• ROSMINI REMALI School of Food Science and Technology, Universiti Malaysia Terengganu (UMT), 21030 Kuala Nerus, Terengganu, Malaysia
  • ASMA ALI School of Food Science and Technology, Universiti Malaysia Terengganu (UMT), 21030 Kuala Nerus, Terengganu, Malaysia
  • NOOR SALIHAH ZAKARIA School of Food Science and Technology, Universiti Malaysia Terengganu (UMT), 21030 Kuala Nerus, Terengganu, Malaysia
  • HAYATI MOHD YUSOF School of Food Science and Technology, Universiti Malaysia Terengganu (UMT), 21030 Kuala Nerus, Terengganu, Malaysia


Knowledge, attitude, practice, type II diabetes, Kelantan


Diabetes is a major health problem in Malaysia particularly in Kelantan state. This cross-sectional study was designed to determine the knowledge, attitude and perceive practice towards type II diabetes among the public residents of Kelantan in relation towards their blood glucose level. About 68 respondents aged from 18 to 59 years old, were approached personally to participate in this study. Data collection was done through face-to-face interview using a questionnaire consisted of four sections; knowledge, attitude, and perceive practice (KAP) questionnaire including recent fasting blood glucose (FBG) readings. The results showed that most of the respondents had a moderate level of knowledge (54.4%, n=37), positive attitude (72%, n=49), and good perceive practice level (51.5%, n=35) towards diabetes mellitus. There was no significant relationship between knowledge, attitude, and perceive practice level towards diabetes mellitus at p<0.05. KAP level towards diabetes mellitus showed no significant relationship with blood glucose level at p<0.05. Findings indicate that most respondents had normal BMI (18.5 – 24.9) (64.7%, n=44) and normal FBG reading (< 6.1 mmol/L) (92.6%, n=63). As conclusion, respondents with higher educational level were more likely to have a higher level of knowledge about diabetes mellitus; however, this did
not influence attitude, perceive practice and fasting blood glucose of respondents.


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American Diabetes Association. 2006. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 29(1): S43-7.

Al-Mahrooqi, B., Al-Hadhrami, R., Al-Amri, A., AlTamimi, S., Al-Shidhani, A., Al-Lawati, H., AlIsmaili, A., Al-Hooti, K. & Al-Ghafri, T. 2013. Self-reported knowledge of diabetes among high school students in Al-Amerat and Quriyat, Muscat Governate, Oman. Sultan Qaboos University Medical Journal, 13(3): 392.

Al-Naggar, R.A., Osman, M.T., Ismail, N., Ismail, Z., Aini, N. & Selamat, I.B. 2017. Diabetes Mellitus among Selected Malaysian Population: A CrossSectional Study. Health Sciences, 6(4): 1-11.

Awalekar, C.D., Waghachavare, V.B., Awalekar, J.C., Chavan, M., Chavan, V.M. & Patwardhan, M. 2016. Correlation of Patients’ Knowledge regarding Diabetes with Their Glycaemic Control: A cross-Sectional Study from an Urban Area. National Journal of Community Medicine, 7(2): 125-129.

Al-Maskari, F., El-Sadig, M., Al-Kaabi, J.M., Afandi, B., Nagelkerke, N. & Yeatts, K.B. 2013. Knowledge, attitude and practices of diabetic patients in the United Arab Emirates. PLoS One, 8(1): e52857.

Chinnappan, S., Sivanandy, P., Sagaran, R. & Molugulu, N. 2017. Assessment of knowledge of diabetes mellitus in the urban areas of Klang district, Malaysia. Pharmacy, 5(1): 11.

Dörnyei, Z. 2007. Research methods in applied linguistics. New York: Oxford University Press.

Dudovskiy, J. 2017. Research Methodology [online]. Available from:

Ekpenyong, C.E., Akpan, U.P., Ibu, J.O. & Nyebuk, D.E. 2012. Gender and age specific prevalence and associated risk factors of type 2 diabetes mellitus in Uyo metropolis, South Eastern Nigeria. Diabetologia Croatica, 41(1).

