TY - JOUR
T1 - Examining diet-related care practices among adults with type 2 diabetes
T2 - a focus on glycemic index choices
AU - Avedzi, Hayford M.
AU - Mathe, Nonsikelelo
AU - Bearman, Stephanie
AU - Storey, Kate
AU - Johnson, Jeffrey A.
AU - Johnson, Steven T.
N1 - Funding Information:
The views expressed in this material are those of the authors and do not necessarily reflect the views of funders. Sources of financial support: The Healthy Eating and Active Living for Diabetes (HEALD) study was supported by grants from Alberta Health, the Lawson Foundation, and an Emerging Team Grant to the Alliance for Canadian Health Outcomes Research in Diabetes (ACHORD) (reference #: OTG-88588), sponsored by the Canadian Institutes for Health Research Institute of Nutrition, Metabolism, and Diabetes
PY - 2017/3
Y1 - 2017/3
N2 - We examined self-care dietary practices and usual intakes among adults with Type 2 diabetes in Alberta, Canada, using data from the Healthy Eating and Active Living for Diabetes study. Participants completed a modified Fat/Sugar/Fruit/Vegetable Screener and answered questions about the number of days per week they followed specific diabetes self-care dietary recommendations. Capillary blood samples were collected to assess glycemic control measured by hemoglobin A1c (HbA1c). ANOVA was used to examine differences in dietary self-care, intakes, and glycemic control across categories of days/week of practicing recommended dietary behaviour. Participants (n = 196) were 51% women, mean ± SD age 59.6 ± 8.5 years, with BMI 33.6 ± 6.5 kg/m2, and diabetes duration of 5.1 ± 6.3 years. Sixteen percent of participants were unfamiliar with low-GI eating and 28% did not include low-GI foods in their diet. Overall, lower mean intake of saturated fat, trans fat, added sugars, higher fibre, and greater GI were each associated with meeting diabetes-related dietary behaviours including: eating ≥5 servings of vegetables and fruit; avoiding processed high fat foods; and replacing high with low-GI foods (P < 0.05). No clear pattern was observed for low-GI eating and HbA1c.
AB - We examined self-care dietary practices and usual intakes among adults with Type 2 diabetes in Alberta, Canada, using data from the Healthy Eating and Active Living for Diabetes study. Participants completed a modified Fat/Sugar/Fruit/Vegetable Screener and answered questions about the number of days per week they followed specific diabetes self-care dietary recommendations. Capillary blood samples were collected to assess glycemic control measured by hemoglobin A1c (HbA1c). ANOVA was used to examine differences in dietary self-care, intakes, and glycemic control across categories of days/week of practicing recommended dietary behaviour. Participants (n = 196) were 51% women, mean ± SD age 59.6 ± 8.5 years, with BMI 33.6 ± 6.5 kg/m2, and diabetes duration of 5.1 ± 6.3 years. Sixteen percent of participants were unfamiliar with low-GI eating and 28% did not include low-GI foods in their diet. Overall, lower mean intake of saturated fat, trans fat, added sugars, higher fibre, and greater GI were each associated with meeting diabetes-related dietary behaviours including: eating ≥5 servings of vegetables and fruit; avoiding processed high fat foods; and replacing high with low-GI foods (P < 0.05). No clear pattern was observed for low-GI eating and HbA1c.
UR - http://www.scopus.com/inward/record.url?scp=85027558820&partnerID=8YFLogxK
U2 - 10.3148/cjdpr-2016-021
DO - 10.3148/cjdpr-2016-021
M3 - Review article
C2 - 27779892
AN - SCOPUS:85027558820
SN - 1486-3847
VL - 78
SP - 26
EP - 31
JO - Canadian Journal of Dietetic Practice and Research
JF - Canadian Journal of Dietetic Practice and Research
IS - 1
ER -
