Vol 10, No 2 (2021)
Research paper
Published online: 2021-02-16

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Unsuccessful diabetes management: a qualitative study

Alireza Nikbakht Nasrabadi1, Leila Mardanian Dehkordi12, Sahar Khoshkesht1, Fatemeh Najafi1
Clin Diabetol 2021;10(2):195-199.


Introduction. Understanding the experiences of diabetes of unsuccessful management will help the treatment team to plan appropriate interventions to solve the problems they face. The aim of this study was to explore the experiences of unsuccessful diabetes management in people with diabetes.
Methods. A hermeneutic phenomenological method was used to gain the experience of subjects. Participants were selected through purposive sampling. The data were collected through in-depth interviews and analyzed based on Dickman’s method.
Results. Data analysis revealed the following three categories: missed care, extreme poverty, and the recurrence of diabetes.
Conclusion. Findings indicated the missed care due to laziness in care, inadequate knowledge, negligence in prevention and not giving up the pleasure, and the scary nightmare that was associated with grief and insolvency. This phenomenon is a recurrent mani-festation of the disease and may result in incurable illness and cripple. This in-depth understanding demonstrates the importance of patients’ emotional and informational support depending on their inadequate knowledge and altered mental status, which should be considered by health care providers in designing appropriate programs to improve diabetes manage-ment. 

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  1. 1. International Diabetes Federation. IDF Diabetes Atlas, 7th ed. Brussels: International Diabetes Federation, 2015. .
  2. World Health Organization. Global Report on Diabetes. Available online: http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf. [Last accessed: 10.8.2017].
  3. American Diabetes Association. Economic costs of diabetes in the U.S. in 2017. Diabetes Care. 2018; 41: 917–928.
  4. Davies MJ, Gagliardino JJ, Gray LJ, et al. Real-world factors affecting adherence to insulin therapy in patients with type 1 or type 2 diabetes mellitus: a systematic review. Diabet Med. 2013; 30(5): 512–524.
  5. Riaz I, Riddle MC, Rosenstock J, et al. Personalized management of hyperglycemia in type 2 diabetes: reflections from a Diabetes Care Editors' Expert Forum. Diabetes Care. 2013; 36(6): 1779–1788.
  6. Munshi MN, Segal AR, Suhl E, et al. Assessment of barriers to improve diabetes management in older adults: a randomized controlled study. Diabetes Care. 2013; 36(3): 543–549.
  7. Undavalli V, M. P, H. N. Prevalence of undiagnosed hypertension: a public health challenge. International Journal Of Community Medicine And Public Health. 2018; 5(4): 1366.
  8. ALSULIMAN, Mohammed, et al. Prevalence and Risk Factors for Poor Glycemic Control among Patients with T2DM in Saudi Arabia: A Systematic Review and Meta-Analysis of Prevalence. 2019.
  9. Vanstone M, Rewegan A, Brundisini F, et al. Patient perspectives on quality of life with uncontrolled type 1 diabetes mellitus: a systematic review and qualitative meta-synthesis. Ont Health Technol Assess Ser. 2015; 15(17): 1–29.
  10. Allen D, Tanner CA. Diekelmann N, Allen D, Tanner CA. Hermeneutic analysis of the NLN criteria for the appraisal of baccalaureate programs. The NLN criteria for appraisal of baccalaureate programs: a critical hermeneutic analysis. National League for Nursing: New York 1989; 11–34. ; 19.
  11. Speziale, HS & Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative, Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins 2011.
  12. Nam S, Chesla C, Stotts NA, et al. Barriers to diabetes management: patient and provider factors. Diabetes Res Clin Pract. 2011; 93(1): 1–9.
  13. Jaam M, Hadi MA, Kheir N, et al. A qualitative exploration of barriers to medication adherence among patients with uncontrolled diabetes in Qatar: integrating perspectives of patients and health care providers. Patient Prefer Adherence. 2018; 12: 2205–2216.
  14. Mousavizadeh SN, Ashktorab T, Ahmadi F, et al. Evaluation of barriers to adherence to therapy in patients with diabetes. J Diabetes Nurs. 2016; 4(3): 94–108.
  15. Mardanian Dehkordi L, Abdoli S. Diabetes self-management education; experience of people with diabetes. J Caring Sci. 2017; 6(2): 111–118.
  16. Chew BH, Shariff-Ghazali S, Fernandez A. Psychological aspects of diabetes care: Effecting behavioral change in patients. World J Diabetes. 2014; 5(6): 796–808.
  17. STARKMAN, Harold, et al. Listening to adolescents with uncontrolled diabetes, their parents and medical team. Families, Systems, & Health, 2019, 37.1: 30.
  18. Balfe M, Doyle F, Smith D, et al. What's distressing about having type 1 diabetes? A qualitative study of young adults' perspectives. BMC Endocr Disord. 2013; 13: 25.