Abstract:

Purpose: Patients with type 2 diabetes mellitus (DM) diagnosed in our clinic have been studied in their lifestyle, recommended changes and compliance with these recommendations. Patients and methods: Izmir Reactive Education and Research Hospital in the Clinic of Internal Diseases from 1 June to 30 August 2015 to 160 patients diagnosed with type 2 DM, followed by bed or applying to the clinic (59 men, 101 women; mid. Age 52.6±9.4 years), the "Diabetes Lifestyle Survey" developed by us was implemented by a conversation method. Results: The average body mass index was 29.2±6.4 for men, 33.5±13.0 for women. 30 percent of all patients received oral anti-diabetic (OAD) treatment only, 33.8 percent received insulin treatment only and 36.2 percent received both treatments together. The average HbA1c in patients is 9.8±2. 2, the HDL value was 40.3±1.2 mg/dL, the LDL value was 107.3±5.0 mg/dL and the triglyceride value was 201.8±9.3 mg/dL. The rate of cardiovascular disease was 33.1 % (n=53), hypertension 52.5 % (n=84), retinopathy 40.6 % (n=65), neuropathy 25 % (n=40), diabetic footsteps 11.9 % (n=19) and nefropathy 15.6 % (n=25). Seventy-nine patients had previously been trained on diabetes. 28.8 percent of patients were fully treated with medical nutrition. But it was found that 32.5 percent applied irregularly, and 32.5 percent did not apply anyway. 11.2 percent of patients did exercise every day, 10.0 percent did not exercise every day, three or four days a week, 8.8 percent did exercise one or two days a week, 2.5 percent did not exercise every two weeks, while 15.6 percent did not exercise at all. The result: Our patients are not adequately adapted to lifestyle changes. It is necessary to create appropriate patient training environments to ensure this. Also, doctors, nurses, nutritionists, psychologists and other health workers should work together as multidisciplinary.

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