Prediabetic categorisation: the making of a new person

The impact of pre‐diabetes diagnosis on behaviour change: an integrative literature review

“…Continued motivational input is necessary, otherwise the lifestyle changes will wane . However, motivating self‐efficacy with support can be effective in enabling lifestyle changes as there is an increase in self‐confidence …”

“…Studies have explored issues of uncertainty in the perceptions of the definition and severity of a diagnosis of pre‐diabetes, and this may affect a desired empowerment outcome in an individual, leading to accessing services, support and enabling behaviour change . The lack of any physical symptoms can make an individual question as to whether they actually have a health issue and so subsequently not perceive a need to change their lifestyle behaviour . Some of this may well be as a result of how an individual is informed of the diagnosis and the subsequent follow up that they receive …”

“…Jallinoja et al . observed that people can feel that any change is hopeless, thereby preventing even minor lifestyle changes, and that certain behaviour appears to be too hard to break; individuals accepted that they would remain as they were – which Hindhede describes as ‘fatalism’. Zhou and Oh observed in their participants that, as food is perceived as a necessity for living, there can be feelings of anger and deprivation when they are advised to make changes to dietary intake.…”

“…Authors have described perceived barriers that may reduce the capability of making change and becoming self‐efficient ‐‐ in terms of guilt, mood, feelings of failure, isolation, ‘sabotage’ by family and friends, and lack of support . Geiss et al .…”

“…Hindhede was the only author who actively looked at the use of pre‐diabetes categorisation and its impact upon a person to engage in appropriate lifestyle changes to reduce the risk of developing type 2 diabetes. Her focus‐group work with health care professionals was interesting as they viewed it as a ’weapon’ to be used to, in effect, bully or shame a person into making lifestyle changes.…”