It underlines the need for future research to further explore the complexity of managing the illnesses and to understand the needs for treatment and support. In conclusion, this study highlights the importance of considering individual challenges and everyday routines when supporting this population. The final theme showed that participants discuss challenges related to their schizophrenia with family and friends but not type 2 diabetes. They worried about potential long-term consequences and expressed wishes and motivation to improve their lifestyle. Theme 3 illustrated that participants consider their type 2 diabetes to be a very serious illness. The second theme showed that both psychotic and negative symptoms present challenges to diabetes management. In contrast, they perceived type 2 diabetes self-management as governed by a set of rules and guidelines given by health professionals. The first theme showed that participants use self-learned strategies for managing schizophrenia. Thematic analysis led to four themes representing participants' self-management strategies and perceived challenges. Fourteen semi-structured interviews were conducted between January 2020 and October 2021 in the participants' respective mental health clinics, in their homes or by phone. This qualitative interview study aimed to explore perceptions and understandings of the day-to-day management of schizophrenia and type 2 diabetes. People with schizophrenia and type 2 diabetes face complex challenges in daily life and the management of both illnesses is burdensome.
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