BackgroundThe prevalence of diabetes in sub-Saharan Africa has increased rapidly over the last years. Self-management is a key element for the proper management, but strategies are currently lacking in this context. This systematic review aims to describe the level of self-management among persons living with type 2 diabetes mellitus in sub-Saharan Africa.MethodRelevant databases including PubMed, Web of Science and Google Scholar were searched up to September 2016. Studies reporting self-management behavior of people with type 2 diabetes mellitus and living in sub-Saharan Africa were included.ResultsA total of 550 abstracts and 109 full-text articles were assessed. Forty-three studies, mainly observational, met the inclusion criteria. The studies showed that patients rarely self-monitored their glucose levels, had low frequency/duration of physical activity, moderately adhered to recommended dietary and medication behavior, had poor level of knowledge regarding diabetes related complications and sought traditional or herbal medicines beside of their biomedical treatment. The analysis also revealed a lack of studies on psychosocial aspects.ConclusionExcept for the psychosocial area, there is a good amount of recent studies on self-management behavior of type 2 diabetes mellitus sub-Saharan Africa. These studies indicate that self-management in sub-Saharan Africa is poor and therefore a serious threat to the health of individuals and the health systems capacity.
Self-management of diabetes in Sub-Saharan Africa: a systematic review
V. Stephani,Daniel Opoku,D. Beran
Published 2018 in BMC Public Health
ABSTRACT
PUBLICATION RECORD
- Publication year
2018
- Venue
BMC Public Health
- Publication date
2018-09-29
- Fields of study
Medicine
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
CITATION MAP
EXTRACTION MAP
CLAIMS
- Self-management behavior was generally poor, with rare self-monitoring of blood glucose, low physical activity, only moderate adherence to diet and medication, poor knowledge of diabetes-related complications, and use of traditional or herbal medicines alongside biomedical treatment.박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review
CONCEPTS
- dietary adherence
Following recommended dietary guidance for diabetes management.
Aliases: diet adherence, recommended diet
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - medication adherence
Following prescribed diabetes medication instructions and schedules.
Aliases: drug adherence
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - physical activity
Body movement or exercise performed as part of lifestyle management for diabetes.
Aliases: exercise
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - psychosocial aspects
Social and psychological dimensions of diabetes care, such as beliefs, support, stress, and coping.
Aliases: psychosocial factors
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - self-management
The set of day-to-day behaviors people with diabetes use to manage their condition, including monitoring, diet, activity, medication use, and related practices.
Aliases: diabetes self-management
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - self-monitoring of blood glucose
The practice of checking blood glucose levels by patients themselves as part of diabetes care.
Aliases: glucose monitoring, blood glucose monitoring
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - sub-saharan africa
The geographic region of Africa south of the Sahara that defines the population and setting covered by the review.
Aliases: SSA
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - traditional or herbal medicines
Non-biomedical remedies used by patients, including traditional therapies and plant-based preparations.
Aliases: herbal medicines, traditional medicines
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review - type 2 diabetes mellitus
A chronic metabolic condition characterized by insulin resistance and impaired glucose regulation, which is the target disease of the reviewed studies.
Aliases: T2DM, type 2 diabetes
박진우 (dztg5apj7m) extractionB (s683577b42) reviewjihoonc (k5vuy3tzcm) reviewGahyoun (29ua5897xm) review
REFERENCES
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