The DOI matches its Crossref record; 76 of the 76 references it cites were found in a registry or an index.
Barriers to diabetes management: Patient and provider factors
Abstract
Despite significant advances in diagnosis and treatment, the persistence of inadequate metabolic control continues. Poor glycemic control may be reflected by both the failure of diabetes self-management by patients as well as inadequate intervention strategies by clinicians. The purpose of this systematic review is to summarize existing knowledge regarding various barriers of diabetes management from the perspectives of both patients and clinicians. A search of PubMed, CINAHL, ERIC, and PsycINFO identified 1454 articles in English published between 1990 and 2009, addressing type 2 diabetes, patient's barriers, clinician's barriers, and self-management. Patients' adherence, attitude, beliefs, and knowledge about diabetes may affect diabetes self-management. Culture and language capabilities influence the patient's health beliefs, attitudes, health literacy, thereby affecting diabetes self-management. Other influential factors include the patient's financial resources, co-morbidities, and social support. Clinician's attitude, beliefs and knowledge about diabetes also influence diabetes management. Clinicians may further influence the patient's perception through effective communication skills and by having a well-integrated health care system. Identifying barriers to diabetes management is necessary to improve the quality of diabetes care, including the improvement of metabolic control, and diabetes self-management. Further research that considers these barriers is necessary for developing interventions for individuals with type 2 diabetes.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Personal style, defined as the perceived fit between the intervention and the preferred style of clinical practice, such as clinicians’ communication style [78, 79], personality [54] and philosophical opposition to the intervention [69, 76], were presented exclusively as barriers.”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [78]
In the citing paper
“Visiting a health care team can be costly and time-consuming for people with type 2 diabetes, with evidence suggesting most people with type 2 diabetes do not see their health professionals enough [3].”
From Effect of virtual care in type 2 diabetes management – a systematic umbrella review of systematic reviews and meta-analysis (2025) · cites this paper as [3]
In the citing paper
“Suboptimal self-management may be due to functional limitations (e.g., blindness, problems with dexterity, low health literacy and numeracy), lack of appropriate diabetes education, forgetting and disruption in routines,”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [30]
Citations
Cites
Global and societal implications of the diabetes epidemic
Zimmet, P., Alberti, K. G. M. M., & Shaw, J. (2001) · Nature · doi:10.1038/414782a · Cited by 5,883
Social Relationships and Health.
Cohen, S. (2004) · American Psychologist · doi:10.1037/0003-066x.59.8.676 · Cited by 4,852
The Prevalence of Comorbid Depression in Adults With Diabetes
Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001) · Diabetes Care · doi:10.2337/diacare.24.6.1069 · Cited by 3,926
Depression and poor glycemic control: a meta-analytic review of the literature.
Lustman, P. J., Anderson, R. J., Freedland, K. E., de Groot, M., Carney, R. M., & Clouse, R. E. (2000) · Diabetes Care · doi:10.2337/diacare.23.7.934 · Cited by 1,854
Schillinger, D., Piette, J. D., Grumbach, K., Wang, F. M., Wilson, C., Daher, C., Leong-Grotz, K., Castro, C. M., & Bindman, A. B. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.1.83 · Cited by 1,179
Peyrot, M., Rubin, R. R., Lauritzen, T., Snoek, F. J., Matthews, D. R., & Skovlund, S. E. (2005) · Diabetic Medicine · doi:10.1111/j.1464-5491.2005.01644.x · Cited by 931
Patient Empowerment: Results of a randomized controlled trial
Anderson, R. M., Funnell, M. M., Butler, P. M., Arnold, M. S., Fitzgerald, J. T., & Feste, C. (1995) · Diabetes Care · doi:10.2337/diacare.18.7.943 · Cited by 803
The Handbook of health behavior change
(2009) · Choice Reviews Online · doi:10.5860/choice.46-6233 · Cited by 616
The Patient-Provider Relationship: Attachment Theory and Adherence to Treatment in Diabetes
Ciechanowski, P. S., Katon, W. J., Russo, J. E., & Walker, E. A. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.1.29 · Cited by 604
Wright, A. D., Burden, A. C., Paisey, R., Cull, C. A., Holman, R. R., & for the U.K. Prospective Diabetes Study Group (2002) · Diabetes Care · doi:10.2337/diacare.25.2.330 · Cited by 553
Flagged first, then by citations
Research works printed but not linked: 1
- Polonsky, 2003, Why do patients resist insulin therapy?, Diabetes, 52, A417
Cited by
Sorted by citations
Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016) · Diabetes Care · doi:10.2337/dc16-2053 · Cited by 1,072
Role of self-care in management of diabetes mellitus
Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013) · Journal of Diabetes & Metabolic Disorders · doi:10.1186/2251-6581-12-14 · Cited by 1,191
Nicolucci, A., Kovacs Burns, K., Holt, R. I. G., Comaschi, M., Hermanns, N., Ishii, H., Kokoszka, A., Pouwer, F., Skovlund, S. E., Stuckey, H., et al. (2013) · Diabetic Medicine · doi:10.1111/dme.12245 · Cited by 739
Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Treweek, S., Eldridge, S., Everitt, H., Kennedy, A., Qureshi, N., Rogers, A., et al. (2015) · Implementation Science · doi:10.1186/s13012-016-0396-4 · Cited by 533
“clinical practice, such as clinicians’ communication style [78, 79], personality [54] and philosophical opposition to”
BackgroundInfluentialRacial-ethnic disparities in management and outcomes among children with type 1 diabetes
Willi, S. M., Miller, K. M., DiMeglio, L. A., Klingensmith, G. J., Simmons, J. H., Tamborlane, W. V., Nadeau, K. J., Kittelsrud, J. M., Huckfeldt, P., Beck, R. W., et al. (2015) · Pediatrics · doi:10.1542/peds.2014-1774 · Cited by 367
Metadata
- Authors
- Nam, S., Chesla, C., Stotts, N. A., Kroon, L., & Janson, S. L.
- Affiliations
- Johns Hopkins University (US)
- University of California, San Francisco (US)
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2011-07
- Volume
- 93
- Issue
- 1
- Pages
- 1-9
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W1974561455
- Cited by
- 680
- References
- 75
- Citations by year
- 2026: 18 · 2025: 27 · 2024: 38 · 2023: 57 · 2022: 41 · 2021: 58 · 2020: 61 · 2019: 39 · 2018: 61 · 2017: 54 · 2016: 60 · 2015: 61 · 2014: 37 · 2013: 43 · 2012: 20
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- California Endowment and American Association of Colleges of Nursing (AACN)
- Nurse Faculty Program
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- type 2 diabetes, diabetes self-management, glycemic control, patient adherence, health literacy, health beliefs, language and cultural barriers, financial barriers, comorbidities, social support, clinician-patient communication, integrated care
- MeSH terms
- Diabetes Mellitus, Type 2, Humans, Patient Compliance, Patient Education as Topic, Self Care, Social Support, Disease Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
