Anderson J W, Gustafson N J
Diabetes Educ. 1989 Sep-Oct;15(5):429-34. doi: 10.1177/014572178901500512.
Successful diabetes management demands a high degree of adherence. Adherence to medical prescriptions, particularly special diets, is notoriously poor. A study of 40 individuals with IDDM and NIDDM who were followed an average of 23 months found good or excellent dietary adherence in 70% of subjects; only 5% demonstrated poor adherence. Adherence was assessed objectively based on carbohydrate, fat, and fiber intakes reported in 24-hour food recalls, 7-day food frequency surveys, and home food records. High dietary fiber intake may independently enhance adherence, perhaps by increasing satiety or because of the simplicity of the concept. Good communication between the health professional and patient is also fundamental to all stages of dietary adherence. Use of adherence-enhancing techniques throughout adoption of new diet behaviors promotes long-term adherence to high-carbohydrate, high-fiber diets.
成功的糖尿病管理需要高度的依从性。众所周知，对医嘱，尤其是特殊饮食的依从性很差。一项对40名1型糖尿病和2型糖尿病患者进行的研究，这些患者平均随访了23个月，结果发现70%的受试者饮食依从性良好或优秀；只有5%的受试者依从性差。依从性是根据24小时食物召回、7天食物频率调查和家庭食物记录中报告的碳水化合物、脂肪和纤维摄入量进行客观评估的。高膳食纤维摄入量可能会独立提高依从性，这可能是通过增加饱腹感或由于该概念的简单性。健康专业人员与患者之间的良好沟通对于饮食依从性的各个阶段也至关重要。在采用新的饮食行为的整个过程中使用增强依从性的技巧，可促进对高碳水化合物、高纤维饮食的长期依从性。
