Abstract

GOMES, Daniela Lopes; FERREIRA, Eleonora Arnaud Pereira  and  SOUZA, Caroline Maciel Cavalcante de. Effects of self-monitoring behavior on adherence to two types of nutrition rules in adults with Type 2 diabetes. Acta comport. [online]. 2012, vol.20, n.3, pp. 327-342. ISSN 0188-8145.

Studies suggest that, among treatment orientations for treatment of diabetes, diet has been the one with the least adhesion. This study aimed to compare the effects of self-monitoring practice on the behavior adhesion of two types of nutritional rule (Food Planning [FP] and Total Carbohydrate Counting - [TCC]) in four adults with Type 2 diabetes. In home interview was the data collection procedure. After characterization of the baseline (BL) in eating behavior of the four participants, two of them were subjected to Training Condition A (Self-Monitoring with PA followed by TCC), the other two participants to Training Condition B (Self-Monitoring with TCC followed by PA), and follow-up interviews with all four participants. As adhesion measures, Glycated hemoglobin and the Adherence Index to the Diet (AID) shown in percentages were used. It was observed on the participants' BL that the AIDs of all participants were below 50%, increasing after the self-monitoring training, regardless of their condition, being the average from TCC (75,50%) greater than that of FP (62,49%), declining afterwards in both conditions. It was also observed that the Glycated hemoglobin values in three participants had been reduced. The paper discusses the importance of nutritionists in prescribing individualized treatment and beyond the focus of the disease.

Keywords : Type 2 diabetes; Food Planning; Total Carbohydrate Counting; control by rules; adherence to treatment.

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