KNOWLEDGE AND PRACTICES OF DIABETIC PATIENTS REGARDING EXERCISE AS PART OF DIABETES MANAGEMENT AT DIABETIC CENTRE OF SIMS LAHORE

Abstract

Background: Diabetes mellitus is a major global health challenge with rapidly increasing prevalence, particularly in low- and middle-income countries. Exercise is a cornerstone of diabetes management, improving glycemic control, insulin sensitivity, and reducing cardiovascular complications.

Objective: To assess the knowledge, attitudes, and practices of diabetic patients regarding exercise as part of diabetes management and to identify barriers to regular physical activity at the Diabetic Centre of Lahore General Hospital, Lahore.

Methodology: A descriptive cross-sectional study was conducted from October to December 2025 at the Diabetic Centre Lahore General Hospital, Lahore. A sample of 180 diabetic patients was recruited using systematic random sampling. Data were collected using a structured, pre-tested questionnaire comprising 25 items covering demographics, knowledge, practices, attitudes, and barriers. Data were analyzed using SPSS Ver 25.

Results: The majority of participants were female (72.8%) and aged 18-30 years (46.1%). Most had graduate-level education (51.1%) and had been diagnosed with diabetes for less than one year (37.8%). with 73.9% agreeing that exercise controls blood sugar and 84.5% recognizing its role in reducing complications. However, only 57.8% knew the recommended 150 minutes/week exercise duration. Practice adherence was moderate, with 64.5% reporting regular engagement but only 52.2% meeting WHO recommendations. Positive attitudes were observed (79.5% believed exercise essential). Major barriers included physical discomfort/fatigue (71.1%), lack of time, fear of hypoglycemia, and inadequate facilities (63.8%).

Conclusion: Diabetic patients demonstrated good knowledge and positive attitudes toward exercise but moderate adherence to recommended practices. A significant knowledge-practice gap exists, primarily due to physical, environmental, and personal barriers. Targeted interventions including individualized counselling, low-impact exercise programs, and enhanced healthcare provider follow-up are needed to improve exercise adherence and diabetes outcomes.