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Are You Really Managing Your Diabetes Well? Survey Reveals Gaps Between Perception and Reality

With over 400,000 Singaporeans living with diabetes, managing this chronic condition is a significant public health challenge. Yet, a Channel News Asia article revealed that a recent YouGov survey commissioned by Abbott highlights a concerning gap between perceived and actual management of diabetes among Singaporeans.

Here’s a breakdown of the key findings and insights from the survey of 352 Singaporeans with type 1 or 2 diabetes:

1. Most think they are managing diabetes well, but HbA1c levels say otherwise

  • Perception: 65% of surveyed individuals believe they are managing their diabetes well.

  • Reality: Over 60% have glycosylated haemoglobin (HbA1c) levels above the recommended 7%. High HbA1c levels indicate poor long-term glucose control and an increased risk of complications such as heart disease, stroke, kidney damage, and nerve problems.

2. Monitoring glucose levels at home is overlooked

  • Survey Results:

    • 51% of respondents do not monitor their glucose levels at home due to inconvenience.

    • 46% do not see the need for it.

  • Expert Advice: Dr. Ester Yeoh, a senior consultant endocrinologist, stressed the importance of glucose monitoring to understand how food choices and other factors affect blood sugar. Without regular monitoring, many are unaware of how their daily habits impact their condition.

    NOVI Health’s multidisciplinary team of doctors and dietitans emphasize that glucose monitoring allows you to know how your body responds to food, physical activity, and lifestyle factors such as sleep and stress can help you flatten your blood glucose curve. This, in turn, may reduce oxidative stress and inflammation, which may reduce your risk of developing cardiovascular diseases, cancer or insulin resistance whether you have diabetes or not.

3. Poor diet management: Glucose control is beyond cutting sweets

  • Key Findings:

    • While 74% reduced their intake of sweets and sugary beverages, only 46% decreased carbohydrate consumption, and 43% reduced processed foods.

    • Only 30% increased their protein intake, and a mere 10% practiced portion control, both crucial for managing glucose levels effectively.

  • Expert Insight: Dr. Lim Su Lin, chief dietitian at National University Hospital, explained that effective diabetes management involves more than reducing sugar. Balanced diets with controlled portions, fewer carbs, and minimal processed foods are critical for maintaining glycaemic health.

    In a CNA feature, Dr. Sue-Anne Toh, Senior Consultant Endocrinologist, Founder, Chief Executive Officer and Medical Director of NOVI Health discussed that “What it takes to manage the condition actually needs to be very personalised and holistic. That involves the patient, the person himself, in partnership with their care team and their care providers.”

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4. Insufficient physical activity

  • Survey Results:

    • Close to 80% of respondents fall short of the recommended 150 minutes of moderate-intensity exercise per week, averaging only 95 minutes.

    • Seniors above 60 were more active, with 30% meeting the exercise target, compared to 17% of those under 60.

  • Why it Matters: Regular physical activity helps regulate blood sugar and supports overall health.

5. Heavy reliance on healthcare professionals

  • Survey Results:

    • 78% of diabetics turn to healthcare professionals, including dietitians and nurses, for guidance.

    • Only 20% depend on influencers like lifestyle coaches or fitness gurus for diabetes-related advice.

    • While 97% of respondents take their medication regularly, diabetes management requires a holistic approach. Monitoring glucose levels, prioritizing balanced diets with proper portion control, and maintaining an active lifestyle are essential to effectively managing the condition.

Check out our NOVI Magnum program, where you will receive holistic medical and lifestyle support from a doctor and dietician to help you achieve your diabetes and weight management goals.