Diet Therapy for Minority Patients With Diabetes

Gohdes, Dorothy

doi:10.2337/diacare.11.2.189

Cited by 28 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, those who primarily spoke Cantonese or Portuguese were less likely to utilize many of the listed resources and less likely to utilize a variety of resources. One reason for this may be that many resources are not culturally appropriate or available in their language, thereby creating a barrier to accessing resources [41].…”

Section: Discussionmentioning

confidence: 99%

Use of diabetes resources in adults attending a self-management education program

Gucciardi

Smith

DeMelo

2006

Patient Education and Counseling

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Use of diabetes resources in adults attending a self-management education program

Gucciardi

Smith

DeMelo

2006

Patient Education and Counseling

View full text Add to dashboard Cite

“…While more culturally-specific materials and materials in other languages are still needed, there has been an increased awareness of this need over the past 15 years [70,71], particularly for Spanish-speaking patients. Education designed to be culturally specific has been shown to increase patient satisfaction and promote behavior change in lifestyle modification programs [72].…”

Section: Cultural Awarenessmentioning

confidence: 99%

Barriers to Achieving Optimal Glycemic Control in a Multi-Ethnic Society: A US Focus

Dagogo‐Jack

Funnell²,

Davidson

2006

CDR

View full text Add to dashboard Cite

The increasing prevalence of diabetes is particularly apparent in certain ethnic groups, such as African and Hispanic Americans. These groups generally also have poorer glycemic control and outcomes. To better understand the issues surrounding these problems and possible methods to overcome them we performed a literature review from the past 15 years on barriers to glycemic control with a focus on US data. The literature reveals that barriers may be inherent (eg, genetic, cultural, and language/communication) or acquired (eg, those associated with changes in lifestyle and socioeconomic factors). Healthcare interventions that take into consideration cultural and population-specific characteristics can reduce the prevalence and severity of diabetes and its resulting complications. Implementing such strategies will require suitable education for patients and providers, the availability of culturally-sensitive, patient-centered healthcare teams, the creation of collaborative relationships between providers and patients, better use of community resources, and assistance for patients to make informed decisions about available treatment options. There is also evidence suggesting that at the same level of glucose control Hispanics and African Americans have the same degree of complications as whites; therefore, good control is essential for the future well-being of all patients. Addressing these issues may help to decrease the ethnic disparities that currently exist in diabetes care.

show abstract

“…One of the few studies that examined this question indicated that when dietary advice was the sole treatment, it appeared to have no effect on the metabolic control of the patients 10 . It has been suggested that nutrition therapy for black patients is unsuccessful when the diet prescription does not relate to the patient's cultural environment and economic situation, and is presented in ways that are difficult for low-literacy patients to understand and implement 11 . To date there is a paucity of data on dietary intake and practices and dietary advice given to black type 2 diabetic patients who attend primary health-care services in South Africa.…”

mentioning

confidence: 99%

Dietary intake and barriers to dietary compliance in black type 2 diabetic patients attending primary health-care services

Nthangeni¹,

Steyn²,

Alberts³

et al. 2002

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To determine the dietary intake, practices, knowledge and barriers to dietary compliance of black South African type 2 diabetic patients attending primary health-care services in urban and rural areas. Design: A cross-sectional survey. Dietary intake was assessed by three 24-hour recalls, and knowledge and practices by means of a structured questionnaire (n ¼ 133 men, 155 women). In-depth interviews were then conducted with 25 of the patients to explore their underlying beliefs and feelings with respect to their disease. Trained interviewers measured weight, height and blood pressure. A fasting venous blood sample was collected from each participant in order to evaluate glycaemic control. Setting: An urban area (Sheshego) and rural areas near Pietersburg in the Northern Province of South Africa. Subjects: The sample comprised 59 men and 75 women from urban areas and 74 men and 80 women from rural areas. All were over 40 years of age, diagnosed with type 2 diabetes for at least one year, and attended primary health-care services in the study area over a 3-month period in 1998. Results: Reported dietary results indicate that mean energy intakes were low (,70% of Recommended Dietary Allowance), 8086 -8450 kJ day 21 and 6967-7382 kJ day 21 in men and women, respectively. Urban subjects had higher ðP , 0:05Þ intakes of animal protein and lower ratios of polyunsaturated fat to saturated fat than rural subjects. The energy distribution of macronutrients was in line with the recommendations for a prudent diet, with fat intake less than 30%, saturated fat less than 10% and carbohydrate intake greater than 55% of total energy intake. In most respects, nutrient intakes resembled a traditional African diet, although fibre intake was low in terms of the recommended 3-6 g/1000 kJ. More than 90% of patients ate three meals a day, yet only 32 -47% had a morning snack and 19-27% had a late evening snack. The majority of patients indicated that they followed a special diet, which had been given to them by a doctor or a nurse. Only 3.4-6.1% were treated by diet alone. Poor glycaemic control was found in both urban and rural participants, with more than half of subjects having fasting plasma glucose above 8 mmol l 21 and more than 35% having plasma glycosylated haemoglobin level above 8.6%. High triglyceride levels were found in 24 to 25% of men and in 17 to 18% of women. Obesity (body mass index $30 kg m 22) was prevalent in 15 to 16% of men compared with 35 to 47% of women; elevated blood pressure ($160/95 mmHg) was least prevalent in rural women (25.9%) and most prevalent in urban men (42.4%). Conclusions: The majority of black, type 2 diabetic patients studied showed poor glycaemic control. Additionally, many had dyslipidaemia, were obese and/or had an elevated blood pressure. Quantitative and qualitative findings indicated that these patients frequently received incorrect and inappropriate dietary advice from health educators.

show abstract

Diet Therapy for Minority Patients With Diabetes

Cited by 28 publications

References 9 publications

Use of diabetes resources in adults attending a self-management education program

Use of diabetes resources in adults attending a self-management education program

Barriers to Achieving Optimal Glycemic Control in a Multi-Ethnic Society: A US Focus

Dietary intake and barriers to dietary compliance in black type 2 diabetic patients attending primary health-care services

Contact Info

Product

Resources

About