STORIES OF STRUGGLE: UNDERSTANDING POOR GLYCEMIC CONTROL AMONG DIABETIC PATIENTS AT KAPKATET SUB-COUNTY HOSPITAL, KERICHO,

Poor glycemic control among diabetic patients remains a significant challenge, leading to severe complications and increased healthcare burdens. While clinical factors contribute to this issue, patient experiences and socio-contextual determinants play a crucial role in shaping diabetes management outcomes. However, limited research has explored the lived experiences of diabetic patients struggling with glycemic control in rural Kenyan settings. This study aims to explore the narratives of diabetic patients at Kapkatet Sub-County Hospital, Kenya, to understand the personal, social, and healthcare-related factors influencing poor glycemic control. Using a narrative research qualitative design, in-depth interviews were conducted with diabetic patients experiencing persistent glycemic control challenges. Participants were purposively selected from the hospital's diabetic clinic. Data were analyzed thematically, focusing on patient stories to identify key determinants shaping their experiences. The narratives revealed several key themes, including financial constraints limiting access to medication and nutrition, inconsistent healthcare support, cultural beliefs affecting diabetes management, emotional distress, and challenges in lifestyle modifications. Patients expressed struggles with affording insulin, lack of family support, and misinformation about diabetes treatment. Understanding patient experiences provides valuable insights into the barriers to effective glycemic control. Addressing these challenges requires a patient-centered approach that considers financial, social, and emotional factors. Healthcare providers and policymakers should develop targeted interventions to improve diabetes care accessibility and patient education in rural settings.