PMID- 35994442
OWN - NLM
STAT- MEDLINE
DCOM- 20220824
LR  - 20220908
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 17
IP  - 8
DP  - 2022
TI  - Investigating the experiences of low-carbohydrate diets for people living with 
      Type 2 Diabetes: A thematic analysis.
PG  - e0273422
LID - 10.1371/journal.pone.0273422 [doi]
LID - e0273422
AB  - Low-Carbohydrate Diets (LCDs) are becoming increasingly popular to manage Type 2 
      diabetes mellitus (T2DM). However, there is a need to identify people with T2DM's 
      understanding of LCDs, their reasons for engaging in such a diet, how they 
      sustain it and any challenges they face. This study aimed to assess the 
      experience of adhering to a LCD within a sample of individuals with T2DM. Ten 
      participants with T2DM were recruited using a self-selecting sampling method from 
      an online diabetes community that promotes LCDs. Participants completed 
      one-to-one digitally recorded semi-structured interviews, which were later 
      transcribed verbatim and data subjected to Thematic Analysis. Five core themes 
      and twelve subthemes were developed during the analysis: (1) Lack of professional 
      guidance; (2) Fear of complications & long-term medication use; (3) Dietary 
      control as motivation; (4) Positive health outcomes; and (5) Social support. The 
      findings are discussed with reference to a psychological model of behaviour, 
      COM-B. Participants reported gaining knowledge and skills to increase their 
      Capability to engage in LCDs, Motivation to manage diabetes outcomes influenced 
      adherence. However, challenges were reported with the Opportunity to engage in 
      behaviour, mainly influenced by social support. Health professionals and 
      significant others may benefit from resources to help build knowledge and 
      understanding and assist with maintaining a LCD long-term.
FAU - Newson, Lisa
AU  - Newson L
AUID- ORCID: 0000-0002-5874-8762
AD  - School of Psychology, Faculty of Health, Liverpool John Moores University, 
      Liverpool, United Kingdom.
FAU - Parody, Francesca Helen
AU  - Parody FH
AD  - School of Psychology, Faculty of Health, Liverpool John Moores University, 
      Liverpool, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20220822
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - *Diabetes Mellitus, Type 2/diet therapy
MH  - *Diet, Carbohydrate-Restricted/psychology
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Motivation
MH  - Qualitative Research
MH  - Social Support
PMC - PMC9394793
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/08/23 06:00
MHDA- 2022/08/25 06:00
PMCR- 2022/08/22
CRDT- 2022/08/22 13:37
PHST- 2022/03/02 00:00 [received]
PHST- 2022/08/09 00:00 [accepted]
PHST- 2022/08/22 13:37 [entrez]
PHST- 2022/08/23 06:00 [pubmed]
PHST- 2022/08/25 06:00 [medline]
PHST- 2022/08/22 00:00 [pmc-release]
AID - PONE-D-22-06248 [pii]
AID - 10.1371/journal.pone.0273422 [doi]
PST - epublish
SO  - PLoS One. 2022 Aug 22;17(8):e0273422. doi: 10.1371/journal.pone.0273422. 
      eCollection 2022.