Assessment Of Self - Management For Patients With Type 2 Diabetes During The Syrian Crisis

Assessment Of Self - Management For Patients With Type 2 Diabetes During The Syrian Crisis | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Assessment Of Self - Management For Patients With Type 2 Diabetes During The Syrian Crisis Fadi Saba, Emilio Arbaji, Taghrid Hammoud This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-5082552/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Diabetes mellitus (DM) is a long-term metabolic disease in which blood glucose levels are elevated due to the complete absence or incomplete absence of the insulin hormone. The requirements for people with diabetes are not controlling blood glucose levels only; there is also an urge to prevent complications and side effects of the disease. Studies show that good self-care for individuals with this disease has led to good outcomes. Diabetics who do self-care have shown positive results by reducing diabetes complications and its development, which leads to a significant reduction in the burden of diabetes. Despite these positive changes, people who adhere to these self-care practices are very few, especially when we see broad and chronic changes. There are many factors that play a major role in adherence to self-care practices, such as social factors, demographic factors, and various economic factors. While the role of doctors plays an important role in increasing self-care practices for diabetic patients to achieve the desired result. Materials and methods used in this study A sample of 200 diabetic patients was assembled with electronic questionnaire that included a number of questions controlled to achieve the study objective, in Damascus; Syria, within specific inclusion and exclusion criteria mentioned later. The data were processed using SPSS version 26, a general descriptive study of the sample's answers was conducted, followed by appropriate statistical tests to reach scientific results documented by previous medical literature. Results By presenting the results of the descriptive study on the degree of availability of an organized community response that provides the greatest amount of assistance to enhance self-care for diabetes, and help patients to live with their disease and avoid its complications as much as possible. In addition to surveying the degree of patients' awareness and knowledge of the steps of self-care and their ability to manage the disease. An analytical study was conducted on some axes related to developing self-care from attending educational workshops and others; where the effect of some demographic indicators was studied from the effect of the patient's gender on his attending training workshops. The results of the study we conducted, indicated that there is no significant difference between males and females and patient's social status in their commitment to attending educational workshops. In the study we conducted, the impact of community response and promoting the concept of self-care for diabetes among patients (as one axis) on their level of awareness and dealing with the complications of the disease and their ability to manage the symptoms of the disease was studied. A one-way Anova test was conducted and its results indicated the existence of a significant impact of promoting the concept of self-care on patients’ lives and helping them avoid complications of the disease. Internal Medicine Endocrinology & Metabolism Epidemiology Diabetes mellitus Syrian Crisis Self-Management Introduction Diabetes is a chronic disease that occurs when the pancreas fails to produce enough insulin, or when the body is unable to effectively use the insulin it produces. Hyperglycemia, a common result of poor blood sugar control, can over time seriously damage many of the body's systems. Type 1 diabetes is characterized by a lack of insulin production and requires daily insulin administration. Type 2 diabetes affects how the body uses sugar (glucose) for energy. It is characterized by insulin resistance, which prevents the body from using insulin properly, which can lead to high blood sugar levels if left untreated. Gestational diabetes is hyperglycemia in which blood glucose levels are higher than normal during pregnancy but not high enough to be diagnosed w/ diabetes. People with type 1 diabetes need insulin injections to survive, and some people with type 2 diabetes need to take medications to help control blood sugar levels. These medications may include insulin injections or other medications such as metformin, sulfonylureas, and type 2 sodium-glucose co-transporter inhibitors. The most prominent complications of diabetes include general complications such as a gradual increase in blood pressure, distinctive disorders in blood lipids, low levels of HDL, and distinctive damage to the kidneys, retinas, and nervous system; short-term complications that require immediate treatment; long-term complications may eventually lead to disabilities or even death. Training related to personal care and self-management of diabetes begins with the proper knowledge of the instructions, which depend on the patient's needs. Self-care practices are a set of behavioral practices that individuals with diabetes use to manage and control the disease themselves. Various studies and evidence show that when the patient have self-care practices in a proper and systematic manner, he can improve blood sugar control, and these practices have proven effective in achieving the treatment goals of diabetes. The most important self-care practices are daily exercise, diet, smoking cessation, foot care, fiber intake, dental care, eye care, and stress management. Self-care includes various approaches aimed at taking care of physical, emotional and mental health, as any patient with a chronic disease may experience impacts on their overall health and lifestyle as a result of changes in their choices and behaviors. These practices include different things to take care of, such as medications, exercise, food, sleep, emotions, medical facilities, and care. The American Diabetes Association (ADA) states that monitoring carbohydrate and fiber intake, losing weight, and reducing cholesterol, saturated fat, trans fat, and salt intake are the basic things that should be done to manage this disease. Obesity is one of the main issues for individuals with type 2 diabetes, so dietary changes are the main factor in managing diabetes because they can lead to weight loss and help in managing obesity, which helps in managing diabetes. Personal care with physical exercise is an important internal part of managing this disease and maintaining skeletal muscle activity and movement. The goal of physical exercise is to achieve blood sugar regulation, improve insulin action, improve protein and fat metabolism, avoid complications of diabetes, and increase quality of life and life expectancy. Adequate physical exercise also leads to decrease levels of glycated hemoglobin (HbA1c). Therefore, young generations should be educated and informed about the importance of regular exercise, which helps them lose calories, lose weight, and maintain blood glucose levels. The American Diabetes Association has conducted studies and reviewed the results of diabetes self-care and self-management measures and recognizes that there is a four-fold increase in diabetes complications in people who did not receive any advice or education regarding self-care practices. However, this improvement in blood glucose levels declines after one to three months of stopping self-care activities, suggesting that self-management education is beneficial in reducing HbA1c. Adherence to diabetes treatment regimen is an important area of ​​concern. In diabetes, individuals need to adapt to and follow the management plan carefully, which should include positive lifestyle changes, including dietary planning and regular physical exercise; taking proper medications daily, including insulin or oral hypoglycemic agents; monitoring blood sugar levels; managing diabetes-related symptoms; having foot care guidelines; and taking care of diabetes or other health-related problems. However, despite the life-saving benefits of these activities, adherence to these self-care activities has been found to be very low. In a study of diabetics, the results showed that only 30% of individuals were adherent to the treatment regimen, and non-adherence was higher, especially among groups with lower socioeconomic status. Practical study Research Objective: A scientific study using a questionnaire on the application of self-care for diabetes patients in the Syrian Arab Republic, to study the importance of self-care and community response within it and the reflection of its effects on patients' awareness and management of disease symptoms. Materials and Methods Study location: Damascus, Syrian Arab Republic. Sample design: A sample of 200 diabetes patients was assembled using a directed electronic questionnaire that included a number of questions that were controlled to achieve the study's objective. Inclusion criteria: The criteria for including individuals in the sample included several aspects and aspects, including: 1- The individual participating in the questionnaire agreed to be part of the sample of this study, before self-filling out the questionnaire with personal information and responses to the questions within the questionnaire. 2- Confirming that the individual participating in the sample has diabetes of either type 1 or type 2. 3- The individual's answer to the questions presented to him in the questionnaire directed to this study, especially the questions that have an important impact on the research results and study statistics. Exclusion criteria: A number of individuals were excluded from the sample according to specific criteria, which are: 1- The individual's refusal to participate in the sample studied in this research. 2- Confirming that the individual is not with either type-1 or type-2 diabetes. 