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Review
. 2022 Aug 31;93(4):e2022277.
doi: 10.23750/abm.v93i4.13324.

Self-care and type 2 diabetes mellitus (T2DM): a literature review in sex-related differences

Irene Baroni  1 , Rosario Caruso  2 , Federica Dellafiore  3 , Davide Ausili  4 , Serena Barello  5 , Ida Vangone  6 , Sara Russo  7 , Arianna Magon  8 , Gianluca Conte  9 , Luca Guardamagna  10 , Cristina Arrigoni  11
Affiliations
Review

Self-care and type 2 diabetes mellitus (T2DM): a literature review in sex-related differences

Irene Baroni et al. Acta Biomed. .

Abstract

T2DM is a multifactorial disease, and it is considered a worldwide challenge for its increasing prevalence and its negative impact on patients' wellbeing. Even if it is known that self-care is a key factor in reaching optimal outcomes, and males and females implement different self-care behaviors, sex-related differences in self-care of patients with T2DM have been poorly investigated. Especially, an overall view of the available evidence has not yet been done. Accordingly, this review aims to summarize, critically review, and interpret the available evidence related to the sex-related differences in self-care behaviors of patients with T2DM. An extensive literature review was performed with a narrative synthesis following the PRISMA statement and flowchart through four databases: PubMed, CINAHL, Scopus, and Embase. From the 5776 identified records by the queries, only 29 articles were included, having a high-quality evaluation. Both females and males with T2DM must improve their self-care: more males reported performing better behaviors aimed at maintaining health and clinical stability (i.e., self-care maintenance) than females, but mainly in relation to physical activity. On the other hand, more females reported performing adequate behaviors aimed at monitoring their signs and symptoms (i.e., self-care monitoring) but with worse glycemic control and diabetic complications (i.e., self-care management). This review firstly provides an overall view of different self-care behaviors implemented by males and females with T2DM, showing that self-care management should be improved in both sexes. Health education must include the problems related to the diabetic pathology and the patient's own characteristics, such as sex.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangement) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
PRISMA flow chart
See this image and copyright information in PMC

References

    1. WHO. Diabetes. World Health Organization; 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes .
    1. Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. - PubMed
    1. American Association of Diabetes Educators. An Effective Model of Diabetes Care and Education: Revising the AADE7 Self-Care Behaviors¯. Diabetes Educ. 2020 Apr;46(2):139–60. - PubMed
    1. Riegel B, Jaarsma T, Strömberg A. A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci. 2012 Sep;35(3):194–204. - PubMed
    1. Riegel B, Dickson VV. A situation-specific theory of heart failure self-care. J Cardiovasc Nurs. 2008 Jun;23(3):190–6. - PubMed