A Metasynthesis of the Self-Management of Type 2 Diabetes

Timothy Gomersall, Anna Madill, Lucinda K.M. Summers

Research output: Contribution to journalArticlepeer-review

75 Citations (Scopus)

Abstract

Type 2 diabetes is a metabolic disorder characterized by chronically elevated blood glucose and high risk of comorbidities. In this article we report a metasynthesis of the 21st-Century qualitative research concerning the self-management of type 2 diabetes. We identified 38 relevant articles (sample size range 6 to 175), which were synthesized through a process of iterative reading and theory development. In this literature, authors argued and assumed that diabetes management is influenced by multiple, complex, competing factors, including interpersonal relations, gender, and sociocultural context. Conversely, self-management was sometimes construed as a facet of individual agency and was accepted uncritically, placing accountability for health with patients themselves. We conclude that a satisfactory account of diabetes care would pay attention to the "inner" world, while acknowledging the social and political conditions in which diabetes-related experiences unfold.

Original languageEnglish
Pages (from-to)853-871
Number of pages19
JournalQualitative Health Research
Volume21
Issue number6
Early online date23 Mar 2011
DOIs
Publication statusPublished - 1 Jun 2011
Externally publishedYes

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