Efficacy of Nursing Support Using Self-Management Behavior Support Protocol related Diet and Exercise in Diabetic Patients

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In this study, we created a Self-Management Behavior Questionnaire related diet and physical activity for diabetic patients. In our Questionnaire, we could reveal the self-management behaviors related to dietary intake and amounts of physical activity for different patient characteristics, investigating the association between patient's self-management behaviors and clinical variable, such as the patient's age and BMI, as well as abdominal circumference, glycemic control. Using this Questionnaire, we created a support protocol which was appropriate for each diabetic patients. As nursing support is particularly important in the early stages after the initiation of treatment, we studied how well self-management behaviors related to dietary and exercise therapy were being implemented by patients with type 2 diabetes for one year after initial diagnosis during which we also studied the changes in the patients' glycemic control index. The results suggest that in order to maintain a good glycemic control index, rather than relying on drug therapy alone, it is necessary to pro-actively implement both dietary therapy and exercise therapy, and that good control cannot be obtained from either one of these therapies alone.