-half of patients falsely predicted their actual glycemic control status. Subjective assessment of diabetes self-care efforts, such as adherence to a diet regimen or physical activity, correlated positively with perceived glycemic control but showed no association with actual glycemic control. CONCLUSION: Patients should be encouraged to assess and monitor diabetes self-care more objectively to motivate behavioral modifications and improve their actual glycemic control.
