Purpose

The purpose of this study was to examine diabetes self-management behavior among individuals who have diabetes living with and without physical limitations.

Methods

Pooled cross-sectional data (2011-2016) from the Household Component of the Medical Expenditure Panel Survey was used. Dependent variables were utilization of dilated eye exams, foot checks, at least 1 dental checkup annually, treating diabetes with oral medication, treating diabetes with insulin injections, and engagement in moderate or vigorous physical exercise 5 times per week. The independent variable was diabetes with physical limitations compared with diabetes without physical limitations. The study controlled for predisposing, enabling, and need factors.

Results

Findings indicate that individuals with diabetes and physical limitations were less likely to engage in moderate or vigorous physical exercise 5 times per week, have at least 1 annual dental checkup, and treat their diabetes orally with medication.

Conclusions

Self-management behavior was poor among individuals with diabetes and physical limitations. Environmental barriers may partially contribute to reasons why individuals with diabetes and physical limitations do not engage in diabetes self-management behaviors that would assist them in mitigating diabetes complications. Other reasons could be the lack of equipment accessibility or adaptability and cultural competence among providers treating/caring for individuals with physical limitations.

中文翻译：

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糖尿病和身体残疾患者的糖尿病自我管理

目的

本研究的目的是检查有或没有身体限制的糖尿病患者的糖尿病自我管理行为。

方法

使用了来自医疗支出面板调查的家庭部分的汇总横截面数据（2011-2016 年）。因变量包括散瞳检查、足部检查、每年至少 1 次牙科检查、口服药物治疗糖尿病、注射胰岛素治疗糖尿病以及每周进行 5 次中等或剧烈体育锻炼。与没有身体限制的糖尿病相比，自变量是有身体限制的糖尿病。该研究控制了易感因素、促成因素和需要因素。

结果

研究结果表明，患有糖尿病和身体受限的人不太可能每周进行 5 次中等或剧烈的体育锻炼，每年至少进行 1 次牙科检查，并用药物口服治疗糖尿病。

结论

患有糖尿病和身体受限的个体的自我管理行为很差。环境障碍可能部分地解释了为什么患有糖尿病和身体受限的个体不参与有助于他们减轻糖尿病并发症的糖尿病自我管理行为。其他原因可能是治疗/照顾身体受限的个人的提供者缺乏设备可及性或适应性和文化能力。