3- The individual's refusal to answer many questions in the questionnaire, which may affect the statistical results and the normal distribution of sample. Research method: The study was conducted within the framework of three axes; demographic indicators (gender, age...), the social response axis (availability of special care centers, educational workshops, psychological support workshops...), the knowledge and awareness axis of patients and their ability to disease manage. Statistics and data processing The data were processed using SPSS version 26, a general descriptive study of the sample's answers was conducted, followed by appropriate statistical tests to reach scientific results documented by previous medical literature; such as Chi-square, one-way Anova, T-student. Results 1- Descriptive study a- Study of demographic aspects of the sample: In the sample of 200 diabetic patients, 45.5% of the sample were males and 54.5% of the sample were females. The average age of the sample was 39 years, with the youngest age in the sample being 18 and the oldest 89. The largest percentage of the sample, about 50.5%, was between 30 and 60 years old, while 8.5% of the sample was between 60 and 90 years old. About 55% of the sample were married, while the largest portion of the sample, about 65%, had a university degree, while 31% were uneducated, and 52.5% of the sample were smokers. Table (1) Distribution of the sample according to demographic factors. Distribution Frequency Percentage Gender Male 91 45.5% Female 109 54.5% Total 200 100.0% Age < 30 (18–30) years 81 40.5% 30–60 years 101 50.5% 60–90 years 17 8.5% Total 199 99.5% Missing value 1 0.5% Educational level Uneducated 62 31% University degree 130 65% Postgraduate studies 8 4% Total 200 100% Smoking Smoker 105 52.5% Non-Smoker 95 47.5% Total 200 100% b- Study of community response to diabetes care: In the study of community response to diabetes care; 57% of the sample held scientific seminars within the city to educate them about diabetes and self-care steps, only 8% of the sample were committed to attending these workshops regularly. Plus, 80.5% of the sample indicated the existence of health care centers and educational teams that the patient can visit and review periodically. In addition to 49% of the sample confirming the existence of seminars to support mental health and provide necessary consultations for diabetes patients. 34% of the sample indicated that their family received awareness about diabetes and the steps to control it and its complications. Table (2) Sample’s answers of community response to diabetes care. Distribution Frequency Percentage Are there any educational seminars held in your city to educate about diabetes and self-care steps? Yes 114 57% No 86 43% Total 200 100.0% Do you attend these educational workshops on a regular basis? Yes 16 8% No 184 92% Total 200 100% Are there educational teams that you can visit when needed and review periodically to monitor diabetes complications? Yes 161 80.5% No 39 19.5% Total 200 100% Are there mental health support seminars that a diabetic patient needs to manage stress in your governorate? Yes 98 49% No 102 51% Total 200 100% Has your family received awareness about diabetes, steps to control it and quickly deal with its complications? Yes 68 34% No 132 66% Total 200 100% c- Study of patients' response and their level of awareness and knowledge of diabetes care steps In a study of patients' response and their level of awareness and knowledge of diabetes care steps; 54% of the sample quit smoking after being diagnosed with diabetes, while 33.5% of the sample confirmed that they exercise regularly. About more than half of the sample, 67%, have good knowledge about diabetes complications (diabetic foot, ketoacidosis, etc.). Plus, the vast majority, about 71% of the sample, answered that they know the normal values for blood sugar levels according to the time of measurement and the type of medication used. Table (3-a) Sample’s answers and their level of awareness and knowledge of diabetes care steps. Distribution Frequency Percentage Are you still a smoker after being diagnosed with diabetes? Yes 92 46% No 108 54% Total 200 100.0% Do you exercise regularly as a routine part of your daily life? Yes 67 33.5% No 133 66.5% Total 200 100% After attending the training and educational workshops, were you able to manage your blood sugar level better? Yes 42 21% No 158 79% Total 200 100% Do you have knowledge about complications of diabetes (diabetic foot, ketoacidosis, diabetic retinopathy)? Yes 134 67% No 66 33% Total 200 100% Do you know what your normal blood sugar levels are based on the time of measurement and the type of medication used? Yes 142 71% No 58 29% Total 200 100% About 60.5% of the sample indicated that they are aware of methods for managing stress, controlling sugar, and the importance of getting enough sleep. While the patients who visit the doctor regularly decreased, only 34% of patients indicated that they are committed to periodic visits. Regarding drug treatment, 60.5% of the sample were able to obtain the medication regularly and easily, while 85% of the sample confirmed that they were committed to taking the prescribed drug doses regularly. As for the diet, a relatively small percentage, about 38.5% of the sample only, indicated that they were committed to the doctor’s dietary instructions. Table (3-b) Sample’s answers and their level of awareness and knowledge of diabetes care steps. Distribution Frequency Percentage Are you aware of the importance of getting enough sleep to manage your stress and control your blood sugar? Yes 121 60.5% No 79 39.5% Total 200 100.0% Do you visit your doctor regularly? Yes 68 34% No 132 66% Total 200 100% Are you able to get your medication regularly? Yes 121 60.5% No 79 39.5% Total 200 100% Do you take your medication regularly every day? Yes 171 85.5% No 29 14.5% Total 200 100% Are you adhering to your doctor's diet instructions? Yes 77 38.5% No 123 61.5% Total 200 100% 2- Analytical study a- Study of the impact of demographic indicators 1- Study of the correlation between the patient's gender and commitment to attending the educational workshops held: By discussing the results shown in Table 4, we note that 5.5% of males are committed to attending the educational workshops held in the governorates, while only 10.1% of females are committed to attending these workshops. Considering the independence test, we note that the probability value is equal to 0.233, which shows that there is no significant correlation or statistically significant association between the patient's gender and his attendance at the training workshops. Table (4) results of chi-independence test to find the correlation between the patient's gender and commitment to attending the educational workshops. 2. Studying the effect of the gender and attendance at educational workshops: To study the effect of the patient's gender on the average attendance at training workshops, we conducted the T-Student's test for independent samples and we note that the average commitment among males was greater than that of females, but based on the probability value equal to 0.22, we note that there is no statistical significance for this difference, and therefore there is no effect of the patient's gender on his attendance at educational workshops. Table (5) results of T-Student's test for independent samples to find the correlation between gender and attendance at educational workshops. T-Student Mean Probability Male 1.95 0.22 Female 1.90 3. Studying the correlation between social response and its impact on knowledge about diabetes complications Based on the importance of self-care and its impact on improving patients' lives, the impact of the means that help achieve self-care on patients' response was studied. Where questions related to social response were grouped under one axis (social response axis), and questions related to the patient's ability and awareness to manage symptoms according to a regular life routine (awareness axis), a one-way analysis of variance test was conducted and the results were presented in the table. By discussing the results included in Table 6 and based on the probability value equal to 0.002, we note the existence of a significant effect of social response from holding educational seminars, the availability of health care centers, and holding mental health support workshops, on the degree of knowledge and awareness among patients in terms of their knowledge about complications and the importance of managing stress and getting enough sleep and adhering to regular periodic visits and nutritional instructions prescribed by the doctor and taking medications regularly. This is due to the importance of communication between the doctor and the patient, and the community health institutions concerned with improving the lives of patients suffering from chronic diseases, and anticipating the exacerbation of the disease. It increases the patient's knowledge of the symptoms of his disease and the possibility of managing them and preventing their severity by following studied scientific methods that are compatible with the patient's culture and awareness, in addition to educating the patient's family about these methods and prevention steps. Table (6) results of the one-way analysis of variance test to find the correlation between social response and its impact on knowledge about diabetes complications. Anova Variance Probability Variance between groups 78.50 0.002 Variance within groups 882.512 4. Studying the correlation between the presence of permanently available health care centers and the possibility of having medication regularly As part of the study to provide community support to help implement self-care, a pivot table was conducted showing the correlation between the presence of health care centers and the possibility of having medication regularly, as 84.6% of patients who have medication regularly confirmed the presence of care centers available in their city, while 41.9% of patients who cannot have medication comfortably and regularly indicated the absence of health care centers within the city. Based on the probability value of the Chi-square test of independence, which is equal to 0.001, we note the presence of a significant correlation between the availability of health care centers and the possibility of obtaining medication regularly, which reflects the great community role in helping the patient control diabetes symptoms and medication doses, and shows the importance of the availability of diabetes medications in medical clinics and the availability of specialized care centers, which constitutes a fundamental pillar in supporting self-care for diabetics and helping them implement the appropriate steps and routine by providing medication easily and regularly without material cost or effort. Table (7) results of the chi-independence test to find the correlation between the presence of permanently available health care centers and the possibility of having medication regularly. 