Fitzgerald, J.T., Funnell, M.M., Hess, G.E., Barr, P.A., Anderson, R.M., Hiss, R.G. & Davis, W.K. 1998. The reliability and validity of a brief diabetes knowledge test. Diabetes care, 21(5): 706-10.

Fatema, K., Hossain, S., Natasha, K., Chowdhury, H.A., Akter, J., Khan, T. & Ali, L. 2017. Knowledge attitude and practice regarding diabetes mellitus among non-diabetic and diabetic study participants in Bangladesh. BMC Public Health, 17(1): 364.

Ghannadi, S., Amouzegar, A., Amiri, P., Karbalaeifar, R., Tahmasebinejad, Z. & Kazempour-Ardebili, S. 2016. Evaluating the effect of knowledge, attitude, and practice on self-management in type 2 diabetic patients on dialysis. Journal of Diabetes Research, 1-7.

Gautam, A., Bhatta, D.N. & Aryal, U.R. 2015. Diabetes related health knowledge, attitude and practice among diabetic patients in Nepal. BMC Endocrine Disorders, 15(1): 25.

Herath, H.M., Weerasinghe, N.P., Dias, H. & Weerarathna, T.P. 2017. Knowledge, attitude and practice related to diabetes mellitus among the general public in Galle district in Southern Sri Lanka: a pilot study. BMC Public Health, 17(1): 535.

Institute for Public Health National Health and Morbidity Survey (NHMS 2015). Vol. II: NonCommunicable Diseases, Risk Factors & Other Health Problems. Ministry of Health, Malaysia 2015.

Institute for Public Health (IPH). National Health and Morbidity Survey 2014: Malaysian Adult Nutrition Survey (MANS) Vol. II: Survey Findings: 343 pages.

Kassahun, C.W. & Mekonen, A.G. 2017. Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non-diabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross- sectional study. PloS one, 12(2): e0170040.

Kueh, Y.C. & Kuan, G. 2018. Psychometric Properties of Malay Version of Summary of Diabetes Self-Care Activities Measures among the Malay adults with Type 2 Diabetes Mellitus in Kelantan, Malaysia. Austin Diabetes Res, 3(1): 1017.

Kosti, M. & Kanakari, M. 2012 . Education and diabetes mellitus . Health Science Journal, 6 (4).

Lawrence, A.K. & Amadeo, J.P. 1996. Clinical Chemistry: Theory, analysis and correlation, 3rd Ed., St. Louis: Mosby Inc, USA.

Letchuman, G.R., Wan Nazaimoon, W.M., Wan Mohamad, W.B., Chandran, L.R., Tee, G.H., Jamaiyah, H. & Ahmad Faudzi, Y. 2010. Prevalence of diabetes in the Malaysian national health morbidity survey III 2006. Med J Malaysia, 65(3): 180-186.

Mafauzy, M., Mokhtar, N., Mohamad, W.W. & Musalmah, M. 1999. Diabetes mellitus and associated cardiovascular risk factors in north-east Malaysia. Asia Pacific Journal of Public Health, 11(1): 16-19.

Maina, W.K., Ndegwa, Z.M., Njenga, E.W. & Muchemi, E.W. 2010. Knowledge, attitude and practices related to diabetes among community members in four provinces in Kenya: a cross-sectional study. Pan African Medical Journal, 7(1): 1-10.

Noor Hasimah, M., Nurhanani, M.N. & Ramli, M. 2010. Medical complications among type 2 diabetes mellitus patients at a general hospital in east coast Malaysia. International Medical Journal, 9(1): 15-9.

Najib Mohd, N.M., Dali, A.F., Ahmad, A., Sulaiman, S., Hussin, S.N. & Mokhtar, N. 2014. Knowledge and Attitude on Diabetes among Public in Kota Bharu Kelantan, Malaysia. Int J Edu Res, 2: 1-0.

Nawi, A., Mamat, M. & Ahmad, W.M.A.W. 2018. The Factors that Contribute to Diabetes Mellitus in Malaysia: Alternative Linear Regression Model Approach in the Health Field Involving Diabetes Mellitus Data. International Journal of Public Health and Clinical Sciences, 5(1): 146-153.

