Diet recommendations to achieve target metabolic control for prevention of micro and macrovascular complications have been outlined. Although previous studies in individuals with type 2 diabetes have identified certain factors associated with adherence to diet recommendations, adherence is multi-factorial in nature and includes demographic, biological and psychosocial variables. Our main objective was to identify factors associated With dietary behaviour among individuals with type 2 diabetes attending an out-patient clinic. Furthermore, we attempted to identify factors associated with frequency of seeing the dietitian and stages of change far lower fat intake. Principal hypothesis: those who are younger, female, lower in body mass index (BMI), higher in education level, exposed to a dietitian in the past year, higher in stage of change, having greater nutrition knowledge, greater perception of risk and benefits as well as fewer perceived barriers, would consume less total and saturated fat. (Abstract shortened by UMI.)

Previous studies reported that noncompliance to diabetes treatment may result in a series of health complications. To further understand patients’ noncompliance to meal plans, a study on meal planning strategy was developed. Through a survey Certified Diabetes Educators determined which meal planning strategies were the most effective in encouraging patients’ compliance to meal plan according to age groups (18 and under, 19 to 49, 50 to 70, and 71 and above) and recency of diagnosis (newly- and non-newly diagnosed) with Type 2 diabetes. Results identified that nutrition labels had the greatest mean rating for effectiveness in age groups 18 and under, 19 to 49, and 50 to 70; and healthy food choices had the greatest mean rating for effectiveness with age group 71 and above. / Department of Family and Consumer Sciences

Thesis (M.S.)--University of Michigan, 1994.

Thesis (M.S.)--University of Michigan, 1994.

Thesis (M.S.)--Brigham Young University. Dept. of Physiology and Developmental Biology, 2007. / Includes bibliographical references.

Background. Type 2 diabetes is the fifth-leading cause of death in Latinos in the United States. Diabetes is a commonly occurring health condition in older adults, leading to complications that can severely impact quality of life and hasten death. The burden of diabetes is considerable in the older adult population; almost four-fifths of adults with diabetes are older than 59 years. Diabetes mortality can be reduced or delayed with effective management of the illness. Older minority adults are more likely to have higher rates of adult-onset diabetes than non-Hispanic Whites, yet few studies have examined the diabetes self-management practices of this group. These issues are particularly important to investigate in older Dominican adults in Washington Heights/Inwood, New York City, because this group has unique cultural beliefs and practices, is rapidly increasing in population, and has a variety of unmet health-related needs. This study explored specific barriers encountered (cultural and structural) and the extent to which external factors are associated with self-management practices among older Dominican community residents living in mainland US with type 2 diabetes. After 20 years of health disparities research and intervention older adults continue to have problems accessing health care due to structural and socio-cultural barriers. Methods. This investigation utilized qualitative in-depth interviews to examine the cultural and structural barriers to health care and self-management practices existing in this group. Results. Thirty Dominicans 55 years and older were recruited through a community-based senior resource center from the mainland US. Self-management practices for type 2 diabetes vary and are represented by commonly known factors, including: 1) diet modifications; 2) glucose monitoring; 3) medication adherence; 4) exercise, and 5) diabetes classes. Findings from this study illustrate that male and female participants have mixed self-management practices that assist them in managing their diabetes. In addition, participants are interested in “learning” how to manage their diabetes through their participation in classes and diabetes-related workshops. Home remedies (remedies caseros) for type 2 diabetes were identified in this study. Conclusions. Programs and services that promote healthy self-management practices of older Latino adults need to include a focus on the unique cultural beliefs and behaviors of the individual as well as the broader situational context that impacts their diabetes self-management. Such information is invaluable for researchers and health practitioners interested in diabetes self-management practices of older minority adults.

No description available.

Diss. (sammanfattning) Linköping : Univ. / Härtill 6 uppsatser.

Background. With increasing personal affluence and changes in lifestyle, there is rising prevalence of type 2 diabetes mellitus in Hong Kong. Approximately 60% of diabetic subjects in Hong Kong are asymptomatic and previously undiagnosed. Since diabetes carries significant mortality and morbidity risk, it is important to diagnose these subjects early for intervention. There are many known factors associated with development of type 2 diabetes. Some are remediable such as obesity, dyslipidaemia, hypertension, while some are non-remediable such as age and past history of gestational diabetes. Identifying high-risk subjects will increase the yield and cost-effectiveness of screening program for diabetes and related risk factors and provide useful epidemiological information on the natural history of these diseases. / Methods. I used data from several cross-sectional and prospective studies of which I was the principal investigator or one of the co-investigators to test these hypotheses. The studies include mainly the following: (1) A public utility company workforce survey on cardiovascular risk factors in 1990 (n=1513). (2) Chinese subjects with risk factors for diabetes who underwent 75 gram oral glucose tolerance test (OGTT) screening at the Prince of Wales Hospital (PWH) between 1988 and 1995 (n=3718). (3) The 'United Christian Nethersole Community Health Service' (UCNCHS) primary health screening program database in 1997 (n=17764). / Objectives & hypothesis. I aimed to study the various factors associated with the development of type 2 diabetes in Hong Kong Chinese. With this information, I can design a screening method to early identify those subjects who are at high-risk for diabetes. I hypothesize the following: (1) Many risk factors for diabetes in Caucasians are also applicable to Hong Kong Chinese. (2) The presence of multiple factors increases the risk of diabetes in a linear fashion. (3) Chinese subjects are at risk of developing diabetes at a lower threshold of obesity, which is one of the most important risk factors for type 2 diabetes. / Results. Based on a cohort of 1513 asymptomatic subjects from a workforce survey, those in the top quartile of body mass index (BMI), as compared to those in the lowest quartile, had a 4 to 10-fold increased risk of diabetes and a 2.5 to 5-fold increased risk of impaired glucose tolerance (IGT) for men and women. (Abstract shortened by UMI.) / Ko Tin Choi. / "May 2005." / Source: Dissertation Abstracts International, Volume: 67-01, Section: B, page: 0173. / Thesis (M.D.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (p. 264-283). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / School code: 1307.

published_or_final_version / Nursing Studies / Master / Master of Nursing