Effect of Medical Advice for Diet on Diabetes Self-Management and Glycemic Control for Haitian and African Americans with Type 2 Diabetes — Oak Academic Publishing
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Effect of Medical Advice for Diet on Diabetes Self-Management and Glycemic Control for Haitian and African Americans with Type 2 Diabetes
Department of Dietetics and Nutrition, Florida International University, Miami, USA
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Department of Dietetics and Nutrition, Florida International University, Miami, USA
,
Department of Dietetics and Nutrition, Florida International University, Miami, USA
,
Department of Dietetics and Nutrition, Florida International University, Miami, USA
,
Department of Dietetics and Nutrition, Florida International University, Miami, USA
1 Department of Dietetics and Nutrition, Florida International University, Miami, USA
2 Department of Dietetics and Nutrition, Florida International University, Miami, USA
3 Department of Dietetics and Nutrition, Florida International University, Miami, USA
4 Department of Dietetics and Nutrition, Florida International University, Miami, USA
5 Department of Dietetics and Nutrition, Florida International University, Miami, USA
Adequate care of type 2 diabetes is reflected by the individual’s adherence to dietary guidance; yet, few patients are engaged in diabetes self-care at the recommended level, regardless of race/ethnicity. Few studies on the effect of dietary medical advice on diabetes self-management (DSM) and glycemic control have been conducted on Haitian and African American adults with type 2 diabetes. These relationships were assessed in total of 254 Blacks with type 2 diabetes (Haitian Americans = 129; African Americans = 125) recruited from Miami-Dade and Broward Counties, Florida by community outreach methods. Although dietary advice received was not significantly different between the two Black ethnicities, given advice “to follow a diet” as a predictor of “using food groups” was significant for Haitian Americans, but not for African Americans. Haitian Americans who were advised to follow a diet were approximately 3 times more likely to sometimes or often use food groups (or exchange lists) in planning meals. Less than optimal glycemic control (A1C > 7.2) was inversely related to DSM for African Americans; but the relationship was not significant for Haitian Americans. A one unit increase in DSM score decreased the odds ratio point estimate of having less than optimal glycemic control (A1C > 7.2%) by a factor of 0.94 in African Americans. These results suggest that medical advice for diet plans may not be communicated effectively for DSM for some races/ethnicities. Research aimed at uncovering the enablers and barriers of diet management specific to Black ethnicities with type 2 diabetes is recommended.
KeywordsDietary Medical AdviceDiabetes Self-ManagementAfrican AmericanHaitian AmericanType 2 DiabetesGlycemic Control
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