Food Selection and Eating Patterns: Themes Found among People with Type 2 Diabetes Mellitus
Abstract
Objective The objective of this study was to examine the beliefs and perspectives among people with type 2 diabetes mellitus about dietary requirements, food selection and eating patterns, and attitudes about self-management practices.Design Semistructured, in-depth interviews explored participants' experiences with diabetes prior to their diagnosis, participants' understanding of the guidelines for the nutritional management of diabetes, how participants applied their understanding of dietary guidelines to daily food selection and eating patterns, and the social and personal themes influencing participants' food selection and eating patterns.Subjects Interviews were conducted with members of a convenience sample of 45 men and women diagnosed with type 2 diabetes for at least 1 year. ANALYSES PERFORMED: Interviews were coded using a conceptual matrix derived from participants' statements. Common characteristics were grouped, and broad themes were identified.Results Eating patterns were influenced by participants' knowledge of diabetes management. Challenges that participants encountered when applying nutrition recommendations were linked to their prior eating practices. Dietary self-efficacy, social support, and time management were identified as mediating variables that can influence dietary behaviors.Implications Diabetes nutrition education programs should increase awareness of eating history, spousal support, and time management practices. Future research should include the refinement and validation of a nutritional management model of diabetes.
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Patients' experimentally accumulated personal knowledge about relationships between foods and health, and external knowledge of a recommended diet, comprise part of complex and dynamic processes of behavior change in diet.
“This is consistent with findings by Savoca et al [71] that not only the patient’s experimentally accumulated personal knowledge about the relationships between foods and health, but also external knowledge of a recommended diet, comprise a part of complex and dynamic processes of behavior change in diet.”
From Long-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes (2013) · cites this paper as [71]
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“…daily servings from food groups, including fruits and vegetables (Guenther, Dodd, Reedy, & Krebs-Smith, 2006; Vitolins et al., 2009), and many struggle with food intake regulation compounded by a history of dieting and weight cycling (Savoca & Miller, 2001; Savoca, Miller, & Quandt, 2004).”
BackgroundSelf-citationLong-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes
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Practice implications of what couples tell us about type 2 diabetes management
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Self-citation
- Authors
- Savoca, M., & Miller, C.
- Affiliations
- University of North Carolina at Greensboro (US)
- Corresponding author
- Miller, Carla
- ORCID
- Miller, Carla
- Venue
- Journal of Nutrition Education
- Publisher
- Elsevier BV
- Published
- 2001-07
- Volume
- 33
- Issue
- 4
- Pages
- 224-233
- ISSN
- 0022-3182 (ISSN-L)
- OpenAlex
- W2036904643
- Cited by
- 147
- References
- 38
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 21 · 2021: 6 · 2020: 8 · 2019: 4 · 2018: 6 · 2017: 5 · 2016: 9 · 2015: 9 · 2014: 7 · 2013: 9 · 2012: 8
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nutrition Education (publishedVersion)
- PubMed (publishedVersion)
- NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- type 2 diabetes, food choice, dietary habits, dietary self-efficacy, social support, time management, diabetes self-management, nutrition education, dietary guidelines, spousal support
- MeSH terms
- Adult, Aged, Attitude to Health, Diabetes Mellitus, Type 2, Feeding Behavior, Female, Humans, Interviews as Topic, Male, Middle Aged, Self Care
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