%0 Journal Article %T Associations between Diabetes Self-Management and Microvascular Complications among Patients Living in Rural Areas, in Kenya %A Rachael Ireri %A Gideon Kikuvi %A Susan Mambo %A Betsy C. Rono Cheriro %J Open Journal of Epidemiology %P 88-101 %@ 2165-7467 %D 2025 %I Scientific Research Publishing %R 10.4236/ojepi.2025.151007 %X Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cross-sectional study was conducted at the outpatient department of a county referral hospital in Kenya, from 1st August 2022 to 30th October 2022. Patients with known type II diabetes of age ≥ 20 years visiting the hospital for routine follow-up visits were included. A 7-tem Summary of Diabetes Self-care Activities (SDSAC) Questionnaire was used to assess Diabetes self-care activities. For data entry and statistical analysis, SPSS for Windows version 27.0 was used. There were 96 (39.2%) males and 149 (60.8%) females. Most of the participants were more than 61 years, 148 (60.4%). Significant association was found between the sum scale scores of dietary activities, blood glucose testing, physical activity, foot care, and neuropathy at 95% CI and (p < 0.001). Scores on the Blood glucose testing and foot care activities subscale were significantly associated with Retinopathy (p < 0.001). Additionally, significant associations were found between the presence of nephropathy and dietary activities, foot care, and physical activity subscale (p ≤ 0.001). Conclusions: Diabetes self-management activities have an impact on microvascular complications in patients with diabetes. %K Self-Management Activities %K Diabetes %K Microvascular Complications %K Summary of Diabetes Self-Care Activities %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=140441