Identifying sustainable lifestyle strategies for maintaining good glycemic control: a validation of qualitative findings

IntroductionDiabetes self-care practices are less effective outside of controlled research settings, and almost half of patients do not achieve good glycemic control. Qualitative studies suggest some lifestyle strategies may be linked to good control, but those strategies have not been validated. Th...

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Bibliographic Details
Published in:BMJ open diabetes research & care 2021-04, Vol.9 (1), p.e002103
Main Authors: Weller, Susan C, Vickers, Benjamin N
Format: Article
Language:English
Subjects:
Activities of daily living
Blood pressure
Calories
Clinical trials
Diabetes
diabetes mellitus
Diet
Eating behavior
Epidemiology/Health services research
Glucose monitoring
glycated hemoglobin A
Hyperglycemia
Insulin
Lifestyles
Nutrition research
Patients
self-management
type 2
Variables
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Summary:IntroductionDiabetes self-care practices are less effective outside of controlled research settings, and almost half of patients do not achieve good glycemic control. Qualitative studies suggest some lifestyle strategies may be linked to good control, but those strategies have not been validated. This study provides population-based evidence that dietary strategies identified in qualitative studies are associated with glycemic control in US patients with diabetes.Research design and methodsIn a cross-sectional sample of the National Health and Nutrition Examination Survey (NHANES), qualitative self-management themes were matched to survey questions and used to predict good glycemic control (hemoglobin A1c
ISSN:2052-4897
2052-4897
DOI:10.1136/bmjdrc-2020-002103