Awareness and Perception of Plant-Based Diets for the Treatment and Management of Type 2 Diabetes in a Community Education Clinic: A Pilot Study

Objective. To assess awareness, barriers, and promoters of plant-based diet use for management of type 2 diabetes (T2D) for the development of an appropriate educational program.Design. Cross-sectional study of patients and healthcare providers.Setting. Regional Diabetes Education Centre in ON, Canada.Participants.n=98patients attending the Diabetes Education Centre andn=25healthcare providers.Variables Measures. Patient questionnaires addressed demographics, health history, and eating patterns, as well as current knowledge, confidence levels, barriers to, promoters of, and interests in plant-based diets. Staff questionnaires addressed attitudes and current practice with respect to plant-based diets.Analysis. Mean values, frequency counts, and logistic regression (alpha = 0.05).Results. Few respondents (9%) currently followed a plant-based diet, but 66% indicated willingness to follow one for 3 weeks. Family eating preferences and meal planning skills were common barriers to diet change. 72% of healthcare providers reported knowledge of plant-based diets for diabetes management but low levels of practice.Conclusions and Implications. Patient awareness of the benefits of a plant-based diet for the management of diabetes remains suboptimal and may be influenced by perception of diabetes educators and clinicians. Given the reported willingness to try (but low current use of) plant-based diets, educational interventions targeting patient and provider level knowledge are warranted.

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Can Blood Glucose Monitoring be Simplified/Modified in Order to Achieve Better Diabetes Management—Perspectives for the Future

US Endocrinology ◽

10.17925/use.2010.06.1.48 ◽

2010 ◽

Vol 06 (01) ◽

pp. 48

Author(s):

Robert M Cuddihy ◽

Keyword(s):

Type 2 Diabetes ◽

Blood Glucose ◽

Diabetes Management ◽

Healthcare Providers ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Clear Understanding ◽

Major Advance ◽

Oral Agents

Self-monitoring of blood glucose (SMBG) with reflectance meters was heralded as a major advance in the management of diabetes and has been available to individuals with diabetes for home use since the late 1970s. This tool was put to use in the landmark Diabetes Control and Complications Trial (DCCT), which revolutionized care for individuals with type 1 diabetes, enabling these individuals to intensify their glucose control. SMBG has similar benefit in individuals with type 2 diabetes requiring insulin therapy. Its use in other individuals with type 2 diabetes treated with oral agents or non-insulin therapies is less clear. While SMBG is a potentially powerful tool to aid in the daily management of diabetes, to be used effectively, SMBG must be optimized to ensure the information derived from it can be acted on to modify physical activity, dietary intake, or medications to improve glycemic control. Recently, studies looking at this population have called into question the utility of SMBG in the management of individuals with type 2 diabetes treated with non-insulin therapies. However, these studies are lacking in the specifics of how such information was used to modify therapies. In addition to this, the lack of a universally accepted output for SMBG data significantly impedes its uptake and appropriate use by healthcare providers and patients. To maximize the effectiveness of SMBG, both patients and providers need to have a clear understanding of when and how to use SMBG data and, most importantly, act upon the data to effect a change in their diabetes management.

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Patient Centered Studies Focusing on Diabetes Self-Management: A Scoping Review

Current Diabetes Reviews ◽

10.2174/1573399816666191230112657 ◽

2020 ◽

Vol 16 (6) ◽

pp. 557-569

Author(s):

Monika Salkar ◽

Meagen Rosenthal ◽

Tanvee Thakur ◽

Austin Arnold

Keyword(s):

Type 2 Diabetes ◽

Scoping Review ◽

Diabetes Management ◽

Current Knowledge ◽

Future Research ◽

Patient Centered ◽

Pubmed Database ◽

Research Questions ◽

The Impact

Background: Type 2 diabetes continues to be a significant burden to patients and health systems globally. Addressing this condition from an alternative perspective, patients and various other stakeholders from three northern Mississippi communities co-created patient-centered research questions focused on type 2 diabetes management. Objective: The objective of this scoping review was to explore current literature focusing on nine patient- centered research questions to establish current knowledge and identify future research needs in the area of type 2 diabetes. Methods: A scoping review was conducted to obtain an overview of research related to the study purpose. The PubMed database was searched from March 2013 to March 2018 to identify patient-centered studies focused on type 2 diabetes and relevant to one of the nine research questions. Results: A total of 33 studies were identified and included. For five of the research questions, there was either no previous research literature or only “related” studies could be identified. These largely unexplored topics included how the understanding of guidelines by healthcare providers, specialty, and communication of medication side-effects impact patients’ understanding and outcomes, the impact of improving patients’ preparedness to communicate with providers, and whether younger patients require weight management programs that account for this populations’ needs. Conclusion: This lack of previous literature presents a unique opportunity to partner with patients to conduct this study and help improve the management of type 2 diabetes.

