Diabetes

The worldwide threat of Diabetes Mellitus (DM) has been increasing rapidly, and is now an estimated 463 million, of which 55 million people originate from Middle East and Nort African (“MENA”) region (international Diabetes Federation [“IDF’], 2020). In Saudi Arabia, the prevalence of diabetes has roughly reached a ten-fold increase in the past three decades, placing Saudi Arabia’s incidence as one of the highest globally (Almubark et al., 2022). The purpose of the study was to examine the relationship between health and diabetes self-management among Saudi adults with Type 2 Diabetes Mellitus (T2DM). The study further aimed to explore how Saudi adult with T2DM seek and utilize diabetes knowledge to self-manage their diabetes. The study was guided by Leininger’s Culture Care Diversity and Universality Theory (2002). Leininger’s Sunrise Enabler- Model provided a framework to explore the various factors that affect diabetes self-management through a cultural lens. This model provides a comprehensive understanding pf multiple factors influencing diabetes self-management.
A sample of 66 Saudi adults with T2DM aged 40-61 and older was recruited from diabetes center and Primary Healthcare Center (PHCC) at National Guard Hospital King Abdulaziz Medical City Jeddah, Saudi Arabia. A Parallel Mixed Method (PPM) design was applied, using semi-structured interviews, Diabetes Self-management Questionnaire (DSMQ), Short Test of Functional Health Literacy in Adult (S-TOFHLA), and sociodemographic surveys.

This study provides descriptions of experiences and characteristics of female type I diabetics with eating disorders who purge by insulin withholding. The multiple case study design was used as adapted from Yin. Four female type I diabetics with eating disorders who purge by insulin withholding were interviewed using a semi-structured interview guide. From these interviews, common themes emerged which described the experiences and characteristics of the participants. These themes were supported by answers to questions in the ATT 39 questionnaire. Themes which emerged are: self-care deficits, anger, shame, secretiveness, guilt, hopelessness, uniqueness, depression, low self esteem, control issues, depression, and body image distortion. These themes provided contextual relevance to participants' lived experiences, interconnected dual diagnoses and the ambivalence of recovering from their eating disorder. Implications for nursing education, practice, and research are discussed.

Insulin-dependent diabetes mellitus (IDDM) is a metabolic disorder arising from pancreatic dysfunction. For survival, a diabetic must rely upon an exogenous source of insulin to ensure cellular health. Hypoglycemia is a condition that may arise in IDDM patients in which more insulin than glucose is present in the body. Chronic, severe occurrences of this condition have been speculated to incur memory impairment in diabetics. This experiment sought to determine if diabetics performed differently from a non-diabetic population on a delayed matching memory task, and also if those diabetics experiencing hypoglycemia performed more poorly than other diabetics on this task. It was found that IDDM patients do not perform differently from non-diabetics on a matching task, and most diabetics did not perform more poorly than other patients on the same task. One diabetic experiencing severe, chronic hypoglycemia performed more poorly than other experiment participants, suggesting that hypoglycemia may, in fact, be related to memory impairment on this delayed matching task.