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. 2025 Jun 6;27:e70203. doi: 10.2196/70203

Table 3.

Thematic map with themes, subthemes, and illustrative quotations.

Theme and subtheme Example quotation
What my life looks like”

Existing routines and the impact of disruption
  • “I am hopeless. If a routine changes for me, that’s it, I’m like off the rails.” [Female participant; aged 56 y; >5 y since diagnosis]


People’s understanding of their condition
  • “More worried about taking my Metformin than probably any of the other drugs that I’m on.” [Male participant; aged 61 y; >10 y since diagnosis]


Relationships with others
  • “I mean they seem to concentrate more on the insulin dependent ones and us tablet controlled ones seem to be left to our own devices.” [Male participant; aged 62 y; >5 y since diagnosis]

  • “I mean if we’re out and something is available to eat, she gives me the nod if I should eat it.” [Male participant; aged 80 y; <5 y since diagnosis]


What it “means” to live with T2Da
  • “I’ve got it, can’t do anything about it, it’s under control, I’m not worried about that.” [Female participant; aged 73 y; >10 y since diagnosis]

  • “I always call it the fat diabetes when I say I’ve got diabetes, it’s not insulin, it’s the fat one.” [Female; aged 56 y; >5 y since diagnosis]

Changes in self-management of T2D over time—what and how

The “drip drip” effect
  • “I do actually think it was an incredibly productive way of engaging with people, because it was ‘light touch.’” [Male participant; aged 50 y; >10 y since diagnosis]


Take what you need—and stick with it
  • “No, no nothing was unhelpful. I enjoyed getting them and where it was needed, I changed things. But there wasn’t a lot to change because I was doing the right thing and I realised that because of the messages.” [Female participant; aged 74 y; >5 y since diagnosis]


The system as a vehicle between then and now
  • “The variety of messages was good the way they suggested different ways to remind yourself. Make a note of it somewhere, ask someone, make sure a family member is watching over you if you don’t think you’re going to remember. I think there was about nine or 10 different ways, but you can only say it so many times. By differently wording it sometimes—as I said before—it makes you read it again.” [Male participant; aged 54 y; >5 y since diagnosis]

aT2D: type 2 diabetes.