Lulwah M.Alharthy

WHO estimates that the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. Self-esteem is becoming a crucial topic for physicians, given the assumption that high self-esteem positively correlates with patients’ adherence to management plan. We conducted this study to assess the self-esteem in T2DM patients and its relation to glycemic control, life-style habits and DM complication. This is a cross-sectional interview-based study that was conducted between September 2015 and July 2016 in Prince Mansour Hospital, Taif, Saudi Arabia. We included adult patients with T2D patients and excluded those with T1D, gestational diabetes and psychiatric illness. Self-esteem assessment was done using Rosenberg Self-Esteem Scale. A total of 101 patients with a mean age of 56.0 years, majority were females with long standing T2D, mean HbA1c was 8.6 %. Most of patients recorded a high score in Rosenberg self-esteem score with a mean score of 21.0. Only 4 out of the total 101 T2D patients have low self-esteem.Compared to those who are considered to have low self-esteem, those with normal self-esteem were younger (p 0.043), and were more likely to be female (p 0.244), have shorter T2D duration (p 0.423), obese (p 0.267), lower SBP (p 0.112), higher HbA1c (p 0.347), be physically active (p 0.892), and less likely to have microvascular complications (p > 0.05) and to report hypoglycemia (p 0.633).96% of the screened T2D patients have normal self-esteem and were significantly more likely to be younger. Those with normal self-esteem were non-significantly more likely to be female, shorter T2D duration, have higher BMI and HbA1c, and have lower hypoglycemic episodes and microvascular complications.