Association between Diabetes Knowledge with Diabetes Self-management in Patients with Type2 Diabetes Mellitus

  • Paithoon Sonthon Faculty of Science and Technology, Phetchaboon Rajabhat University
Keywords: diabetes knowledge, diabetes self-management, type 2 diabetes mellitus


The present study investigates the association between diabetes knowledge with diabetes self-management. This study was employed in a cross-sectional analytical study from 544 patients with type2 diabetes mellitus at three hospitals, Phetchabun province. Participants were selected by using stratified two-stage cluster sampling from 11 public hospitals who were follow-up in the year 2019. Data were collected by a questionnaire with a self-administered. Multiple linear regression was performed using the R statistical language. A significance level of .05 was used throughout all analysis.

The result shown that the majority of participants had a low level of diabetes knowledge (90.40%), and a high level of diabetes self-management was present in 67.46%. After adjusting for education level, duration of diabetes, and receiving health education by talking face to face in the community, we found that the diabetes knowledge  (Adjusted mean difference= 6.38, 95%CI= 2.03 to 10.74; p-value=.016) was a strongly associated with diabetes self-management. Moreover, bachelor and higher education level (Adjusted mean difference= -10.93, 95%CI= -16.03 to -5.83; p-value<.001), duration of diabetes 10 years and higher (Adjusted mean difference= 6.24, 95%CI= 3.01 to 9.46; p-value=. 002), and received health education by talking face to face in the community (Adjusted mean difference= 5.97, 95%CI= 3.33 to 8.62; p-value<.001) were also strongly associated with diabetes self-management.This study demonstrates that diabetes knowledge is associated with the diabetes self-management. Therefore, healthcare personnel should be provided diabetes education intervention for patients who had low levels of diabetes knowledge to improve diabetes self-management for those with low levels.


Download data is not yet available.


Aekplakorn, W., Chariyalertsak, S., Kessomboon, P., Assanangkornchai, S., Taneepanichskul, S., & Putwatana, P. (2018). Prevalence of diabetes and relationship with socioeconomic status in the Thai population: National health examination survey, 2004–2014. Journal of Diabetes Research. Research Article, Hindawi. Retrieved May 22, 2020, from

Al-Khaledi, M., Al-Dousari, H., Al-Dhufairi, S., Al-Mousawi, T., Al-Azemi, R., Al-Azimi, F., & Badr, H. E. (2018). Diabetes self-management: A key to better health-related quality of life in patients with diabetes. Medical Principles and Practice, 27(4), 323–331. Karger publishers.

Bommer, C., Sagalova, V., Heesemann, E., Manne-Goehler, J., Atun, R., Bärnighausen, T., Davies, J., et al. (2018). Global economic burden of diabetes in adults: Projections from 2015 to 2030. Diabetes Care, 41(5), 963–970.

Dao‐Tran, T.-H., Anderson, D., Chang, A., Seib, C., & Hurst, C. (2018). Factors associated with self-management among Vietnamese adults with type 2 diabetes. Nursing Open, 5(4), 507–516.

Gagliardino, J. J., Chantelot, J.-M., Domenger, C., Ramachandran, A., Kaddaha, G., Mbanya, J. C., Shestakova, M., et al. (2019). Impact of diabetes education and self-management on the quality of care for people with type 1 diabetes mellitus in the Middle East (the International diabetes mellitus practices study, IDMPS). Diabetes Research and Clinical Practice, 147, 29–36.

Gurmu, Y., Gela, D., & Aga, F. (2018). Factors associated with self-care practice among adult diabetes patients in West Shoa Zone, Oromia Regional State, Ethiopia. BMC Health Services Research, 18.

Harding, J. L., Pavkov, M. E., Magliano, D. J., Shaw, J. E., & Gregg, E. W. (2019). Global trends in diabetes complications: A review of current evidence. Diabetologia, 62(1), 3–16.

Health Education Division, Ministry of Public Health, Mahidol University. (2015)

Development tools for health literacy in diabetes and hypertension. retrieved 5

March 2016 from [in Thai].

King, H., Aubert, R. E., & Herman, W. H. (1998). Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes Care, 21(9), 1414–1431. American Diabetes Association.

Kugbey, N., Oppong Asante, K., & Adulai, K. (2017). Illness perception, diabetes knowledge and self-care practices among type-2 diabetes patients: A cross-sectional study. BMC Research Notes, 10(1), 381.

Marathe, P. H., Gao, H. X., & Close, K. L. (2017). American diabetes association standards of medical care in diabetes 2017. Journal of Diabetes, 9(4), 320–324.

Mickey, R. M., & Greenland, S. (1989). The impact of confounder selection criteria on effect estimation. American Journal of Epidemiology, 129(1), 125–137.

Mostafa, S. A., Coleman, R. L., Agbaje, O. F., Gray, A. M., Holman, R. R., & Bethel, M. A. (2018). Modelling incremental benefits on complications rates when targeting lower HbA1c levels in people with type 2 diabetes and cardiovascular disease. Diabetic Medicine: A Journal of the British Diabetic Association, 35(1), 72–77.

Pratuangtham, S. R., & Jerawatana, R. (2019). Effectiveness of diabetes self–management education in Thais with Type 2 Diabetes. Pacific Rim International Journal of Nursing Research, 23(1), 74–86.

Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., et al. (2019). 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 Research and Clinical Practice, 157, 107843.

Salganik, M. J. (2006). Variance estimation, design effects, and sample size calculations for respondent-driven sampling. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 83(6 Suppl), i98-112.

Sangruangake, M., Jirapornkul, C., & Hurst, C. (2017). Psychometric properties of diabetes management self-efficacy in Thai type 2 diabetes mellitus patients: A multicenter study. International Journal of Endocrinology. Research article, Retrieved September 26, 2018, from

Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of Diabetes and Metabolic Disorders, 12, 14.

Sonthon, P., Promthet, S., Changsirikulchai, S., Rangsin, R., Thinkhamrop, B., Rattanamongkolgul, S., & Hurst, C. P. (2017). The impact of the quality of care and other factors on progression of chronic kidney disease in Thai patients with Type 2 Diabetes Mellitus: A nationwide cohort study. PLOS ONE, 12(7), e0180977.

How to Cite
Sonthon, P. (2020). Association between Diabetes Knowledge with Diabetes Self-management in Patients with Type2 Diabetes Mellitus . Journal of Nursing and Health Sciences, 14(2), 69-82. Retrieved from