Beliefs, Attitudes, Practices, Response to Interventions and Therapeutic Education of Obese and Normal Weight Type 2 Diabetes Mellitus Patients attending the Diabetic Clinic in Nelson Mandela Academic Hospital, Mthatha

ABSTRACT INTRODUCTION: Education is the cornerstone of diabetes care. Because of lack of awareness, most patients suffer from diabetes complications. This study was conducted to determine the knowledge, attitude, practices and responses to interventions and therapeutic education of obese and normal weight type 2 diabetes mellitus patients. OBJECTIVES: The objectives of the study were: to determine the knowledge, beliefs, attitudes and practices among patients with T2DM; to estimate the proportions of uncontrolled blood glucose, poor quality of life, and no adherence to medications and diet among patients with T2DM; to explore food choices and nutrition practices and behavior related to T2DM; and to develop from responses, educational programs towards self and health professional management. Methods: This descriptive study included two hundred T2DM. A modified version of the Diabetes knowledge, attitude and practice (KAP) questionnaires were used for data collection. The participants were recruited using convenience sampling technique and all data collected was analyzed using SPSS version 18. The patient‟s knowledge, attitudes and practice about the disease, the proportion of uncontrolled blood glucose and no adherence to medication and diet, nutrition practices and behavior related to T2DM were the main outcome measures. Results: The mean age of the patients were 49.0±16.6 years for men and 48.2±15.8 years for females with the male to female ratio being 1:1. The population was formed by adults and elderly adults, who were between 18 and 80 years of age. Most were obese (43.0%); married (50.5%) and overweight (27.7%). Patients‟ awareness about diabetes was high. The overall knowledge on the etiology and features of T2DM was good. Answers for glycemic control, risk factors and complications were very good. Awareness about eye and renal complications was also high. A majority also noted eye problems as the complication of DM yet only 69% have visited an ophthalmologist. More than half of the sample population correctly answers questions regarding dietary requirements in diabetes.80% of the patients responded that alcohol is not good for a diabetic, that losing weight can prevent diabetic from getting worse and that smoking can worsen diabetes. 20% of the population does not know that the above mentioned factors are important in the management of their condition. The percentage of uncontrolled blood sugar and HbA1c among T2DM residing in Mthatha was good as 80% of the patients have their previous and current blood sugar level and HbA1c as normal. Conclusions: The knowledge, attitude and practice scores were high in most areas of diabetes care. However, the majority of the patients were obese emphasizing the need for additional educational efforts in life style modification