Dietary behavior and type 2 diabetes care

Albarran, Noemi B.; Ballesteros, Martha Nydia; Morales, Gloria G.; Ortega, María Isabel Francisco

doi:10.1016/j.pec.2005.03.008

Cited by 40 publications

(38 citation statements)

References 17 publications

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“…Patients expressed reluctance by family members to make dietary changes since they were considered to be only for the diabetic person. This result is similar to other studies in different cultures (Jazayeri & Pipelzadeh 2006;Carbone et al 2007;Wen, Parchman & Shepherd 2004;Albarran et al 2006;Shultz et al 2001;Vijan et al 2005). Notably, social functions such as ceremonies were a barrier cited only by the health professionals.…”

Section: Barriers and Facilitators To Adhering To Dietary Recommendatsupporting

confidence: 90%

“…Barriers that have also been identified in other studies include generalised and incomprehensive education (Nagelkerk, et al 2006;Vincent et al 2006;Albarran et al 2006), feeling hungry, small food portion sizes (Vijan et al 2005, Shultz et al 2001, taste of the food, restrictive diet (Dye et al 2003), forgetting to eat and inadequate knowledge of the disease and diet (Nagelkerk et al 2006;Nthangeni et al 2001).…”

Section: Barriers and Facilitators To Adhering To Dietary Recommendatmentioning

confidence: 93%

“…This relates to the distant location of those supermarkets and/or grocery stores with a variety of and appropriate products, high cost of healthy foods in the local shops (Albarran et al 2006;Marcy et al 2011) and inconsistent availability of water that discourages gardening. This is an important finding since geographical areas such as neighbourhoods can influence the ability of the target audience to implement nutrition messages received (Viswanath & Bond 2007).…”

Section: Barriers and Facilitators To Adhering To Dietary Recommendatmentioning

confidence: 99%

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Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Muchiri

Gericke

Rheeder

2012

Health SA Gesondheid

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Diabetes self-management education is crucial in diabetes care. Education that is tailored to the needs of the patient is considered the most effective in improving health outcomes. Diet, a critical element of diabetes treatment, is reported as the most difficult to adhere to by both patients and health professionals. Tailored nutrition education (NE) could benefit diabetic individuals with low socio-economic status, who are amongst those noted to have poor health outcomes. This qualitative interpretive phenomenological study aimed to explore and describe the NE needs of adults with type 2 diabetes mellitus to guide development of a tailored NE programme for resource-poor settings. Participants were 31 non-insulin-dependent type 2 diabetic patients (convenience sample) and 10 health professionals. Focus group discussions using semi-structured questions were held with the diabetics, and open-ended self-administered questionnaires were used with the health professionals. Data analysis was done using Krueger’s framework approach. Disease-related knowledge deficits and inappropriate self-reported dietary practices, including intake of unbalanced meals, problems with food portion control and unsatisfactory intake of fruits and vegetables, were observed. Recommendations for the NE programme included topics related to the disease and others related to diet. Group education at the clinic, a competent educator and comprehensive education were indicated by the patients. Participation of family and provision of pamphlets were aspects recommended by patients and health professionals. Barriers that could impact the NE included financial constraints, food insecurity, conflict in family meal arrangements and access to appropriate foods. Support from family and health professionals and empowerment through education were identified as facilitators to following dietary recommendations by both groups of participants. Knowledge deficits, inappropriate dietary practices and barriers are issues that need addressing in an NE programme, whilst the suggestions for an NE programme and facilitators to dietary compliance need to be incorporated.Onderrig in die selfbestuur van diabetes is essensieel in diabetessorg. Onderrig wat spesifiek ooreenkomstig die behoeftes van die pasiënt aangepas is, word die mees doeltreffend in die verbetering van gesondheiduitkomste geag. Dieet, ’n kritiese element in diabetesbehandeling, word deur pasiënte en gesondheidpraktisyns as die moeilikste beskou om na te volg. Spesifiek beplande voedingonderrig kan tot voordeel van lae sosio-ekonomiese diabete wees wat deel van diegene wat swak gesondheiduitkomste toon, uitmaak. Die doel van hierdie kwalitatiewe interpreterende fenomologiese studie was om die voedingonderrigbehoeftes van volwassenes met tipe 2 diabetes mellitus te ondersoek en te beskryf ten einde die ontwikkeling van ’n voedingonderrigprogram wat op hulpbrondbeperkte omgewings afgestem is, te rig. Een en dertig nie-insulien afhanklike tipe 2 diabetes pasiënte (geriefsteekproef) en 10 gesondheidpraktisyns was evalueer. Fokusgroepbesprekings deur gebruikmaking van semi-gestruktureerde vrae, is met die diabete gehou. Self-geadministreerde oop-eindigende vraelyste is deur die gesondheidpraktisyns voltooi. Data-analise is volgens Krueger se raamwerkbenadering gedoen. Siekteverwante kennisgapings en ontoepaslike self-gerapporteerde dieetpraktyke, insluitend ongebalanseerde maaltye, probleme met porsiekontrole en ontoereikende inname van groente en vrugte is gerapporteer. Aanbevelings vir die voedingonderrigprogram het onderwerpe verwant aan die siekte en die dieet ingesluit. Die pasiënte het groeponderrig by die kliniek, ’n bevoegde onderrigpraktisyn en omvattende onderrig verkies. Die pasiënte en die gesondheidpraktisyns het gesinsdeelname en die beskikbaarstelling van pamflette aanbeveel. Struikelblokke wat negatief op die voedingonderrigprogram kon inwerk, het finansiële beperkinge, voedselinsekuriteit, konflik met gesinsmaaltydreëlings en toegang tot geskikte voedsels ingesluit. Ondersteuning van die gesin en gesondheidpraktisyns, sowel as bemagtiging deur kennis is as fasiliteerders ter bevordering van die navolging van dieetaanbevelings deur beide groepe deelnemers geïdentifiseer. Tekortkominge in kennis, ontoepaslike dieetpraktyke en struikelblokke is aspekte wat in ’n voedingonderrigprogram aangespreek behoort te word. Voorstelle wat vir die voedingonderrigprogram en fasiliteerders gemaak is vir dieetnavolging, behoort in die program ingesluit te word.

