Diabetes Mellitus Diet Research Articles

Controlling Blood Sugar Levels with Diet in Diabetes Mellitus Sufferers: Literature Review

Wrong eating patterns in Diabetes Mellitus (DM) sufferers will cause blood sugar levels increases, so dietary factors or planning eating is very important in control blood sugar levels. Good diet​​ become component main success DM management. The purpose of study This is For know control blood sugar levels with diet in diabetes mellitus sufferers through literature study. Search journal using Google database schoolar, pubmed , conchrance and springer ago produced 3 journals For followed up. Journal analyzed using appropriate PRISMA diagrams with inclusion criteria used​ that is journal use Language English and Indonesian, using design RCT research, and published between January 2018 to June 2024 about control blood sugar levels with diet in diabetes mellitus sufferers. Proven diet capable lowering blood sugar in diabetes mellitus sufferers.

Distinct Plasma Metabolomic and Gut Microbiome Profiles after Gestational Diabetes Mellitus Diet Treatment: Implications for Personalized Dietary Interventions.

Gestational diabetes mellitus (GDM) triggers alterations in the maternal microbiome. Alongside metabolic shifts, microbial products may impact clinical factors and influence pregnancy outcomes. We investigated maternal microbiome-metabolomic changes, including over 600 metabolites from a subset of the "Choosing Healthy Options in Carbohydrate Energy" (CHOICE) study. Women diagnosed with GDM were randomized to a diet higher in complex carbohydrates (CHOICE, n = 18, 60% complex carbohydrate/25% fat/15% protein) or a conventional GDM diet (CONV, n = 16, 40% carbohydrate/45% fat/15% protein). All meals were provided. Diets were eucaloric, and fiber content was similar. CHOICE was associated with increases in trimethylamine N-oxide, indoxyl sulfate, and several triglycerides, while CONV was associated with hippuric acid, betaine, and indole propionic acid, suggestive of a healthier metabolome. Conversely, the microbiome of CHOICE participants was enriched with carbohydrate metabolizing genes and beneficial taxa such as Bifidobacterium adolescentis, while CONV was associated with inflammatory pathways including antimicrobial resistance and lipopolysaccharide biosynthesis. We also identified latent metabolic groups not associated with diet: a metabolome associated with less of a decrease in fasting glucose, and another associated with relatively higher fasting triglycerides. Our results suggest that GDM diets produce specific microbial and metabolic responses during pregnancy, while host factors also play a role in triglycerides and glucose metabolism.

Hubungan Peran Perawat Sebagai Edukator Dengan Kepatuhan Diet Pasien DM Tipe II di Ruangan Emerald Rumah Sakit Kartika Kasih Kota Sukabumi

Diabetes mellitus (DM) in Indonesia ranks 7th out of 10 countries with a population of more than 10.8 million people in 2022. The feeling of boredom and boredom that appears in DM patients causes non-compliance with the diet they consume. Therefore, it is necessary to emphasize more on the role of nurses as educators. The purpose of this research is to determine the relationship between the role of nurses as educators and diet compliance in type II DM patients. This type of research is quantitative correlational, the number of 25 respondents used a Purposive Sampling technique, the instrument used was a questionnaire on the role of nurses with DM Diet, data analysis techniques using Univariate and Bivariate spearment-rank to test the statistical degree of relationship with a value of α=0.05. The research results were 19 respondents (76.0%) Almost all respondents stated that the role of nurses was good, based on Diet Compliance 15 respondents (60.0%) Some of the respondents stated that they were obedient, and there was a relationship between the Role of Nurses as Educators. With Diet Compliance in Type II Diabetes Mellitus Patients in the Emerald Room at Kartika Kasih Hospital, Sukabumi City with a value of ρ value = 0.076 > α = 0.05. It can be concluded that the importance of the role of nurses in providing education to patients and families regarding the dietary patterns of patients in hospital care as part of nursing care management.