5. Studying the correlation between holding seminars to support the mental health of diabetics, which provide useful advice for stress management, and patients' knowledge of stress management methods Since effective self-management of diabetes requires a great deal of personal motivation and behavioral change to achieve a healthy and satisfying life, the correlation between the availability of psychological support and symptom and stress management was studied. We note from the table that 54.5% of patients who are able to manage stress and have knowledge about the most important useful methods and principles in this regard had mental health support seminars held in the city, while 59.5% of patients who do not have the knowledge or ability to manage stress indicated that there were no mental health support seminars within the governorate in which they reside. Based on the probability value of the Chi-square test of independence, which is equal to 0.05, we conclude that there is a significant effect of the presence of mental health support seminars on patients' ability to manage stress and their knowledge of the most important useful methods to anticipate the effect of stress on blood sugar levels, as we note that patients who have psychological support seminars held in their city had greater knowledge of stress management. Table (8) results of the chi-independence test to find the correlation between holding seminars to support the mental health of diabetics, and patients' knowledge of stress management methods. Discussion of Results A cross-sectional study was conducted on a sample of 200 diabetic patients, 45.5% of the sample were males and 54.5% of the sample were females. The average age of the sample was 39 years. The largest percentage of the sample, about 50.5%, was between 30 and 60 years old, while 8.5% of the sample was between 60 and 90 years old. In terms of marital status, 55% of the sample were married, while the largest percentage of the sample, about 65%, had a university degree, while 31% were uneducated. 52.5% of the sample were smokers. In the study of community response to diabetes care; 57% of the sample held scientific seminars within the city to educate them about diabetes and self-care steps. Only 8% of the sample were committed to attending these workshops on a regular basis. 80.5% of the sample indicated the existence of health care centers and educational teams that the patient can visit and review periodically, in addition to the fact that 49% of the sample confirmed the existence of seminars to support mental health and provide necessary consultations for the diabetic patient, 34% of the sample indicated that their family received awareness about diabetes and the steps to control it and its complications. In a study of patients' response and the degree of their awareness and knowledge of the steps of diabetes care; 54% of the sample quit smoking after being diagnosed with diabetes, while 33.5% of the sample confirmed that they exercise regularly, about more than half of the sample at a rate of 67% have good knowledge about the complications of diabetes (diabetic foot, ketoacidosis.....), and the vast majority of about 71% of the sample recorded that they know the normal values for blood sugar levels according to the time of measurement and the type of medication used. While 60.5% of the sample indicated that they are aware of stress management methods, blood sugar control and the importance of getting enough sleep, the percentage of patients who visit the doctor regularly decreased, as only 34% of patients indicated that they are committed to regular visits. Regarding drug treatment, 60.5% of the sample are able to obtain the medication regularly and easily, while 85% of the sample confirmed that they are committed to taking the prescribed drug doses regularly. As for the diet, a relatively small percentage, about 38.5% of the sample only, indicated that they are committed to the doctor's nutritional instructions. After presenting the results of the descriptive study on the degree of availability of a complete and organized community response that provides the greatest amount of assistance to enhance self-care for diabetes, and help patients to live with their disease and avoid its complications as much as possible. In addition to surveying the degree of patients' awareness and knowledge of the steps of self-care and their ability to manage the disease. An analytical study was conducted on some axes related to developing self-care from attending educational workshops and others; where the effect of some demographic indicators was studied from the effect of the patient's gender on his commitment to attending training workshops. The results of the study we conducted indicated that there is no significant difference between males and females in their commitment to attending educational workshops. There was no significant effect of the patient's social status on his commitment to attending educational training workshops. In the study we conducted, the effect of community response and promoting the concept of self-care for diabetes among patients (as one axis) on their level of awareness and dealing with the complications of the disease and their ability to manage the symptoms of the disease was studied. A one-way analysis of variance test was conducted and its results indicated the existence of a significant effect of promoting the concept of self-care on the lives of patients and helping them avoid complications of the disease. This is consistent with the instructions of the American Society for Endocrine Diseases, as the American Diabetes Association conducted studies and reviewed the results of the standards of self-care and personal management of diabetes, and the results indicated that there was a four-fold increase in diabetes complications among people who did not receive any advice or education related to self-care practices. (Toljamo & Hentinen, 2001) An analytical study also revealed (G. C. Williams et al., 1998) that self-management education for adults with type 2 diabetes resulted in an improvement in blood sugar control when they were followed up after applying the self-care steps. In light of the study of the availability of aids to enhance self-care, the effect of the availability of health centers on facilitating access to medications for diabetes patients was studied. The results of the study showed that cities that had health care centers enabled patients to obtain medication more regularly than patients whose cities did not have health care centers. Since psychological support is an essential step and a decisive role in the success of self-care, the effect of mental health support workshops on patients’ ability to manage stress and prevent its effects on blood sugar levels was studied. The test results showed that patients who attended mental health support workshops were aware of the importance of stress management and were able to deal with its effects on blood sugar levels more than patients who did not attend psychological support workshops, which reflects the importance of mental health support workshops in managing stress in patients as a fundamental pillar of self-care. According to the Chilean Pediatric Society, special teams should be created consisting of specialists responsible for controlling diabetes management in young adult patients, in addition to educating and encouraging them to maintain control over diabetes, to make health care centers more effective. (Henríquez-Tejo and Cartes-Velásquez, 2018. In a similar study by Gonzalez et al., 2008, a positive association was found between depressive symptoms and poor adherence to medication and diabetes self-care after 9 months, which constitutes a major barrier to achieving adequate self-care. Similarly, another study showed that persistent depressive symptoms were associated with poor self-management in terms of diet and exercise over the following 5 years. (Katon et al., 2009) This reflects the importance of psychological support and behavioral therapy for diabetes patients as a fundamental pillar in implementing self-care and achieving its primary goal. Recommendations 1- In the context of the importance of applying self-care for diabetics and promoting this culture, we recommend: 2- Instructing patients on the importance of monitoring blood sugar levels regularly and following a healthy diet. 3- Encouraging patients to exercise regularly to maintain a healthy weight. 4- Raising awareness of the importance of following medical instructions and taking medications regularly. 5- Ensuring the provision of specialized healthcare centers that patients can access. 6- Providing psychological and social support to patients, and providing a supportive environment to maintain a healthy lifestyle. 