Abstract
Purpose Latinos have higher diabetes prevalence and complication rates with lower use of self-management compared to other populations. This study evaluated perceived barriers to diabetes control among Spanish-speaking only patients in rural Colorado. Methods Thirty-five Spanish-speaking patients with diabetes were randomly sampled and interviewed about their attitudes and beliefs concerning diabetes, self-management activities, and the care they received. Results Patients perceived a high level of control over their diabetes. A minority of patients were adherent to recommended dietary changes or levels of exercise. Use of herbal home remedies to maintain glycemic control was common. Almost half of respondents felt that susto played a role in the development of their diabetes. Three fourths of those testing their glucose felt their physician was not interested in reviewing their blood sugar log. Conclusions Diabetes management programs should recognize the barriers patients may have to self-management and help patients incorporate traditional beliefs into a workable treatment regimen.
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Special thanks to David Gaspar, MD at the UCHSC Department of Family Medicine support of this project.
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Sullivan, L.V., Hicks, P., Salazar, G. et al. Patient Beliefs and Sense of Control Among Spanish-Speaking Patients with Diabetes in Northeast Colorado. J Immigrant Minority Health 12, 384–389 (2010). https://doi.org/10.1007/s10903-008-9184-9
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DOI: https://doi.org/10.1007/s10903-008-9184-9