Medical Research Centre, University of Waikato, Hamilton, New Zealand.
Waikato District Health Board, Waikato, Hamilton, New Zealand.
J Diabetes Res. 2021 May 27;2021:5531146. doi: 10.1155/2021/5531146. eCollection 2021.
Despite the fact that there is an increasingly effective armoury of medications to treat diabetes, many people continue to have substantially elevated blood glucose levels. The purpose of this study was to explore what the barriers to diabetes management are in a cohort of people with diabetes and poor glycaemic control.
Qualitative semistructured interviews were carried out with 10 people with diabetes who had known diabetes and a recent HbA1c of >11.3% (100 mmol/mol) to explore their experiences of barriers to diabetes self-management and glycaemic control.
Barriers to diabetes management were based around two key themes: biopsychosocial factors and knowledge about diabetes. Specifically, financial concerns, social stigma, medication side effects, and cognitive impairment due to hyperglycaemia were commonly reported as barriers to medication use. Other barriers included a lack of knowledge about their own condition, poor relationships with healthcare professionals, and a lack of relevant resources to support diet and weight loss.
People with diabetes with poor glycaemic control experience many of the same barriers as those reported elsewhere, but also experience issues specifically related to their severe hyperglycaemia. Management of diabetes could be improved via the increased use of patient education and availability of locally relevant resources.
尽管有越来越多的药物可以有效治疗糖尿病，但许多患者的血糖水平仍然显著升高。本研究旨在探讨血糖控制不佳的糖尿病患者在管理糖尿病方面存在哪些障碍。
对 10 名患有糖尿病且近期 HbA1c ＞11.3%（100mmol/mol）的患者进行了定性半结构式访谈，以探讨他们在自我管理和血糖控制方面遇到的障碍。
糖尿病管理障碍主要围绕两个关键主题：生物心理社会因素和对糖尿病的认识。具体而言，经济问题、社会耻辱感、药物副作用以及高血糖引起的认知障碍是常见的药物使用障碍。其他障碍包括对自身病情的了解不足、与医疗保健专业人员关系不佳以及缺乏相关资源以支持饮食和减肥。
血糖控制不佳的糖尿病患者与其他地方报告的患者存在许多相同的障碍，但也存在与严重高血糖相关的问题。通过增加患者教育和提供当地相关资源，可以改善糖尿病管理。
