The ‘Diabetic Diet’: A Web Based Survey for Determining the Incidence, Rationale, Composition and Implications in Australian Residential Aged Care Facilities

Farrer, Olivia; Yaxley, Alison; Walton, Karen; Milte, Rachel; Miller, Michelle

doi:10.14283/jnhrs.2017.8

Cited by 1 publication

(4 citation statements)

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“…However, best practice nutrition guidelines for Australian RAC food services are more variable, and can often focus more on the prevention of malnutrition, or dietary restriction, rather than an individualised approach. 15,16 A lack of mandatory standards has given rise to inconsistent practices around the dietary management of diabetes in Australian RAC. 16 Currently, there is a gap in the literature exploring the diet and diabetes self-management expectations of older adults with diabetes, particularly in the emerging ageing population still living independently.…”

Section: Introductionmentioning

confidence: 99%

“…15,16 A lack of mandatory standards has given rise to inconsistent practices around the dietary management of diabetes in Australian RAC. 16 Currently, there is a gap in the literature exploring the diet and diabetes self-management expectations of older adults with diabetes, particularly in the emerging ageing population still living independently. There is a lack of understanding of how important it is to older adults to maintain usual dietary practices and diabetes selfmanagement, and whether this might change on moving into an RAC.…”

Section: Introductionmentioning

confidence: 99%

“…International diabetes guidelines 8,11–13 and physician‐led diabetes management guidelines 14 mirror this, and advocate an individualised dietary approach for older adults with diabetes that supports QOL and diabetes health outcomes. However, best practice nutrition guidelines for Australian RAC food services are more variable, and can often focus more on the prevention of malnutrition, or dietary restriction, rather than an individualised approach 15,16 . A lack of mandatory standards has given rise to inconsistent practices around the dietary management of diabetes in Australian RAC 16 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nutrition and diabetes self‐management in aged care: Exploring community‐dwelling older adults' expectations

et al. 2022

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Objectives To explore the diabetes self‐management expectations of older adults with diabetes, not yet accessing residential aged care services. Admission to residential aged care (RAC) can create many interruptions to usual food choices and diabetes self‐management, and we know little about the concerns of the emerging ageing population. Methods This is a qualitative study employing focus groups and inductive thematic analysis involving 18 older adults with diabetes between the ages of 60 and 88, living in their own homes within an Australian city. Focus groups were recruited on a sequential basis and progressively analysed using an inductive process until data saturation was reached. Focus groups were digitally recorded and transcribed verbatim for thematic analysis. Results Three key themes were generated: autonomy, individualised dietary management and the food service system. Older adults speculated that they would want a collaborative approach to maintain their health in ageing and to self‐manage their diabetes while feasible. Participants wanted autonomy over food choices, flexible meal timings and quality meals. There was a significant anxiety that aged care staff and existing food service systems in RAC could not support these preferences. Conclusions Community‐dwelling older adults with diabetes would highly value aged care services that facilitated autonomy, individualised nutrition support and flexibility, but feared this will not be feasible. The introduction of new diabetes and RAC guidelines may require an implementation plan to include the full food service system, from staff education to meal preparation, ordering and service.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%