DIET AND DIABETES .2. A CONTROLLED TRIAL OF PROBLEM-SOLVING TO IMPROVE DIETARY SELF-MANAGEMENT IN PATIENTS WITH INSULIN-DEPENDENT DIABETES

Effective dietary management in Insulin Dependent Diabetes Mellitus (I DDM) is impeded by a variety of transient cognitive, behavioural and e nvironmental events. In the current study forty individual's with IDDM were assigned randomly to either a treatment group in which they were taught to identify and change eating in high risk situations for poor dietary management, or a wait list control. Dietary management and bl ood glucose control were assessed at pre- and post-treatment, and at t hree month follow up for the 32 subjects completing the study. The int ervention produced significant improvements in dietary management, whi ch were maintained to follow-up, and shea term improvements in blood s ugar control.