The American Diabetes Association reports that 23 million people in the United States have diabetes, and this figure continues to rise. Type 2 diabetes is a condition that has a genetic component; however, it is strongly linked to lifestyle behaviors and diet. Persons with type 2 diabetes should eat a healthy diet that stays within the calorie and carbohydrate limitations their physician gives them; however, for different reasons, patient compliance may be difficult.
Education
If a doctor tells a patient that he should consume no more than 1800 calories per day without giving the patient an idea of how to track calories on a daily basis, the patient likely will be set up for failure. Diabetics should be their own advocate and speak to their doctor about what their options are for their dietary plan and the best way to determine and track their caloric intake. A physician or endocrinologist may be able to assist by recommending a nutrition program, or a dietician or nutritionist may come up with a plan that is individualized for the patient.
Family and Social Support
Food is often a major part of family events, everyday family life and social gatherings. If a diabetic has a family that does not understand the dietary needs or limitations that accompany diabetes, it may lead to temptation and problems with dietary compliance. It is important that the whole family and the diabetic's social network be aware of the needs of the patient so that they can be supported and appropriate food options can be available. Diabetics should also realize that portion control and making healthy choices at parties are important ways for them to stay on track.
Individual Characteristics
Finding the motivation to change an unhealthy, chronic behavior pattern can be a challenge. Everyone has different reasons for making changes in their life or not making changes. For people with diabetes, it can be a life or death decision to make physician-recommended dietary or lifestyle changes. It is important for healthcare providers, the diabetic and family members to work as a team. An individualized plan can only be effective if the person with diabetes understands the consequences of noncompliance, has realistic and achievable goals and puts forth concerted effort to comply.
