PMID- 33395776
OWN - NLM
STAT- MEDLINE
DCOM- 20211004
LR  - 20211004
IS  - 1878-0334 (Electronic)
IS  - 1871-4021 (Linking)
VI  - 14
IP  - 6
DP  - 2020 Nov-Dec
TI  - Dietary self-management practices among persons with T2DM: An exploratory 
      qualitative study from western-coast of India.
PG  - 2161-2167
LID - S1871-4021(20)30466-5 [pii]
LID - 10.1016/j.dsx.2020.10.033 [doi]
AB  - 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.
CI  - Copyright (c) 2020 Diabetes India. Published by Elsevier Ltd. All rights reserved.
FAU - Matpady, Prabhath
AU  - Matpady P
AD  - Department of Physiotherapy, Manipal College of Health Professions, Manipal 
      Academy of Higher Education, Manipal, 576104, Karnataka, India.
FAU - Maiya, Arun G
AU  - Maiya AG
AD  - Department of Physiotherapy, Manipal College of Health Professions, Manipal 
      Academy of Higher Education, Manipal, 576104, Karnataka, India.
FAU - Saraswat, Pallavi Prakash
AU  - Saraswat PP
AD  - Department of Medicine, Dr TMA Pai Hospital (Udupi), Melaka Manipal Medical 
      College (Manipal Campus), Manipal Academy of Higher Education, Manipal, 576104, 
      Karnataka, India.
FAU - Mayya, Shreemathi S
AU  - Mayya SS
AD  - Department of Statistics, Prasanna School of Public Health, Manipal Academy of 
      Higher Education, Manipal, 576104, Karnataka, India.
FAU - Pai, Mamatha S
AU  - Pai MS
AD  - Department of Paediatric Nursing, Manipal College of Nursing, Manipal Academy of 
      Higher Education, Manipal, 576104, Karnataka, India.
FAU - S, Anupama D
AU  - S AD
AD  - Department of Paediatric Nursing, Manipal College of Nursing, Manipal Academy of 
      Higher Education, Manipal, 576104, Karnataka, India.
FAU - Umakanth, Shashikiran
AU  - Umakanth S
AD  - Department of Medicine, Dr TMA Pai Hospital (Udupi), Melaka Manipal Medical 
      College (Manipal Campus), Manipal Academy of Higher Education, Manipal, 576104, 
      Karnataka, India. Electronic address: shashikiran.u@manipal.edu.
LA  - eng
PT  - Journal Article
DEP - 20201104
PL  - Netherlands
TA  - Diabetes Metab Syndr
JT  - Diabetes & metabolic syndrome
JID - 101462250
SB  - IM
MH  - Adult
MH  - Aged
MH  - Diabetes Mellitus, Type 2/*diet therapy/psychology
MH  - *Exercise
MH  - Female
MH  - Follow-Up Studies
MH  - *Health Behavior
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Qualitative Research
MH  - *Self-Management
MH  - Social Support
OTO - NOTNLM
OT  - Barriers
OT  - Dietary self
OT  - Enablers
OT  - Glycaemic control
OT  - Management
OT  - Type 2 diabetes mellitus
COIS- Declaration of competing interest The authors declare no conflict of interest.
EDAT- 2021/01/06 06:00
MHDA- 2021/10/05 06:00
CRDT- 2021/01/05 01:04
PHST- 2020/02/21 00:00 [received]
PHST- 2020/06/10 00:00 [revised]
PHST- 2020/10/31 00:00 [accepted]
PHST- 2021/01/05 01:04 [entrez]
PHST- 2021/01/06 06:00 [pubmed]
PHST- 2021/10/05 06:00 [medline]
AID - S1871-4021(20)30466-5 [pii]
AID - 10.1016/j.dsx.2020.10.033 [doi]
PST - ppublish
SO  - Diabetes Metab Syndr. 2020 Nov-Dec;14(6):2161-2167. doi: 
      10.1016/j.dsx.2020.10.033. Epub 2020 Nov 4.