The Effect Of Color Rotation Technique Training On İnsülin Self-management İn Diabetic Patients.

Diabetes mellitus (DM) is a chronic disease resulting from a deficiency of insulin hormone secreted from the pancreas and/or the body's inability to utilize it even when secreted sufficiently; it is characterized by impaired carbohydrate, protein, and lipid metabolism. Diabetes, a frequently observed chronic disease, is a significant public health problem and, if left uncontrolled, can cause serious complications and negatively affect quality of life.

Globally, diabetes is increasing; in 2017, the global prevalence among adults was 8.8% of the world's population, and this rate is expected to rise to 9.9% by 2045. Looking at the total figures, it is estimated that there were 424.9 million diabetes patients worldwide in 2017, and this number will reach 628.6 million by 2045, representing a 48% increase. According to the International Diabetes Federation (IDF), there are 463 million people with diabetes worldwide aged 20-79, and this figure is projected to reach 700 million by 2045. to the International Diabetes Federation's 2021 report, there are more than 9 million diabetes patients aged 20-79 in Turkey, with a prevalence of 15.9% in adults. It is estimated that approximately 6.7 million adults aged 20-79 will die from diabetes or related complications in 2021. The prevalence of diabetes is increasing in low- and middle-income countries, and Turkey is one of these countries.

Individual management of treatment is crucial for successful treatment and glycemic control in diabetes . Due to the complexity of diabetes management related to insulin use, diabetics require greater self-care skills. Nurses play a crucial role in developing desired self-management behaviors in individuals with diabetes, supporting them, and meeting their needs. Diabetics need to be knowledgeable about insulin types and characteristics, administering injections with the correct technique, dose, and timing, knowing the injection sites, and understanding the rate of insulin absorption and the factors affecting it. Furthermore, for successful insulin management, individuals with diabetes need to be knowledgeable about insulin absorption, insulin storage conditions, managing insulin complications, and adjusting insulin doses according to food intake, and exhibit the right attitudes. Optimal glycemic control plays a key role in preventing diabetes-related complications. The most important aspects of achieving glycemic control in diabetes are medication adherence and blood glucose monitoring . Nurses are responsible for providing the necessary education to individuals with diabetes and their families to prevent diabetes-related complications. The aim of this study is to improve insulin self-management by providing patients with training in the rotation technique.

UNIQUE VALUE AND WIDESPREAD IMPACT Diabetes mellitus is a significant and increasingly prevalent health problem among chronic diseases. The most important aspect in the prevention, control, and treatment of diabetes is diabetes education. Diabetes education is a process that includes many components, such as lifestyle changes including diet and exercise, as well as medication and insulin therapy. The most important part of the correct management of diabetes is complete and accurate education. In diabetic patients receiving insulin therapy, teaching them the correct insulin administration skills is the most important part of diabetes management. Correct and complete insulin administration skill training can only be given to the patient with the right education. In the literature, education given to diabetic patients to examine its effect on diabetes management has been planned holistically as diet, exercise, and medication therapy, but there is no education given to diabetic patients only on insulin therapy, on the correct and effective application of insulin. This study will fill the gap in the literature by providing education for the correct and effective application of insulin therapy. It is believed that rotation technique training given to diabetic patients will play an effective role in improving insulin self-management. Diabetic patients receiving insulin therapy will be able to administer insulin injections correctly, effectively, and regularly after the training. Consequently, complications related to diabetes and insulin injections will decrease, hospitalizations will decrease, effective glycemic control will be achieved, and the quality of life of individuals will improve. A summary oral presentation and a publication will be produced from the results of the study, contributing to the literature.

MATERIALS AND METHODS 3.1. Type of Research This research is planned as a randomized controlled experimental study. 3.2. Location and Time of Research The research will be conducted at Reşadiye State Hospital between June 2024 and June 2025.