A diagnosis of prediabetes when combined with lifestyle advice and support is considered helpful rather than a negative label by a demographically diverse group: A qualitative study.

Autor: Coppell KJ; Department of Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand. Electronic address: kirsten.coppell@otago.ac.nz., Abel S; Kaupapa Consulting Ltd., 52 Vigor Brown St, Napier 4110, New Zealand., Whitehead LC; School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA 6027, Australia., Tangiora A; Health Hawke's Bay, 100 McLeod Street, Hastings 4120, New Zealand., Spedding T; Health Hawke's Bay, 100 McLeod Street, Hastings 4120, New Zealand., Tipene-Leach D; Eastern Institute of Technology, 501 Gloucester Street, Taradale, Napier 4112, Hawke's Bay, New Zealand.
Jazyk: angličtina
Zdroj: Primary care diabetes [Prim Care Diabetes] 2022 Apr; Vol. 16 (2), pp. 301-306. Date of Electronic Publication: 2021 Dec 23.
DOI: 10.1016/j.pcd.2021.10.003
Abstrakt: Aims: The aim of this study was to explore the experience and perceptions of a diagnosis of prediabetes among a demographically diverse sample of New Zealanders who had, and had not, regressed to normoglycaemia following participation in a primary care nurse-delivered intervention for 6 months. The sample included Indigenous Māori who have high rates of diabetes and associated co-morbidities.
Methods: A purposefully selected sample of 58 people with prediabetes and BMI >25 kg/m 2 , stratified by male/female, Māori/non-Māori, and those who had/had not regressed to normoglycaemia, after completing 6-months of a prediabetes intervention were interviewed. Interviews were audio-recorded and transcribed. Data were analysed by thematic analysis.
Results: Most participants recalled being shocked when told they had prediabetes, but they did not perceive the diagnosis to be a label in a negative sense, and some, described the diagnosis as helpful. Participants appreciated knowing that prediabetes could be reversed, and the opportunity to be able to take supported action and make lifestyle changes through the nurse-delivered prediabetes lifestyle intervention. Participants' clear preference was to take control and make dietary changes, not to take Metformin.
Conclusions: Prediabetes was not considered a negative label, but an opportunity, when coupled with a primary care nurse-delivered dietary intervention.
(Copyright © 2021 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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