e-space
Manchester Metropolitan University's Research Repository

    Culturally tailored dietary interventions for improving glycaemic control and preventing complications in South Asians with type 2 diabetes: success and future implications

    Farhat, Grace (2023) Culturally tailored dietary interventions for improving glycaemic control and preventing complications in South Asians with type 2 diabetes: success and future implications. Healthcare, 11 (8). p. 1123. ISSN 2227-9032

    [img]
    Preview
    Published Version
    Available under License Creative Commons Attribution.

    Download (271kB) | Preview

    Abstract

    Glycaemic control is the basis of type 2 diabetes mellitus (T2DM) management and is crucial for preventing diabetes microvascular and macrovascular complications. The South Asian population is at higher risk of T2DM and resultant cardiovascular disease, peripheral vascular disease and death compared to Caucasians. Effective diabetes care has been deemed challenging in this population, but little is known about the usefulness of lifestyle interventions in improving glycaemic control and reducing complications. This narrative review aims to explore the efficacy of lifestyle interventions targeted to South Asians with T2DM in inducing clinically relevant improvements in HbA1c levels at such levels that reduce the risk of diabetes complications. A search of the literature using six databases (MEDLINE (EBSCOhost), PubMed, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials and Scopus) identified dietary-based, physical-activity-based and education-based interventions that aimed to manage T2DM in South Asians. Results showed that dietary and physical activity interventions (duration 3-12 months) have been effective in generating a clinically relevant decrease in HbA1c levels (≥0.5%) in South Asians with T2DM and could potentially assist in reducing diabetes complications. Education-based interventions produced small effects on glycaemic control. These outcomes support the development of comparable longer-term randomised clinical trials combining dietary and physical activity interventions with the aim to provide further evidence on specific interventions that can lower complications and ensure effective diabetes care in a high-risk population.

    Impact and Reach

    Statistics

    Activity Overview
    6 month trend
    306Downloads
    6 month trend
    57Hits

    Additional statistics for this dataset are available via IRStats2.

    Altmetric

    Repository staff only

    Edit record Edit record