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Objective To test feasibility, acceptability, and preliminary effectiveness of a naturopathic dietary intervention in patients with Type 2 diabetes. Methods Prospective observational pilot study evaluating the change in clinical and patient-centered outcome measures following a 12-week individualized and group dietary education program delivered in naturopathic primary care. Results HbA1c improved in all participants ( n = 12); mean - 0.4% +/− 0.49% SD, ( p = 0.02). Adherence to healthful eating increased from 3.5 d/wk to 5.3 d/wk ( p = 0.05). Specific nutritional behavior modification included: days/week consuming ≥5 servings of fruit/vegetables ( p = 0.01), attention to fat intake ( p = 0.05), and −11.3% carbohydrate reduction. Measures of physical activity, self-efficacy and self-management also improved significantly. Conclusion A naturopathic dietary approach to diabetes appears to be feasible to implement among Type 2 diabetes patients. The intervention may also improve self-management, glycemic control, and have influences in other domains of self-care behaviors. Clinical trials evaluating naturopathic approaches to Type 2 diabetes are warranted. |
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