{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T07:57:28Z","timestamp":1767772648635,"version":"build-2065373602"},"reference-count":49,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T00:00:00Z","timestamp":1729900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Faculty of Medicine of the University of Porto"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objective: This study aimed to characterize the sociodemographic and clinical profiles of Portuguese patients with type 2 diabetes mellitus (T2DM) and to assess their self-care practices, treatment adherence, motivation, and satisfaction with social support. Methods: A cross-sectional observational study was conducted at an endocrinology unit in northern Portugal from January 2021 to December 2022. The sample included 303 adult patients with T2DM who provided informed consent. Data were collected using a structured questionnaire addressing sociodemographic, clinical, and self-care aspects. Validated scales were used to assess diabetes knowledge, self-care activities, treatment adherence, motivation, and social support. Results: Of the 303 patients enrolled, with a median age of 67 years, 51.2% were female and 68.2% retired. Clinical measures showed a median systolic blood pressure of 135 mmHg, abdominal circumference of 104.6 cm, and BMI of 29.3 kg\/m2. Self-care practices were suboptimal, with only 25.1% of patients consistently following a healthy diet, and 31% engaged in weekly physical activity. Although treatment adherence was generally high, issues like forgetfulness were reported. Satisfaction with social support varied, with 30% of patients feeling isolated. Conclusions: The study identifies significant gaps in diet and physical activity adherence among T2DM patients. There is a need for targeted educational interventions and enhanced support systems to improve self-care and treatment outcomes. Personalized care strategies addressing educational, motivational, and social support factors are crucial to better managing T2DM and improving patient well-being.<\/jats:p>","DOI":"10.3390\/jcm13216423","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T07:47:18Z","timestamp":1730101638000},"page":"6423","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical and Sociodemographic Profile, Self-Care, Adherence and Motivation for Treatment, and Satisfaction with Social Support in Portuguese Patients with Type 2 Diabetes"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2620-682X","authenticated-orcid":false,"given":"Virginia M. G.","family":"Regufe","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de S\u00e3o Jo\u00e3o (CHUSJ), 4200-319 Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4889-4109","authenticated-orcid":false,"given":"Manuel A.","family":"Lob\u00e3o","sequence":"additional","affiliation":[{"name":"School of Economics and Management, University of Porto, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5934-5201","authenticated-orcid":false,"given":"Nat\u00e1lia","family":"Cruz-Martins","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"},{"name":"Department of Diagnostic and Therapeutic Technologies, Cooperativa de Ensino Superior Polit\u00e9cnico e Universit\u00e1rio (CESPU), 4585-116 Gandra, Portugal"},{"name":"i3S\u2014Instituto de Investiga\u00e7\u00e3o e Inova\u00e7\u00e3o em Sa\u00fade, Universidade do Porto, 4200-135 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5292-6337","authenticated-orcid":false,"given":"Carla","family":"Lu\u00eds","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"},{"name":"i3S\u2014Instituto de Investiga\u00e7\u00e3o e Inova\u00e7\u00e3o em Sa\u00fade, Universidade do Porto, 4200-135 Porto, Portugal"}]},{"given":"Pedro","family":"von Hafe","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de S\u00e3o Jo\u00e3o (CHUSJ), 4200-319 Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6077-4150","authenticated-orcid":false,"given":"Cristina B.","family":"Pinto","sequence":"additional","affiliation":[{"name":"Porto School of Nursing, Center for Health Technology and Services Research and Health Research Network (CINTESIS@RISE), 4200-450 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,26]]},"reference":[{"key":"ref_1","unstructured":"International Diabetes Federation (2021). Diabetes Atlas, International Diabetes Federation. [10th ed.]