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Self-reported diabetes is associated with self-management behaviour: a cohort study.
Baiju R Shah1, Douglas G Manuel
1Institute for Clinical Evaluative Sciences, Toronto, Canada. baiju.shah@ices.on.ca
BMC Health Services Research
|July 9, 2008
Summary
Many individuals with diagnosed diabetes do not report their condition, leading to inadequate self-management and monitoring. This highlights a need for better identification of these patients to improve diabetes care.
Area of Science:
- Diabetes Mellitus Research
- Public Health Surveillance
- Health Services Research
Background:
- Physician-diagnosed diabetes is common, yet self-reporting rates vary.
- Understanding factors influencing self-reporting is crucial for effective diabetes management.
- Disparities in self-reporting may impact health behaviors and outcomes.
Purpose of the Study:
- To determine the frequency of self-reporting among patients with physician-diagnosed diabetes.
- To identify demographic and clinical factors associated with diabetes self-reporting.
- To evaluate differences in self-management, healthcare utilization, and clinical outcomes based on self-reporting status.
Main Methods:
- A cohort study utilized a registry of physician-diagnosed diabetes as a reference.
- Population-based health survey respondents (n=1,812) with diabetes were analyzed.
- Self-reporting status was assessed, and linked with administrative data for behavioral and clinical outcomes.
Main Results:
- Only 75% of individuals with diagnosed diabetes self-reported the condition.
- Self-reporters were more likely to be male, rural, have longer disease duration, and receive specialist care.
- Non-reporters showed significantly lower capillary blood glucose monitoring (OR 0.05), specialist care (OR 0.55), and higher risk of hypo-/hyperglycemia hospitalization (OR 0.09).
Conclusions:
- A significant proportion of individuals with diagnosed diabetes do not self-report their condition.
- Inadequate diabetes self-management, particularly glucose monitoring, is evident in non-reporters.
- Absence of glucose monitoring can serve as a screening tool for identifying individuals needing further diabetes evaluation.
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