Objective: Diabetes is a growing health concern, associated with premature mortality and various complications. Its prevalence is rising among both men and women, yet there are distinct differences in self-management practices. This study analyzes sex-specific patterns in diabetes management and suggests strategies to help patients maintain stable blood glucose levels through consistent adherence to dietary guidelines, exercise, and medication. Design: Descriptive correlational study. Methods: Utilizing data from the Community Health Survey, this study examined sex-based differences in diabetes management among adults in their 30s. Results: Notable sex differences were observed in non-pharmacological therapy (p＜0.001), pharmacotherapy (p＜0.046), insulin management (p＜0.002), management education (p＜0.001), and diabetic nephropathy screening (p＜0.001). Men received hemoglobin A1c testing more frequently (2.54 times, SD 1.32) than women (2.43 times, ＝＝SD 1.34) (p＜0.001). However, women engaged more frequently in vigorous and moderate physical activity, as well as walking, compared to men (p＜0.001 for all). Conclusions: Effective diabetes management requires the adoption of multiple strategies by both men and women. Women demonstrated greater adherence to physical activity, indicating a potential need for improved conditions to encourage exercise participation among men. Future research should explore the effects of integrated management strategies.
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