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Diabetes Self-Management Adherence To Physical Exercise And Nutrition Literature Review Chapter

Diabetes A recent study conducted by Okolie et al. determined that diabetes is a current concern to the healthcare industry and that it not only would be a continuing concern for decades to come, but it would also grow in magnitude, especially among the non-developed nations as compared to the developed nations of the world where it is already a more prevalent problem. The researchers wrote that diabetes was of a very high concern and that "such a chronic condition requires self-care, which can be developed from a thorough understanding of the disease process and the management challenges by the patient and family members" (Okolie, Uchenna, Ehiemere, Ijeoma, Iheanccho, 2009, p. 354). What their study was seeking to determine was whether those patient and family challenges could be overcome by implementing an educational program that would emphasize diet and exercise.

The study's environment involved diabetic patients from Nigeria who were provided with weekly care at a government clinic. The study administered surveys to determine specifically what the diabetics were being taught regarding their disease and the short- and long-term effects of self-management. The study's specific objectives included; 1) determining the level of patient's knowledge concerning diabetes mellitus, 2) determining the patient's knowledge of the management and control measures that are effective with diabetes mellitus, 3) determining the patient's knowledge of how to self-care for diabetes mellitus and. 4) to identify the level and quality of health information received by the patients...

These findings are troublesome because the lack of knowledge and the absence of adherence to self-care techniques likely leads to additional problems for the diabetics, problems that could have been avoided.
The resulting poor health that comes from lack of adherence to an overall health plan for diabetics has been well documented. Wei et al. wrote in a 2000 study that physical inactivity and poor physical fitness have both been well established as increasing mortality in people with diabetes (Wei, Kampert, Blair, 2000). Additionally, a study conducted on mice to determine the positive or negative effects of exercise from a diabetic standpoint discovered that the "data provides strong evidence for a protective effect of long-term training exercise program against chemically-induced diabetes in mice? (Cimbiz, Ozay, Yuredeler, Cayci, Colak, Askoy, 2011, p. 69). Cimbiz et al. also determined that exercise can and should be used in the prevention and treatment of diabetes. An additional study agreed with the Cimbiz et…

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References

Cimbiz, A.; Ozay, Y.; Yurekdeler, N.; Cayci, K.; Colak, T.; Aksoy, C.C.; (2011) The effect of long-term exercise training on the blood glucose level and weight in alloxan administered mice, Scientific Research and Essays, Vol. 6, Issue 1, pp. 68 -- 70

Hazar, S. (2010) The effect of regular moderate exercise on muscle damage and inflammation at individuals of different cardiovascular risk groups, Scientific Research and Essays, Vol. 5, Issue 10, pp. 1172-1180

Okolie, V.U.; Ehiemere, O.I.; Iheanacho. N.P.; Kalu-Igwe, I.N.; (2009) Knowledge of diabetes management and control by diabetic patients at the Federal Medical Center in Umuahia Abja State, Nigeria, International Journal of Medicine and Medical Sciences, Vol. 1, Issue 9, pp. 353 -- 358

Riaz, S. (2009) Diabetes mellitus, Scientific Research and Essay, Vol. 4, Issue 5, pp. 367-373
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