Articles

Background: Type 2 diabetes requires sustained self-care, yet the relationship between specific self-care behaviors and quality of life may vary across populations and care contexts. Evidence focused on Filipino men remains limited. Objective: To describe dietary, exercise, medication, and glucose-monitoring adherence and examine their relationships with quality of life among Filipino men with type 2 diabetes in Manila, Philippines. Methods: This quantitative cross-sectional study analyzed questionnaire data from 31 adult Filipino men with type 2 diabetes. Seven adapted diabetes self-care items assessed diet, exercise, medication use, and home glucose monitoring. Quality of life was assessed with the World Health Organization Quality of Life-BREF. Descriptive statistics and two-tailed Pearson correlations were used. Results: Overall self-care adherence was moderate (M = 3.00). Dietary adherence (M = 3.11) and exercise adherence (M = 3.02) were moderate, whereas the combined medication and glucose-monitoring domain was low (M = 2.57). Mean quality of life was moderate (M = 3.11). Diet (r = -.002, p = .99), exercise (r = .31, p = .09), and medication/glucose-monitoring adherence (r = -.006, p = .97) were not significantly correlated with quality of life. Conclusion: The findings identify actionable gaps in structured exercise, medication-taking, and glucose monitoring but do not support a statistically significant relationship between measured self-care adherence and quality of life. Larger, analytically robust studies should examine clinical, psychological, social, and economic determinants alongside self-care.

This paper describes the current status of research on disease distress in elderly type 2 diabetic patients at home and abroad, with a view to developing targeted interventions for diabetic patients, improving self-management behavioral ability and quality of life in elderly type 2 diabetic patients, and improving patients' glycemic control.

Background: Type 2 Diabetes Mellitus (T2DM) and Alzheimer’s Disease (AD) are increasingly linked through shared pathophysiological mechanisms, giving rise to the concept of Type 3 Diabetes Mellitus (T3DM). Brain insulin resistance, oxidative stress, and neuroinflammation are central to both conditions, contributing to cognitive decline and AD progression. Aim: This review aims to explore this emerging relationship and its implications for prevention and management. Methods: Using an integrative review, 21 studies were systematically analyzed. The review focused on identifying demographic, genetic, and lifestyle factors contributing to T2DM and AD and examined shared molecular pathways such as insulin dysregulation and amyloid-beta accumulation. Results: The findings reveal that T3DM shares key features with T2DM and AD, including insulin resistance and chronic inflammation. Lifestyle interventions, such as diet and exercise, alongside routine cognitive and metabolic screenings, are critical in mitigating progression. Conclusions: Further research into diagnostic biomarkers and targeted therapies is essential to manage T3DM and its impact on AD. The role of nursing professionals in early detection, education, and holistic management is emphasized as vital in addressing this dual disease burden. This review offers actionable insights into integrated strategies for addressing these interconnected conditions.