ANALYSIS OF DIET COMPLIANCE ON CHANGES IN BLOOD SUGAR LEVELS IN THE BODY IN DIABETES MILLITUS PATIENTS

Diabetes is a metabolic disorder characterized by increased blood glucose as a result of impaired insulin production or impaired insulin work or both because until now there is no drug that can treat the disease. The aim of this study was to analyze dietary compliance with changes in blood sugar levels in diabetes mellitus sufferers. This research was conducted using a qualitative descriptive research method. This research was carried out at the Kenten Permai Public Health Center, Palembang. Qualitative data analysis was inductive, then developed into a hypothesis. In this qualitative research, the number of informants was 3 diabetes mellitus patients and 1 expert informant, namely a nutritionist. Based on the research results, it can be concluded that there is one respondent whose diet is compliant, one respondent who is close to compliant and there is a respondent who is not compliant. D is close to adhering to the schedule but not with the quantity and type, the initial blood sugar was 186mg/dl to 160mg/dl. Mrs. R, who complied with the amount and type with her initial clock of 213 mg/dl, became 136 mg/dl. Mrs. R, who was less compliant, experienced a very slight decrease in blood sugar from 328 mg/dl to 298 mg/dl. All respondents knew about the diabetes mellitus diet, and began to apply it in their daily lives.

Analisis kandungan energi dan zat gizi makro pada formula enteral non susu berbasis kacang merah (Phaseolus vulgaris) untuk pasien diabetes mellitus tipe II

Background: Individuals at the age of 40 years face a 6-fold higher risk of developing Type II diabetes. Modification of enteral nutrition is necessary to address nutritional needs in patients with eating difficulties. Nutritional therapy for Type II diabetes patients should focus on controlling blood glucose levels by selecting foods with low glycemic index and high fiber content. Red beans, rich in protein, carbohydrates, and fiber, offer potential benefits in blood glucose control and as a dairy substitute for individuals with cow's milk allergies, making them a viable candidate for hospital-based enteral nutrition.Objectives: This study aims to determine the macronutrient content, flow test, food cost, and organoleptic test of non-dairy liquid food based on local ingredients. The study uses a completely randomized design.Methods: A complete randomized design was employed for this research. Product development activities were conducted in June 2022 at the Nutritional Kitchen of Jantung dan Pembuluh Darah Harapan Kita Hospital. Preparation of non-dairy liquid food using red beans as a base, proximate analysis of nutritional content, flow test through an NGT tube, food cost calculation, and organoleptic assessment involving ten respondents were carried out.Results: Proximate analysis of the formula yielded the following composition: water content 85,88%, ash 0,25%, protein 1,95%, fat 2,343%, carbohydrates 9,60%, and fiber 1,38%. The flow test for the red bean formula through the Fr 16 NGT tube demonstrated a rate of 50cc/31,90 seconds. The calculated food cost for one recipe of red bean formula was Rp. 8,734.00. Organoleptic evaluation results indicated that the majority of respondents favored the aroma (80%), taste (60%), color (100%), and texture (90%).Conclusion: The red bean formula meets the protein and carbohydrate requirements of the diabetes mellitus diet standards, while the fat and fiber content do not yet meet the diabetes mellitus diet standards.

The Relationship between Age, Education, and Knowledge on Compliance with Implementing Nutritional Therapy Management in Type II Diabetes Mellitus and the Implications for Blood Sugar Levels in Outpatients at the Kebayoran Baru Community Health Center, South Jakarta

Diabetes patients need to have minimal information provided after the diagnosis is made through a nutritionist during nutritional counseling. This knowledge is influenced by levels of education, information, culture, experience, and socio-economic factors. If the knowledge of diabetes mellitus sufferers is good, then attitudes towards the diabetes mellitus diet should be able to support patient compliance with the diabetes mellitus diet. This research used a survey technique with a cross-sectional method which was conducted on 24 PROLANIS DM patients at the Kebayoran Baru Community Health Center, South Jakarta. The result was that 91.7% of respondents were elderly women (87.5%). The educational level of the participants mostly came from elementary-middle school (6.7%) and had been diagnosed with DM for 1-5 years. Even so, 83.3% of PROLANIS participants had insufficient nutritional knowledge related to DM. 58.3% have controlled Fasting Blood Sugar, and 95.8% have uncontrolled Fasting Blood Sugar. There was no relationship between gender, education level, duration of illness, and dietary compliance with fasting blood sugar (p-value> 0.05). 95.8% complied with taking metformin, there was 1 respondent with uncontrolled fasting blood sugar and non-compliance with taking medication. Compliance with taking anti-diabetic medication affects the patient's blood sugar levels, therefore compliance with taking anti-diabetic medication can be a patient's choice in controlling their blood sugar. In future research, it is hoped that the number of samples can be increased and varied so that the data is more representative, or measure HbA1C as a compliance factor. diet and lifestyle for Diabetes Mellitus sufferers.

