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首页> 外文期刊>Food and Nutrition Sciences >Effect of Medical Advice for Diet on Diabetes Self-Management and Glycemic Control for Haitian and African Americans with Type 2 Diabetes
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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

机译：医疗建议对糖尿病自我管理和2型糖尿病患者的糖尿病自我管理和血糖控制的影响

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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.
机译：适当的护理2型糖尿病被个人对饮食指导的依从性反映出来;然而，少数患者在推荐的水平上从事糖尿病自我保健，无论种族/种族如何。少数关于膳食医疗建议对糖尿病自我管理（DSM）和血糖控制的影响，已在海地和非洲裔美国成人与2型糖尿病进行。这些关系总共评估了254名黑色，2型糖尿病（海地美国人= 129;非洲裔美国人= 125）来自佛罗里达州的佛罗里达州佛罗里达州佛罗里达州的佛罗里达州。虽然在两个黑人种族之间收到的饮食建议并没有显着差异，但给予建议“追随饮食”作为“使用食物群体”的预测因素对海地美国人来说都很重要，但不是非洲裔美国人。建议追随饮食的海地美国人有时或经常在规划膳食中使用食物团体（或交换名单）的可能性大约是3倍。少于最佳的血糖控制（A1C> 7.2）与非洲裔美国人的帝斯曼相反;但该关系对海地美国人来说并不重要。 DSM评分的一个单位增加降低了非洲裔美国人在0.94因素中少于最佳血糖对照（A1C> 7.2 ％）的差距点估计。这些结果表明，对于某些种族/种族的DSM，可能不会有效地沟通饮食计划的医疗建议。建议旨在揭示与2型糖尿病的黑色种族的饮食管理的推动因素和障碍的研究。

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