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Managing Type II Diabetes: Facilitators and Inhibitors of Self-Maintenance

This preliminary investigation explores the factors influencing self-management in Type II diabetics. Focusing on a diverse group of 23 participants from the 'Sweet Talk' diabetes education class, we identify both facilitators (support services, attitude, technology) and inhibitors (time, money, pain). With 18 million Americans diagnosed with Type II diabetes, understanding these dynamics is crucial in mitigating associated complications like heart disease and stroke. Our study aims to uncover how daily life impacts self-care habits and offers insights for future diabetes management strategies.

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Managing Type II Diabetes: Facilitators and Inhibitors of Self-Maintenance

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  1. Managing Your Diabetes: What Helps and Hinders Type II Diabetics(Facilitators and Inhibitors to Self-Maintenance for Type II Diabetics) A Preliminary Investigation Rian E. Davis Dr. Beverly Davenport Faculty Mentor University of North Texas March 29th, 2008

  2. Diabetes Management • Regular Physical Activity • Healthy Diet • Taking Medication • Regular Testing Self- Maintenance

  3. Associated Complications • Heart disease • Stroke • Retinopathy • Nephropathy • Peripheral Neuropathy

  4. Statistics • 18 million people in the United States known to have Type II Diabetes • 3 out of 5 of these people have at least one of the complications associated with the disease

  5. Research Question • What factors of daily life either facilitate or inhibit Self-Management for Type II diabetics?

  6. Validity of Research • Nature of Anthropological Research • Preliminary Study • Focus Group • Size • Active Participation • Lack of Consensus

  7. Population • ‘Sweet Talk’- Diabetes Education Class • Offered by the Denton County Health Department • Meets Monthly • Attendees receive a $10 food voucher to a local food store • Established role as group member

  8. Demographic Information • 23 Participants • 10 Men • 13 Women • Age range: 26-75 • Mean: 60 • Median: 72 • Mode: 75 • Length of Time Attending ‘Sweet Talk’ • Range: 14 months to 5 years • Mean: 3 years

  9. Race and Ethnicity • African American: 14 • Hispanic/Latino: 5 • Caucasian: 5

  10. Demographic Information • Household Size • Range: 1-5 • Average: 2.35 • Annual Household Income: • Range:$10,000-$70,000 • Almost 80% reported incomes of $30,000 or less

  11. Facilitating Factors • Support Services • Attitude/Outlook • Technology • Vast array of Information sources Support Services Attitude Technology Information Self Management of Type II Diabetes

  12. Attitude Time Money Pain Information Technology Healthy Diet Inhibiting Factors • Attitude/Outlook • Time • Money • Physical Condition or Pain • Access to information • Technology Exercise Self-Management of Type II Diabetes Medication Testing

  13. Attitude and Personal Outlook • Both a Facilitating and Inhibiting factor • Problem Solving vs. Defeatist • Affects all aspects of Self-Management • Questions of Agency and Individual Responsibility

  14. Discussion • Men or Women • How attitude varies, similarities, and how it is developed • Orientation to Type II Diabetes Literature

  15. Future Research • Conducting in-depth interviews with focus group participants on similar topics • Examine individual levels of adherence to self-management recommendations • What motivates an individual in his or her level of self-management? • How do these findings compare to similar discussions with other populations of a different class or ethnic mix?

  16. Bibliography American Association of Clinical Endocrinologists (AACE) 2007 State of Diabetes Complications in America. http://www.stateofdiabetes.com, accessed April 26th, 2007 American Diabetes Association 2006 Diabetes Overview: Type II Diabetes. http://www.diabetes.org , accessed April 9th, 2007 Broom, Dorothy and Andrea Whittaker 2003 Controlling Diabetes, Controlling Diabetics: Moral Language in the Management of Diabetes Type 2. In Social Science and Medicine. 58(2004) 2371-2382. Chaufan, Claudia 2004 Sugar Blues: A Social Anatomy of the Diabetes Epidemic in the United States. In Unhealthy Health Policy: A Critical Anthropological Examination.Arachu Castro and Merrill Singer, eds. Walnut Creek: Altamira Press, pp.257-274. Reichenbach, Lisa, and Amy Maish. 2006 "Larger Than Life: personal and social transitions within Type 2 diabetes." EPIC:4-18. Schoenberg, Nancy E., Elaine M. Drew, Eleanor Palo Stoller, and Cary S. Kart 2005 Situating Stress: Lessons from Lay Discourses on Diabetes. In Medical Anthropology Quarterly. 19(2) 171-193. U.S. Census Bureau 2006 Poverty Thresholds Chart http://www.census.gov/hhes/www/poverty/threshld/thresh06.html accessed July 26th, 2007

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