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Self-Care in Diabetes

Review ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Endocrinol. | doi: 10.3389/fendo.2018.00489

Self-care and self-management among adolescent T2DM patients: A focused review

  • 1Faculty of Pharmacy, Universiti Teknologi MARA Puncak Alam, Malaysia
  • 2Pharmacy, School of Medicine, University of Tasmania, Australia
  • 3Departent of Pharmacy, State University of Bangladesh, Bangladesh

Uncontrolled hyperglycaemia can lead to macro and microvascular complications. Adolescents with T2DM develop similar complications seen in adults with diabetes, including cardiovascular disease, stroke, myocardial infarction, renal insufficiency and chronic renal failure. Although regular medical follow up is essential in averting long-term complications, patients with diabetes mellitus need to perform holistic self-care activities such as opting for a healthy diet, physical activity, self-monitoring and medication taking, outside of the clinical settings. To the best of our knowledge, only a limited number of studies have focused on the self-care activities and self-management, including self-care practices, supportive network, self-care education program and some of the studies concentrated on the appreciation of self-care in the adolescent with T2DM. This review aimed to analyse self-care and self-management among adolescents with T2DM and discuss the impact of self-care and self-management on glycaemic control and, hence, to reduce the diabetes-related complications. The difficulties faced by adolescents in self-managing their disease are also highlighted. Such information is essential for healthcare providers in promoting self-care practices among diabetic adolescents. To retrieve the articles, a thorough search through the literature was performed using the three databases of Medline, Google Scholar, and Scopus. In this review, we included the articles that focused on the self-care and self-management of adolescent T2DM patients aged between 12-19 years. Findings from this review suggest that healthy food adaptation, adequate physical activity, proper medication practices and regular glucose monitoring are the most common self-care practices. Parental involvement and clinician’s responsibility also contribute towards the advancement of the self-care and self-management of adolescent diabetes. Fruitful changes to independent, self-management regimens and supportive network for appropriate administration are vital factors to enhance clinical outcomes of the adolescent with T2DM.

Keywords: diabetes, type 2 diabetes mellitus, Adolescent diabetes, self-care, self-management

Received: 04 Mar 2018; Accepted: 06 Aug 2018.

Edited by:

Tahir M. Khan, Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Pakistan

Reviewed by:

Amer Hayat Khan, University of Science, Malaysia, Malaysia
Priyia Pusparajah, Monash University Malaysia, Malaysia  

Copyright: © 2018 Eva, Fen, Ming, Yen and Sarker. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Neoh C. Fen, Universiti Teknologi MARA Puncak Alam, Faculty of Pharmacy, Selangor, 42300, Puncak Alam, Malaysia, chinfenneoh@gmail.com