“Challenges Encountered by Patients Diagnosed with Diabetes Mellitus Type II among selected Rural Barangay in Puerto Princesa: Basis for Development Structured Plan”

Diabetes Mellitus Type II (T2DM) has become one of the most pressing chronic health conditions in the Philippines,.In the rural barangays of Puerto Princesa, an increasing number of residents are facing the complex challenges that this disease presents. This study explores the key difficulties faced by patients diagnosed with Type II diabetes in these areas and suggests a structured plan aimed at alleviating their burdens and improving their quality of life. One of the most significant challenges encountered by diabetic patients in rural Puerto Princesa is limited access to medical care.The lack of local clinics equipped to monitor blood sugar levels, manage comorbidities, or provide immediate interventions contributes to the deterioration of patients’ health. Furthermore, the scarcity of endocrinologists and diabetes educators complicates the situation, leaving general practitioners to handle complex cases without specialized support. Another major concern is the economic burden of managing diabetes. Patients often struggle to afford oral hypoglycemics, glucose test strips, and proper nutrition. Many residents depend on agriculture or informal labor for their income, which is often insufficient for consistent diabetes care. As a result, patients may ration medication, skip doses, or increasing their risk for complications like neuropathy, retinopathy, and cardiovascular disease. Equally important is the lack of health literacy and awareness regarding diabetes management. The study proposed a basis to develop a structured plan when managing a patient with type 2 diabetes in a selected rural northern barangay of Puerto Princesa City