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"Diabetes is my companion": Lifestyle and self-management among good and poor control Mexican diabetic patients

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  • de Alba Garcia, Javier Garcia
  • Rocha, Ana L. Salcedo
  • Lopez, Ivette
  • Baer, Roberta D.
  • Dressler, William
  • Weller, Susan C.

Abstract

This paper identifies naturally occurring lifestyle and self-care practices in managing type 2 diabetes mellitus that are associated with good glycemic control. In-depth, qualitative interviews were conducted in Guadalajara, Mexico, with 31 matched pairs of good and poor control diabetic patients (n=62), who were matched on their duration of disease and use of medications. While many themes were listed by both groups, a comparison of the responses indicated that themes of daily exercise with a preference for walking, eating beef and milk rather than chicken and fish, economic issues, and emotional issues distinguished poor-control patients. Good-control patients were more likely to have a negative reaction to their initial diagnosis, take a more comprehensive approach to control, eat only two meals a day (plus snacks), use noncaloric beverages to satisfy desires for more food, and know what their blood sugar levels should be.

Suggested Citation

  • de Alba Garcia, Javier Garcia & Rocha, Ana L. Salcedo & Lopez, Ivette & Baer, Roberta D. & Dressler, William & Weller, Susan C., 2007. ""Diabetes is my companion": Lifestyle and self-management among good and poor control Mexican diabetic patients," Social Science & Medicine, Elsevier, vol. 64(11), pages 2223-2235, June.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:11:p:2223-2235
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    References listed on IDEAS

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    1. Schoenberg, Nancy E. & Amey, Cheryl H. & Coward, Raymond T., 1998. "Stories of meaning: lay perspectives on the origin and management of noninsulin dependent diabetes mellitus among older women in the United States," Social Science & Medicine, Elsevier, vol. 47(12), pages 2113-2125, December.
    2. Hunt, Linda M. & Valenzuela, Miguel A. & Pugh, Jacqueline A., 1998. "Porque me tocó a mi ? Mexican American diabetes patients' causal stories and their relationship to treatment behaviors," Social Science & Medicine, Elsevier, vol. 46(8), pages 959-969, April.
    3. Savoca, Margaret R & Miller, Carla K & Quandt, Sara A, 2004. "Profiles of people with type 2 diabetes mellitus: the extremes of glycemic control," Social Science & Medicine, Elsevier, vol. 58(12), pages 2655-2666, June.
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    Cited by:

    1. Weller, Susan C. & Baer, Roberta D. & Garcia de Alba Garcia, Javier & Salcedo Rocha, Ana L., 2012. "Explanatory models of diabetes in the U.S. and Mexico: The patient–provider gap and cultural competence," Social Science & Medicine, Elsevier, vol. 75(6), pages 1088-1096.
    2. Wu, Lisa M. & Tanenbaum, Molly L. & Dijkers, Marcel P.J.M. & Amidi, Ali & Hall, Simon J. & Penedo, Frank J. & Diefenbach, Michael A., 2016. "Cognitive and neurobehavioral symptoms in patients with non-metastatic prostate cancer treated with androgen deprivation therapy or observation: A mixed methods study," Social Science & Medicine, Elsevier, vol. 156(C), pages 80-89.

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