title: Examining Diet-Related Care Practices Among Adults with Type 2 Diabetes: A Focus on Glycemic Index Choices.
abstract: 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.
authors: a School of Public Health, University of Alberta, Edmonton, AB.
authors: Hayford M
authors: HM
authors: Avedzi
authors: a School of Public Health, University of Alberta, Edmonton, AB.
authors: Nonsikelelo
authors: N
authors: Mathe
authors: a School of Public Health, University of Alberta, Edmonton, AB.
authors: Stephanie
authors: S
authors: Bearman
authors: a School of Public Health, University of Alberta, Edmonton, AB.
authors: Kate
authors: K
authors: Storey
authors: a School of Public Health, University of Alberta, Edmonton, AB.
authors: Jeffrey A
authors: JA
authors: Johnson
authors: b Centre for Nursing and Health Studies, Faculty of Health Disciplines, Athabasca University, Athabasca, AB.
authors: Steven T
authors: ST
authors: Johnson
mesh_terms: D000368:Aged; D000416:Alberta; D001794:Blood Pressure; D015992:Body Mass Index; D002755:Choice Behavior; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D004032:Diet; D004043:Dietary Fiber / Q000008:administration & dosage; D005260:Female; D005518:Food Preferences; D005638:Fruit; D006442:Glycated Hemoglobin / Q000032:analysis; D038321:Glycemic Index; D000067940:Glycemic Load; D006801:Humans; D008297:Male; D008875:Middle Aged; D014280:Triglycerides / Q000097:blood; D014675:Vegetables
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D004043:Dietary Fiber; D006442:Glycated Hemoglobin; D014280:Triglycerides