The most common concordant comorbidity was hypertension while depression was the most common discordant condition .
Adherence to medications was the most frequent diabetes self-care behavior reported and tended to be higher among concordant comorbidities .
The findings showed mixed results concerning the effect of some concordant comorbidities such as hypertension , hyperlipidemia , retinopathy , and heart failure on diabetes self-care behaviors .
But , there is agreement across studies that diabetes-discordant comorbidities have a more detrimental effect on self-care behaviors .
Conclusions : Concordant comorbidities may improve diabetes self-care , but the evidence is inconclusive .
Background : Most patients with Type 2 diabetes ( T2D ) have high number of comorbid chronic conditions that can affect their self-care abilities .
Guidelines for diabetes self-care behaviors are disease specific with little attention given to managing T2D with other comorbidities .
Identifying comorbidities that either improve or potentially diminish the individual 's capacity to perform effective self-care behaviors is essential to enhance clinical outcomes .
One such framework conceptualizes comorbidities as concordant or discordant with diabetes pathophysiological pathways and care goals .
Objective : The purpose of this systematic review was to examine the role of diabetes-concordant and discordant chronic conditions on the performance of self-care behaviors in adults with T2D .
Randomized clinical trial of an integrated self-care intervention for persons with heart failure and diabetes: quality of life and physical functioning outcomes.
OBJECTIVES Persons with concomitant heart failure ( HF ) and diabetes mellitus ( DM ) have complicated , often competing , self-care expectations and treatment regimens that may reduce quality of life ( QOL ) . This r and omized controlled trial tested an integrated self-care intervention on outcomes of HF and DM QOL , physical function , and physical activity ( PA ) . METHODS AND RESULTS Participants with HF and DM ( n = 134 ; mean age 57.4 ± 11 years , 66 % men , 69 % minority ) were r and omized to usual care ( control ) or intervention . The control group received st and ard HF and DM educational brochures with follow-up telephone contact . The intervention group received education and counseling on combined HF and DM self-care ( diet , medications , self-monitoring , symptoms , and PA ) with follow-up home visit and telephone counseling . Measures included question naires for HF- and DM-specific and overall QOL , PA frequency , and physical function ( 6-min walk test [ 6MWT ] ) and were obtained at baseline and 3 and 6 months . Analysis included mixed models with a priori post hoc tests . Adjusting for age , body mass index , and comorbidity , the intervention group improved in HF total ( P = .002 ) and physical ( P < .001 ) QOL scores at 3 months with retention of improvements at 6 months , improved in emotional QOL scores compared with control at 3 months ( P = .04 ) , and improved in health status ratings ( P = .04 ) at 6 months compared with baseline . The intervention group improved in 6MWT distance ( 924 ft to 952 ft ; P = .03 ) whereas the control group declined ( 834 ft to 775 ft ; F1,63 = 6.86 ; P = .01 ) . The intervention group increased self-reported PA between baseline and 6 months ( P = .01 ) . CONCLUSIONS An integrated HF and DM self-care  intervention improved perceived HF and general QOL but not DM QOL . Improved physical functioning and self-reported PA were also observed with the integrated self-care intervention . Further study of the HF and DM integrated self-care intervention on other outcomes , such as hospitalization and cost , is warranted
The most common concordant comorbidity was hypertension while depression was the most common discordant condition .
Adherence to medications was the most frequent diabetes self-care behavior reported and tended to be higher among concordant comorbidities .
The findings showed mixed results concerning the effect of some concordant comorbidities such as hypertension , hyperlipidemia , retinopathy , and heart failure on diabetes self-care behaviors .
But , there is agreement across studies that diabetes-discordant comorbidities have a more detrimental effect on self-care behaviors .
Conclusions : Concordant comorbidities may improve diabetes self-care , but the evidence is inconclusive .
Background : Most patients with Type 2 diabetes ( T2D ) have high number of comorbid chronic conditions that can affect their self-care abilities .
Guidelines for diabetes self-care behaviors are disease specific with little attention given to managing T2D with other comorbidities .
Identifying comorbidities that either improve or potentially diminish the individual 's capacity to perform effective self-care behaviors is essential to enhance clinical outcomes .
One such framework conceptualizes comorbidities as concordant or discordant with diabetes pathophysiological pathways and care goals .
Objective : The purpose of this systematic review was to examine the role of diabetes-concordant and discordant chronic conditions on the performance of self-care behaviors in adults with T2D .