{
  "abstract": "Type 2 diabetes mellitus (T2DM) is a rapidly growing public health problem, particularly in low- and middle-income countries. Effective self-care practices are essential for optimal glycemic control and prevention of complications. Urbanization has introduced lifestyle and health system-related challenges that may differentially influence diabetes self-care behaviors. The objective of the study is to assess self-care practices among adults with T2DM in Bhubaneswar and to compare these practices between urban and rural populations. A community-based study was conducted from December 2020 to September 2022 among 465 adults with T2DM using multistage cluster sampling. The study design was cross-sectional. Self-care practices were assessed using the Summary of Diabetes Self-Care Activities (SDSCA) scale. Data were analyzed using SPSS version 22.0 (IBM Corp., Armonk, NY, USA). Chi-squared test, Fisher's exact test, and crude odds ratio were reported. Poor dietary habits (p = 0.035) and exercise behaviors (p = 0.018) were significantly more prevalent among urban participants, while rural participants demonstrated better blood glucose monitoring (p = 0.001). Residence showed a significant association with multiple dimensions of self-care. Women had significantly less smoking habit (p = 0.005). Poor dietary habits (p = 0.001) were significantly more prevalent among participants with uncontrolled blood sugar, whereas poor exercise, although more prevalent, was not statistically significant (p = 0.080) in the same group. Urban residents exhibited poorer lifestyle-related self-care behaviors despite better healthcare access, highlighting the need for targeted urban diabetes interventions. Poor dietary and exercise habits are common lapses in self-care behavior and should be more emphasized.",
  "abstract_shown": true,
  "affiliations": [
    "Community Medicine, Institute of Medical Sciences (IMS) and SUM Hospital, Bhubaneswar, IND.",
    "Community Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, IND."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Smriti Madhusikta"
    },
    {
      "affs": [
        1
      ],
      "name": "Smrutiranjan Nayak"
    },
    {
      "affs": [
        1
      ],
      "name": "Alpana Mishra"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1kt0dsztw3h10.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.117580",
  "fulltext_url": "https://europepmc.org/articles/PMC13743062",
  "id": "1kt0dsztw3h10",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997868",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2712|Diabetes Management and Education"
    ]
  ],
  "openalex": "W7220848335",
  "pdf_url": "https://europepmc.org/articles/PMC13743062?pdf=render",
  "pmcid": "PMC13743062",
  "pmid": "42997868",
  "published": "2026-10-07",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/1kt0dsztw3h10.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:41Z",
      "native_id": "MED:42997868",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997868"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Diabetes Management and Education",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Self-Care Practices Among Adults With Type 2 Diabetes Mellitus in Urban and Rural Areas of Bhubaneswar, India.",
  "title_text": "Self-Care Practices Among Adults With Type 2 Diabetes Mellitus in Urban and Rural Areas of Bhubaneswar, India.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:41Z",
  "url": "https://research.draconitic.com/paper/1kt0dsztw3h10",
  "venue": "Cureus",
  "versions": []
}