Dietary self-management practices among persons with T2DM: An exploratory qualitative study from western-coast of India

Matpady, Prabhath and Maiya, Arun G and Saraswat, Pallavi Prakash and Mayya, Shreemathi S and Pai, Mamatha S and Anupama, DS and Umakanth, Shashikiran (2020) Dietary self-management practices among persons with T2DM: An exploratory qualitative study from western-coast of India. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14. pp. 2161-2167. ISSN 1871-4021

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Abstract

Background: Diabetes is a significant public health challenge for India. Self-management, including dietary management, physical activity, stress management, and adherence to medication, is critical in glycaemic control. Though data concerning self-management, in general, are available among persons with Type 2 Diabetes Mellitus (T2DM), exclusive research on dietary self-management was limited.AIMS: A qualitative study to explore the knowledge, current dietary practices, and the barriers and enablers for dietary self-care management in persons with T2DM.Methods: In this qualitative study, in-depth interviews were conducted among 35 participants with T2DM who scored minimally and optimally in the Diabetes Self-Management Questionnaire (DSMQ).Interviews were conducted using a validated interview guide. In-depth interviews were audio-recorded,transcribed to verbatim and thematically analysed.Results: The study included 20 males and 15 females. The three major themes derived in the study.Firstly, “Knowledge, Interpretation and Information” the majority of the participants have understood the influence of diet on control of blood glucose level includes food choices and quantum of food.Secondly, “Current Dietary Practices-Preferences, Availability of food and Convenience influence dietary practices’: All participants had their own belief on the side effects and benefits of certain food items. Most of the participants followed a three-meal pattern: breakfast, lunch and dinner. Finally, Barriers and Enablers in dietary self-management practice. Knowledge, physical and emotional factors, behaviour,planning were the intrinsic factors. Elements of the research, social support, season and climate, food environment were the extrinsic factors and communication, and financial management was the intermediate influences observed.Conclusion: The themes generated by this research provide insight into self-management and patient expectations in dietary matters. It would be desirable for physicians and health care providers to be aware of these practices when advising people with T2DM on dietary self - management

Item Type: Article
Uncontrolled Keywords: Type 2 diabetes mellitus; Dietary self; Management; Barriers; Enablers; Glycaemic contro
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Departments at MU > Public Health
Medicine > MMMC Manipal > Anatomy
Nursing > MCON Manipal > Child Health
Depositing User: KMC Library
Date Deposited: 15 Nov 2021 08:45
Last Modified: 15 Nov 2021 08:45
URI: http://eprints.manipal.edu/id/eprint/157691

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