Factors influencing diabetes self-care practice among type 2 diabetes patients attending diabetic care follow up at an Ethiopian General Hospital, 2018

  • Sofonyas Abebaw TirunehEmail author
  • Asnakew Achaw Ayele
  • Yohannes Kelifa Emiru
  • Henok Getachew Tegegn
  • Belete Achamyelew Ayele
  • Melaku Tadege Engidaw
  • Alemayehu Digssie Gebremariam
Research Article



Diabetes mellitus is a global public health emergency in the twenty-first century. Diabetes patients who had to adhere to good self-care recommendation can prevent the complication associated with diabetes mellitus. Self-care management of diabetes mellitus in Sub-Saharan Africa was poor including Ethiopia. The aim of this study was to assess factors influencing diabetes self-care practice among type 2 diabetes patients at Debre Tabor General Hospital, Northwest Ethiopia diabetes clinic follow up unit.


An institutional based cross-sectional survey was conducted on systematically sampled 405 type 2 diabetes patients at Debre Tabor General Hospital diabetes clinic from June 02/2018 to June 30/2018. Bivariate and multivariable logistic regression was fitted to identify independent predictors of diabetes self-care practice. A p value of less than 0.05 was used to declare statistical significance.


A total of 385 type 2 diabetes patients participated with a response rate of 95%, of which 243 (63.1%) study participants had good self-care practice. The mean ± SD age of the respondents and the duration of diagnosed for diabetes mellitus was 52.28 ± 12.45 and 5.09 ± 3.80 years respectively. Type 2 diabetes patients who had a glucometer at home (AOR = 7.82 CI (3.24, 18.87)), getting a diabetes education (AOR = 2.65 CI (1.44, 4.89)), and having social support (AOR = 2.72 CI (1.66, 4.47)) were statistically associated with good self-care practice.


Despite, the importance of diabetes self-care practice for the management of diabetes and preventing its complications, a significant number of type 2 diabetes patients had poor diabetes self-care practice. So, to enhance this poor practice of diabetes self-care, provision of diabetes self-care education and counseling on self-monitoring blood glucose should be promote by health care providers during their follow up.


Diabetes mellitus Diabetes patients Self-care practice Debre Tabor General Hospital 



We, authors, express their deep gratitude to all the study participants, data collectors and staff of Debre Tabor General Hospital for their cooperation.

Funding statement

We didn’t receive any fund for this study.

Authors’ contributions

All stated authors SA, AA, YK, HG, BA, MT, AD, are involved in the study from the inception to design, acquisition of data, analysis and interpretation and drafting of the manuscript. All authors read and approved the final manuscript.

Compliance with ethical standards

Consent for publication

Not applicable.

Competing interests

We, authors, declare that we had no competing interests.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sofonyas Abebaw Tiruneh
    • 1
    Email author
  • Asnakew Achaw Ayele
    • 2
  • Yohannes Kelifa Emiru
    • 3
  • Henok Getachew Tegegn
    • 2
  • Belete Achamyelew Ayele
    • 4
  • Melaku Tadege Engidaw
    • 1
  • Alemayehu Digssie Gebremariam
    • 1
  1. 1.Department of Public Health, College of Health SciencesDebre Tabor UniversityDebre TaborEthiopia
  2. 2.Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health ScienceUniversity of GondarGondarEthiopia
  3. 3.School of Pharmacy, College of Medicine and Health ScienceUniversity of GondarGondarEthiopia
  4. 4.Department of Epidemiology and Biostatics, Institute of Public health College of Medicine and Health ScienceUniversity of GondarGondarEthiopia

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