Type 2 diabetes: how do Thai Buddhist people with diabetes practise self-management?

J Adv Nurs. 2012 Mar;68(3):550-8. doi: 10.1111/j.1365-2648.2011.05756.x. Epub 2011 Jun 29.


Aims: This paper is a report of a study of how Thai Buddhist people with type 2 diabetes practice self-management.

Background: The importance of diabetes self-management is recognized in the literature. However, research on self-care management in Thailand, in particular concerning Buddhist people with type 2 diabetes, is scarce.

Methods: A descriptive qualitative study was conducted. Purposive convenience sampling was used, and thirty men and women with diabetes, aged 28-79 years, participated. Data were collected from June to August 2009 and analysed by use of manifest and latent content analysis.

Findings: Five themes of self-management among Thai Buddhist people with type 2 diabetes were identified: cultural influence on disease control, Buddhism and Thai culture, struggle for disease control, family support and economy a high priority.

Conclusion: Even though the Buddhist people with diabetes had certain self-management capabilities, many had poor control of their blood sugar levels and needed assistance. Reference to Buddhist moderation can be an effective means of helping the people with diabetes better manage their disease and change their lifestyles. In addition to cultural and religious traditions, family, economy and social environment should be taken into account both in the care and in interventions aimed at helping people with diabetes cope and empowering them to control their disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Blood Glucose / metabolism
  • Buddhism*
  • Cultural Characteristics*
  • Diabetes Mellitus, Type 2 / ethnology
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Diet, Diabetic / psychology
  • Family
  • Female
  • Health Knowledge, Attitudes, Practice / ethnology*
  • Humans
  • Life Style / ethnology*
  • Male
  • Medicine, Traditional / statistics & numerical data
  • Middle Aged
  • Qualitative Research
  • Self Care / methods
  • Self Care / psychology*
  • Social Environment
  • Socioeconomic Factors
  • Thailand / epidemiology
  • Thailand / ethnology
  • Urban Population


  • Blood Glucose