7- Encouraging participation in educational events about diabetes to increase awareness and motivation to follow a healthy lifestyle. Declarations Ethics approval and consent to participate. All methods were carried out in accordance with relevant guidelines and regulations. Ethical approval for the current study has been obtained from the Syrian Ethical Society for Scientific Research (HFE783253). Informed consent was obtained from all subjects. Consent for publication Not applicable. Competing interests None Funding N/A Availability of Data and Materials The authors have access to and have saved all of the data necessary to support this paper's conclusion. All data are accessible upon reasonable request from the corresponding author. References & Resources Prevalence of prediabetes in school-going children. Narayanappa D, Rajani HS, Mahendrappa KB, Prabhakar AK. Indian Pediatr. 2011;48:295–299. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Wild S, Roglic G, Green A, Sicree R, King H. Diabetes Care. 2004;27:1047–1053 Improving self-management of type 1 and type 2 diabetes. Phillips A. Nurs Stand. 2016;30:52–58. Improving chronic illness care: translating evidence into action. 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Self-management education for adults with type-2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care. 2002; 25 (7):1159–1171 Adherence to self-care and glycaemic control among people with insulin-dependent diabetes mellitus. Toljamo M, Hentinen M. J Adv Nurs. 2001;34:780–786. Gonzalez JS, Safren SA, Delahanty LM, Cagliero E, Wexler DJ, Meigs JB, et al. Symptoms of depression prospectively predict poorer self-care in patients with type 2 diabetes. Diabet Med. 2008a;25:1102–7. Henríquez-Tejo R., Cartes-Velásquez R. (2018). Psychosocial impact of type 1 diabetes mellitus in children, adolescents and their families. Literature Rev . 89, 3. 10.4067/S0370-41062018005000507 Katon WJ, Russo JE, Heckbert SR, Lin EH, Ciechanowski P, Ludman E, et al. The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetes. Int J Geriatr Psychiatry. 2010b;25:466–75 Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-5082552","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":353530688,"identity":"279c420e-4ef7-457d-bf34-f887d8c364fb","order_by":0,"name":"Fadi Saba","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA6klEQVRIiWNgGAWjYBAC+wMMBgcYGA4w8LM3A2kGCRmCWgwYoFoke44lgLTwEKWFAaTF4EYOiMFAhBb2wxsP/qi5Iy/Zc+bzqxs1FjwM7IePbsDrF560gsM8x54Z9rP3brPOOQZ0GE9a2g38DssxOMzAdphxZs/ZbcY5bEAtEjxm+LXwvzE4+OPfYfsNN3KeGef8I0aLRI7BAd62w4lALcyPc9uI0vKs4DBv37PkmT3HzJhz+yR42Aj6hT9588cf3+7Y9rM3P/6c861Ojp/98DG8WpABmwSYJFY5CDB/IEX1KBgFo2AUjBwAAI/QUSSt+ZbKAAAAAElFTkSuQmCC","orcid":"","institution":"Faculty of Medicine; Syrian private university (SPU), Damascus, Syria","correspondingAuthor":true,"prefix":"","firstName":"Fadi","middleName":"","lastName":"Saba","suffix":""},{"id":353531339,"identity":"0be4c020-b041-44b6-8177-bff515be884b","order_by":1,"name":"Emilio Arbaji","email":"","orcid":"","institution":"Faculty of Medicine; Syrian private university (SPU), Damascus, Syria","correspondingAuthor":false,"prefix":"","firstName":"Emilio","middleName":"","lastName":"Arbaji","suffix":""},{"id":353531340,"identity":"8a1fb15a-dd07-41ac-9d24-213bb877f68f","order_by":2,"name":"Taghrid Hammoud","email":"","orcid":"","institution":"Faculty of Medicine; Syrian private university (SPU), Damascus, Syria","correspondingAuthor":false,"prefix":"","firstName":"Taghrid","middleName":"","lastName":"Hammoud","suffix":""}],"badges":[],"createdAt":"2024-09-13 09:13:03","currentVersionCode":1,"declarations":{"humanSubjects":true,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":true,"humanSubjectConsent":true,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-5082552/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-5082552/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":64580948,"identity":"b7e29b71-b630-481d-9599-f059621d4376","added_by":"auto","created_at":"2024-09-16 06:13:52","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":967612,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-5082552/v1/f6e442cf-a2b5-4b5a-a95e-e221d573238f.pdf"}],"financialInterests":"The authors declare no competing interests.","formattedTitle":"\u003cp\u003eAssessment Of Self - Management For Patients With Type 2 Diabetes During The Syrian Crisis\u003c/p\u003e","fulltext":[{"header":"Introduction","content":"\u003cp\u003eDiabetes is a chronic disease that occurs when the pancreas fails to produce enough insulin, or when the body is unable to effectively use the insulin it produces. Hyperglycemia, a common result of poor blood sugar control, can over time seriously damage many of the body's systems.\u003c/p\u003e \u003cp\u003eType 1 diabetes is characterized by a lack of insulin production and requires daily insulin administration. Type 2 diabetes affects how the body uses sugar (glucose) for energy. It is characterized by insulin resistance, which prevents the body from using insulin properly, which can lead to high blood sugar levels if left untreated. Gestational diabetes is hyperglycemia in which blood glucose levels are higher than normal during pregnancy but not high enough to be diagnosed w/ diabetes.\u003c/p\u003e \u003cp\u003ePeople with type 1 diabetes need insulin injections to survive, and some people with type 2 diabetes need to take medications to help control blood sugar levels. These medications may include insulin injections or other medications such as metformin, sulfonylureas, and type 2 sodium-glucose co-transporter inhibitors.\u003c/p\u003e \u003cp\u003eThe most prominent complications of diabetes include general complications such as a gradual increase in blood pressure, distinctive disorders in blood lipids, low levels of HDL, and distinctive damage to the kidneys, retinas, and nervous system; short-term complications that require immediate treatment; long-term complications may eventually lead to disabilities or even death.\u003c/p\u003e \u003cp\u003eTraining related to personal care and self-management of diabetes begins with the proper knowledge of the instructions, which depend on the patient's needs. Self-care practices are a set of behavioral practices that individuals with diabetes use to manage and control the disease themselves. Various studies and evidence show that when the patient have self-care practices in a proper and systematic manner, he can improve blood sugar control, and these practices have proven effective in achieving the treatment goals of diabetes.\u003c/p\u003e \u003cp\u003eThe most important self-care practices are daily exercise, diet, smoking cessation, foot care, fiber intake, dental care, eye care, and stress management.\u003c/p\u003e \u003cp\u003eSelf-care includes various approaches aimed at taking care of physical, emotional and mental health, as any patient with a chronic disease may experience impacts on their overall health and lifestyle as a result of changes in their choices and behaviors. These practices include different things to take care of, such as medications, exercise, food, sleep, emotions, medical facilities, and care.\u003c/p\u003e \u003cp\u003eThe American Diabetes Association (ADA) states that monitoring carbohydrate and fiber intake, losing weight, and reducing cholesterol, saturated fat, trans fat, and salt intake are the basic things that should be done to manage this disease.\u003c/p\u003e \u003cp\u003eObesity is one of the main issues for individuals with type 2 diabetes, so dietary changes are the main factor in managing diabetes because they can lead to weight loss and help in managing obesity, which helps in managing diabetes.\u003c/p\u003e \u003cp\u003ePersonal care with physical exercise is an important internal part of managing this disease and maintaining skeletal muscle activity and movement. The goal of physical exercise is to achieve blood sugar regulation, improve insulin action, improve protein and fat metabolism, avoid complications of diabetes, and increase quality of life and life expectancy.\u003c/p\u003e \u003cp\u003eAdequate physical exercise also leads to decrease levels of glycated hemoglobin (HbA1c). Therefore, young generations should be educated and informed about the importance of regular exercise, which helps them lose calories, lose weight, and maintain blood glucose levels.\u003c/p\u003e \u003cp\u003eThe American Diabetes Association has conducted studies and reviewed the results of diabetes self-care and self-management measures and recognizes that there is a four-fold increase in diabetes complications in people who did not receive any advice or education regarding self-care practices.\u003c/p\u003e \u003cp\u003eHowever, this improvement in blood glucose levels declines after one to three months of stopping self-care activities, suggesting that self-management education is beneficial in reducing HbA1c.\u003c/p\u003e \u003cp\u003eAdherence to diabetes treatment regimen is an important area of ​​concern. In diabetes, individuals need to adapt to and follow the management plan carefully, which should include positive lifestyle changes, including dietary planning and regular physical exercise; taking proper medications daily, including insulin or oral hypoglycemic agents; monitoring blood sugar levels; managing diabetes-related symptoms; having foot care guidelines; and taking care of diabetes or other health-related problems.\u003c/p\u003e \u003cp\u003eHowever, despite the life-saving benefits of these activities, adherence to these self-care activities has been found to be very low.\u003c/p\u003e \u003cp\u003eIn a study of diabetics, the results showed that only 30% of individuals were adherent to the treatment regimen, and non-adherence was higher, especially among groups with lower socioeconomic status.\u003c/p\u003e \u003cp\u003ePractical study\u003c/p\u003e \u003cdiv id=\"Sec2\" class=\"Section2\"\u003e \u003ch2\u003eResearch Objective:\u003c/h2\u003e \u003cp\u003eA scientific study using a questionnaire on the application of self-care for diabetes patients in the Syrian Arab Republic, to study the importance of self-care and community response within it and the reflection of its effects on patients' awareness and management of disease symptoms.