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

Prediabetes is a condition which precedes Type 2 Diabetes. Effective strategy used in its management as well as correct glucose monitoring are key in ensuring optimum care among patients. These ensure better outcomes of care and reduced health complications. The study aimed to evaluate the dietary prescription strategies used by different healthcare providers as well as explore the use of blood sugar monitoring devices and the patient outcomes as reported by the healthcare providers. 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, access to blood sugar monitoring devices as well as patient care outcomes. Data was 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. 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 and individualization of care as well as the use of low carbohydrate diet may help normalize plasma glucose levels among prediabetes patients. Blood sugar monitoring should therefore be emphasized, including adoption of advanced methods like continuous glucose monitoring. 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. Keywords: Glucometer, glycemic outcomes, strategy of care, diabetic diets, continuous glucose monitors.