Table 1 Diabetes Self-Management Questionnaire (DSMQ)
The following statements describe self-care activities related to your diabetes. Thinking about your self-care over the last 8 weeks, please specify the extent to which each statement applies to you. | Applies to me very much | Applies to me to a consider-able degree | Applies to me to some degree | Does not apply to me | |
|---|---|---|---|---|---|
1. | I check my blood sugar levels with care and attention. ☐ Blood sugar measurement is not required as a part of my treatment. | ☐3 | ☐2 | ☐1 | ☐0 |
2. | The food I choose to eat makes it easy to achieve optimal blood sugar levels. | ☐3 | ☐2 | ☐1 | ☐0 |
3. | I keep all doctors’ appointments recommended for my diabetes treatment. | ☐3 | ☐2 | ☐1 | ☐0 |
4. | I take my diabetes medication (e. g. insulin, tablets) as prescribed. ☐ Diabetes medication / insulin is not required as a part of my treatment. | ☐3 | ☐2 | ☐1 | ☐0 |
5. | Occasionally I eat lots of sweets or other foods rich in carbohydrates. | ☐3 | ☐2 | ☐1 | ☐0 |
6. | I record my blood sugar levels regularly (or analyse the value chart with my blood glucose meter). ☐ Blood sugar measurement is not required as a part of my treatment. | ☐3 | ☐2 | ☐1 | ☐0 |
7. | I tend to avoid diabetes-related doctors’ appointments. | ☐3 | ☐2 | ☐1 | ☐0 |
8. | I do regular physical activity to achieve optimal blood sugar levels. | ☐3 | ☐2 | ☐1 | ☐0 |
9. | I strictly follow the dietary recommendations given by my doctor or diabetes specialist. | ☐3 | ☐2 | ☐1 | ☐0 |
10. | I do not check my blood sugar levels frequently enough as would be required for achieving good blood glucose control. ☐ Blood sugar measurement is not required as a part of my treatment. | ☐3 | ☐2 | ☐1 | ☐0 |
11. | I avoid physical activity, although it would improve my diabetes. | ☐3 | ☐2 | ☐1 | ☐0 |
12. | I tend to forget to take or skip my diabetes medication (e. g. insulin, tablets). ☐ Diabetes medication / insulin is not required as a part of my treatment. | ☐3 | ☐2 | ☐1 | ☐0 |
13. | Sometimes I have real ‘food binges’ (not triggered by hypoglycaemia). | ☐3 | ☐2 | ☐1 | ☐0 |
14. | Regarding my diabetes care, I should see my medical practitioner(s) more often. | ☐3 | ☐2 | ☐1 | ☐0 |
15. | I tend to skip planned physical activity. | ☐3 | ☐2 | ☐1 | ☐0 |
16. | My diabetes self-care is poor. | ☐3 | ☐2 | ☐1 | ☐0 |