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Influencing Factors Associated with Delayed Initiation of Insulin Among Patients with Type 2 Diabetes Mellitus at The Diabetes Clinic of a Tertiary Hospital in Ethiopia

10.21203/rs.3.rs-1245158/v1 ◽

2022 ◽

Author(s):

Elham Reshid ◽

Bruck Messele Habte ◽

Tedla Kebede ◽

Teferi Gedif Fenta

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Influencing Factors ◽

Diabetes Management ◽

Healthcare Providers ◽

Diabetes Clinic ◽

Factors Influencing ◽

Delayed Initiation

Abstract Background Guidelines recommend the initiation of insulin in patients with type 2 diabetes mellitus who failed on maximum dose of oral medications. However, time to initiation is inconsistent due to different barriers resulting in delay and thus leads to failure to achieve glycemic control which in turn may lead to different complications. The aim of this study was to explore factors influencing the delayed initiation of insulin among patients with type 2 diabetes being managed at the Diabetes Clinic of Tikur Anbessa Specialized Hospital. Methods A qualitative descriptive study design was employed. Data was collected using in-depth interviews with 27 participants, including patients and healthcare providers. Audio-recorded data was transcribed and then thematically analyzed. Results Different factors influencing the delayed initiation of insulin in patients with type 2 diabetes mellitus were revealed. Patient factors included beliefs about the necessity of insulin and concerns related to starting insulin. Physician factors included perceived patient’s situation and lack of clinical competency. Health institution factors included inadequate laboratory set up and absence of contextual guidelines for diabetes management including insulin initiation. Conclusions The study findings indicated different influencing factors some of which were similar to those reported from other settings while there were others which somehow were unique to study setting. These are indicative of the need to implement interventions such as strengthening the patients’ diabetes health education program that is considerate of the religious, cultural, and social aspects of the society.

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Effect of Diabetes Education Through Pattern Management on Self-Care and Self-Efficacy in Patients with Type 2 Diabetes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16183323 ◽

2019 ◽

Vol 16 (18) ◽

pp. 3323 ◽

Cited By ~ 2

Author(s):

Lee ◽

Shin ◽

Kim ◽

Lee

Keyword(s):

Type 2 Diabetes ◽

Self Efficacy ◽

Diabetes Management ◽

Diabetes Education ◽

Self Care ◽

Positive Influence ◽

Control Group ◽

Control Groups ◽

Significant Difference

This study investigated the effect of applying a customized diabetes education program through pattern management (PM), using continuous glucose monitoring system (CGMS) results, on individual self-care behaviors and self-efficacy in patients with type 2 diabetes mellitus. Patients with type 2 diabetes who had never received diabetes education, enrolled from March to September 2017, were sequentially assigned to either PM education or control groups. In the PM education group, the CGMS test was first conducted one week before diabetes education and repeated three times by PM in order to obtain data on self-care behaviors and self-efficacy. These results were then compared before and after education at three and six months. The control group received the traditional diabetes education. Self-efficacy showed statistically significant interactions between the two groups over time, indicating a significant difference in the degree of self-efficacy between the PM education and control groups. Diabetes education by PM using CGMS result analysis improved life habits with a positive influence on self-care behaviors and self-efficacy for diabetes management. Further studies are needed to further develop and apply individual diabetes education programs in order to sustain the effects of self-care behaviors and self-efficacy in patients with diabetes who experience a decrease in self-efficacy after three months of education.

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An Integrative Literature Review of Cardiac Risk Factor Management in Diabetes Education Interventions

The Diabetes Educator ◽

10.1177/014572170002600510 ◽

2000 ◽

Vol 26 (5) ◽

pp. 812-820 ◽

Cited By ~ 11

Author(s):

Kimberly O. Lacey ◽

Deborah A. Chyun ◽

Margaret Grey

Keyword(s):

Type 2 Diabetes ◽

Risk Factor ◽

Literature Review ◽

Diabetes Management ◽

Diabetes Education ◽

Cardiac Risk ◽

Cardiac Risk Factor ◽

Risk Factor Management ◽

Education Interventions

PURPOSE the purposes of this paper are to (1) review the literature on educational interventions for adults with type 2 diabetes; (2) determine what kinds of interventions have been studied; (3) identify which interventions have included cardiac risk factor management; (4) determine how effective these interventions have been on metabolic control, diabetes-related outcomes, and cardiovascular-related outcomes; and (5) make recommendations for further research on combined interventions designed to promote optimal diabetes and cardiac risk factor management in adults with type 2 diabetes. METHODS Using an integrative literature review approach, 64 studies on diabetes education interventions for adults with diabetes published between 1987 and 1998 were reviewed; 44 met these criteria. RESULTS Few studies included cardiac risk factor management, which should be an integral part of diabetes management. Most studies demonstrated a beneficial effect of education on the management of type 2 diabetes but not cardiovascular risk. CONCLUSIONS Identifying strategies that promote effective disease management for improved diabetes control and reduction of cardiac events in adults with diabetes is essential. Further intervention studies focusing on the combined management of diabetes and cardiac risk factors are warranted.

