Aljehani Faisal
Department of Internal Medicine, College of Medicine, University of Jeddah, Jeddah, SAU.
Cureus. 2024 Sep 12;16(9):e69300. doi: 10.7759/cureus.69300. eCollection 2024 Sep.
Background Individuals with prediabetes are at an increased risk of developing type 2 diabetes mellitus (T2DM) and cardiovascular diseases and mortality from any cause. The treatment and early detection of prediabetes and T2DM can aid in the prevention of future health complications. The aim of this research was to assess the attitude, knowledge, and practices of family medicine (FM) residents in Saudi Arabia regarding prediabetes. Methodology This is an online cross-sectional survey study that was conducted between March and May 2023. The study population consisted of family medicine residents who are currently practicing their profession in Saudi Arabia. Results A total of 101 family medicine residents participated in this study. The study participants showed a positive attitude toward prediabetes management with a mean score of 25.4 (standard deviation {SD}: 4.8) out of 30. The study participants showed a moderate level of knowledge regarding prediabetes management with a mean score of 7.0 (SD: 2.2) out of 12. The proportion of participants who were able to identify risk factors that might prompt them to screen for diabetes mellitus ranged from 47.5% (n = 48) to 96.0% (n = 97). The participants' agreement levels for questions that examined their attitude toward the importance of prediabetes screening ranged from 73.3% (n = 74) to 90.1% (n = 91). The most commonly agreed upon barrier was the patient's lack of motivation (n = 80, 79.2%). The most commonly agreed upon interventions that facilitate management and treatment improvements of prediabetes were more resources for patient education and increased access to the diabetes prevention program (DPP), an evidence-based lifestyle change program (n = 80, 79.2%). A body mass index (BMI) of ≥35 kg/m was the most commonly reported factor that increases the likelihood of prescribing metformin for a patient with prediabetes. The most commonly agreed upon barrier to prescribing metformin for prediabetes patients was that patients do not like taking medications (n = 67, 66.3%). Conclusions The study participants demonstrated an average level of understanding and a positive attitude regarding the management of prediabetes. A significant percentage of the participants demonstrated comprehension of risk factors associated with diabetes, as well as appropriate screening methods, with fasting blood glucose tests being of particular interest. It is recommended to enhance prediabetes management through heightened awareness and education concerning screening methodologies and lifestyle modifications.
糖尿病前期个体患2型糖尿病(T2DM)、心血管疾病以及任何原因导致的死亡风险增加。糖尿病前期和T2DM的治疗及早期检测有助于预防未来的健康并发症。本研究的目的是评估沙特阿拉伯家庭医学(FM)住院医师对糖尿病前期的态度、知识和实践。
这是一项于2023年3月至5月进行的在线横断面调查研究。研究人群包括目前在沙特阿拉伯从事该专业的家庭医学住院医师。
共有101名家庭医学住院医师参与了本研究。研究参与者对糖尿病前期管理表现出积极态度,在满分30分中的平均得分为25.4(标准差{SD}:4.8)。研究参与者对糖尿病前期管理的知识水平中等,在满分12分中的平均得分为7.0(SD:2.2)。能够识别可能促使他们筛查糖尿病的风险因素的参与者比例从47.5%(n = 48)到96.0%(n = 97)不等。参与者对考察他们对糖尿病前期筛查重要性态度的问题的同意程度从73.3%(n = 74)到90.1%(n = 91)不等。最常被认同的障碍是患者缺乏动力(n = 80,79.2%)。最常被认同的有助于改善糖尿病前期管理和治疗的干预措施是增加患者教育资源以及增加参与糖尿病预防计划(DPP)的机会,DPP是一项基于证据的生活方式改变计划(n = 80,79.2%)。体重指数(BMI)≥35 kg/m²是最常被报告的增加为糖尿病前期患者开具二甲双胍可能性的因素。为糖尿病前期患者开具二甲双胍最常被认同的障碍是患者不喜欢服药(n = 67,66.3%)。
研究参与者对糖尿病前期管理表现出平均水平的理解和积极态度。相当比例的参与者理解与糖尿病相关的风险因素以及适当的筛查方法,空腹血糖检测尤其受关注。建议通过提高对筛查方法和生活方式改变的认识与教育来加强糖尿病前期管理。