Ketogenic Diet as a Normal Way of Eating in Adults With Type 1 and Type 2 Diabetes: A Qualitative Study
| Autor: | Amélie Roy-Fleming, Kayla Wong, Anne-Sophie Brazeau, Marie Raffray, Sarah Blunden |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Gerontology Endocrinology Diabetes and Metabolism medicine.medical_treatment 030209 endocrinology & metabolism Context (language use) Type 2 diabetes Interviews as Topic 03 medical and health sciences 0302 clinical medicine Endocrinology Weight loss Surveys and Questionnaires Diabetes mellitus Weight Loss Internal Medicine medicine Humans 030212 general & internal medicine Aged Quality of Health Care Glycemic Motivation business.industry Quebec Feeding Behavior General Medicine Middle Aged medicine.disease Cross-Sectional Studies Diabetes Mellitus Type 1 Diabetes Mellitus Type 2 Evaluation Studies as Topic Patient Satisfaction Female medicine.symptom Diet Ketogenic Dietary regimen business Ketogenic diet Qualitative research |
| Zdroj: | Canadian Journal of Diabetes. 45:137-143.e1 |
| ISSN: | 1499-2671 |
| DOI: | 10.1016/j.jcjd.2020.06.016 |
| Popis: | Objectives There are currently no recommendations on following the ketogenic diet (KD) in the context of diabetes and, therefore, health-care professionals may not be comfortable in supporting this dietary regimen. In this qualitative study, we aim to understand the perspective of patients with diabetes when following the KD, particularly with regard to reasons for starting the diet, motivators, support systems, sources of information and challenges. Methods Adults diagnosed with type 1 or type 2 diabetes who followed a KD for ≥3 months were recruited for inclusion in this study. Semistructured interviews were conducted, audio recorded and transcribed. Themes were analyzed using concept mapping until theme saturation was achieved. Results Participants were 54.5 (standard deviation 10.1) years old, on average, and had been following the KD for 6 to 19 (median 5) months; 43% were male and 79% had type 2 diabetes. The main motivation to start the diet was to improve blood glucose control or to reduce/stop taking diabetes medications, followed by weight loss and diabetes reversal. Participants reported benefits of the diet, such as improved glycemic control, weight loss and satiety, which appeared to strongly prevail over challenges, such as lack of support from health-care professionals and lack of information sources. Most participants considered the KD as a normalized way of eating that they would continue for the rest of their lives. Conclusions A wide range of reported benefits, either expected or that emerged, strongly motivated individuals to follow the KD despite the lack of safety information and/or support. Further studies are needed to establish guidelines that health-care professionals can use to provide direction for individuals with diabetes who wish to follow the KD. |
| Databáze: | OpenAIRE |
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