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A Qualitative Evaluation of Patient Experiences With Group Medical and Individual Education Appointments for Type 2 Diabetes Management in Saskatchewan, Canada

The Diabetes Educator ◽

10.1177/0145721720913278 ◽

2020 ◽

Vol 46 (3) ◽

pp. 261-270

Author(s):

Anna Tataryn ◽

Hannah Derbowka ◽

Xinyu Shen ◽

Emily Gage ◽

Ester Kang ◽

...

Keyword(s):

Type 2 Diabetes ◽

Diabetes Management ◽

Diabetes Education ◽

Qualitative Evaluation ◽

Patient Experiences ◽

Care Plan ◽

Semistructured Interview ◽

Group Medical Appointments ◽

Individual Education

Purpose The purpose of this study was to capture information on patient experiences and perspectives of group medical appointments (GMAs) and compare them to those attending individual appointments (IAs) with the diabetes education team (usual care) for managing type 2 diabetes. Methods Adults (N = 18; 61% male; 83% 50-70 years old ) with type 2 diabetes (or prediabetes) living in rural Saskatchewan were recruited to complete a semistructured interview on their experiences with GMAs or IAs. To be eligible to participate, individuals must have attended at least 2 GMAs or 2 IAs. Transcripts were coded and analyzed using content analysis. Results Overall, participants spoke highly of their respective appointment type. Results indicated that both appointment types positively influenced understanding of diabetes management, with the most notable difference being greater understanding of stress management in the GMAs. Participants identified several positive aspects of each appointment type, which included convenience, supportive and enjoyable, and informative for GMAs and time and tailored information for IAs. Participants provided some suggestions to improve diabetes related-care for their respective appointment type. Conclusions Participants of GMAs and IAs for type 2 diabetes each reported unique strengths to their respective care plan and reported benefiting from their care.

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We′ve come this far by faith: Faith and spirituality as a facilitator to self-care management of type 2 diabetes among African-American men

Journal of Social Health and Diabetes ◽

10.4103/2321-0656.140884 ◽

2015 ◽

Vol 03 (01) ◽

pp. 026-032 ◽

Cited By ~ 1

Author(s):

Ledric Sherman

Keyword(s):

Type 2 Diabetes ◽

African American ◽

Diabetes Management ◽

African American Men ◽

Diabetes Education ◽

Community Outreach ◽

Phenomenological Approach ◽

Self Management ◽

Individual Interviews

Abstract Purpose: To explore and understand how the church, faith, and spirituality plays a role in type 2 diabetes management among African-American men (AA men). Materials and Methods: Participants (n = 19) were AA men ages 35-69 years, who were diagnosed with type 2 diabetes. Participants were recruited via community outreach efforts, including barbershops and churches located in predominantly African-American communities in southeast US. Upon the consent, individual interviews were conducted, audio-recorded and subsequently transcribed. Transcripts were analyzed using a phenomenological approach, and focused on identifying common themes among the descriptions of AA men′s experiences specific to type 2 diabetes. Results: Overall the participants from the present study stated that their faith in God as well as attending church does help them in their daily diabetes management. Interestingly, 2 of the 19 participants chose not to answer the faith and spirituality questions and 1 of the 19 stated that his faith was nonexistent. Conclusions: Diabetes self-management may be facilitated by incorporating the spiritual beliefs and virtues of AA men living with the illness. Little is still known, in general, about the process of how spirituality affects self-management of chronic illness. Further research should also focus on faith-based diabetes education among diabetics of all ethnic backgrounds.

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Client perceptions of group education in the management of type 2 diabetes mellitus in South Australia

Australian Journal of Primary Health ◽

10.1071/py15008 ◽

2016 ◽

Vol 22 (4) ◽

pp. 360 ◽

Cited By ~ 8

Author(s):

Cynthia Smith ◽

Darlene A. McNaughton ◽

Samantha Meyer

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Diabetes Management ◽

Diabetes Education ◽

Self Management ◽

Systematic Observation ◽

Future Health ◽

Group Education

Type 2 diabetes mellitus (T2DM) is a progressive chronic disease that requires significant self-surveillance and adherence to the treatment protocols for successful management and future health. There is a growing body of evidence suggesting that diabetes education is beneficial for patient outcomes. However, there is some debate about how best to deliver diabetes education, whether individually or in groups. Although several studies have investigated the role of group education in improving the management of T2DM, few studies have examined this issue from the client’s perspective. It is here that this study makes a contribution to understanding diabetes management. Drawing on systematic observation of group education sessions provided by diabetic resource nurses and in-depth interviews with clients, this paper describes the experiences, perspectives and significance of these sessions to clients. Our results suggest that group education sessions were seen as valuable to the clients for: the opportunity they provided to meet others living with diabetes; to improve motivation for managing the disease; and to enhance knowledge of diabetes, its management and long-term implications. In short, this study demonstrates that the clients value group education sessions for the social contact, increasing knowledge about the disease for self-management and support they provide; factors recognised as important to maintaining health. In addition, group education sessions appear to be a cost-effective method for diabetes self-management that funders need to consider.

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