ADHERENCE TO DIETARY RECOMMENDATIONS IN THE MANAGEMENT OF TYPE 2 DIABETIC PATIENTS ATTENDING DIABETIC CLINIC AT NYAHURURU COUNTY REFERRAL HOSPITAL, KENYA

Registration ID: IJNRD_200476

Published ID: IJNRD2308039

: Click Here to Get

Muketha Maureen Karimi, Chege Peter M. (PhD), Kamuhu Regina W. (PhD)

Type 2 Diabetes, Adherence, Dietary recommendations, Clinical Guidelines

Type 2 Diabetes is among the biggest contributors of deaths and morbidity worldwide. It’s also increasing steadily, and if not controlled, it soon became an epidemic due to an increase in the ageing population and the number of obesity cases worldwide. This aggravated the existing burden on health systems especially in developing nations. Screening and diagnosis are based on clinical guidelines that encompass both clinical and laboratory parameters. There is presently no cure for the disease; however, adherence to dietary recommendations as advised by health care workers has proven to be a game changer in its management. Hence, the current study sets to unravel adherence to dietary recommendations in the management of Type 2 diabetic patients at Nyahururu County Referral Hospital. Blood glucose level was used in order to determine if the patient has adhered to dietary recommendations. The study adopted a cross sectional analytical design using the Perceived Dietary Adherence Questionnaire to collect information on the socio-demographic characteristics, behavioural characteristics, dietary diversity and the level of dietary awareness. For more information, was obtained through Focus Group Discussions (FGDs) and Key Informant interview. Systematic random sampling was applied in choosing the 152 participants who attend to the diabetic clinic. Two nutrition personnel, two pharmaceutical personnel, two nursing staff and two medical officers were purposely chosen to take part in the key informant interview. Information shared was entered into SPSS and analysed using SPSS. Qualitative data was transcribed coded and analysed to bring out the emerging themes. The study found that the social demographic factors, behavioural characteristics and awareness influenced adherence to dietary recommendation among the diabetics’ patients attending Nyahururu diabetic clinic at Nyahururu level 4 Hospital. Analysis of the BMI’s of the respondents was classified under 4 categories of underweight, normal, overweight and obese. Most of the respondents had a normal BMI (55.3%), overweight (28.4%), obese (7.4%) while (9.2%) were underweight. It was also observed 91.5% of the respondents had fasting blood glucose of more than 7.0mmol/l or higher glucose levels at the time of this study. This means that most of the respondents had high and uncontrolled blood sugar levels. The mean energy intake per day was 2291.4±125.6 kcal for men and 2193.7±164.3 kcal for female. The patients’ demographic characteristics influenced the level of adherence to dietary recommendation among the diabetics’ patients attending Nyahururu diabetic clinic at Nyahururu level 4 Hospital. There existed a statistically important association between gender, income, level of education ,marital status and the level of awareness with the diabetic patients’ adherence to dietary recommendations at α=0.05. On the other side, age was not found to have insignificant influence on the participants’ adherence to dietary recommendations at α=0.05. There also existed a statistically significant association between Physical exercise, smoking as well as presence of other disease and diabetic patients’ adherence to dietary recommendations at α=0.05. Taking alcohol, family diabetics history, duration lived with diabetes and self- care did not significantly influence participants’ adherence to dietary recommendations at α=0.05. The intervention should be based on gender, education status, marital status and income; the average sugar level in mean was higher than the sugar level in women thus implies that men had low observance of recommended dietary than female. The study recommends emphasis on the observations of physical exercise, smoking and presence of other disease. The government and stakeholders should emphasize regular community sensitization of communities on the dietary recommendations for diabetic patients through continuous nutrition advocacy.

