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Patients focused on integrating diabetes into their daily lives; practitioners focused on glucose control

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Question Are patient and provider perspectives on the management of type 2 diabetes mellitus similar for issues of control, goal setting, evaluation of success, and treatment strategies?


Qualitative, exploratory study.


Public clinics and community health centres in Texas, USA.


51 Mexican-American adults who had diabetes for >1 year and no major diabetes related impairment (mean age 52.9 y, 51% men, and mean annual household income US$12 500) and 35 practitioners (26 physicians, 5 physician's assistants, 2 nurse practitioners, and 2 staff nurses) who had direct patient care responsibilities (mean age 43.3 y, 71% men, and 51% Hispanic).


Patients were interviewed in their homes using semi-structured questions on illness history, coping strategies, perceived barriers to care, the illness, and its management. Practitioners were interviewed with emphasis on treating diabetes (attitudes, difficulties, and …

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  • Sources of funding: Texas Diabetes Institute and the Mexican American Medical Treatment Effectiveness Research Center.

  • For correspondence: Dr Linda M Hunt, School of Nursing, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, USA. Fax +1 210 567 5822.