\u003c/p\u003e \u003c/div\u003e"},{"header":"Materials and Methods","content":"\u003cp\u003eStudy location: Damascus, Syrian Arab Republic.\u003c/p\u003e\n\u003cp\u003eSample design: A sample of 200 diabetes patients was assembled using a directed electronic questionnaire that included a number of questions that were controlled to achieve the study's objective.\u003c/p\u003e\n\u003cp\u003eInclusion criteria: The criteria for including individuals in the sample included several aspects and aspects, including:\u003c/p\u003e\n\u003cp\u003e1-\u0026nbsp;\u0026nbsp;The individual participating in the questionnaire agreed to be part of the sample of this study, before self-filling out the questionnaire with personal information and responses to the questions within the questionnaire.\u003c/p\u003e\n\u003cp\u003e2-\u0026nbsp;\u0026nbsp;Confirming that the individual participating in the sample has diabetes of either type 1 or type 2.\u003c/p\u003e\n\u003cp\u003e3-\u0026nbsp;\u0026nbsp;The individual's answer to the questions presented to him in the questionnaire directed to this study, especially the questions that have an important impact on the research results and study statistics.\u003c/p\u003e\n\u003cp\u003eExclusion criteria: A number of individuals were excluded from the sample according to specific criteria, which are:\u003c/p\u003e\n\u003cp\u003e1-\u0026nbsp;\u0026nbsp;The individual's refusal to participate in the sample studied in this research.\u003c/p\u003e\n\u003cp\u003e2-\u0026nbsp;\u0026nbsp;Confirming that the individual is not with either type-1 or type-2 diabetes.\u003c/p\u003e\n\u003cp\u003e3-\u0026nbsp;\u0026nbsp;The individual's refusal to answer many questions in the questionnaire, which may affect the statistical results and the normal distribution of sample.\u003c/p\u003e\n\u003ch1\u003eResearch method:\u003c/h1\u003e\n\u003cp\u003eThe study was conducted within the framework of three axes; demographic indicators (gender, age...), the social response axis (availability of special care centers, educational workshops, psychological support workshops...), the knowledge and awareness axis of patients and their ability to disease manage.\u003c/p\u003e\n\u003ch1\u003eStatistics and data processing\u003c/h1\u003e\n\u003cp\u003eThe data were processed using SPSS version 26, a general descriptive study of the sample's answers was conducted, followed by appropriate statistical tests to reach scientific results documented by previous medical literature; such as Chi-square, one-way Anova, T-student.\u003c/p\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec7\" class=\"Section2\"\u003e\n \u003ch2\u003e1- Descriptive study\u003c/h2\u003e\n \u003cdiv id=\"Sec8\" class=\"Section3\"\u003e\n \u003ch2\u003ea- Study of demographic aspects of the sample:\u003c/h2\u003e\n \u003cp\u003eIn the sample of 200 diabetic patients, 45.5% of the sample were males and 54.5% of the sample were females.\u003c/p\u003e\n \u003cp\u003eThe average age of the sample was 39 years, with the youngest age in the sample being 18 and the oldest 89. The largest percentage of the sample, about 50.5%, was between 30 and 60 years old, while 8.5% of the sample was between 60 and 90 years old.\u003c/p\u003e\n \u003cp\u003eAbout 55% of the sample were married, while the largest portion of the sample, about 65%, had a university degree, while 31% were uneducated, and 52.5% of the sample were smokers.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cp\u003e\u003cstrong\u003eTable (1)\u0026nbsp;\u003c/strong\u003eDistribution of the sample according to demographic factors.\u003c/p\u003e\u0026nbsp;\u003ctable id=\"Taba\" border=\"1\"\u003e\n \u003ccolgroup cols=\"4\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eDistribution\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eFrequency\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ePercentage\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eGender\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e91\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e45.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e109\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e54.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100.0%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"5\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;30 (18\u0026ndash;30) years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e81\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e40.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e30\u0026ndash;60 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e101\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e50.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e60\u0026ndash;90 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e8.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e199\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e99.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMissing value\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"4\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducational level\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eUneducated\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e62\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e31%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eUniversity degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e130\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e65%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePostgraduate studies\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eSmoking\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSmoker\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e105\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e52.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNon-Smoker\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e95\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e47.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n \u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec9\" class=\"Section2\"\u003e\n \u003ch2\u003eb- Study of community response to diabetes care:\u003c/h2\u003e\n \u003cp\u003eIn the study of community response to diabetes care; 57% of the sample held scientific seminars within the city to educate them about diabetes and self-care steps, only 8% of the sample were committed to attending these workshops regularly.\u003c/p\u003e\n \u003cp\u003ePlus, 80.5% of the sample indicated the existence of health care centers and educational teams that the patient can visit and review periodically.\u003c/p\u003e\n \u003cp\u003eIn addition to 49% of the sample confirming the existence of seminars to support mental health and provide necessary consultations for diabetes patients.\u003c/p\u003e\n \u003cp\u003e34% of the sample indicated that their family received awareness about diabetes and the steps to control it and its complications.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable (2)\u0026nbsp;\u003c/strong\u003eSample\u0026rsquo;s answers of community response to diabetes care.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\u0026nbsp;\u003ctable id=\"Tabb\" border=\"1\"\u003e\n \u003ccolgroup cols=\"4\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eDistribution\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eFrequency\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ePercentage\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAre there any educational seminars held in your city to educate about diabetes and self-care steps?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e114\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e57%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e86\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e43%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100.0%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eDo you attend these educational workshops on a regular basis?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e8%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e184\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e92%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAre there educational teams that you can visit when needed and review periodically to monitor diabetes complications?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e161\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e80.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e39\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e19.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAre there mental health support seminars that a diabetic patient needs to manage stress in your governorate?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e98\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e49%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e102\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e51%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eHas your family received awareness about diabetes, steps to control it and quickly deal with its complications?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e68\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e34%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e66%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec10\" class=\"Section2\"\u003e\n \u003ch2\u003ec- Study of patients\u0026apos; response and their level of awareness and knowledge of diabetes care steps\u003c/h2\u003e\n \u003cp\u003eIn a study of patients\u0026apos; response and their level of awareness and knowledge of diabetes care steps; 54% of the sample quit smoking after being diagnosed with diabetes, while 33.5% of the sample confirmed that they exercise regularly.