Published Paper   E-Certificate

Muketha Maureen Karimi, Chege Peter M. (PhD), & Kamuhu Regina W. (PhD) (August-2023). ADHERENCE TO DIETARY RECOMMENDATIONS IN THE MANAGEMENT OF TYPE 2 DIABETIC PATIENTS ATTENDING DIABETIC CLINIC AT NYAHURURU COUNTY REFERRAL HOSPITAL, KENYA. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(8), a338-a357. https://ijnrd.org/papers/IJNRD2308039.pdf

Volume 8 Issue 8, August-2023

Pages : a338-a357

Paper Reg. ID: IJNRD_200476

Published Paper Id: IJNRD2308039

Downloads: 000121997

Research Area: Health Science 

Author Type: Foreign Author

Country: Nairobi, Nairobi, Kenya

Published Paper PDF: https://ijnrd.org/papers/IJNRD2308039.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2308039

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

UGC CARE JOURNAL PUBLICATION | ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Publisher: IJNRD (IJ Publication) Janvi Wave | IJNRD.ORG | IJNRD.COM | IJPUB.ORG

© 2025 — Authors hold the copyright of this article. This work is licensed under a Creative Commons Attribution 4.0 International License. and The Open Definition.

You are free to share, adapt, and redistribute the material, provided proper credit is given to the original author. 🛡️ Disclaimer: The content, data, and findings in this article are based on the authors’ research and have been peer-reviewed for academic purposes only. Readers are advised to verify all information before practical or commercial use. The journal and its editorial board are not liable for any errors, losses, or consequences arising from its use.

Call For Paper - Volume 10 | Issue 11 | November 2025

IJNRD is a Scholarly Open Access, Peer-Reviewed, Refereed, and UGC CARE Journal Publication with a High Impact Factor of 8.76 (calculated by Google Scholar & Semantic Scholar | AI-Powered Research Tool). It is a Multidisciplinary, Monthly, Low-Cost, and Transparent Peer Review Journal Publication that adheres to the UGC CARE 2025 Peer-Reviewed Journal Policy and aligns with Scopus Journal Publication standards to ensure the highest level of research quality and credibility.

IJNRD offers comprehensive Journal Publication Services including indexing in all major databases and metadata repositories, Digital Object Identifier (Crossref DOI) assignment for each published article with additional fees, citation generation tools, and full Open Access visibility to enhance global research reach and citation impact.

The INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (IJNRD) aims to advance applied, theoretical, and experimental research across diverse academic and professional fields. The journal promotes global knowledge exchange among researchers, developers, academicians, engineers, and practitioners, serving as a trusted platform for innovative, peer-reviewed journal publication and scientific collaboration.

Indexing Coverage: Google Scholar, SSRN, ResearcherID-Publons, Semantic Scholar (AI-Powered Research Tool), Microsoft Academic, Academia.edu, arXiv.org, ResearchGate, CiteSeerX, ResearcherID (Thomson Reuters), Mendeley, DocStoc, ISSUU, Scribd, and many other recognized academic repositories.

How to submit the paper?

By Our website

Click Here to Submit Paper Online

By Mail

Send your paper to editor@ijnrd.org

You can now publish your research in IJNRD. IJNRD is a Transparent Peer-Reviewed Open Access Journal Publication (Refereed Journal), aligning with New UGC and UGC CARE recommendations.

For more details, refer to the official notice: UGC Public Notice

Submit Paper Online

Important Dates for Current issue

Paper Submission Open For: November 2025

Current Issue: Volume 10 | Issue 11 | November 2025

Impact Factor: 8.76

Last Date for Paper Submission: Till 30-Nov-2025

Notification of Review Result: Within 1-2 Days after Submitting paper.

Publication of Paper: Within 01-02 Days after Submititng documents.

Frequency: Monthly (12 issue Annually).

Journal Type: IJNRD is an International Peer-reviewed, Refereed, and Open Access Journal with Transparent Peer Review as per the new UGC CARE 2025 guidelines, offering low-cost multidisciplinary publication with Crossref DOI and global indexing.

Subject Category: Research Area

Call for Paper: More Details

Approval, Licenses and Indexing: More Details