Assessment of Diabetes Knowledge Using the Michigan Brief Diabetes Knowledge Test Among Patients With Type 2 Diabetes Mellitus

Turki M. Almalki, Naif R. Almalki, Khalid Balbaid, Khaled Alswat


Background: Type 2 diabetes mellitus (T2DM) represents a growing health threat globally. The International Diabetes Federation (IDF) estimated that 387 million adults had diabetes in 2014, and this number is expected to continue to grow. In Saudi Arabia, the prevalence of T2DM over time has increased. Diabetes knowledge has been shown to improve self-management skills and glycemic control. The primary goal of this study was to assess diabetes knowledge and its impact on diabetes control and complications.

Methods: We conducted a cross-sectional study at King Abdulaziz Specialist Hospital, Taif City, Saudi Arabia, Division of Endocrinology. T2DM patients older than 18 years who underwent a routine visit to the endocrine clinic between June and October 2014 were asked to participate. Baseline characteristics and measurement were obtained at the time of visit. Laboratory data were collected from the patients medical records. We excluded patients with type 1 diabetes mellitus (T1DM). We used the Michigan Brief Diabetes Knowledge Test to assess patients knowledge. Those patients who answered>= 65% of the questions were considered to possess good knowledge about diabetes.

Results: A total of 264 patients participated; 131 (49.6%) were male and 132 (50.0%) were female. Approximately, half of the patients (44.7%) had had diabetes for at least 10 years, and 29.8% of patients had had the disease for 5 - 10 years. The cohorts mean A1c was 8.56% and mean body mass index was 30.5%. Sixty-four percent of patients had only a high school education or less, and 38% had at least a college degree. Approximately, half of the cohort (41.7%) were considered to be low income, 37.9% were on oral medications only, and 41.3% were on insulin. The mean fraction of correctly answered knowledge questions was 48.26%. Twenty-eight percent of the participants thought that A1c reflected blood glucose control over the past week, and 44.3% did not know what A1c was. Approximately, one-third of patients (29.5%) believed that diet soda could be used to treat low blood glucose. Fifty-seven patients (21.6%) were considered to have good knowledge about diabetes.

Conclusion: The majority (78.4%) of the screened T2DM patients had poor knowledge about diabetes. Poor knowledge was associated with higher A1c, a non-significant increase in the majority of measured cardiovascular markers, and less awareness of diabetes-related complications.

J Endocrinol Metab. 2017;7(6):185-189


Diabetes knowledge; Type 2 diabetes; Awareness; Assessment

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Endocrinology and Metabolism, bimonthly, ISSN 1923-2861 (print), 1923-287X (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.