KEPATUHAN MENJALANKAN DIET PENDERITA DM DI PUSKESMAS PB SELAYANG II MEDAN

Indonesia is estimated to reach 16.7 billion by 2045. The purpose of the activity is to make a dedication to the community with a health promotion activity to the public with the title compliance running diabetes mellitus diet in patients with diabetes in Puskesmas PB. The method of dedication to the community is conducted by teaching health education in the form of lectures using tools such as lifts and brochures that are distributed to the society and also as a tool for care and for patients with diabetes and taking diabetes medication as well as family members who have effects from the descent of people with diabetes. The post-test score with an average of 92.68% of participants responded correctly is greater compared to the pre-test rating of 77.49%. Public knowledge in Puskesmas PB. The field has grown between 80-90% after being given approval of dietary compliance with diabetes, the food and nutritional requirements of the diabetic and healthy living for his offspring. It is necessary to carry out advanced activities related to the training of adherence to the diet consumed by the sufferers and how to manage good and correct food for patients or people with diabetes mellitus and their offspring to maintain a diet with a healthy lifestyle and can be information for other communities

Optimization of the Family in the Treatment of DM and Gangrene With Herbal Therapy

Diabetes Mellitus (DM) is a chronic disease with a high incidence in almost all countries. Diabetes Self-Management Education (DSME) is a health education process for individuals and families managing DM patients. The solution provided through this engagement is applying the DSME method to partners by applying for the program: 1. Assistance on DM material, diet planning, signs and symptoms, and how to handle hypo and hyperglycemia conditions; 2. Utilizing local plants as herbal therapy; 3. Training on treating gangrene wounds with the wisdom of herbal therapy using turmeric and betel leaves. The observation was for six months, and intervention was given for one month. The results of the monitoring family can provide and serve food for families with DM, there is no gangrene wound, and they can apply gangrene wound treatment using turmeric and betel leaf herbs.

Kepatuhan Menjalankan Diet Penderita DM Di Puskesmas Pb Selayang II Medan

Indonesia is estimated to reach 16.7 billion by 2045. The purpose of the activity is to make a dedication to the community with a health promotion activity to the public with the title compliance running diabetes mellitus diet in patients with diabetes in Puskesmas PB. The method of dedication to the community is conducted by teaching health education in the form of lectures using tools such as lifts and brochures that are distributed to the society and also as a tool for care and for patients with diabetes and taking diabetes medication as well as family members who have effects from the descent of people with diabetes. The post-test score with an average of 92.68% of participants responded correctly is greater compared to the pre-test rating of 77.49%. Public knowledge in Puskesmas PB. The field has grown between 80-90% after being given approval of dietary compliance with diabetes, the food and nutritional requirements of the diabetic and healthy living for his offspring. It is necessary to carry out advanced activities related to the training of adherence to the diet consumed by the sufferers and how to manage good and correct food for patients or people with diabetes mellitus and their offspring to maintain a diet with a healthy lifestyle and can be information for other communities

PERBEDAAN PENGETAHUAN DAN KADAR GLUKOSA DARAH PUASA SEBELUM DAN SESUDAH EDUKASI GIZI PADA PASIEN DM TIPE II DI RSU WISMA PRASHANTI TABANAN

Nutrition education is a form of nutritional intervention that aims to increase knowledge that can change behavior and compliance in undergoing a Diabetes Mellitus diet. The purpose of this study was to determine the effect of nutrition education on the level of knowledge and fasting blood glucose levels in type II DM patients at RSU Wisma Prashanti Tabanan. The type of research is pre-experimental with one group pretest and posttest design. Respondents in this study were 47 people with type II DM with purposive sampling technique. Nutrition education is to provide knowledge about good and correct eating patterns including dietary principles, dietary goals, dietary requirements, recommended and not recommended foods for ten minutes using leaflet media. Data analysis using Wilxocon test. The results was: The nutritional knowledge of DM patients in the outpatient polyclinic of RSU Wisma Prashanti Tabanan General, the average score of 74.60 before being given nutrition education increased to 86.70 after being given nutritional education. The fasting blood glucose of DM patients in the outpatient clinic of RSU Wisma Prashanti Tabanan before being given nutrition education was 166.98 mg/dl decreased to 146.38 mg/dl after being given nutrition education. There was a difference in knowledge before and after nutrition education for DM patients at the poly Outpatient RSU Wisma Prashanti Tabanan obtained p value = 0.000 (p (0.05). There is a difference in blood glucose levels before and after nutrition education in DM patients RSU Wisma Prashanti Tabanan obtained p value = 0.009 ( p (0.05)Keywords: Blood Sugar Levels, Knowledge and Nutrition Education, Diabetes Mellitus

