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Remission of type 2 diabetes: Perspectives of dietitians in Kuwait

Although many dietary and lifestyle interventions have been proposed, the concept of total dietary replacement (TDR) to achieve remission of type 2 diabetes in the Gulf region is new. With the high levels of obesity and type 2 diabetes in the region, offering TDR to patients for weight loss and remi...

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Autores principales: Alsaeed, Dalal, Guess, Nicola, Al Ozairi, Ebaa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612548/
https://www.ncbi.nlm.nih.gov/pubmed/36301897
http://dx.doi.org/10.1371/journal.pone.0276679
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author Alsaeed, Dalal
Guess, Nicola
Al Ozairi, Ebaa
author_facet Alsaeed, Dalal
Guess, Nicola
Al Ozairi, Ebaa
author_sort Alsaeed, Dalal
collection PubMed
description Although many dietary and lifestyle interventions have been proposed, the concept of total dietary replacement (TDR) to achieve remission of type 2 diabetes in the Gulf region is new. With the high levels of obesity and type 2 diabetes in the region, offering TDR to patients for weight loss and remission of type 2 diabetes would assist in achieving health outcomes. The aim of the current study was to explore and understand remission of type 2 diabetes and TDR from the perspectives of dietitians to identify challenges and recommend solutions for implementation in Kuwait. A qualitative approach utilizing focus groups was chosen to explore the topic. Purposive sampling was used to gain experiences from a diverse sample across primary, secondary, and tertiary specialized diabetes centers. Discussions were audio-recorded and transcribed verbatim. Grounded theory using an iterative approach was applied to analyze the data. Three focus groups with a total of 17 participants achieved data saturation. The sample was varied in terms of workplace and years of experience. The three emerging themes were motivation to use the TDR approach, perceived challenges of TDR, and suggestions to improve and adapt approaches for Kuwait. Dietitians reported that remission of type 2 diabetes is a great motivator for patients to undergo TDR, although various factors were identified that may affect uptake including age, level of education, and social and cultural environment. By understanding dietitians’ perspectives, it has provided insight on views regarding the implementation of TDR to achieve remission in Kuwait and how best to tailor approaches by focusing on patient support needs and adopting a flexible approach.
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spelling pubmed-96125482022-10-28 Remission of type 2 diabetes: Perspectives of dietitians in Kuwait Alsaeed, Dalal Guess, Nicola Al Ozairi, Ebaa PLoS One Research Article Although many dietary and lifestyle interventions have been proposed, the concept of total dietary replacement (TDR) to achieve remission of type 2 diabetes in the Gulf region is new. With the high levels of obesity and type 2 diabetes in the region, offering TDR to patients for weight loss and remission of type 2 diabetes would assist in achieving health outcomes. The aim of the current study was to explore and understand remission of type 2 diabetes and TDR from the perspectives of dietitians to identify challenges and recommend solutions for implementation in Kuwait. A qualitative approach utilizing focus groups was chosen to explore the topic. Purposive sampling was used to gain experiences from a diverse sample across primary, secondary, and tertiary specialized diabetes centers. Discussions were audio-recorded and transcribed verbatim. Grounded theory using an iterative approach was applied to analyze the data. Three focus groups with a total of 17 participants achieved data saturation. The sample was varied in terms of workplace and years of experience. The three emerging themes were motivation to use the TDR approach, perceived challenges of TDR, and suggestions to improve and adapt approaches for Kuwait. Dietitians reported that remission of type 2 diabetes is a great motivator for patients to undergo TDR, although various factors were identified that may affect uptake including age, level of education, and social and cultural environment. By understanding dietitians’ perspectives, it has provided insight on views regarding the implementation of TDR to achieve remission in Kuwait and how best to tailor approaches by focusing on patient support needs and adopting a flexible approach. Public Library of Science 2022-10-27 /pmc/articles/PMC9612548/ /pubmed/36301897 http://dx.doi.org/10.1371/journal.pone.0276679 Text en © 2022 Alsaeed et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Alsaeed, Dalal
Guess, Nicola
Al Ozairi, Ebaa
Remission of type 2 diabetes: Perspectives of dietitians in Kuwait
title Remission of type 2 diabetes: Perspectives of dietitians in Kuwait
title_full Remission of type 2 diabetes: Perspectives of dietitians in Kuwait
title_fullStr Remission of type 2 diabetes: Perspectives of dietitians in Kuwait
title_full_unstemmed Remission of type 2 diabetes: Perspectives of dietitians in Kuwait
title_short Remission of type 2 diabetes: Perspectives of dietitians in Kuwait
title_sort remission of type 2 diabetes: perspectives of dietitians in kuwait
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612548/
https://www.ncbi.nlm.nih.gov/pubmed/36301897
http://dx.doi.org/10.1371/journal.pone.0276679
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