Hi Graj0, thank you so much for your input. The reason why I'm performing the questionnaire like this is because I'm doing it worldwide. In my research I'm taking into account that many countries have many differences in their approaches of diabetes education. While most countries use the DSME framework (especially western-oriented countries), other countries prefer to maintain a different approach on their diabetes education.
Sweden, for instance, does not include any rigorous nutrition changes in their education towards diabetics; this is primarily because it is socially not accepted to alter a diet too much. While they do incorporate a dietician in diabetes care, most hospitals (not all) prefer not to talk about absolutes.
This also has to do with the amount of time that is being invested in getting people to exercise. In most European countries, the 30 minute workout per day recommendations are widely advertised. In Sweden, on the other hand, they advertise with a higher amount of intensive workouts. When I would be focusing on one specific topic (like for instance the carb intakes) it would be providing too many different results and provide possible bias to my research. England has a specific focus, the USA had a different focus, just like Japan, Argentina and Iran.
Instead, I designed the questionnaire around the DSME framework, and put it in such a way that most countries can comply to it (even those that have no integration of DSME in their diabetes education). I will note your comments into my research as well, because it is a good point. Yet, diabetes is very specific from person to person. So when developing a educational platform, you should provide people with as much generalized information as possible, which is also scientifically proven. This does not change the fact that even that the outcomes of those scientific results can differ from person to person.