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How do self-care maintenance, self-care monitoring, and self-care management affect glycated haemoglobin in adults with type 2 diabetes? A multicentre observational study

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Abstract

Purpose

To evaluate how self-care maintenance, self-care monitoring, and self-care management affect glycated haemoglobin in type 2 diabetes mellitus patients and to set cut-off points of the Self-Care of Diabetes Inventory scales using glycated haemoglobin as outcome of interest.

Methods

A secondary analysis of a previous multicentre observational cross-sectional study was conducted. Overall, 540 adults with type 2 diabetes mellitus confirmed diagnosis were involved. Socio-demographic and clinical data were collected. Self-care maintenance, self-care monitoring, and self-care management were measured by the Self-Care of Diabetes Inventory. Linear regression models were performed to assess the relationship between self-care maintenance, self-care monitoring, and self-care management and glycated haemoglobin. Receiver operating characteristics curves were carried out to identify the best cut-off score for each self-care scale considering glycated haemoglobin >7% as outcome of interest.

Results

Self-care monitoring and self-care management were associated to glycated haemoglobin in both patients without (self-care monitoring p = 0.0008; self-care management p = 0.0178) and with insulin therapy (self-care monitoring p = 0.0007; self-care management p = 0.0224). Self-care maintenance was associated to glycated haemoglobin in patients without insulin therapy (p = 0.0118). Cut-off scores providing the best performance were 70 points for self-care maintenance and self-care monitoring, and 60 points for self-care management.

Conclusions

Self-care maintenance, self-care monitoring, and self-care management differently affect glycated haemoglobin in patients with type 2 diabetes mellitus. Clinicians could implement tailored interventions to improve glycaemic control considering the lacking area of self-care.

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Authors and Affiliations

  1. Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy

    Diletta Fabrizi, Michela Luciani, Stefania Di Mauro & Davide Ausili

  2. Bicocca Bioinformatics Biostatistics And Bioimaging Centre-B4, Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy

    Paola Rebora & Maria Grazia Valsecchi

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  1. Diletta Fabrizi
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  2. Paola Rebora
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Correspondence to Michela Luciani.

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Fabrizi, D., Rebora, P., Luciani, M. et al. How do self-care maintenance, self-care monitoring, and self-care management affect glycated haemoglobin in adults with type 2 diabetes? A multicentre observational study. Endocrine 69, 542–552 (2020). https://doi.org/10.1007/s12020-020-02354-w

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