title: Patterns of diet related self-care in diabetes.
abstract: Our understanding of self-care actions can be enhanced by examining both the meanings attached to them and the context in which they take place. This article discusses patterns of diet-related self-care in a group of people with insulin-dependent diabetes. The study, based on a phenomenological perspective, consisted of 91 interviews with 34 people who discussed their everyday experience of living with diabetes. Individuals' response to the diabetes diet can be characterized on a continuum that includes strict adherence to diet to no adherence. Factors influencing how individuals responded to the diabetes diet can be grouped into three categories encompassing individual, diabetes-related and contextual influences. Many individuals sought an appropriate balance between health and well-being. When the pursuit of health did not compromise well-being adherence to diet was not a problem. When the pursuit of health conflicted with well-being individuals took liberties with the diet in order to minimize its impact. Implications for promoting self-care in people with diabetes are discussed.
authors.affiliation: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Ontario, Canada.
authors.forename: H M
authors.initials: HM
authors.lastname: Maclean
mesh_terms: D000328:Adult; D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy* / Q000523:psychology; D003927:Diet, Diabetic / Q000523:psychology*; D005190:Family; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D012648:Self Care / Q000523:psychology*; D012649:Self Concept; D012944:Social Support