The Relationship of Family Support with Adherence in Diabetes Mellitus Patients in the Working Area of the Barong Tongkok Public Health Center District West Kutai

Background: Diabetes Mellitus (DM) is the number 4 health problem in the world. Data from the International Diabetes Federation 2019 estimates that there are 463 million people (aged 20-79 years) suffering from DM. According to Riskesdas at 2018 47.2% of sufferers have poor control of their blood sugar. Objective: To determine the relationship between family support and diet compliance of Diabetes Mellitus patients in the working area of the Barong Tongkok Health Center, West Kutai Regency. Methods: The research design in this study is descriptive correlation using a cross-sectional approach. Determination of the sample using non-probability sampling, the research sample amounted to 78 respondents. Results and Discussion: Family support in the sufficient category (59.0%), Diabetes Mellitus Dietary adherence in the non-adherent category (62.8%). The relationship between family support and Diabetes Mellitus Diet was obtained p-value = 0.002. Conclusion: There is a relationship between family support and diet compliance of Diabetes Mellitus patients in the working area of the Barong Tongkok Health Center, West Kutai Regency

Studi Kasus: Penerapan Empat Pilar Diabetes Mellitus Pada Pasien Diabetes Mellitus Di RW 1 RT 3 Bumijo Kota Yogyakarta

Diabetes mellitus or commonly known as diabetes is a metabolic disease associated with unhealthy lifestyle patterns. Diabetes mellitus causes classic symptoms such as polyuria, polydipsia, fatigue and decreased physical performance, weight loss and causes complications. So that good management is needed with the four pillars of diabetes mellitus. The purpose of this case study is to look at knowledge and adherence related to the diabetes mellitus diet using the media booklet which is summarized with the 4 pillars of diabetes mellitus. This research began on 5-6 May 2023. The method in this study used a case study approach by implementing health education counseling related to the four pillars of diabetes mellitus. The sample in this study is Mrs. S. data collection was carried out by interviews, medical examinations, pre-tests, provision of health education, and ¬post-tests. The results of this case study are that with the measurements carried out giving the pretest and post-test there is an increase in knowledge and adherence to the diabetes mellitus diet in patients. It can be concluded that it is important to provide health education related to the 4 pillars of diabetes mellitus, especially people with diabetes mellitus in order to avoid the risk of complications that may occur and as an effort to increase knowledge and adherence regarding diabetes mellitus diet. One of the interventions that can be given to people with diabetes mellitus is the provision of health education related to the four pillars of diabetes mellitus which consist of: diabetes mellitus education, nutritional diet, pharmacology, and physical activity training

Composition of the gut microbiome, role of diet, lifestyle, and antioxidant therapies in diabetes mellitus and diabetic retinopathy.

The gut microbiome is a complex ecosystem in the gastrointestinal tract composed of trillions of bacteria, viruses, fungi, and protozoa. Disruption of this delicate ecosystem, formally called "dysbiosis", has been linked to a variety of metabolic and inflammatory pathologies. Several studies have focused on abnormal microbiome composition and correlated these findings with the development of type 2 diabetes mellitus (T2DM) and diabetic retinopathy (DR). However, given the complexity of this ecosystem, the current studies are narrow in design and present variable findings. Composition of the gut microbiome in patients with DR significantly differs from patients with diabetes without retinopathy as well as from healthy controls. Additionally, the gut microbiome has been shown to modify effects of medication, diet, exercise, and antioxidant use on the development and progression of DR. In this paper, we present a comprehensive review of literature on the effect of oxidative stress, antioxidant therapies, and dysbiosis on DR.

Health Locus of Control With Diet Compliance In Diabetes Mellitus Patients

Diabetes mellitus (DM) is a chronic disease caused by the pancreas not being able to produce insulin effectively which is characterized by hyperglycemia. Blood sugar control can be done by adhering to the DM diet. Factors that influence adherence to diet include health locus of control (HLOC). The purpose of this study was to determine the relationship between HLOC and adherence to a diet in DM sufferers in the working area of the Telaga Health Center. This type of research is quantitative using the Cross Sectional approach method. The study population consisted of 194 DM sufferers in the working area of the Telaga Health Center. The number of samples was 66. The sampling technique was Simple Random Sampling. The results showed that 27 respondents (41%) had high HLOC, 39 respondents (59%) had moderate HLOC, and found no low HLOC (0%). Respondents with adherence to a good diet were 15 respondents (22.7%), adherence to an adequate diet were 48 respondents (72.7%) and adherence to a bad diet were 3 respondents (4.6%). Using the Somers'D test, a p-value = (0.000) is obtained so that there is a relationship between HLOC and adherence to diet in DM sufferers in the working area of the Telaga Health Center

