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Dose Adjustment for Normal Eating: a qualitative longitudinal exploration of the food and eating practices of type 1 diabetes patients converted to flexible intensive insulin therapy in the UK.

Lawton, J, Rankin, D, Cooke, DD, Clark, M, Elliot, J, Heller, S and UK NIHR DAFNE Study Group, (2011) Dose Adjustment for Normal Eating: a qualitative longitudinal exploration of the food and eating practices of type 1 diabetes patients converted to flexible intensive insulin therapy in the UK. Diabetes Res Clin Pract, 91 (1). pp. 87-93.

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Abstract

AIM: To explore whether, and why, patients change their food and eating practices following conversion to flexible intensive insulin therapy (FIIT), a regimen which requires quick acting insulin doses to be matched to the carbohydrate content of meals/snacks consumed. METHODS: repeat, in-depth interviews with 30 type 1 diabetes patients converted to FIIT recruited from Dose Adjustment for Normal Eating (DAFNE) courses in the UK. Data were analysed using an inductive, thematic approach. RESULTS: despite the potential of FIIT to enable greater dietary flexibility and freedom, most patients reported food and eating practices which were remarkably resistant to change. In some cases, FIIT adoption resulted in greater dietary rigidity over time. The opportunities FIIT presented for greater dietary freedom were counterbalanced by new challenges and burdens (e.g. having to simplify food choices to make carbohydrate estimation easier). Due to the emphasis FIIT places on carbohydrate counting, and patients' fears of hypos, low/no carbohydrate foodstuffs sometimes came to be seen as the healthiest or safest options. CONCLUSION: concerns that FIIT may result in more excessive or unhealthy eating appear largely unfounded; however, consideration needs to be paid to the ways in which patients' conceptualisations of, and relationship with, food may change following FIIT conversion.

Item Type: Article
Authors :
NameEmailORCID
Lawton, JUNSPECIFIEDUNSPECIFIED
Rankin, DUNSPECIFIEDUNSPECIFIED
Cooke, DDd.cooke@surrey.ac.ukUNSPECIFIED
Clark, MUNSPECIFIEDUNSPECIFIED
Elliot, JUNSPECIFIEDUNSPECIFIED
Heller, SUNSPECIFIEDUNSPECIFIED
UK NIHR DAFNE Study Group, UNSPECIFIEDUNSPECIFIED
Date : January 2011
Identification Number : https://doi.org/10.1016/j.diabres.2010.11.007
Uncontrolled Keywords : Adolescent, Adult, Attitude to Health, Cost of Illness, Diabetes Mellitus, Type 1, Diet, Diet, Carbohydrate-Restricted, Dietary Carbohydrates, Female, Food Habits, Great Britain, Humans, Insulin, Longitudinal Studies, Male, Middle Aged, Needles, Patient Education as Topic, Patient-Centered Care, Young Adult
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 09:46
Last Modified : 17 May 2017 14:44
URI: http://epubs.surrey.ac.uk/id/eprint/825073

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