Self-care Nursing for Patients with Type 2 Diabetes Mellitus

Self-care Nursing for Patients with Type 2 Diabetes Mellitus

Self-care Nursing for Patients with Type 2 Diabetes Mellitus – REVISON

This assignment is a revision of previous assignments. It includes revising highlighted areas done by my professor.  Documents to be revised PICOT , quantitative, and qualitative research critiques(each document attached separately). After revision to be placed in one attachment. Will be submitted to turnitin. Rubric, and assignment requirements attached.


Self-care Nursing for Patients with Type 2 Diabetes Mellitus

Background of the Study

The type 2 diabetes mellitus (DM) fall under the chronic metabolic disorders. Over the years, the prevalence of the disorder has been gaining a steady rise all over the world. Due to this trend, the type 2 diabetes is increasingly becoming a major epidemic in some regions across the globe. Another factor contributing to the epidemic is the rise in the aging population. This has added to a lot of pressure on the already burdened healthcare providers and facilities. For this reason, it is important for patients suffering from type 2 DM to adopt self-care nursing or self-monitoring of the level of glucose level in the blood to help control the disorder (Malanda, et al., 2012).

Due to the increase in the number of patients suffering from diabetes type 2, it is important to come up with better countermeasures to ensure that there are proper controls in place before it turns into a full-blown epidemic. Self-monitoring of the levels of glucose in the blood is one of the efficient countermeasures for dealing with type 2 DM. According to Malanda and colleagues (2012), SMBG (Self-monitoring of blood glucose) has proven to be one of the most effective measures for dealing with diabetes type 1 as well as diabetes type 2 for those patients who are using insulin.

The purpose of the study conducted by Malanda and colleagues (2012), was to establish the effectiveness of SMBG (Self-monitoring of blood glucose) among patients who have diabetes type 2 and are not induced with insulin. There has been an increase in evidence indicating that a well-programmed Self-monitoring of blood glucose levels can be effective in managing diabetes mellitus type 2 in all the patients with the chronic metabolic disorder irrespective of whether they are using insulin or not (Malanda, et al., 2012).

The aim of the study carried by Malanda and colleagues was, therefore, to illustrate the benefits of SMBG as a countermeasure for type 2 diabetes. In addition to this, the research is aimed at creating awareness on SMBG since people are not aware of it in several countries across the globe. The research question that guided the study conducted by Malanda and colleagues is: What impact does SMBG have on the treatment of patients with type 2 DM who are not induced with insulin? This study question relates to the purpose of the study because it is aimed at establishing the effectiveness of SMBG in controlling type 2 diabetes.

Methods of Study

The main benefit of participation in the in the study was that the participants stood a good a chance of controlling their blood sugar levels. However, the main risk was that this was a trial method and therefore there was the possibility of failure in some of the patients or all of them. The study was based on quantitative research done by other authors in the field. Therefore, there was informed consent on the part of the participants in the study.

Furthermore, it appeared that the respondents participated voluntarily in the study because the sources used was approved by the trials pursuit controller, that is, the Cochrane Metabolic and Endocrine Disorders (Malanda, et al., 2012). All the trials were also supported and approved by the Cochrane Metabolic and Endocrine Disorders through their reviews of the data being used.

The study

The data in the study were collected from included sources (secondary sources) after which they were evaluated to eliminate the risk of biases (Malanda, et al., 2012). The rationale behind using this data collection method is that it is time and cost effective. The data collection method took a period of 12 months. During this period, comparisons were done in the first 6 months of data collection.

Analysis of the data in the study was done through meta-analysis to find out whether they were adequately homogeneous. This method of data analysis entailed a statistical evaluation that pools the findings of numerous scientific studies. A thorough comparison of the collected data was done to ensure that the information is free biases. Furthermore, to prevent researcher bias, two independent researchers were tasked with data analysis and collection to ensure accuracy (Malanda, et al., 2012).

Results of the Study

The finding from the research was that, when the duration of diabetes in a patient is over 12 months, the overall impact of SMPG on diabetes type 2 patients that are not induced with insulin is minimum up to 6 months after initiation and diminishes after 1 year (Malanda, et al., 2012).

The findings are accurate because they were carried over a long period of time. The researchers were also involved in a rigorous analysis of the data collected to ensure that fallacies and biases are eliminated. In addition to this, the research was based on numerous reviewed secondary sources.

The limitations indicated by the researchers include methodological limitations in the secondary used as well as lack of comparability between the various published trial data on SMPG. Malanda and colleagues (2012), provided a coherent presentation of their findings by using a clear and precise summary of their findings in a comprehensible manner.


The findings by the researchers have major implications in nursing. This is so because it provides the timelines in which SMPG can be used to effectively control type 2 DM in those patients that are not induced with insulin. However, the researchers do not provide suggestions for further study in this field.

Ethical Considerations

The study by Malanda and colleagues (2012), was supported and approved by the Cochrane Metabolic and Endocrine Disorders through their evaluation and coordination board (Malanda, et al., 2012). Patient privacy was protected since throughout the study, no patient was mentioned by name. There were ethical considerations in place regarding patient treatment. This is so because there were several trial groups in the studies used with each respondent participating voluntarily in his or her designated group.


Diabetes mellitus is a serious chronic metabolic disorder which requires intensive care to curb the negative consequences that it might bring. One of the methods that offer a solution to the control of diabetes is the Self-monitoring of blood glucose (SMBG) method. SMBG influences the quality of life of a patient with type 2 DM and therefore increasing the chances of living a better life with the disorder. The study provides timelines in which this method proves to be effective in controlling diabetes. This information can be used in nursing to help control diabetes in patients especially during the early stages. From the study, it is evident that SMBG is a cost-effective method that can work effectively in self-care nursing to control type 2 DM. Self-care Nursing for Patients with Type 2 Diabetes Mellitus.


Malanda, U., Welschen, L., Riphagen, Dekker, J., Nijpels, G., & Bot, S. (2012). Self-monitoring of blood glucose in patients with type 2 diabetes mellitus who are not using insulin. The Cochrane Library.

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