ПОМПОВАЯ ИНСУЛИНОТЕРАПИЯ: ОПЫТ И ПЕРСПЕКТИВЫ ИСПОЛЬЗОВАНИЯ У ДЕТЕЙ С САХАРНЫМ ДИАБЕТОМ 1 ТИПА В АМБУЛАТОРНЫХ УСЛОВИЯХ

The study is based on the results of determining the level of HbA1c and analyzing the medical records of 47 pediatric patients with type 1 diabetes registered with a pediatric endocrinologist, when comparing groups of children on pump insulin therapy and on the regime of multiple daily insulin injections. The results showed that all 100% of patients know the features of the diet in diabetes mellitus, and only 20 patients (42.5%) adhere to the diet strictly. 15 people (83.3%) in the comparison group regularly use the XE system in the main group – 9 people (31%, p < 0.001). A diary of self-control on nutrition and glucose control is regularly kept by 12 people (66.7%) in the main group and 10 patients in the comparison group (34.1%, p = 0.032). The observed averages of HbA1c were comparable in these groups Treatment with multiple insulin injections or continuous subcutaneous insulin infusion had no significant differences among different age groups of children in achieving HbA1c targets on an outpatient basis. In achieving glycemic targets in children and adolescents with T1DM, the constant use of a continuous glucose monitoring system has been proven. The clinical benefit of pump insulin therapy before therapy with multiple daily injections is to reduce the number of episodes of acute complications of T1DM: severe hypoglycemia and diabetic ketoacidosis.

FAMILY NURSING CARE IN FAMILY WITH DIABETES MELLITUS WITH A FOCUS OF INAFFECTIVENESS MANAGEMENT OF TYPE 2 DIABETES MELLITUS DIET IN BANJARNEGARA DISTRICT

Diabetes is something that cannot be explained with clear and concise answers, but in general it can be described as a series of anatomical and chemical problems caused by various factors. Data from the World Health Organization (2015) shows that Indonesia has the seventh highest number of people with diabetes in the world, after China, India and the United States, with a population of 230 million in 2015 which reached 5.8% or around 8.5 million people suffer from diabetes. diabetes. The purpose of this study aims to obtain an overview in treating clients with diabetes mellitus with the problem of ineffectiveness of diet management of type 2 diabetes mellitus. The method of writing this case study uses descriptive analysis, is a nursing process method that focuses on one of the most important issues in each case, namely patient care. Diabetes, focuses on the ineffectiveness of the diet for type 2 diabetes. From the results and discussion that the client named Mr. S the reason the client was studied was to determine the client's dietary compliance. When the assessment is carried out, the client suffers from DM who has entered stage V with a developmental stage that has not been passed, namely stages VI to VIII. From the results of nursing care carried out, the problem of adherence to the Diabetes Mellitus diet was partially resolved. When the assessment is carried out, the client suffers from DM who has entered stage V with a developmental stage that has not been passed, namely stages VI to VIII. From the results of nursing care carried out, the problem of adherence to the Diabetes Mellitus diet was partially resolved. When the assessment is carried out, the client suffers from DM who has entered stage V with a developmental stage that has not been passed, namely stages VI to VIII. From the results of nursing care carried out, the problem of adherence to the Diabetes Mellitus diet was partially resolved.

THE RELATIONSHIP OF KNOWLEDGE ATTITUDE AND DIETARY COMPLIANCE WITH BLOOD SUGAR LEVELS IN DIABETES MELLITUS PATIENTS IN THE INTERNAL DISEASE CLINIC OF VITA

