Misconceptions about diabetes and its management among low-income minorities with diabetes
- Devin M. Mann, MD (devin.mann{at}mssm.edu)1,
- Diego Ponieman, MD1,
- Howard Leventhal, PhD2 and
- Ethan A. Halm, MD, MPH3
- 1Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY
- 2Department of Psychology, Rutgers University, New Brunswick, NJ
- 3Division of General Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX
Abstract
Objective: To determine diabetes patient's knowledge and beliefs about their disease and medications that could hinder optimal disease management.
Design and Methods: Cross-sectional survey of 151 type 2 diabetic patients characterizing diabetes knowledge and beliefs about their disease and medications.
Results: Mean diabetes duration was 13 years. Over half (56%) believed that normal glucose was 200mg/dL or less, 54% reported being able to feel when their sugar was high, 36% thought that would not always have diabetes, 29% thought their doctor would cure them of diabetes, one-in-four (23%) said there was no need to take their diabetes medicines when their glucose was normal and 12% believed they have diabetes only when their sugar is high.
Conclusion: Diabetes knowledge and beliefs inconsistent with a chronic disease model of diabetes were prevalent in this sample. Suboptimal knowledge and beliefs are potentially modifiable and are logical targets for educational interventions to improve diabetes self-management.
Footnotes
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- Received October 8, 2008.
- Accepted December 31, 2008.
- Copyright © American Diabetes Association











