Diabetes Self-Management Barriers

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APA

Diabetes Self-Management Barriers

1. Social Determinants of Health (SDOH) the Nurse Should Assess:

When caring for a patient newly diagnosed with type 2 diabetes, the nurse should assess the following SDOH that could impact the patient’s ability to manage their condition:

• Economic Stability: Does the patient have access to affordable healthy food, glucose monitoring supplies, and medications such as insulin or oral agents?

• Education Level and Health Literacy: Does the patient understand what diabetes is and how to manage it through diet, exercise, and medication adherence?

• Access to Healthcare Services: Does the patient have insurance coverage or reliable transportation to attend follow-up appointments, diabetes education programs, or pharmacy visits?

• Social and Community Support: Does the patient have family or social support to encourage lifestyle changes, help with meal preparation, or attend appointments?

• Neighborhood and Built Environment: Does the patient live in a safe neighborhood with access to healthy food options and places for physical activity?

2. Environmental and/or Individual Factors That Could Impact Diabetes Self-Management:

• Environmental Factors:

  • Lack of access to fresh, affordable foods (food deserts)

  • Unsafe or inaccessible spaces for physical activity

  • Limited transportation to healthcare facilities or pharmacies

• Individual Factors:

  • Low motivation or emotional stress following a new diagnosis

  • Cultural beliefs or language barriers affecting understanding of diabetes care

  • Coexisting health conditions (e.g., vision problems, arthritis) that make self-care difficult

  • Inconsistent routines or work schedules that interfere with meal planning or