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Optimizing Dietary Concordance Through Self-Management in Type 2 Diabetes: Insights From Indonesia
Angga Wilandika1, Inggriane Puspita Dewi1, Dandi Yohanes1
1Nursing Department, Universitas 'Aisyiyah Bandung, Bandung, Indonesia.
The Science of Diabetes Self-Management and Care
|November 19, 2025
Summary
Effective self-management of diet improves dietary adherence in type 2 diabetes mellitus (T2DM) patients. Enhancing meal planning and nutritional knowledge is key for better glycemic control and reduced complications.
Area of Science:
- Endocrinology
- Public Health
- Nutrition Science
Background:
- Type 2 diabetes mellitus (T2DM) management requires significant patient self-discipline, particularly in dietary adherence.
- Dietary concordance is crucial for glycemic control and preventing diabetes-related complications.
- Understanding the link between self-management behaviors and dietary concordance is vital for effective T2DM care.
Purpose of the Study:
- To investigate the association between self-management dietary behaviors and dietary concordance in T2DM patients.
- To identify specific dietary self-management practices that influence adherence in Indonesian T2DM patients.
Main Methods:
- Cross-sectional study involving 278 adult T2DM patients in West Java, Indonesia.
- Data collected via validated questionnaires on self-management, dietary behaviors, and concordance.
- Kendall Tau-c correlation analysis used to assess the relationship between self-management and dietary concordance.
Main Results:
- A significant positive association was found between self-management dietary behaviors and dietary concordance.
- Practices like meal planning, caloric awareness, and healthy food selection correlated with improved adherence.
- Dietary monotony and limited nutritional knowledge were identified as barriers to consistent engagement.
Conclusions:
- Strengthening self-management dietary behaviors is essential for improving dietary concordance in T2DM patients.
- Targeted educational interventions focusing on meal planning, portion control, and food variety can enhance adherence.
- Integrating dietary management into clinical care and community health programs is crucial for long-term adherence and improved health outcomes.
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