Self-assessment of disease management has not been well
investigated, and little evidence on the correlation between
patients’ own assessment of their self-management and glycemic
control has been reported. Previously, a nationwide
American study on self-management revealed patient assessment
of their diabetes self-management to significantly associate
with their actually achieved glycemic control (17).
Thus, several aspects of disease management affect the overall
outcome, nutrition naturally being the main factor. However,
support to improve patient self-confidence is important
to improve long-term disease management in patients with
diabetes mellitus.