title: Compliance to diabetes self-management in rural El-Mina, Egypt.
abstract: BACKGROUND
  Diabetes is a serious public health problem that threatens the quality of life of patiens with diabetes, the success of long-term maintenance therapy for diabetes depends largely on the patients' compliance with a therapeutic plan.
  
  
  OBJECTIVE
  To assess compliance of diabetic patients to diabetes self-Management in rural El Minia, and to determine the associated factors related to it.
  
  
  METHODS
  Cross sectional analytic study. Rural adults identified as having previously diagnosed diabetes were recruited to participate in this study. A total of 206 rural community diabetics were randomly chosen and subjected to interview questionnaire on history of diabetes, type of medication, self-management of diabetes as glucose examination, dietary modification, and eye examination.
  
  
  RESULTS
  Mean age of participants was 54 +/- 6.3 years and mean duration of diabetes was 12 +/- 8 years. Nearly one third of the patients used insulin and more than half used oral hypoglycemic. The results of this study revealed that good adherence to diabetes self-management was reported among 41.7% of adult diabetic patients who show good adherence to diet instructions, but only 21.4% to blood glucose test. There was no gender difference regarding self care of diabetes. Younger age group had more glycemic control than older age; longer duration of diabetes was significantly associated with poor glycemic control.
  
  
  CONCLUSIONS
  Compliance to self-management of diabetes is suboptimal among rural adult community diabetic.
authors.affiliation: Department Public Health, Faculty of Medicine, El Minia University, Egypt.
authors.forename: Eman M
authors.initials: EM
authors.lastname: Mahfouz
authors.forename: Hala I
authors.initials: HI
authors.lastname: Awadalla
mesh_terms: D000367:Age Factors; D000368:Aged; D015190:Blood Glucose Self-Monitoring / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000628:therapy*; D003941:Diagnostic Techniques, Ophthalmological / Q000706:statistics & numerical data; D004032:Diet / Q000706:statistics & numerical data; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*; D012648:Self Care / Q000706:statistics & numerical data*; D012737:Sex Factors; D012959:Socioeconomic Factors
chemical_list: D007004:Hypoglycemic Agents