."},{"key":"ref_2","unstructured":"World Health Organization (2013). Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013\u20132020, WHO."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2753","DOI":"10.2337\/dci22-0034","article-title":"Management of Hyperglycemia in Type 2 Diabetes, A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)","volume":"45","author":"Davies","year":"2022","journal-title":"Diabetes Care"},{"key":"ref_4","unstructured":"Sociedade Portuguesa de Diabetes (2023). Relat\u00f3rio Anual do Observat\u00f3rio Nacional do Diabetes, Sociedade Portuguesa de Diabetes."},{"key":"ref_5","unstructured":"Meleis, A.I. (2018). Theoretical Nursing: Development and Progress, Wolters Kluwer. [6th ed.]."},{"key":"ref_6","unstructured":"Shajani, Z.S.D. (2023). Wright & Leahey\u2019s Nurses and Families: A Guide to Family Assessment and Intervention, F.A. Davis Company."},{"key":"ref_7","unstructured":"Kaakinen, J., Coehlo, D., Steele, R., and Robinson, M. (2018). Family Health Care Nursing: Theory, Practice, and Research, F.A. Davis Company."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"116526","DOI":"10.34117\/bjdv7n12-419","article-title":"Type 2 Diabetes Mellitus: The importance of early diabetes diagnosis","volume":"7","author":"Antunes","year":"2021","journal-title":"BJDV"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e4972","DOI":"10.56083\/RCV4N7-031","article-title":"Manejo da retinopatia dia-b\u00e9tica em pacientes com diabetes mellitus tipo ii","volume":"4","author":"Costa","year":"2024","journal-title":"Rev. Contemp."},{"key":"ref_10","first-page":"S11","article-title":"Improving Care and Promoting Health in Populations: Standards of Care in Diabetes","volume":"47","author":"ElSayed","year":"2023","journal-title":"Diabetes Care"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2669","DOI":"10.2337\/dci18-0033","article-title":"Management of Hyperglycemia in Type 2 Diabetes, A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)","volume":"41","author":"Davies","year":"2018","journal-title":"Diabetes Care"},{"key":"ref_12","unstructured":"American Diabetes Association Professional Practice Committee (2023). Summary of Revisions: Standards of Care in Diabetes. Diabetes Care, 47, S5\u2013S10."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.2147\/PPA.S106821","article-title":"Poor medication adherence in type 2 diabetes: Recognizing the scope of the problem and its key contributors","volume":"10","author":"Polonsky","year":"2016","journal-title":"Patient Prefer. Adherence"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/jnr.0000000000000226","article-title":"Perceptions of Diabetes Self-Care Management Among Older Singaporeans With Type 2 Diabetes: A Qualitative Study","volume":"26","author":"Tan","year":"2018","journal-title":"J. Nurs. Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1111\/ijn.12114","article-title":"Barriers and facilitators to diabetes self-management: Perspectives of older community dwellers and health professionals in China","volume":"19","author":"Shen","year":"2013","journal-title":"Int. J. Nurs. Pract."},{"key":"ref_16","first-page":"382","article-title":"C\u00e1lculo de tamanho de amostra: Propor\u00e7\u00f5es","volume":"31","author":"Agranonik","year":"2011","journal-title":"Clin. Biomed. Res."},{"key":"ref_17","unstructured":"Bastos, F.S. (2004). Ades\u00e3o e Gest\u00e3o do Regime Terap\u00eautico do Diab\u00e9tico tipo 2: Participa\u00e7\u00e3o das Esposas no Plano Educacional, Faculdade de Medicina da Universidade do Porto."},{"key":"ref_18","first-page":"11","article-title":"Psychometric analysis of diabetes self-care scale","volume":"20","author":"Bastos","year":"2007","journal-title":"Acta Med. Port."},{"key":"ref_19","first-page":"81","article-title":"Contributo para a avali\u00e7\u00e3o concorrente de uma medida de ades\u00e3o aos tratamentos","volume":"II","author":"Delgado","year":"2001","journal-title":"Psicol. Sa\u00fade e Doen\u00e7as"},{"key":"ref_20","unstructured":"Apostolo, J.L.A. (2011). O Imagin\u00e1rio Conduzido no Conforto de Doentes em Contexto Psiqui\u00e1trico. [Ph.D. Thesis, Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar]."