Dietary Management of Diabetes Mellitus in Sub-Saharan Africa

Nelia P. Steyn

Nelia P. Steyn

South African Medical Research Council, Tygerberg, Cape Town, South Africa

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Naomi S. Levitt

Naomi S. Levitt

University of Cape Town, Cape Town, South Africa

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First published: 15 March 2004

Abstract

This chapter provides information about prevailing dietary practices in sub-Saharan Africa as a background to published data on the dietary management of diabetes in the region. It highlights the finding that there is a paucity of practical and culturally relevant guidelines for people with diabetes. Recommendations in this regard are usually based on those emanating from Europe and the USA that are reliant upon interpretation by a dietitian; however, there are few dietitians in the region. Furthermore, other health workers who have not received nutrition training give the majority of dietary information. The chapter describes the available published data on dietary knowledge and practices for people with diabetes in the region and provides some examples of relevant and affordable meal plans as well as practical advice for health professionals. Suggestions are also given for overcoming some of the health systems barriers currently preventing dietary management from achieving its potential.

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