Nepal, C., Vyas, P., Bhattarai, R., Acharya, B., Thapa, K., Shrestha, J.S. & Sharma, S.K. 2017. Knowledge, attitude and practice of type 2 diabetic patients of selected outreach clinic, Dharan, Nepal. Al Ameen J Med Sci, 10(1): 78-85.

Ozcelik, F., Yiginer, O., Arslan, E., Serdar, M.A., Uz, O., Kardesoglu, E. & Kurt, I. 2010. Association between glycemic control and the level of knowledge and disease awareness in type 2 diabetic patients. Pol Arch Med Wewn, 120(10): 399-406.

Okonta, H.I., Ikombele, J.B. & Ogunbanjo, G.A. 2014. Knowledge, attitude and practice regarding lifestyle modification in type 2 diabetic patients. African Journal of Primary Health Care & Family Medicine, 6(1): 1-6.

Oliveira, K.C.S.D. & Zanetti, M.L. 2011. Knowledge and attitudes of patients with diabetes mellitus in a primary health care system. Revista da Escola de Enfermagem da USP, 45(4): 862-868.

Punthakee, Z., Goldenberg, R., Katz, P. & Diabetes Canada Clinical Practice Guidelines Expert Committee. 2018. Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome. Can J Diabetes, 42: S10-5.

Pongmesa, T., Li, S.C. & Wee, H.L. 2009. A survey of knowledge on diabetes in the central region of Thailand. Value in Health, 12: S110-S113.

Sukminingrum, N. & Radjeni, N. 2013. Caries experience and oral hygiene status between non-diabetic and diabetic patients with different disease duration. International Medical Journal, 20(4): 435-437.

Sugathan, S. 2013. Prevalence of Self-Reported Diabetes, Knowledge, Attitude and Practice on Diabetes and Diabetes Care in a Rural Community in Malaysia. International Journal of Preventive and Therapeutic Medicine, 1(1).

Sharoni, S.A., Shdaifat, E.A., Majid, H.M., Shohor, N.A., Ahmad, F. & Zakaria, Z. 2015. Social support and self-care activities among the elderly patients with diabetes in Kelantan. Malays Fam Physician, 10(1): 34.

Tee, E.S. & Yap, R.W.K. 2017. Type 2 diabetes mellitus in Malaysia: current trends and risk factors. European Journal of Clinical Nutrition, 71(7): 844.

Tadesse, E., Adem, A.M., Gelaw, B.K., Ahmed, M. & Se, M.F. 2015. Assessment of knowledge, attitude and practices regarding life style modification among type 2 Diabetic mellitus patients attending Adama hospital Medical college, Oromia region, Ethiopia. Global Journal of Medical Research, 14(7): 37-48.

Tharek, Z., Ramli, A.S., Whitford, D.L., Ismail, Z., Zulkifli, M.M., Sharoni, S.K.A., Shafie, A.A. & Jayaraman, T. 2018. Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Family Practice, 19(1): 39.

Tuomilehto, J., Lindström, J., Eriksson, J.G., Valle, T.T., Hämäläinen, H., Ilanne-Parikka, P., Keinänen-Kiukaanniemi, S., Laakso, M., Louheranta, A., Rastas, M. & Salminen, V. 2001. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine, 344(18): 1343-1350.

Wang, J.S., Lee, I.T., Lee, W.J., Lin, S.Y., Fu, C.P., Ting, C.T., Lee, W.L., Liang, K.W. & Sheu, W.H.H. 2013. Performance of HbA1c and fasting plasma glucose in screening for diabetes in patients undergoing coronary angiography. Diabetes Care, 36(5): 1138-1140.

World Health Organization, 2006. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia: report of a WHO/IDF consultation.

Yun, L.S., Hassan, Y., Aziz, N.A., Awaisu, A. & Ghazali, R. 2007. A comparison of knowledge of diabetes mellitus between patients with diabetes and healthy adults: a survey from north Malaysia. Patient Educ Couns, 69(1-3): 47-54.

Zaini, A. 2000. Where is Malaysia in the midst of the Asian epidemic of diabetes mellitus?. Diabetes Research and Clinical Practice, 50: S23-S28.



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