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Diabetes Self-Management Questionnaire Name: Date of Birth: / / Gender: F Date: M Address: Street City State Zip Phone: Home ( ) Work: ( ) Mobile: ( ) Ethnic Background: White/Caucasian Middle-eastern.

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Participating in a self-management education (SME) program can help you learn skills to manage your diabetes more effectively by checking blood sugar regularly, eating healthy food, being active, taking medicines as prescribed, and handling stress. SME programs have been shown to: Lower A1C levels.

The DSMQ was developed at the Research Institute of the Diabetes Academy Mergentheim. It is the first German instrument targeting diabetes self-care, and was designed to assess behaviours associated with metabolic control within common treatment regimens for type 1 and type 2 diabetes in adult patients.

It assesses the extent to which respondents are confident they can manage their blood sugar, diet, and level of exercise. Responses are rated on a 5 point scale ranging from ''can't do at all'' to ''certain can do'' (1, 5). In this scale, higher scores indicate higher self-efficacy in perform- ing DSM activities.

Scale scores were calculated as sums of item scores and then transformed to a scale ranging from 0 to 10 (raw score / theoretical maximum score * 10; for example, for the subscale 'Glucose Management' a raw score of 12 leads to a transformed score of 12 / 15 * 10 = 8).

The SDSCA is a standard self-report scale to assess diabetes self-management. Ten items assess the frequencies of specific self-management activities during the previous week; an additional item assesses smoking. Respondents mark the numbers of days (0–7) on which the indicated behaviours were performed.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232