Title

Lifestyle modification awareness and its association with biochemical control among diabetes mellitus patients: A mixed-methods study

Authors

Prasun Saluja¹, Pawan Kumar², Shipa Deoke³, Jaya Sai Nadella ^4,* & Dhivya Mohan⁵

Affiliation

¹Department of Medicine, Saraswathi Institute of Medical Sciences, Hapur, New Delhi, India; ²Department of Acute Medicine, Junior Specialist Doctor, Heartlands Hospital Birmingham UK, West Midlands, United Kingdom; ³Department of Medicine, NKP Salve Institute of Medical Sciences & RC and Lata Mangeshkar Hospital, Nagpur, India; ⁴Department of General Medicine, Jersey General Hospital, Jersey Channel Islands, The Parade, St Helier, Jersey JE1 3QS, Jersey; ⁵Department of Medicine, Aarupadai Veedu Medical College and Hospital, Pondicherry, India; *Corresponding author

Email

Pawan Kumar - E-mail: pawan_harani@yahoo.com; Phone: +91 7795630089

Prasun Saluja - E-mail: Drprasunsaluja@gmail.com; Phone: +91 9069333446

Shipa Deoke - E-mail: drshilpadeoke@gmail.com; Phone: +91 8095741090

Dhivya Mohan - E-mail: drmohan.dhivya@gmail.com; Phone: +91 94443692265

Jaya Sai Nadella - E-mail: Nadellajs1@outlook.com; Phone: +91 7797915519

Article Type

Research Article

Date

Received April 1, 2026; Revised April 30, 2026; Accepted April 30, 2026, Published April 30, 2026

Abstract

Poor adherence to lifestyle modification remains a major barrier to optimal glycemic control in diabetes mellitus. Therefore, it is of interest to assess lifestyle awareness and behaviours among 200 adults with diabetes and examined their association with biochemical parameters. Although 79% recognized the importance of diet and 67% acknowledged physical activity, only 28% reported daily exercise. Elevated fasting glucose and HbA1c were observed in 74% and 78% of participants, respectively and awareness scores showed significant negative correlations with HbA1c (r = –0.38, p < 0.001). Thus, we show a persistent gap between awareness and behavioural implementation and support structured, sustained lifestyle counselling in diabetes management.

Keywords

Diabetes mellitus, lifestyle change, knowledge, mixed-methods study, biochemical measurements, glycemic control, patient education, health behaviour, self-management, public health

Citation

Saluja et al. Bioinformation 22(4): 2000-2004 (2026)

Edited by

A Prashanth

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.