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Investigating the experiences of low-carbohydrate diets for people living with Type 2 Diabetes: A thematic analysis

Newson, L and Parody, FH (2022) Investigating the experiences of low-carbohydrate diets for people living with Type 2 Diabetes: A thematic analysis. PloS one, 17 (8). ISSN 1932-6203

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Open Access URL: https://doi.org/10.1371/journal.pone.0273422 (Published version)

Abstract

Low-Carbohydrate Diets (LCDs) are becoming increasingly popular to manage Type 2 diabetes mellitus (T2DM). However, there is a need to identify people with T2DM's understanding of LCDs, their reasons for engaging in such a diet, how they sustain it and any challenges they face. This study aimed to assess the experience of adhering to a LCD within a sample of individuals with T2DM. Ten participants with T2DM were recruited using a self-selecting sampling method from an online diabetes community that promotes LCDs. Participants completed one-to-one digitally recorded semi-structured interviews, which were later transcribed verbatim and data subjected to Thematic Analysis. Five core themes and twelve subthemes were developed during the analysis: (1) Lack of professional guidance; (2) Fear of complications & long-term medication use; (3) Dietary control as motivation; (4) Positive health outcomes; and (5) Social support. The findings are discussed with reference to a psychological model of behaviour, COM-B. Participants reported gaining knowledge and skills to increase their Capability to engage in LCDs, Motivation to manage diabetes outcomes influenced adherence. However, challenges were reported with the Opportunity to engage in behaviour, mainly influenced by social support. Health professionals and significant others may benefit from resources to help build knowledge and understanding and assist with maintaining a LCD long-term.

Item Type: Article
Uncontrolled Keywords: Humans; Diabetes Mellitus, Type 2; Health Knowledge, Attitudes, Practice; Motivation; Qualitative Research; Social Support; Diet, Carbohydrate-Restricted; Diabetes Mellitus, Type 2; Diet, Carbohydrate-Restricted; Health Knowledge, Attitudes, Practice; Humans; Motivation; Qualitative Research; Social Support; General Science & Technology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > R Medicine (General)
Divisions: Psychology (from Sep 2019)
Publisher: Public Library of Science (PLoS)
SWORD Depositor: A Symplectic
Date Deposited: 16 Sep 2022 10:07
Last Modified: 16 Sep 2022 10:15
DOI or ID number: 10.1371/journal.pone.0273422
URI: https://researchonline.ljmu.ac.uk/id/eprint/17593
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