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Management of type 2 diabetes mellitus in diverse populations

By December 8, 2021December 17th, 2021No Comments

Recent studies of DIRECT and DROPLET, looked at the impact of a low-calorie diet on weight and diabetes. Both studies found that individuals achieved significant weight loss through a low-calorie diet with total diet replacement using shakes, soups and snacks of <1000kcals/day (Astbury et al., 2018). Within the DROPLET trial participants lost an average of 10.7kg and had improvements in blood pressure and HbA1c. Based on this evidence, the NHS is delivering a programme which provides a low-calorie diet treatment for individuals who are overweight with T2DM.

Evidence reports that ethnic minorities suffer disproportionately from diabetes related complications, including higher rates of hospital admissions (Gumber and Gumber, 2017). Despite this evidence of inequalities in the burden of T2DM, there is limited evidence of suitable treatment and prevention for this population group.It is known that food practices are not homogenous and vary not only by ethnicity, but also by religion, background, generation, and age (Wallia et al., 2013). Behaviour change, and patient barriers are likely to play an impact on the success of the compliance in the NHS programme.

My PhD will analyse the factors which impact following dietary advice of a low-calorie diet for T2DM in ethnic minority populations. There is a need for interventions and research which engage those from an ethnic minority background to bridge inequalities and address rising levels of diagnosis and complications of this chronic disease.

Pooja Dhir

Pooja Dhir is a registered specialist dietitian who has worked as a senior manager in the NHS, specialising in upper gastrointestinal and surgery. She has worked in the NHS for the last 4 years, gaining experiences in various medical and surgical fields. During this time she has written articles for the leading medical nutrition CN magazine on vascular surgery and pressure ulcers and is published in the Journal of Human Nutrition and Dietetics. She has experience in behavioural change, counselling and communication and applies this experience in clinical practice. Pooja is currently completing a PhD looking at the self-perceived barriers in following the low-calorie diet for type 2 diabetes. She is interested in research and how nutrition and diet impacts on health outcomes, and particularly progressing research for those from ethnic minority backgrounds. Pooja also lectures on the Nutrition and Dietetics course at Coventry University and has recently created a module for the MSc on ‘communication in healthcare’. She is keen to share her experiences, background and skills in providing individualised patient advice which considers the patients religious and cultural beliefs too. Pooja has experience and is able to use multilingual skills in conversing in Hindi and Punjabi to provide nutritional advice and has an understanding of South Asian diets. She currently provides a private practice with @citydietitians, in which she provides specialist, individualised advice to patients with bowel diseases and disorders and those from South Asian population. Instagram: dietitian_poojadhir

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