\u003c/p\u003e\n \u003cp\u003eAbout more than half of the sample, 67%, have good knowledge about diabetes complications (diabetic foot, ketoacidosis, etc.).\u003c/p\u003e\n \u003cp\u003ePlus, the vast majority, about 71% of the sample, answered that they know the normal values for blood sugar levels according to the time of measurement and the type of medication used.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cp\u003e\u003cstrong\u003eTable (3-a)\u0026nbsp;\u003c/strong\u003eSample\u0026rsquo;s answers and their level of awareness and knowledge of diabetes care steps.\u003c/p\u003e\u0026nbsp;\u003ctable id=\"Tabc\" border=\"1\"\u003e\n \u003ccolgroup cols=\"4\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eDistribution\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eFrequency\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ePercentage\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAre you still a smoker after being diagnosed with diabetes?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e92\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e46%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e108\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e54%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100.0%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eDo you exercise regularly as a routine part of your daily life?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e67\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e33.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e133\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e66.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAfter attending the training and educational workshops, were you able to manage your blood sugar level better?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e42\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e21%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e79%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eDo you have knowledge about complications of diabetes (diabetic foot, ketoacidosis, diabetic retinopathy)?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e134\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e67%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e66\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e33%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eDo you know what your normal blood sugar levels are based on the time of measurement and the type of medication used?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e142\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e71%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e58\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e29%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n \u003cp\u003eAbout 60.5% of the sample indicated that they are aware of methods for managing stress, controlling sugar, and the importance of getting enough sleep.\u003c/p\u003e\n \u003cp\u003eWhile the patients who visit the doctor regularly decreased, only 34% of patients indicated that they are committed to periodic visits.\u003c/p\u003e\n \u003cp\u003eRegarding drug treatment, 60.5% of the sample were able to obtain the medication regularly and easily, while 85% of the sample confirmed that they were committed to taking the prescribed drug doses regularly.\u003c/p\u003e\n \u003cp\u003eAs for the diet, a relatively small percentage, about 38.5% of the sample only, indicated that they were committed to the doctor\u0026rsquo;s dietary instructions.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable (3-b)\u0026nbsp;\u003c/strong\u003eSample\u0026rsquo;s answers and their level of awareness and knowledge of diabetes care steps.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\u0026nbsp;\u003ctable id=\"Tabd\" border=\"1\"\u003e\n \u003ccolgroup cols=\"4\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eDistribution\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eFrequency\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ePercentage\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAre you aware of the importance of getting enough sleep to manage your stress and control your blood sugar?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e121\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e60.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e79\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e39.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100.0%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eDo you visit your doctor regularly?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e68\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e34%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e66%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAre you able to get your medication regularly?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e121\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e60.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e79\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e39.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eDo you take your medication regularly every day?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e171\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e85.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e29\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e14.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eAre you adhering to your doctor\u0026apos;s diet instructions?\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e77\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e38.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e123\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e61.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n \u003cp\u003e\u003cstrong\u003e2- Analytical study\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003ea- Study of the impact of demographic indicators\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec11\" class=\"Section2\"\u003e\n \u003cdiv id=\"Sec12\" class=\"Section3\"\u003e\n \u003cp\u003e1- Study of the correlation between the patient\u0026apos;s gender and commitment to attending the educational workshops held:\u003c/p\u003e\n \u003cp\u003eBy discussing the results shown in Table\u0026nbsp;4, we note that 5.5% of males are committed to attending the educational workshops held in the governorates, while only 10.1% of females are committed to attending these workshops.\u003c/p\u003e\n \u003cp\u003eConsidering the independence test, we note that the probability value is equal to 0.233, which shows that there is no significant correlation or statistically significant association between the patient\u0026apos;s gender and his attendance at the training workshops.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable (4)\u0026nbsp;\u003c/strong\u003eresults of chi-independence test to find the correlation between the patient\u0026apos;s gender and commitment to attending the educational workshops.\u003c/p\u003e\n \u003cp\u003e\u003cimg 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\"\u003e\u003cbr\u003e\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cdiv align=\"left\" class=\"colspec\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003c/div\u003e\n \u003cp\u003e2. Studying the effect of the gender and attendance at educational workshops:\u003c/p\u003e\n \u003cp\u003eTo study the effect of the patient\u0026apos;s gender on the average attendance at training workshops, we conducted the T-Student\u0026apos;s test for independent samples and we note that the average commitment among males was greater than that of females, but based on the probability value equal to 0.22, we note that there is no statistical significance for this difference, and therefore there is no effect of the patient\u0026apos;s gender on his attendance at educational workshops.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cp\u003e\u003cstrong\u003eTable (5)\u0026nbsp;\u003c/strong\u003eresults of T-Student\u0026apos;s test for independent samples to find the correlation between gender and attendance at educational workshops.\u003c/p\u003e\u0026nbsp;\u003ctable id=\"Tabf\" border=\"1\"\u003e\n \u003ccolgroup cols=\"3\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eT-Student\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eMean\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eProbability\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eMale\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.95\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003e0.22\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eFemale\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.90\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n \u003cp\u003e3. Studying the correlation between social response and its impact on knowledge about diabetes complications\u003c/p\u003e\n \u003cp\u003eBased on the importance of self-care and its impact on improving patients\u0026apos; lives, the impact of the means that help achieve self-care on patients\u0026apos; response was studied. Where questions related to social response were grouped under one axis (social response axis), and questions related to the patient\u0026apos;s ability and awareness to manage symptoms according to a regular life routine (awareness axis), a one-way analysis of variance test was conducted and the results were presented in the table.\u003c/p\u003e\n \u003cp\u003eBy discussing the results included in Table\u0026nbsp;6 and based on the probability value equal to 0.002, we note the existence of a significant effect of social response from holding educational seminars, the availability of health care centers, and holding mental health support workshops, on the degree of knowledge and awareness among patients in terms of their knowledge about complications and the importance of managing stress and getting enough sleep and adhering to regular periodic visits and nutritional instructions prescribed by the doctor and taking medications regularly.