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Self-Care Behaviors and Glycemic Control in Low-Income Adults in México With Type 2 Diabetes Mellitus May Have Implications for Patients of Mexican Heritage Living in the United States.

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      Abstract

      This study examined self-care behaviors and their relationship to glycemic control in low-income Mexican adults with type 2 diabetes in Southeastern Tamaulipas, México. A total of 135 patients were enrolled from 17 community health centers. The most frequent self-care behavior was medication management (80%), and the least frequent self-care behavior was self blood glucose monitoring (7%). All the patients demonstrated poor glycemic control, with glycated hemoglobin > 7%. Self-care behaviors were associated with fasting blood glucose (rs = .223, p = .005). Medication management was influenced by cognitive performance, F(1, 130) = 4.49, p = .036, and depression, F(1, 130) = 8.22, p = .005. Dietary behaviors were influenced by previous diabetes education, F(1, 130) = 6.73, p = .011. These findings indicate that education and cognitive behavioral interventions in Spanish for Mexican adults with type 2 diabetes are urgently needed.

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      Affiliations
      [1 ] Autonomous University of Tamaulipas, Tampico, México lcompean@uat.edu.mx.
      [2 ] Autonomous University of Tamaulipas, Tampico, México.
      [3 ] The University of North Carolina at Chapel Hill, USA.
      Journal
      Clin Nurs Res
      Clinical nursing research
      SAGE Publications
      1552-3799
      1054-7738
      Apr 2016
      : 25
      : 2
      26040723 1054773815586542 10.1177/1054773815586542

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