Vol. 7, Issue 2, Part A (2025)

Background: Diabetes mellitus is one of the most common chronic diseases in nearly all countries, and continues to increase in numbers and significance, as changing lifestyles lead to reduced physical activity, and increased obesity. Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by elevated blood glucose levels due to insulin resistance and/or impaired insulin secretion. It is a major global public health issue, affecting approximately one in ten adults worldwide, and contributes to significant morbidity and mortality rates, with thousands of deaths occurring daily due to diabetes-related complications2. According to the World Health Organization, over 80% of deaths related to diabetes now occur in low- and middle-income countries, where it is especially prevalent among individuals of low socio-economic status4. 
Objective: The aimed was to assess the level of nurses knowledge and practice regarding the management of type 2 diabetes mellitus at 250 Bedded Mohammad Ali Hospital, Bogura. 
Methodology: This was a descriptive cross sectional study design was used and sample size 110 that was purposive sampling technique followed those who meet the inclusion criteria and the study was conducted from December 2024 to May, 2025. The instruments for data collection were a semi-structured questionnaire which composed of three parts: Demographic related variables, knowledge and practice based information on the management of type 2 diabetes mellitus. 
Results: The present study findings revealed that the socio demographic characteristics of the highest 44% were within 40-45 years; 89% were female; 82% were Islam; 91% were married; 44% were diploma in nursing; and 31% were within >20 yrs of length of service and the main findings of the present study revealed that the average level of knowledge 10% were high level of knowledge, 50% were moderate level of knowledge and 40% were low level of knowledge about the knowledge and in relation to practice average level of practice 10% were high level of practice, 50% were moderate level of practice and 40% were low level of practice on type- 2 diabetes mellitus. Similarly, A conducted by Emami, et al., (2019) reported that the Overall nurses moderate level of practice on the Type -2 diabetes mellitus patients’ management18. 
Conclusion: The study highlights the strengths and gaps in nurses' knowledge and practices regarding the type 2 diabetes mellitus patients’ management in a district hospital in Bangladesh. Nurses were 50% were moderate level of knowledge and 50% were moderate level of practice of type 2 diabetes mellitus patients’ care was positive. However, the findings of the study indicated that there is a half percent of knowledge deficit of nurses in some aspects related to type 2 diabetes mellitus patients’ management. These findings suggest that a better education strategy for nurses as in-service education, workshop and training is needed to understand the importance of practicing Type 2 diabetes patients’ management and improving their knowledge that confidence their practice.