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Exp Clin Endocrinol Diabetes 2014; 122(04): 236-239
DOI: 10.1055/s-0034-1367005
Article
© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

Good vs. Poor Self-rated Diabetes Control: Differences in Cardiovascular Risk and Self-care Activities

K. J. Smith
1   Department of Psychiatry, McGill University, Montreal, Quebec, Canada
2   Douglas Mental Health University Institute, Montreal, Quebec, Canada
,
R. Rabasa-Lhoret
3   Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
4   Montreal Diabetes Research Center, Montreal, Quebec, Canada
5   Department of Nutrition, Faculty of medicine, Université de Montréal
,
I. Strychar
4   Montreal Diabetes Research Center, Montreal, Quebec, Canada
5   Department of Nutrition, Faculty of medicine, Université de Montréal
6   Research Center of the University of Montreal Hospital Center, Université de Montréal
,
A. D. Karelis
3   Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
7   Department of Kinanthropology, UQAM, Montreal, Quebec, Canada
,
M. Clyde
1   Department of Psychiatry, McGill University, Montreal, Quebec, Canada
2   Douglas Mental Health University Institute, Montreal, Quebec, Canada
,
J. Levasseur
3   Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
,
C. Pinaroc
3   Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
,
M. Pedneault
2   Douglas Mental Health University Institute, Montreal, Quebec, Canada
,
N. Schmitz
1   Department of Psychiatry, McGill University, Montreal, Quebec, Canada
2   Douglas Mental Health University Institute, Montreal, Quebec, Canada
4   Montreal Diabetes Research Center, Montreal, Quebec, Canada
8   Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
› Author Affiliations
Further Information

Publication History

received 16 October 2013
first decision 20 December 2013

accepted 15 January 2014

Publication Date:
12 March 2014 (online)

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Abstract

Aim:

The aim of this study was to assess differences in cardiovascular risk and performance of self-care activities in people who rated their diabetes control as good or poor.

Methods:

A sub-sample of 77 participants who took part in the Evaluation of Diabetes Treatment telephone interview were invited into a clinic to complete a series of laboratory examinations. Self-rated diabetes control was validated using the following laboratory markers: HbA1c, total cholesterol/HDL cholesterol ratio and LDL cholesterol. Differences in blood pressure and BMI were also assessed. Finally, all participants also completed the Summary of Self-Care activities questionnaire.

Results:

Those people who rated their diabetes control as fair or poor had a significantly higher BMI, HbA1c levels, total cholesterol/HDL-cholesterol ratio and systolic blood pressure. When asked about self-care activities in the past week, those people who reported their diabetes control was fair/poor had spent significantly fewer days following a general diet and exercising.

Conclusions:

People with poor self-rated diabetes control have unfavourable cardiovascular risk and decreased performance of self-care activities.

Key words

diabetes - self-care - HbA1c - blood pressure - cholesterol
 

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