Abstract:
The study sought to address the challenge of inconsistent strategies in prediabetes management
and blood sugar monitoring across various healthcare provider cadres, which may influence patient
glycemic outcomes. Specifically, the study aimed to evaluate the dietary prescription strategies
used by different healthcare providers and their association with patient outcomes, as well as
explore the use of blood sugar monitoring devices. The study employed a cross-sectional design
conducted in healthcare facilities across Ainamoi Subcounty, Kenya. Structured questionnaires
were administered to 150 healthcare providers, collecting data on their sociodemographic
characteristics, approaches to diabetes care, and access to blood sugar monitoring devices. Data
were analyzed using SPSS Version 20, utilizing descriptive statistics and chi-square tests. The
findings revealed that 16.7% of participants were nutritionists, 19.3% medical officers, 20%
clinical officers, 36.7% nurses, and 7.3% community health promoters (CHPs). Gender and
education level were significantly associated with the healthcare cadre (p<0.001), and access to
glucometers varied significantly by cadre (p=0.004). More than 60% of healthcare providers across
all cadres reported patient progression to type 2 diabetes. The study concluded that all healthcare
cadres play a critical role in prediabetes care, but capacity building is needed to enhance their
effectiveness. Blood sugar monitoring should be emphasized, including adopting advanced
methods like continuous glucose monitoring. Individualized care remains essential to improving
glycemic outcomes and reducing the progression to type 2 diabetes. The study recommended
targeted training for healthcare providers across all cadres on standardized care strategies,
improved access to blood sugar monitoring tools, and the integration of technology to support
patient management.
