Hood Thabit|S.A. Shah|Michael Nash|Imad Brema|John J. Nolan|George A. Martin
Globalization, immigration and diabetes self-management: an empirical study amongst immigrants with type 2 diabetes mellitus in Ireland
Trinity College Dublin|St. James's Hospital|Trinity College Dublin|St. James's Hospital|Trinity College Dublin|St. James's Hospital|Trinity College Dublin|St. James's Hospital|Trinity College Dublin|St. James's Hospital|Trinity College Dublin|St. James's Hospital
previously reported immigrants ireland poorer glycemic control compared matched population irish patients may associated poor diabetes selfcare low health literacyto compare diabetes selfcare profile nonirishnational patients ie immigrant patients im irish patients ir attending hospital diabetes clinic evaluate differences health literacy two cohortswe studied differences diabetes selfmanagement 52 randomly selected nonirishnational patients type 2 diabetes 48 randomly selected irishcaucasian patients rapid estimate adult literacy medicine realm used assess health literacyim poorer glycemic control ir hba1c 80 19 vs 69 14 p 0005 significant proportion im forget monitor daily blood glucose 421 vs 125 p 005 family support important amongst im performing daily blood glucose monitoring 75 vs 477 p 005 taking medications 817 vs 422 p 001 following appropriate meal plan 876 vs 622 p 005 fiftythree percent understand simple familiar questions diabetes care 659 provide information simple familiar topics diabetes health literacy found lower im groups assessed using realm 527 vs 614 p 001those providing diabetes education care need aware differing patient expectations regarding family involvement care diabetes possible contribution language problems lower health literacy limited understanding diabetes selfcare