Journal of Behavioral Medicine

, Volume 38, Issue 3, pp 450–459 | Cite as

Correlates of perceived self-care activities and diabetes control among Dutch type 1 and type 2 diabetics

  • Lieke G. M. RaaijmakersEmail author
  • Marloes K. Martens
  • Charlotte Bagchus
  • Inge de Weerdt
  • Nanne K. de Vries
  • Stef P. J. Kremers


This study examined how Dutch type 1 and type 2 diabetes patients’ perceived autonomy support, as well as their perceived competence and treatment self-regulation, are associated with their diabetes self-care activities (healthy diet, physical activity, monitoring blood glucose, medication use) and general diabetes control. A cross-sectional questionnaire study was conducted among 143 type 1 diabetics and 384 type 2 diabetics. Overall, participants felt competent, supported in their autonomy, and perceived to autonomously self-regulate their diabetes. Our results underline the importance of perceived competence in type 1 and 2 diabetics, as this was strongly associated with adhering to a healthy diet and general diabetes control. Our findings also emphasize the need for autonomy supportive health care professionals in diabetes care. Interestingly, perceived competence partially mediated the influence of autonomy support on general diabetes control.


Diabetes type 1 and type 2 Self determination theory Self-care Self-management 



This study was conducted as part of the Dutch National Diabetes Action Program with a Grant from the Diabetes Federation (Project Number 2010.105.1356).

Conflict of interest

L. Raaijmakers, M. Martens, L. Bagchus, I. de Weerdt, S. Kremers & N. de Vries declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Lieke G. M. Raaijmakers
    • 1
    Email author
  • Marloes K. Martens
    • 2
  • Charlotte Bagchus
    • 3
  • Inge de Weerdt
    • 4
  • Nanne K. de Vries
    • 5
  • Stef P. J. Kremers
    • 1
  1. 1.Department of Health Promotion, NUTRIM School for Nutrition, Toxicology and MetabolismMaastricht University Medical CentreMaastrichtThe Netherlands
  2. 2.ResCon, Research and ConsultancyHaarlemThe Netherlands
  3. 3.Athena InstituteVU UniversityAmsterdamThe Netherlands
  4. 4.Netherlands Diabetes FederationAmersfoortThe Netherlands
  5. 5.Caphri, School for Primary Care and Public HealthMaastricht University Medical CentreMaastrichtThe Netherlands

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