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“I Did Not Believe You Could Get Better”—Reversal of Diabetes Risk Through Dietary Changes in Older Persons with Prediabetes in Region Stockholm

Department of Public Health Sciences, Karolinska Institute, SE-171 76 Stockholm, Sweden
Department of Food Studies, Nutrition and Dietetics, Uppsala University, 751 22 Uppsala, Sweden
International Maternal and Child Health division, Department of Women’s and Children’s Health, Uppsala University, 751 85 Uppsala, Sweden
Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, 171 76 Solna, Sweden
Author to whom correspondence should be addressed.
Nutrients 2019, 11(11), 2658;
Received: 19 September 2019 / Revised: 21 October 2019 / Accepted: 31 October 2019 / Published: 4 November 2019
Diabetes risk can be controlled and even reversed by making dietary changes. The aim of this study was to improve the understanding of how older persons with a high risk of developing Type 2 diabetes manage and relate to information about diabetes risk over a ten-year period. Fifteen qualitative interviews were conducted among participants from the Stockholm Diabetes Prevention Program (SDPP). The participants were asked to recall the health examinations conducted by the SDPP related to their prediabetes and to describe their experiences and potential changes related to diet and physical activity. Data were analyzed using qualitative content analysis. The main theme found was that T2D (type 2 diabetes) risk is not perceived as concrete enough to motivate lifestyle modifications, such as changing dietary patterns, without other external triggers. Diagnosis was recognized as a reason to modify diet, and social interactions were found to be important for managing behavior change. Diagnosis was also a contributing factor to lifestyle modification, while prognosis of risk was not associated with efforts to change habits. The results from this study suggest that the potential of reversing prediabetes needs to be highlighted and more clearly defined for older persons to serve as motivators for lifestyle modification. View Full-Text
Keywords: risk; prediabetes; reversibility; lifestyle modification; habits; T2D risk; prediabetes; reversibility; lifestyle modification; habits; T2D
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MDPI and ACS Style

Timm, L.; Daivadanam, M.; Lager, A.; Forsberg, B.; Östenson, C.-G.; Mölsted Alvesson, H. “I Did Not Believe You Could Get Better”—Reversal of Diabetes Risk Through Dietary Changes in Older Persons with Prediabetes in Region Stockholm. Nutrients 2019, 11, 2658.

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