\u003c/p\u003e\n \u003cp\u003eThis is due to the importance of communication between the doctor and the patient, and the community health institutions concerned with improving the lives of patients suffering from chronic diseases, and anticipating the exacerbation of the disease.\u003c/p\u003e\n \u003cp\u003eIt increases the patient\u0026apos;s knowledge of the symptoms of his disease and the possibility of managing them and preventing their severity by following studied scientific methods that are compatible with the patient\u0026apos;s culture and awareness, in addition to educating the patient\u0026apos;s family about these methods and prevention steps.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable (6)\u0026nbsp;\u003c/strong\u003eresults of the one-way analysis of variance test to find the correlation between social response and its impact on knowledge about diabetes complications.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\u0026nbsp;\u003ctable id=\"Tabg\" border=\"1\"\u003e\n \u003ccolgroup cols=\"3\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eAnova\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariance\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eProbability\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariance between groups\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e78.50\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003e0.002\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariance within groups\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e882.512\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n \u003cp\u003e4. Studying the correlation between the presence of permanently available health care centers and the possibility of having medication regularly\u003c/p\u003e\n \u003cp\u003eAs part of the study to provide community support to help implement self-care, a pivot table was conducted showing the correlation between the presence of health care centers and the possibility of having medication regularly, as 84.6% of patients who have medication regularly confirmed the presence of care centers available in their city, while 41.9% of patients who cannot have medication comfortably and regularly indicated the absence of health care centers within the city.\u003c/p\u003e\n \u003cp\u003eBased on the probability value of the Chi-square test of independence, which is equal to 0.001, we note the presence of a significant correlation between the availability of health care centers and the possibility of obtaining medication regularly, which reflects the great community role in helping the patient control diabetes symptoms and medication doses, and shows the importance of the availability of diabetes medications in medical clinics and the availability of specialized care centers, which constitutes a fundamental pillar in supporting self-care for diabetics and helping them implement the appropriate steps and routine by providing medication easily and regularly without material cost or effort.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable (7)\u0026nbsp;\u003c/strong\u003eresults of the chi-independence test to find the correlation between the presence of permanently available health care centers and the possibility of having medication regularly.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\u003cimg 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\"\u003e\u003c/div\u003e\n \u003cp\u003e5. Studying the correlation between holding seminars to support the mental health of diabetics, which provide useful advice for stress management, and patients\u0026apos; knowledge of stress management methods\u003c/p\u003e\n \u003cp\u003eSince effective self-management of diabetes requires a great deal of personal motivation and behavioral change to achieve a healthy and satisfying life, the correlation between the availability of psychological support and symptom and stress management was studied.\u003c/p\u003e\n \u003cp\u003eWe note from the table that 54.5% of patients who are able to manage stress and have knowledge about the most important useful methods and principles in this regard had mental health support seminars held in the city, while 59.5% of patients who do not have the knowledge or ability to manage stress indicated that there were no mental health support seminars within the governorate in which they reside.\u003c/p\u003e\n \u003cp\u003eBased on the probability value of the Chi-square test of independence, which is equal to 0.05, we conclude that there is a significant effect of the presence of mental health support seminars on patients\u0026apos; ability to manage stress and their knowledge of the most important useful methods to anticipate the effect of stress on blood sugar levels, as we note that patients who have psychological support seminars held in their city had greater knowledge of stress management.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable (8)\u0026nbsp;\u003c/strong\u003eresults of the chi-independence test to find the correlation between holding seminars to support the mental health of diabetics, and patients\u0026apos; knowledge of stress management methods.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cdiv align=\"left\" class=\"colspec\"\u003e\u003cimg 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\"\u003e\u003cbr\u003e\u003c/div\u003e"},{"header":"Discussion of Results","content":"\u003cp\u003eA cross-sectional study was conducted on a sample of 200 diabetic patients, 45.5% of the sample were males and 54.5% of the sample were females. The average age of the sample was 39 years. The largest percentage of the sample, about 50.5%, was between 30 and 60 years old, while 8.5% of the sample was between 60 and 90 years old.\u003c/p\u003e\n\u003cp\u003eIn terms of marital status, 55% of the sample were married, while the largest percentage of the sample, about 65%, had a university degree, while 31% were uneducated. 52.5% of the sample were smokers.\u003c/p\u003e\n\u003cp\u003eIn the study of community response to diabetes care; 57% of the sample held scientific seminars within the city to educate them about diabetes and self-care steps. Only 8% of the sample were committed to attending these workshops on a regular basis. 80.5% of the sample indicated the existence of health care centers and educational teams that the patient can visit and review periodically, in addition to the fact that 49% of the sample confirmed the existence of seminars to support mental health and provide necessary consultations for the diabetic patient, 34% of the sample indicated that their family received awareness about diabetes and the steps to control it and its complications.\u003c/p\u003e\n\u003cp\u003eIn a study of patients' response and the degree of their awareness and knowledge of the steps of diabetes care; 54% of the sample quit smoking after being diagnosed with diabetes, while 33.5% of the sample confirmed that they exercise regularly, about more than half of the sample at a rate of 67% have good knowledge about the complications of diabetes (diabetic foot, ketoacidosis.....), and the vast majority of about 71% of the sample recorded that they know the normal values for blood sugar levels according to the time of measurement and the type of medication used.\u003c/p\u003e\n\u003cp\u003eWhile 60.5% of the sample indicated that they are aware of stress management methods, blood sugar control and the importance of getting enough sleep, the percentage of patients who visit the doctor regularly decreased, as only 34% of patients indicated that they are committed to regular visits. Regarding drug treatment, 60.5% of the sample are able to obtain the medication regularly and easily, while 85% of the sample confirmed that they are committed to taking the prescribed drug doses regularly. As for the diet, a relatively small percentage, about 38.5% of the sample only, indicated that they are committed to the doctor's nutritional instructions.\u003c/p\u003e\n\u003cp\u003eAfter presenting the results of the descriptive study on the degree of availability of a complete and organized community response that provides the greatest amount of assistance to enhance self-care for diabetes, and help patients to live with their disease and avoid its complications as much as possible.\u003c/p\u003e\n\u003cp\u003eIn addition to surveying the degree of patients' awareness and knowledge of the steps of self-care and their ability to manage the disease.\u003c/p\u003e\n\u003cp\u003eAn analytical study was conducted on some axes related to developing self-care from attending educational workshops and others; where the effect of some demographic indicators was studied from the effect of the patient's gender on his commitment to attending training workshops.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe results of the study we conducted indicated that there is no significant difference between males and females in their commitment to attending educational workshops.\u003c/p\u003e\n\u003cp\u003eThere was no significant effect of the patient's social status on his commitment to attending educational training workshops.\u003c/p\u003e\n\u003cp\u003eIn the study we conducted, the effect of community response and promoting the concept of self-care for diabetes among patients (as one axis) on their level of awareness and dealing with the complications of the disease and their ability to manage the symptoms of the disease was studied.\u003c/p\u003e\n\u003cp\u003eA one-way analysis of variance test was conducted and its results indicated the existence of a significant effect of promoting the concept of self-care on the lives of patients and helping them avoid complications of the disease.