Adherence and Barriers to Medical Nutrition Therapy and the Effect on Glycemic Control Among Individuals With Type 2 Diabetes in India

Author:

Deshmane Aditi Rajesh1,Muley Arti S2ORCID

Affiliation:

1. 2Clinical Nutrition and Dietetics, Indian Institute of Food Science and Technology, Aurangabad, India

2. 1Nutrition and Dietetics Program, Symbiosis Institute of Health Sciences, Symbiosis International (Deemed University), Pune, India

Abstract

Medical Nutrition Therapy (MNT) has a remarkable effect on glycemic control among individuals with Type 2 Diabetes. However, the extent of adherence to MNT isn't hundred percent. Therefore, we aim to determine the adherence level towards the MNT advised by a Registered Dietitian (RD); to identify the barriers and associated contributing factors and strategies to improve the compliance towards the MNT among people with Type 2 Diabetes. A cross-sectional study was conducted among people with Type 2 Diabetes visiting the out-patient diabetes clinic from Kolhapur city, India. A structured questionnaire was used to capture the adherence and non-adherence, reasons and barriers to adhering the MNT. Out of 293 participants, 41.6% were adhering to the MNT. There was a significant association between the non working group (p = 0.01), presence of co-morbidities (p = 0.03) and diabetes duration < 10 years (p = 0.05) with the increased adherence level. Similarly, there was a significant reduction of 26.7%, 38.1%, and 30.9% in the fasting, postprandial blood glucose and HbA1c values respectively in adhering group post MNT advice. More than 50% of the participants in the adhering group gave ‘To Improve overall health’ and ‘To control sugar’ as reasons to adhere. ‘Habitual to what they eat’ (64.3%), ‘Does not satisfy hunger’ (42.1%) and ‘Lack of willpower’ (42.1%), were the common barriers identified in our study. Our study shows that the MNT advised by an RD is effective in reducing the socio-cultural barriers to adherence and improves glycemic control. Strategies like making the workplace more diabetes-friendly and adopting behavior changing techniques should be implemented to increase adherence.

Publisher

Enviro Research Publishers

Subject

Medicine (miscellaneous),Food Science

Reference38 articles.

1. International Diabetes Federation. IDF Diabetes Atlas. 9th ed. https://www.diabetesatlas.org; 2019. Brussels, Belgium.

2. Mathur P., Leburu S. and Kulothungan V. Prevalence, Awareness, Treatment and Control of Diabetes in India From the Countrywide National NCD Monitoring Survey. Front. Public Health. 2022; 10:748157. doi: 10.3389/fpubh.2022.748157

3. Community based diabetes prevention in Maharashtra, India, WDF15-1288. World diabetes foundation. (2022, January 6). Retrieved July 6, 2022, from https://www.worlddiabetesfoundation.org/projects/india-wdf15-1288

4. 4. World Health Organization. Global report on diabetes. http://www.who.int/diabetes/global-report/en/; 2017; February 23.

5. Kakade A. A., Mohanty R.I., Rai S. Assessment of factors associated with poor glycemic control among patients with type II diabetes mellitus. Integr Obesity Diabetes. 2018;4(3):1-6.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3