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Misconceptions about diabetes and its management among low-income minorities with diabetes

  1. Devin M. Mann, MD (devin.mann{at}mssm.edu)1,
  2. Diego Ponieman, MD1,
  3. Howard Leventhal, PhD2 and
  4. Ethan A. Halm, MD, MPH3
  1. 1Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY
  2. 2Department of Psychology, Rutgers University, New Brunswick, NJ
  3. 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

      • Received October 8, 2008.
      • Accepted December 31, 2008.

    This Article

    1. Diabetes Care January 8, 2009
    1. All Versions of this Article:
      1. dc08-1837v1
      2. 32/4/591 most recent
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