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThis is consistent with the instructions of the American Society for Endocrine Diseases, as the American Diabetes Association conducted studies and reviewed the results of the standards of self-care and personal management of diabetes, and the results indicated that there was a four-fold increase in diabetes complications among people who did not receive any advice or education related to self-care practices. (Toljamo \u0026amp; Hentinen, 2001)\u003c/p\u003e\n\u003cp\u003eAn analytical study also revealed (G. C. Williams et al., 1998) that self-management education for adults with type 2 diabetes resulted in an improvement in blood sugar control when they were followed up after applying the self-care steps.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn light of the study of the availability of aids to enhance self-care, the effect of the availability of health centers on facilitating access to medications for diabetes patients was studied.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe results of the study showed that cities that had health care centers enabled patients to obtain medication more regularly than patients whose cities did not have health care centers.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eSince psychological support is an essential step and a decisive role in the success of self-care, the effect of mental health support workshops on patients’ ability to manage stress and prevent its effects on blood sugar levels was studied.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe test results showed that patients who attended mental health support workshops were aware of the importance of stress management and were able to deal with its effects on blood sugar levels more than patients who did not attend psychological support workshops, which reflects the importance of mental health support workshops in managing stress in patients as a fundamental pillar of self-care.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAccording to the Chilean Pediatric Society, special teams should be created consisting of specialists responsible for controlling diabetes management in young adult patients, in addition to educating and encouraging them to maintain control over diabetes, to make health care centers more effective. (Henríquez-Tejo and Cartes-Velásquez, 2018.\u003c/p\u003e\n\u003cp\u003eIn a similar study by Gonzalez et al., 2008, a positive association was found between depressive symptoms and poor adherence to medication and diabetes self-care after 9 months, which constitutes a major barrier to achieving adequate self-care.\u003c/p\u003e\n\u003cp\u003eSimilarly, another study showed that persistent depressive symptoms were associated with poor self-management in terms of diet and exercise over the following 5 years.\u003c/p\u003e\n\u003cp\u003e(Katon et al., 2009)\u003c/p\u003e\n\u003cp\u003eThis reflects the importance of psychological support and behavioral therapy for diabetes patients as a fundamental pillar in implementing self-care and achieving its primary goal.\u003c/p\u003e\n\u003cp\u003eRecommendations\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e1-\u0026nbsp;\u0026nbsp;In the context of the importance of applying self-care for diabetics and promoting this culture, we recommend:\u003c/p\u003e\n\u003cp\u003e2-\u0026nbsp;\u0026nbsp;Instructing patients on the importance of monitoring blood sugar levels regularly and following a healthy diet.\u003c/p\u003e\n\u003cp\u003e3-\u0026nbsp;\u0026nbsp;Encouraging patients to exercise regularly to maintain a healthy weight.\u003c/p\u003e\n\u003cp\u003e4-\u0026nbsp;\u0026nbsp;Raising awareness of the importance of following medical instructions and taking medications regularly.\u003c/p\u003e\n\u003cp\u003e5-\u0026nbsp;\u0026nbsp;Ensuring the provision of specialized healthcare centers that patients can access.\u003c/p\u003e\n\u003cp\u003e6-\u0026nbsp;\u0026nbsp;Providing psychological and social support to patients, and providing a supportive environment to maintain a healthy lifestyle.\u003c/p\u003e\n\u003cp\u003e7-\u0026nbsp;\u0026nbsp;Encouraging participation in educational events about diabetes to increase awareness and motivation to follow a healthy lifestyle.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll methods were carried out in accordance with relevant guidelines and regulations.\u0026nbsp;Ethical approval for the current study has been obtained from the Syrian Ethical Society for Scientific Research (HFE783253). Informed consent was obtained from all subjects.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNone\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eN/A\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of Data and Materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors have access to and have saved all of the data necessary to support this paper\u0026apos;s conclusion. All data are accessible upon reasonable request from the corresponding author.\u003c/p\u003e"},{"header":"References \u0026 Resources","content":"\u003col\u003e\n\u003cli\u003ePrevalence of prediabetes in school-going children. 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Symptoms of depression prospectively predict poorer self-care in patients with type 2 diabetes. \u003cem\u003eDiabet Med. \u003c/em\u003e2008a;25:1102\u0026ndash;7.\u003c/li\u003e\n\u003cli\u003eHenr\u0026iacute;quez-Tejo R., Cartes-Vel\u0026aacute;squez R. (2018). Psychosocial impact of type 1 diabetes mellitus in children, adolescents and their families. \u003cem\u003eLiterature Rev\u003c/em\u003e. 89, 3. 10.4067/S0370-41062018005000507\u003c/li\u003e\n\u003cli\u003eKaton WJ, Russo JE, Heckbert SR, Lin EH, Ciechanowski P, Ludman E, et al. The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetes. \u003cem\u003eInt J Geriatr Psychiatry. \u003c/em\u003e2010b;25:466\u0026ndash;75\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"Faculty of Medicine; Syrian private university (SPU), Damascus, Syria ","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Diabetes mellitus, Syrian Crisis, Self-Management","lastPublishedDoi":"10.21203/rs.3.rs-5082552/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-5082552/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eDiabetes mellitus (DM) is a long-term metabolic disease in which blood glucose levels are elevated due to the complete absence or incomplete absence of the insulin hormone. The requirements for people with diabetes are not controlling blood glucose levels only; there is also an urge to prevent complications and side effects of the disease. Studies show that good self-care for individuals with this disease has led to good outcomes. Diabetics who do self-care have shown positive results by reducing diabetes complications and its development, which leads to a significant reduction in the burden of diabetes. Despite these positive changes, people who adhere to these self-care practices are very few, especially when we see broad and chronic changes. There are many factors that play a major role in adherence to self-care practices, such as social factors, demographic factors, and various economic factors. While the role of doctors plays an important role in increasing self-care practices for diabetic patients to achieve the desired result.\u003c/p\u003e \u003cp\u003eMaterials and methods used in this study\u003c/p\u003e \u003cp\u003eA sample of 200 diabetic patients was assembled with electronic questionnaire that included a number of questions controlled to achieve the study objective, in Damascus; Syria, within specific inclusion and exclusion criteria mentioned later. The data were processed using SPSS version 26, a general descriptive study of the sample's answers was conducted, followed by appropriate statistical tests to reach scientific results documented by previous medical literature.\u003c/p\u003e \u003cp\u003eResults\u003c/p\u003e \u003cp\u003eBy presenting the results of the descriptive study on the degree of availability of an organized community response that provides the greatest amount of assistance to enhance self-care for diabetes, and help patients to live with their disease and avoid its complications as much as possible. In addition to surveying the degree of patients' awareness and knowledge of the steps of self-care and their ability to manage the disease. An analytical study was conducted on some axes related to developing self-care from attending educational workshops and others; where the effect of some demographic indicators was studied from the effect of the patient's gender on his attending training workshops. The results of the study we conducted, indicated that there is no significant difference between males and females and patient's social status in their commitment to attending educational workshops. In the study we conducted, the impact of community response and promoting the concept of self-care for diabetes among patients (as one axis) on their level of awareness and dealing with the complications of the disease and their ability to manage the symptoms of the disease was studied. A one-way Anova test was conducted and its results indicated the existence of a significant impact of promoting the concept of self-care on patients\u0026rsquo; lives and helping them avoid complications of the disease.\u003c/p\u003e","manuscriptTitle":"Assessment Of Self - Management For Patients With Type 2 Diabetes During The Syrian Crisis","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-09-16 06:05:45","doi":"10.21203/rs.3.rs-5082552/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"eb68f5b0-e356-4c08-a467-ccdf04c57c6a","owner":[],"postedDate":"September 16th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":37565689,"name":"Internal Medicine"},{"id":37565690,"name":"Endocrinology \u0026 Metabolism"},{"id":37565691,"name":"Epidemiology"}],"tags":[],"updatedAt":"2024-09-16T06:05:45+00:00","versionOfRecord":[],"versionCreatedAt":"2024-09-16 06:05:45","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-5082552","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-5082552","identity":"rs-5082552","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}