Cooking Interventions and Diabetes Self-Management: Is There a Link?

In this randomized, controlled, waitlisted study, 48 adults with type 1 or type 2 diabetes completed a six-week “Cooking Problems for Diabetes” intervention program.

“This study shows that cooking problems with diabetes can be an effective method for improving diet-related self-care and health-related quality of life.” , especially in people living with food insecurity, and should be tested in larger randomized controlled trials”. co-author Amaris Williams, a postdoctoral scholar in the Department of Endocrinology, Diabetes, and Metabolism at Ohio State.


The results of the study were published on Journal of the Academy of Nutrition and Dietetics.

Cooking problems for diabetes

Cooking Matters for Diabetes is adapted from Cooking Matters and the American Diabetes Association’s diabetes self-management education and support program into a 6-week intervention with weekly food offerings. Cooking Matters is a program run by Share Our Strength, a nonprofit organization that works to address the issues of hunger and poverty in the United States and around the world.

Local Matters, a non-profit in the Columbus area that works to create healthy communities through food education, outreach and advocacy, has partnered in the design and delivery of the intervention, including cooking instructors, cooking equipment, caterers and Local Matters volunteers. The Ohio State Wexner Medical Center Diabetes Education team provides the community facility for the program and certified diabetes care and education professionals.

Weekly classes include cooking demonstrations along with lessons on diabetes and treatment options; healthy eating; physical activity; drug use; monitor and use patient-generated health data; prevent, detect and treat acute complications; healthy coping with psychosocial issues and concerns and problem solving. In addition, a class was devoted to an interactive visit to a grocery store.

The cooking section provides education on food safety, knife technique, nutrition information and ingredient label reading, meal planning, budgeting, and shopping. For each class, with the exception of the grocery store tour, participants cook a meal in small groups. All participants then sit and share a meal together, with the goal that the participants build a sense of community.

“Teaching cooking skills has been shown to help reduce the burden of food insecurity,” says Michelle. “But the broader skills needed to get food on the table, such as meal planning, procurement, budgeting, food safety and nutrition,” said Moskowitz Brown, executive director of Local Matters.

Participants filled out surveys about their diabetes self-care activities along with health surveys of medical outcomes, dietary history, and a security questionnaire. Food. In addition, participants’ A1C was measured at baseline, post-intervention, and 3 months’ follow-up.

A1C is an important predictor of who will have poor long-term outcomes in diabetes such as heart disease, stroke, kidney disease (kidney disease), eye disease (retinopathy), and neurological disease (neuropathy). Senior author Dr. Joshua J. Joseph, an endocrinologist and assistant professor in the Department of Endocrinology, Diabetes and Metabolism at Ohio State, says keeping A1c levels below 7% for most people with the condition. Diabetes is the key to reducing risk.

Diabetes remains one of the most common chronic diseases in the United States, affecting more than 34 million adults. Diabetes self-management education and support is the cornerstone of diabetes carebut only one in two adults with diabetes achieves a healthy hemoglobin A1C goal of less than 7%.

“We found that the study participants ate more vegetables and fewer carbohydrates. We saw improvements, including significant changes in diabetes self-management activities and a decrease in A1C in the body. study participants about unsafe food This is important because food insecurity and lack of access to Nutritious Foods can make diabetes control and A1C control difficult. should be more difficult,” said co-investigator Jennifer C. Shrodes, a registered and licensed dietitian and certified diabetes care & education specialist in the Division of Endocrinology, Urology. Sugar and Metabolism of Ohio State.

In 2018, 11.5% of US households experienced some form of food insecurity throughout the year. Some studies have identified rates of food insecurity among people with type 2 diabetes that are higher than the national average, the researchers note.

“Many outcomes improved significantly in individuals with food insecurity compared with those without. But during the post-intervention follow-up period, the food insecure group experienced a major decline. further emphasizes the importance of ongoing monitoring of vulnerable populations for one or more social determinants of health,” says Joseph.

Source: Eurekalert

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