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Why Do Diabetics Fail To Adhere To Dietary Regimes?
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<blockquote data-quote="datkins65" data-source="post: 1219604" data-attributes="member: 320568"><p>I am an advanced diabetic educator dedicated in finding solutions as to <strong>why diabetic patients fail to follow their diets and exercise regimens</strong>. I do recognize <u>socioeconomic status</u>, <u>level of obtained education</u> and <u>depression</u> as reasons that compliance has not been achieve, but measures are being taken to address each of these obstacles. </p><p></p><p>I am of the opinion that taking the time to assist the patient in building an individualized dietary plan creates "ownership" in the task of managing T2DM. Another component in building the dietary plan is to identify the patient's favorite foods and traditional family recipes, and discuss making minor changes to effect the glycemic load of the dish. The patient is made aware that this diet can be changed as required, and that they are not stuck with eating the same food over and over for the rest of their life. Discussions about appropriate portions of each food group, and acceptable snacks is also discussed. Before the appointment is concluded, the question as to why these dietary restrictions are so important is answered, and the patient is able to repeat this information. Written information including substitute options, easy recipes, and contact information accompany the full dietary plan created by the patient with the assistance of the diabetic educator or nutritionist. Follow-up in 6 weeks intervals. </p><p></p><p>In tracking 100 patients over the period of a year in the clinic, these dietary changes have produced a gain of dietary compliance of 12%. Weight loss ranging from (13 to 26 pounds), and HbA1c have been decreased in these patients by 9% with HbA1c goals reached in 88%.</p></blockquote><p></p>
[QUOTE="datkins65, post: 1219604, member: 320568"] I am an advanced diabetic educator dedicated in finding solutions as to [B]why diabetic patients fail to follow their diets and exercise regimens[/B]. I do recognize [U]socioeconomic status[/U], [U]level of obtained education[/U] and [U]depression[/U] as reasons that compliance has not been achieve, but measures are being taken to address each of these obstacles. I am of the opinion that taking the time to assist the patient in building an individualized dietary plan creates "ownership" in the task of managing T2DM. Another component in building the dietary plan is to identify the patient's favorite foods and traditional family recipes, and discuss making minor changes to effect the glycemic load of the dish. The patient is made aware that this diet can be changed as required, and that they are not stuck with eating the same food over and over for the rest of their life. Discussions about appropriate portions of each food group, and acceptable snacks is also discussed. Before the appointment is concluded, the question as to why these dietary restrictions are so important is answered, and the patient is able to repeat this information. Written information including substitute options, easy recipes, and contact information accompany the full dietary plan created by the patient with the assistance of the diabetic educator or nutritionist. Follow-up in 6 weeks intervals. In tracking 100 patients over the period of a year in the clinic, these dietary changes have produced a gain of dietary compliance of 12%. Weight loss ranging from (13 to 26 pounds), and HbA1c have been decreased in these patients by 9% with HbA1c goals reached in 88%. [/QUOTE]
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