Objectives: Lifestyle factors such as nutrition and physical activity play an important role in the management of diabetes mellitus. Unfortunately, adherence to lifestyle change remains low among patients with diabetes. The aim of this study was to evaluate the effectiveness of the Diabetes Score questionnaire in a clinical setting. Methods: The Diabetes Score is a 10-item shared decision-making tool designed to empower lifestyle change in individuals with diabetes. It yields an intuitive score from 0 to 100 based on a patient’s adherence to lifestyle recommendations. An observational study was conducted at an ambulatory health care center. After obtaining written informed consent, adult patients with type 2 diabetes mellitus were interviewed by a trained researcher using the Diabetes Score questionnaire. Patients’ Diabetes Score values were analyzed in reference to their glycemic control and other clinical and demographic factors. Results: A total of 60 individuals with type 2 diabetes participated in the study. The mean age was 56 years (minimum 43 years, maximum 70 years) with 60% being males. Higher Diabetes Scores correlated with better glycemic control (hemoglobin A1C; r = −0.23, p = 0.044) indicating the effect of lifestyle factors such as healthy nutrition, smaller portion sizes, active lifestyle, and aerobic exercise. The questionnaire showed internal consistency (alpha 0.66), construct validity, and high patient satisfaction (98%). Conclusion: Diabetes Score, a behavioral lifestyle questionnaire, correlates with glycemic control in type 2 diabetes. Diabetes Score can be used in clinical settings for measuring, discussing, and setting targets for lifestyle change among patients with diabetes.
Dubai Diabetes Endocrinol J

中文翻译：

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使用糖尿病评分问卷为患者提供健康营养、体育锻炼和自我保健的能力

目的：生活方式因素，如营养和身体活动，在糖尿病的管理中起着重要作用。不幸的是，糖尿病患者改变生活方式的依从性仍然很低。本研究的目的是评估糖尿病评分问卷在临床环境中的有效性。方法：糖尿病评分是一个包含 10 项的共享决策工具，旨在帮助糖尿病患者改变生活方式。根据患者对生活方式建议的遵守情况，它会产生一个从 0 到 100 的直观评分。一项观察性研究是在门诊医疗中心进行的。获得书面知情同意后，一名训练有素的研究人员使用糖尿病评分问卷采访了成年 2 型糖尿病患者。参考患者的血糖控制和其他临床和人口统计学因素分析患者的糖尿病评分值。结果：共有 60 名 2 型糖尿病患者参与了这项研究。平均年龄为 56 岁（最小 43 岁，最大 70 岁），其中 60% 为男性。较高的糖尿病评分与更好的血糖控制（血红蛋白 A1C；r = -0.23，p = 0.044）相关，表明生活方式因素的影响，如健康营养、较小的份量、积极的生活方式和有氧运动。问卷显示内部一致性（α 0.66）、结构效度和患者满意度高（98%）。结论：糖尿病评分是一种行为生活方式问卷，与 2 型糖尿病的血糖控制相关。糖尿病评分可在临床环境中用于测量、讨论和设定糖尿病患者生活方式改变的目标。
迪拜糖尿病内分泌杂志