strict metabolic control can delay or prevent the progression
of complications associated with diabetes [13,14]. The
needs of diabetic patients are not only limited to adequate
glycemic control but also correspond with preventing
complications; disability limitation and rehabilitation.
Some of the Indian studies revealed very poor adherence
to treatment regimens due to poor attitude towards the
disease and poor health literacy among the general public
[15,16]. The introduction of home blood glucose monitors
and widespread use of glycosylated hemoglobin as an indicator
of metabolic control has contributed to self-care in
diabetes and thus has shifted more responsibility to the
patient [17,18]. In a study done in Scotland, it was suggested
that the role of the health professional is crucial to
patient’s understanding of their blood glucose fluctuations
with an appropriate self-care action [19].
that diabetes now affects a staggering 10-16% of urban
population and 5-8% of rural population in India and Sri
Lanka [9-11].