This situation is illustrated by the following comments:Abdulrehman et al.Table 2. Variables That Affect Self-Management of Diabetes. Themes Economic things Subthemes Poverty Biomedical care is expensive Poor access to eye care No access to refrigeration DM is curable Ethnographic DescriptionsEducational factors–(limited expertise and misconceptions of DM)Misconceptions about causes of DM Misconceptions about DM selfmanagement (exercising, diet) Fasting through the holy month of Ramadan Family factorsReligious things Social things and kinshipRitual obligations (wedding and social events) Cultural values and belief systems Pervasive use of non-biomedical remedies Fear and mistrust of medications (biomedical therapies) Defeatist belief toward diabetes”Because of poverty, I end up eating whatever I get.” “I never have normal meals . . . somedays I get to consume and somedays I never get.” “I likely stay for two days with out drugs.” “[Medications at] pharmacy are expensive, we can not afford them.” “I get my medications from Mombasa, right here [in Lamu town] is extremely highly-priced.” “[eye care] . . . I maintain rescheduling my appointments due to the fact I can not afford travelling [to Mombasa].” “. . . I was then told that the insulin will problems you mainly because you do not have refrigeration, and which is why they modify to pills.” “It is attainable that you can be MPH.0000000000000416 cured and it leaves you.” “There are herbals that can totally clear you of diabetes.” “There is one particular man in Malindi, I have heard that he prepares herbs for diabetes. There are numerous folks, like ten folks happen to be cured of diabetes.” “I was informed yesterday that diabetes is infectious.” “Yes, you may infect someone. For the reason that I didn’t have diabetes, my husband will be the 1 who had diabetes. Why did I then get diabetes?” “One major factor that I have study in Arabic books is the fact that ice water can cause diabetes and I’ve investigated and I have observed it.” “House chores are my only exercise.” “[Describes everyday chores] . . . they are not compact physical exercise.” “I for CK-1827452 price example, at times nowadays I do not consume breakfast simply because I feel right after dinner I am happy until lunch.” “My fasting goes quite properly through Ramadan.” “Some days I rapid, some days I can not because it is hard.” “Ramadan j.bone.2015.06.008 is more tricky than any other instances . . . It provides me plenty of complications.” “You can not inform your wife [family] that in recent times do not prepare this. Simply because that you are the only a single with diabetes . . . You will need to be versatile…the situation of dietary restrictions is problematic.” “You can not cook your personal food, till you cook food for other people within the loved ones . . . that is what I come across to become difficult.” “I don’t eat the meals . . . I don’t pressure the host of the occasion [about my meals choices] . . . I excuse myself and sit someplace till [when the occasion is over] I return dwelling . . . ” “Most likely when I attend social events would be to please the hosts in place of pleasing myself . . . the reason is when individuals drink soda, I usually do not . . . in Islamic religion to attend social events whenever you are invited is definitely an obligation.” “Yes, [aloe] I use it to lower my blood sugar.” “And for neighborhood medicine, I drink boiled papaya leaves.” “I have purchased medicines that had been fake .