Type 2 Diabetes and Diabetes

¶ … Diabetes Patients putting patients on a diet consisting of all-natural, all-organic, locally grown or locally produced foods plus exercise insulin injections O - reduction in body's challenge to create/absorb insulin nnonth trials PICOT Question: In patients who suffer from Type 2 diabetes (P), is an intervention consisting of a traditional, organic, and all-natural diet of locally grown/produced foods plus exercise (I) more effective in addressing the body's issues in creating or absorbing insulin (O) than insulin injections (C) over a 6-month trial period (T)? Search Tracker Search # Initial Search Terms Database And/Or? Added Search Terms Title (Ti) Anywhere, etc.

# of articles found Diet diabetes management PubMed ProQuest, Emerald Insight Effective How is diet an effective intervention in diabetes management? Dietary Intervention diabetes PubMed Emerald Insight Insulin How is dietary intervention in diabetes treatment compared to insulin? 4 3 Managing diabetes through diet exercise PubMed CINAHL, ProQuest Environment Can organic diet and exercise help to manage diabetes in patients? 4 4 Using a combination of food and exercise to manage diabetes Pub Med ProQuest, Emerald Insight Effective How can organic diet be combined with exercise to promote effective diabetes management in patients? 4 5 Managing diabetes through changing dietary pattern and lifestyle PubMed CINAHL, ProQuest Prevention Can changes in dietary patterns and lifestyle help in prevention and control of diabetes in patients? 5 Evaluation Table Author Conceptual Framework Design/ Method Sample & Setting Major Variables Studied Measurement Data Analysis Findings Appraisal: Worth to Practice Ajala et al.

Systematic Review 2013: 97:3 505-516 Systematic review/meta-analysis 20 RCTs, N=3073 across 3460 randomly assigned individuals RCTs w/ intervention above 6 mos, comparing low GI Med. Diet with control diets, high-GI Low-GI Med. Diet is effective in improving markers of cardio-risk in people w/ diabetes Strength: Low-GI Med. Diet should be considered in diabetes management Cunningham-Myrie et al.

Associations between neighborhood 2015: 68:9 970-978 Survey 2848 respondents from 2007-08 Jamaica Health and Lifestyle Survey Physical activity, obesity, environment (neighborhood) Relationship between neighborhood indicators and DM and the modifiable risk factors PA and obesity Multi-level analyses: mixed-effect logistic regression models ICC=10.7, Significant clustering in PA levels of 20 minutes Strength: Environment has a partial impact on PA, diabetes and obesity Oftedal, Bru & Karlsen.

Motivation for diet and exercise management 2011: 25 735-744 Cross-section study consisting a postal questionnaire/ longitudinal, prospective survey The questionnaire was administered to 425 adults aged between 30 and 70 Intrinsic motivational factors, diet and exercise management Descriptive statistics, principal component analysis, multiple linear regression, Pearson correlation coefficients, reliability testing Extrinsic factors play a vital role in determining dietary behavior. Intrinsic motivation improves exercise management Strength: Motivation plays an important role in diet and exercise management Aguiar et al.

Efficacy of interventions that include diet, aerobic and resistance training 2014: 11:2 1-10 Systematic review/ meta-analysis 23 articles from 8 studies including RCTs, Quasi-experimental Diet, aerobic exercise, resistance training Resistance training should be included in exercise to prevent Type 2 diabetes. Strength: Multi-component interventions including diet, aerobic exercise, and resistance training help in prevention and management of Type 2 diabetes Strychar, Elisha & Schmitz Type 2 diabetes self-management 2012: 36:6 337-344 Cross-sectional study design 19 articles were reviewed for various variables relating to self-management Self-efficacy, behaviors, glycated hemoglobin, and BMI Improving dietary self-efficacy has.