Diabetes & Metabolism Journal

Original Articles

Factors Influencing Adherence to Preventive Behavior on Chronic Complications of Diabetes Mellitus.: Soon Gu Kim; Korean Diabetes J. 2008;32(1):77-82. Published online February 1, 2008; DOI: https://doi.org/10.4093/kdj.2008.32.1.77

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BACKGROUND
The prevalence of diabetes is steadily increasing in Korea. The increase of people with diabetes will ultimately result in taking a turn for the worse, not only affecting the health of the people, but there will be an increase of social finances. This study was aimed at investigating the factors influencing adherence to preventive behavior on chronic complications of Diabetes Mellitus. METHODS: Data was collected by questionnaires from 332 diabetic patients who were visited out-patient clinics, with 323 finally selected for the study. The data was analyzed by the SPSS program. RESULTS: The level of knowledge on chronic complications of Diabetes Mellitus was 18.02 points space(maximum 24 points). The level of hardiness was 119.80 points(maximum 240 points). The level of adherence to preventive behavior on chronic complications of Diabetes Mellitus was 49.11 points(maximum 75 points). The score of knowledge and hardiness showed a significant correlation with adherence to preventive behavior on chronic complications of Diabetes Mellitus. The significant predictors influencing adherence to preventive behavior were treatment, knowledge of Diabetes Mellitus, and hardiness. CONCLUSION: This study suggests that treatment, knowledge, and hardiness are significant influencing factors on adherence to preventive behavior on chronic complications of Diabetes Mellitus. The results of this study will contribute to developing a program for people with diabetes.

Citations

Citations to this article as recorded by

Factors Related to Perceived Health Status in Patients with Type 2 Diabetes
Ang Li Won, Seung Hyun Yoo, Myoung Soon You
Korean Journal of Health Education and Promotion.2014; 31(3): 1. CrossRef
Relationships of Motivational Factors and Diabetes Self-management Behavior in Community Dwelling Older Adults
Kyoungsan Seo, Misoon Song
Journal of muscle and joint health.2012; 19(3): 308. CrossRef

Relationship between C-peptide, Metabolic Control and Chronic Complications in Type 2 Diabetes.: Jeung Mook Kang, Won Young Lee, Ji Youn Kim, Jung Won Yun, Sun Woo Kim; Korean Diabetes J. 2002;26(6):490-499. Published online December 1, 2002

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Abstract PDF: BACKGROUND
Type 2 diabetes mellitus is a heterogeneous disease characterized by variable degrees of insulin resistance, impaired insulin secretion and increased glucose production. As the decline of beta-cell function in type 2 diabetes is very slow, the relationship between the insulin secretory capacity, the degree of metabolic control and chronic complications is still unclear. The determination of plasma C-peptide allows for the assessment of the endogenous insulin production, even in the presence of exogenous insulin administration. The aim of this study was to evaluate the relationship between the serum C-peptide level and metabolic parameters, and the complications in type 2 diabetes. METHOD: The clinical characteristics and laboratory findings, such as lipid profile, fasting plasma glucose, HbA1C and uric acid, were evaluated, and their relationships with chronic complications analyzed. We measured the serum C-peptide level by radioimmunoassay (RIA) in 384 type 2 diabetes mellitus patients. The patients were divided into quartile groups according to their fasting C-peptide levels (quartile 1: <1.73 ng/mL, n=95; quartile 2:>or=1.73 ng/mL and <2.38 ng/mL, n=95; quartile 3:>or=2.38 ng/mL and <3.18 ng/mL, n=98; quartile 4:>or=3.18 ng/mL, n=96). RESULTS: Patients in the lowest C-peptide quartile showed significantly higher durations of diabetes, HbA1C and postprandial plasma glucose values, and HDL-cholesterol. Conversely, the BMI, systolic blood pressure, total cholesterol and triglyceride were significantly higher in the highest C-peptide quartile. The prevalence of diabetic retinopathy and urinary protein excretion were higher in lowest quartile, and the diastolic blood pressure was highest in the upper quartile, but these were not statistically significant. The associations between C-peptide, and the duration of diabetes, BMI, total cholesterol, triglyceride, HDL cholesterol, postprandial 2 plasma glucose and systolic blood pressure remained significant, even after multiple adjustments. CONCLUSION: In type 2 diabetes, higher C-peptide levels are associated with a component of metabolic syndrome and lower C-peptide levels due to decreased cell reserves, associated with hyperglycemia and microvascular complications

The Prevalence of Chronic Complications in Non-Insulin Dependent Diabetic Patients.: Jick Hwa Nam, Soon Hee Lee, Hyun Jeong Lee, Jeung Hun Han, Jung Guk Kim, Sung Woo Ha, Bo Wan Kim; Korean Diabetes J. 1999;23(5):702-714. Published online January 1, 2001

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Abstract PDF: BACKGROUND
The chronic complications of diabetes mellitus are important prognostic factors of diabetics. The pathogenic mechanisms have not been known exactly and the prevalence is different according to the race and the reporter. In general, the development of diabetic microangiopathy depends on the duration and the severity of disease, while that of macroangiopathy does not. This study was undertaken to investigate the prevalence of diabetic chronic complications according to age and duration of diabetes and to elucidate associated factors and correlation of chronic complications. METHODS: We studied 1,270 patients with non- insulin dependent diabetes mellitus (NIDDM) who visited the Endocrine-metabolism clinic at Kyungpook National University during the period from February 1992 to September 1996. We investigated prevalence, severity, associated factors and correlation of chronic vascular complications, including micro- and macroangiopathy. RESULT: 1) The ratio of male to female was similar and the average duration was 7.8 years. Diabetes mellitus was most prevalent in the 6th decade and the 1-5 years of diabetes duration. 2) The prevalences of retinopathy, nephropathy and peripheral polyneuropathy were 47.8%, 31.9% and 41.0%, respectively. Macrovascular complications were found in 6.2% of patients and the prevalences of coronary artery disease, cerebrovas-cular disease and peripheral artery disease were 2.4%, 3.4%, 0.4%, respectively. Prevalence of diabetic foot was 4.4%. 3) The prevalence and severity of microvascular complications increased as the age and diabetic duration of patients increased. In the group of same age, the prevalence of microvascular complications increased as the duration of diabetes increased. However, prevalence of macrovascular complica-tions especially coronary artery disease depended on the age, but not the duration of diabetes (p<0.05). 4) In the group over 10 years of diabetes, the fasting blood glucose, age and serum creatinine levels were increased, while hemoglobin and total protein levels were decreased than other groups (p<0.05). 5) The development of diabetic retinopathy was related to the duration, fasting blood glucose, albumine excretion rate and serum creatinine. The nephropathy was related to the duration and systolic blood pressure. The peripheral polyneuropathy was related to the duration, fasting blood glucose and body mass index. Macrovascular complications-particularly, coronary artery disease-were related to the age of diabeties (p<0.05). 6) There was significant relation between development of retinopathy, nephropathy and neuropathy but no relation between development of micro and macrovascular complications (p<0.05). CONCLUSION : The prevalence of microvascular complications in non-insulin dependent diabetics increased as the duration and the age of diabetics increased. The development of microvascular complications was related to the duration of disease and the glycemic control. There was relation between development of retinopathy, nephropathy and neuropathy. The development of macrovascular complications, however, was related to the age of diabetics but not to the microvascular complications. Our results suggest that different pathogenic mechanisms may be involved in the development of micro- and macrovaseular complications of diabetes mellitus.

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