Implementation of a remission diet for type 2 diabetes in South Asia: Qualitative evidence from the HoDiRECT Nepal project
Authors' conclusion
Adherence to a weight-loss regimen can be enhanced if the diet is simple to prepare and if there is greater education for patients and their communities about diabetes, highlighting the effectiveness of diet as a treatment, with clear and consistent messaging about dietary practices.
Study context
- Population
- HoDiRECT Nepal participants with T2D who had completed 8 weeks of a low-calorie traditional Nepali dietinterviewed
- Participants
- 16 participants
- Primary endpoint
- Factors affecting implementation of the low-calorie diet for T2D remission
Methodological detailssubstudy of HoDiRECT Nepal project, one-to-one interviews, thematic framework analysis, Interviews guided by a predesigned protocol, conducted in Nepali, audio recorded and transcribed verbatim
- Substudy of HoDiRECT Nepal project
- One-to-one interviews
- Thematic framework analysis
- Interviews guided by a predesigned protocol, conducted in Nepali, audio recorded and transcribed verbatim
Primary result
As reported in the abstract
Factors affecting implementation
- General acceptability of the intervention confirmed
- Motivation to enrol: desire to stop diabetes medications, achieve better diabetes control and lose weight
- Understanding diabetes, its complications and perceived value of diet influenced decision to adhere
- Adherence facilitated by ability to prepare food (or having someone do so), clear information about the diet and continued guidance
- Adherence difficult during travel and on social/cultural occasions
- Healthcare professionals' involvement had positive value; popular, often false, beliefs about food for diabetes influenced dietary behaviour
Original publication
Implementation of a remission diet for type 2 diabetes in South Asia: Qualitative evidence from the HoDiRECT Nepal project. Diabet Med. Published 7 December 2025. doi:10.
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