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Section: Barriers and Facilitators To Adhering To Dietary Recommendatsupporting

confidence: 90%

Section: Barriers and Facilitators To Adhering To Dietary Recommendatmentioning

confidence: 93%

Section: Barriers and Facilitators To Adhering To Dietary Recommendatmentioning

confidence: 99%

See 1 more Smart Citation

Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Muchiri

Gericke

Rheeder

2012

Health SA Gesondheid

View full text Add to dashboard Cite

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“…Furthermore the multiple care roles that women accept requires them to balance their personal needs with those of the family resulted in less adherence to dietary habit [59,72,73]. A study with predominantly male subjects supported the above findings, with its subjects listing emotional factor and food craving as minimal dietary barriers [74].…”

Section: Confounder To Dietary Adherencementioning

confidence: 75%

“…It is postulated that female subjects with better family and social support are able to follow the recommend diet [59,62,72,[75][76][77]. Another study that used both survey and focus group interviews to assess the association of family support and dietary adherence reported significant findings from focus group interviews, but not survey.…”

Section: Confounder To Dietary Adherencementioning

confidence: 99%

Clinical critics in the management of diabetes mellitus

Gillani¹,

Sulaiman²,

Sundram³

et al. 2012

Health

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There is a global epidemic of diabetes with its prevalence expected to increase from 5.1% in 2003 to 6.3% in 2025. This increase in diabetes is occurring in all nations, however, developing nations are particularly at risk. It spares no group and affects men, women, the elderly, young and people from very racial and socioeconomic background. Nevertheless, certain ethnic groups including Asians are affected more than Caucasians. Large randomized clinical trials have shown that improvement in glycaemic control, together with management of diabetes-related risk factors like blood pressure and lipid control significantly reduce the micro and macro complications in individuals with type 1 and type 2 diabetes. Patient education plays a crucial role in the prevention of diabetic fool problems. In Geneva, the rate of lower limb amputations was reduced by almost 75% after an educational intervention. People with diabetes must acquire the knowledge and skills through education to provide daily self-care in diabetes management which involves maintenance of healthy living, recognition and management of diabetes problems when they arise and taking preventive measures. Some factors include patients' biomedical variables, the psychosocial environment, the knowledge, attitudes and beliefs of patients themselves, home careers and health care providers, healthcare systems' accessibility and availability and even the national political context may influence these self-care behaviors.

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The global challenge of type 2 diabetes and the strategies for response in ethnic minority groups

Lirussi

2010

Diabetes Metabolism Res

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Ethnic minorities living in high-income countries usually exhibit a greater risk of developing diabetes along with higher morbidity and mortality rates. We evaluated the effectiveness of interventions to improve glycaemic control in ethnic minority groups. Results of major controlled trials, systematic reviews and meta-analyses were included in the review. Only 1/47 studies addressing diet and exercise interventions reported details on the ethnicity of the studied population. Self-management education was successful if associated with increased self-efficacy; delivered over a longer period; of high intensity; culturally tailored; and when using community educators. Strategies adopted in community-gathering places, family-based, multifaceted, and those tackling the social context were likely to be more effective. A positive relationship was found between social support and self-management behaviour as well as quality of life, but there is little evidence about the impact of organizational changes within health-care services on diabetes control. More research is needed to strengthen the evidence on effective strategies for response to diabetes in ethnic minorities. Also, there is a need to take into account diabetes beliefs and communication difficulties, as well as potential protective factors. Globally, many health-care systems are inadequately equipped to improve diabetes prevention and disease outcomes in these communities.

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Dietary behavior and type 2 diabetes care

Cited by 40 publications

References 17 publications

Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Clinical critics in the management of diabetes mellitus

The global challenge of type 2 diabetes and the strategies for response in ethnic minority groups

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