Cooking, diabetes self-management education and intervention improve quality of life - Attractive Area

Cooking, diabetes self-management education and intervention improve quality of life – Attractive Area

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Local Matters, a Columbus-area nonprofit that strives to create healthy communities through food education, access, and advocacy, has partnered in the design and production of the response, including the culinary instructor, cooking equipment, food supply and Local Matters volunteers. The Ohio State Wexner Medical Center Diabetes Education Team provided the community facility for the program and the certified diabetes care and education specialists.

Weekly classes included cooking demonstrations as well as lessons on diabetes and treatment options; balanced diet; physical activity; medication use; monitor and use patient-generated health data; prevent, detect and treat acute complications; healthy coping with psychosocial issues and concerns and problem solving. In addition, a class was devoted to an interactive visit to a grocery store.

The kitchen portion provided training in food safety, knife techniques, nutritional values ​​and reading ingredient labels, meal planning, budgeting and shopping. Each class, with the exception of the grocery store tour, involved participants cooking a meal in small groups. All participants then sat down and shared the meal together, with the aim of creating a sense of community.

“Teaching cooking skills has been shown to help reduce the burden of food insecurity. But the broader skills required to put food on the table, such as meal planning, shopping, budgeting, food security and nutrition, are also critically important,” Michelle said. Moskowitz Brown, executive director of Local Matters.

Participants completed surveys of their diabetes self-care activities as well as surveys of medical outcomes, eating history, and a food security questionnaire. In addition, participants’ A1C was measured at baseline, post-intervention, and at 3-month follow-up.

A1C is an important predictor of those who will have poor long-term outcomes in diabetes such as heart disease, stroke, kidney disease (nephropathy), eye disease (retinopathy), and nerve disease (neuropathy) . Keeping A1c below 7% for most people with diabetes is key to reducing risk, said lead author Dr. Joshua J. Joseph, endocrinologist and assistant professor in the Division of Endocrinology, Diabetes and Metabolism of Ohio State.

Diabetes remains one of the most common chronic diseases in the United States, affecting more than 34 million adults. Diabetes self-management education and support is a cornerstone of diabetes care, yet only one in two adults with diabetes achieve healthy hemoglobin A1C goals below 7%.

“We found that study participants ate more vegetables and fewer carbohydrates. We saw improvements, including significant changes in diabetes self-management activities and a numerical decrease in A1C in food-insecure study participants. This is important because food insecurity and lack of access to nutritious foods can make diabetes management and A1C control more difficult,” said study co-investigator Jennifer C. Shrodes, Registered Dietitian and Certified Specialist in Diabetes Care and Education in the Ohio State Division of Endocrinology, Diabetes and Metabolism.

In 2018, 11.5% of US households experienced some level of food insecurity throughout the year. Several studies have identified a greater prevalence of food insecurity among people with type 2 diabetes compared to the national average, the researchers noted.

“Many outcomes improved more substantially in those who were food insecure compared to those who were not. But during the post-intervention follow-up period, the food-insecure group experienced greater regression, highlighting the importance of sustained follow-up in populations made vulnerable linked to one or more social determinants of poverty. health,” Joseph said.

The research team included members of Ohio State Medical Dietetics; Biostatistics Center; Department of Biomedical Informatics; College of Nursing; School of Health and Rehabilitation Sciences; The John Glenn College of Public Affairs and the Wake Forest School of Medicine.


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