},{"key":"ref_21","first-page":"547","article-title":"Escala de Satisfa\u00e7\u00e3o com o Suporte Social: ESSS","volume":"17","year":"1999","journal-title":"An\u00e1lise Psicol\u00f3gica"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"667","DOI":"10.4093\/dmj.2022.0215","article-title":"Blood Pressure Target in Type 2 Diabetes Mellitus","volume":"46","author":"Kim","year":"2022","journal-title":"Diabetes Metab. J."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0140-6736(16)31919-5","article-title":"Worldwide trends in blood pressure from 1975 to 2015: A pooled analysis of 1479 population-based measurement studies with 19\u00b71 million participants","volume":"389","author":"Zhou","year":"2017","journal-title":"Lancet"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1007\/s00592-023-02162-4","article-title":"Age at type 2 diabetes diagnosis among adults in Germany in 2014, 2019 and 2020","volume":"60","author":"Rathmann","year":"2023","journal-title":"Acta Diabetol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"i153","DOI":"10.1093\/fampra\/cmr057","article-title":"An integrated health care standard for the management and prevention of obesity in The Netherlands","volume":"29","author":"Seidell","year":"2012","journal-title":"Fam. Pract."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.2147\/JIR.S354095","article-title":"Serum Levels of IL-1 RA Increase with Obesity and Type 2 Diabetes in Relation to Adipose Tissue Dysfunction and are Reduced After Bariatric Surgery in Parallel to Adiposity","volume":"15","author":"Becerril","year":"2022","journal-title":"J. Inflamm. Res."},{"key":"ref_27","unstructured":"(2024, August 07). OECD Health at a Glance 2019: OECD Indicators. Available online: https:\/\/www.oecd-ilibrary.org\/social-issues-migration-health\/health-at-a-glance-2019\/summary\/english_e88a7402-en."},{"key":"ref_28","unstructured":"World Health Organization (2024, August 07). World Health Statistics 2019: Monitoring Health for the SDGs, Sustainable Development Goals. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241565707."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/s13098-024-01391-z","article-title":"Relationship between diabetes health literacy, distress, burnout, social support, complications, self-care behaviors, and quality of life among patients with type 2 diabetes: A path analysis study","volume":"16","author":"Jafari","year":"2024","journal-title":"Diabetol. Metab. Syndr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1186\/s41043-023-00459-2","article-title":"A global systematic overview of socioeconomic factors associated with antidiabetic medication adherence in individuals with type 2 diabetes","volume":"42","author":"Studer","year":"2023","journal-title":"J. Health Popul. Nutr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1016\/S0140-6736(13)62154-6","article-title":"Pathophysiology and treatment of type 2 diabetes: Perspectives on the past, present, and future","volume":"383","author":"Kahn","year":"2014","journal-title":"Lancet"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1071\/PY19007","article-title":"Association of health literacy and diabetes self-management: A systematic review","volume":"25","author":"Dahal","year":"2019","journal-title":"Aust. J. Prim. Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1007\/s00125-023-05894-8","article-title":"Evidence-based European recommendations for the dietary management of diabetes","volume":"66","author":"Aas","year":"2023","journal-title":"Diabetologia"},{"key":"ref_34","first-page":"528","article-title":"Healthy diet and self-care activities adherence improved life-quality and type 2 diabetes mellitus management in Turkish adults","volume":"179","author":"Sikalidis","year":"2020","journal-title":"Gazz. Medica Ital.-Arch. Per Sci. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"3335","DOI":"10.1017\/S136898002200221X","article-title":"Perceived facilitators and barriers to healthy dietary behaviour in adults with type 2 diabetes mellitus in Kenya: A qualitative study","volume":"25","author":"Mokaya","year":"2022","journal-title":"Public Health Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1001\/archinternmed.2012.3130","article-title":"Physical Activity and Mortality in Individuals With Diabetes Mellitus: A Prospective Study and Meta-analysis","volume":"172","author":"Sluik","year":"2012","journal-title":"Arch. Intern. Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"3101","DOI":"10.2337\/dc22-0886","article-title":"Physical Activity and Risk of Major Diabetes-Related Complications in Individuals with Diabetes: A Systematic Review and Meta-Analysis of Observational Studies","volume":"45","author":"Rietz","year":"2022","journal-title":"Diabetes Care"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1007\/s00592-017-1035-5","article-title":"Self-care, quality of life and clinical outcomes of type 2 diabetes patients: An observational cross-sectional study","volume":"54","author":"Ausili","year":"2017","journal-title":"Acta Diabetol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e12987","DOI":"10.1111\/ijn.12987","article-title":"Self-care activities among patients with type 2 diabetes mellitus: A cross-sectional study","volume":"27","author":"Tang","year":"2021","journal-title":"Int. J. Nurs. Pract."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Muszalik, M., St\u0119pie\u0144, H., Puto, G., Cybulski, M., and Kurpas, D. (2022). Implications of the Metabolic Control of Diabetes in Patients with Frailty Syndrome. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191610327"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Dinkova, R., Marinov, L., Doneva, M., and Kamusheva, M. (2023). Medication Adherence among Patients with Diabetes Mellitus and Its Related Factors\u2014A Real-World Pilot Study in Bulgaria. Medicina (B. Aires), 59.","DOI":"10.3390\/medicina59071205"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Badi, S., Suliman, S.Z., Almahdi, R., Aldomah, M.A., Marzouq, M.E., Ibrahim, E.E.M., Ahmed, M., Ahmed, M.H., Elkheir, H.K., and Ibrahim, M.I.M. (2024). The Impact of Clinical Pharmacist Diabetes Education on Medication Adherence in Patients with Type 2 Diabetes Mellitus: An Interventional Study from Khartoum, Sudan. J. Pers. Med., 14.","DOI":"10.3390\/jpm14010074"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s12160-013-9585-4","article-title":"Diabetes Burden and Diabetes Distress: The Buffering Effect of Social Support","volume":"48","author":"Baek","year":"2014","journal-title":"Ann. Behav. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e14472","DOI":"10.1111\/dme.14472","article-title":"The buffering effect of social support on diabetes distress and depressive symptoms in adults with Type 1 and Type 2 diabetes","volume":"38","author":"Beverly","year":"2021","journal-title":"Diabet. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1038\/jhh.2015.86","article-title":"Association between adherence, treatment satisfaction and illness perception in hypertensive patients","volume":"30","author":"Saarti","year":"2016","journal-title":"J. Hum. Hypertens."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"2333721418823604","DOI":"10.1177\/2333721418823604","article-title":"Adherence to Exercise Programs in Older Adults: Informative Report","volume":"5","author":"Fahey","year":"2019","journal-title":"Gerontol. Geriatr. Med."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Morancie, N.A., Ellis, C., Heinrich, A., and Lee, J. (2023). Promoting Physical Activity. Chronic Illness Care, Springer International Publishing.","DOI":"10.1007\/978-3-031-29171-5_3"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"103558","DOI":"10.1016\/j.drudis.2023.103558","article-title":"Dysbiosis versus diabesity: Pathological signaling and promising therapeutic strategies","volume":"28","author":"Sharma","year":"2023","journal-title":"Drug Discov. Today"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1177\/1540415319888435","article-title":"The Space Between: Transformative Learning and Type 2 Diabetes Self-Management","volume":"18","author":"Berry","year":"2020","journal-title":"Hisp. Health Care Int."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/21\/6423\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:21:19Z","timestamp":1760113279000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/21\/6423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,26]]},"references-count":49,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["jcm13216423"],"URL":"https:\/\/doi.org\/10.3390\/jcm13216423","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2024,10,26]]}}}