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 .
Depression, distress and self-efficacy: The impact on diabetes self-care practices
The prevalence of type 2 diabetes is increasing in Malaysia , and people with diabetes have been reported to suffer from depression and diabetes distress which influences their self-efficacy in performing diabetes self-care practice s. This interviewer administered , cross sectional study , conducted in the district of Hulu Selangor , Malaysia , involving 371 r and omly selected patients with type 2 diabetes , recruited from 6 health clinics , aim ed to examine a conceptual model regarding the association between depression , diabetes distress and self-efficacy with diabetes self-care practice s using the partial least square approach of structural equation modeling . In this study , diabetes self-care practice s were similar regardless of sex , age group , ethnicity , education level , diabetes complications or type of diabetes medication . This study found that self-efficacy had a direct effect on diabetes self-care practice ( path coefficient = 0.438 , p<0.001 ) . Self-care was not directly affected by depression and diabetes distress , but indirectly by depression ( path coefficient = -0.115 , p<0.01 ) and diabetes distress ( path coefficient = -0.122 , p<0.001 ) via self-efficacy . In conclusion , to improve self-care practice s , effort must be focused on enhancing self-efficacy levels , while not forgetting to deal with depression and diabetes distress , especially among those with poorer levels of self-efficacy
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 .