Evaluation of Prediabetes Dietary Care Strategies, Glycemic Monitoring and Patient Glycemic Outcomes: Insights from Healthcare Providers

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.