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Diabetes Management and Education · Journal article
Healthcare · August 31, 2026
Early or partial results. Treat as a signal, not a conclusion.
This is a descriptive cross-sectional survey of diabetes awareness and acceptance among 118 hospitalized adults with type 2 diabetes at a single tertiary center in Istanbul. The study found that regular follow-up visit attendance and dietary adherence were independently associated with higher diabetes awareness and acceptance scores; however, the cross-sectional design cannot establish causation, and findings are acknowledged to be limited to hospitalized patients and not generalizable to the broader Turkish T2D population.
Single-center descriptive cross-sectional study. Hospitalized adults with type 2 diabetes receiving care at a tertiary hospital in Istanbul, Türkiye. n = 118. Single tertiary-care center in Istanbul, Türkiye.
Mean Diabetes Awareness and Acceptance Scale (DAAS) total score was 84.08 ± 12.02 Regular medication adherence, dietary adherence, and consistent attendance at diabetes follow-up visits were associated with higher awareness and acceptance levels In hierarchical multiple regression, regular attendance at follow-up visits and dietary adherence remained independently associated with higher DAAS scores after adjustment
DAAS is a surrogate outcome; hard clinical endpoints (e.g., HbA1c, complications, mortality) not reported
The findings suggest that diabetes awareness and acceptance may be strengthened through promoting attendance at follow-up visits and dietary adherence; however, the hospitalized setting and single-center recruitment limit applicability to outpatient or community-based T2D populations.
Single-center cross-sectional descriptive study with a surrogate outcome (awareness and acceptance scale) in a hospitalized population, lacking a comparator or control group and not powered to establish causation.
As stated by the source record.
Quoted from the source exactly as published.
The findings suggest that diabetes awareness and acceptance may be strengthened through promoting attendance at follow-up visits and dietary adherence; however, the hospitalized setting and single-center recruitment limit applicability to outpatient or community-based T2D populations.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Objectives: Diabetes continues to be a major and increasingly prevalent public health problem both globally and in Türkiye. Effective management of type 2 diabetes (T2D) largely depends on individuals’ ability to sustain daily self-management behaviors. This study was conducted to determine diabetes awareness and disease acceptance among hospitalized adults with T2D receiving care at a tertiary hospital in Istanbul, Türkiye, and to examine the sociodemographic and clinical factors associated with these levels. Methods: A descriptive, cross-sectional, and correlational design was used in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The sample consisted of 118 patients selected using purposive consecutive sampling. Data were collected using the Diabetes Awareness and Acceptance Scale (DAAS). Results: The mean DAAS total score was 84.08 ± 12.02. Regular medication adherence, dietary adherence, and consistent attendance at diabetes follow-up visits were associated with higher awareness and acceptance levels. In the hierarchical multiple regression analysis, regular attendance at follow-up visits and dietary adherence remained independently associated with higher DAAS scores after adjustment for the other variables. Conclusions: This study provides descriptive evidence regarding diabetes awareness and acceptance among hospitalized adults with T2D. Higher DAAS scores were independently associated with regular attendance at diabetes follow-up visits and adherence to dietary recommendations. These findings indicate that engagement in recommended diabetes care behaviors is associated with diabetes awareness and acceptance. However, the findings should be interpreted in the context of hospitalized patients from a single tertiary-care center and may not be generalizable to all individuals with T2D in Türkiye.
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