Diabetes Mellitus (DM) is a chronic metabolic disorder caused by impaired insulin secretion, insulin resistance, or a combination of both. Controlling blood sugar levels is the main thing for DM sufferers, one of which is with diet/nutrition therapy. Correct diet therapy is based on basic knowledge and attitudes. good for controlling blood sugar This study aims to determine the relationship between knowledge, attitudes and dietary compliance with blood sugar levels in DM patients at the Internal Medicine Polyclinic at Vita Insan Hospital in 2019. This research is an analytic study with a cross-sectional design, carried out from July 2019. the sample used a purposive sampling technique consisting of 52 DM patients. The data taken included aspects of knowledge, attitudes.diet adherence (primary) and blood sugar levels (secondary) Computerized data processing using Chi Square test Univariate analysis results showed 69.2% of patients had uncontrolled blood sugar levels, 59.6% of patients had insufficient knowledge but 59.6% patients had a positive attitude towards efforts to control blood sugar and 53.8% of patients were disobedient to the diet given. From Bivariate analysis there was a significant relationship between knowledge, dietary adherence and blood sugar levels (p<0.05), but for attitudes there was no significant relationship (p-0.05) Suggestions for health workers to further improve patient understanding of the DM diet so that patient's blood sugar levels are controlled by providing education and developing information provision,for the family it is necessary to provide support and motivation so that the patient is on a diet.

Hubungan Dukungan Keluarga dengan Kepatuhan Diet pada Pasien Diabetes Melitus Tipe 2

Relationship between family support and diet compliance in type 2 diabetes mellitus patients at. The importance of family support to participate in maintaining the recommended food or diet for family members who suffer from diabetes mellitus. One form of patient compliance is by following the dietary recommendations suggested by nutritionists..To determine the relationship between family support and dietary compliance in Type 2 Diabetes Mellitus Patients at. The type of research used is quantitative with a descriptive research design using a cross sectional approach. To determine the relationship between the independent variable and the dependent variable by using a joint measurement, the total population is 30 people, the sampling of this study used a random sampling technique so that the results were 30 respondents, the data measurement instrument used a questionnaire. there is a relationship between family support and adherence to a type 2 diabetes mellitus. The p-Value = 0.004 (α<0.05). There is a relationship between family support and adherence to a type 2 diabetes mellitus diet at.

Hubungan Motivasi Dan Pengetahuan Dengan Kepatuhan Pelaksanaan Diet Pada Penderita Diabetes Melitus Di Poliklinik Di RSUD Leuwiliang Tahun 2021LIANG TAHUN 2021

Introduction: Adherence to the implementation of the diabetes mellitus diet is the level of patients carrying out the treatment and behavior suggested by their doctor or by other medical teams to make arrangements for eating methods that have the aim to reduce complications of the disease, for example in the diabetes mellitus diet. This study aims to find out the relationship between motivation and knowledge with the compliance of dietary implementation in people with diabetes mellitus in Polyclinics at Leuwiliang Hospital in 2021. Methods: The research used is the descriptive correlation with cross-sectional approaches. The population in this study amounted to 130 people with diabetes mellitus. The samples were taken with a simple random sampling technique in 125 people with diabetes mellitus. The instrument used is a questionnaire. Results: Analysis of data using univariate and bivariate data using the Chi-Square test. The results of this study showed that there is a motivational relationship (p-value = 0,000) with adherence to dietary implementation in people with diabetes mellitus. There is a relationship between knowledge (p-value = 0,002)) and adherence to dietary implementation in people with Diabetes Mellitus. Discussion: There is a relationship between motivation and knowledge with adherence to dietary implementation in people with diabetes mellitus in Polyclinics at Leuwiliang Hospital in 2021. Of the 125 people with diabetes mellitus whose motivation is less (48,0%) do not adhere to the implementation of the diet and less knowledge (36,8%) do not comply with the implementation of the diet.

The Perspectives of Diabetes Educators and Dietitians on Diet and Lifestyle Management for Gestational Diabetes Mellitus: A Qualitative Study.

This study explores the knowledge and practice of diabetes educators and dietitians on diet and lifestyle management in women with gestational diabetes mellitus (GDM). Diabetes educators and dietitians were recruited from three maternity hospitals in Adelaide (Australia), through snowball and purposive sampling. Thirteen semistructured interviews were conducted, audio recorded, transcribed verbatim, and analysed for codes and themes. Four themes emerged: guidelines and resources, dietary intervention, management delivery, and communication. Diabetes educators and dietitians demonstrated consistent knowledge of nutritional management for GDM and uniform delivery methods. However, a lack of culturally diverse resources was highlighted, along with a lack of continuity of care across the multidisciplinary team. Barriers towards uptake of dietary intervention were reflected by diabetes educators and dietitians as women showing signs of guilt and stress and disengaging from the service. Further exploration on the knowledge and practice of diabetes educators and dietitians for GDM to best inform implementation strategies for knowledge translation of nutritional management is needed. The indication of language and cultural barriers and resources highlight an ongoing key priority area to support the care of women of ethnic minorities.