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Estimation of the attitude toward diet in hospitalized patients with diabetes by assessing bedside snacks - A common practice based on false assumptions

  • Author Footnotes
    1 These two authors contributed equally.
    Lihi Rozner
    Correspondence
    Correspondence to: L. Rozner, Rav Tzair 12, Tel Aviv 6230706, Israel.
    Footnotes
    1 These two authors contributed equally.
    Affiliations
    The Joyce and Irving Goldman Medical school, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
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  • Author Footnotes
    1 These two authors contributed equally.
    Yuval Mizrakli
    Correspondence
    Correspondence to: Y. Mizrakli, Clinical Research Center, POB 151, Beer-Sheva 84101, Israel.
    Footnotes
    1 These two authors contributed equally.
    Affiliations
    The Joyce and Irving Goldman Medical school, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel

    Clinical Research Center, University Soroka Medical Center, Beer Sheva, Israel
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  • Victor Novack
    Affiliations
    The Joyce and Irving Goldman Medical school, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel

    Clinical Research Center, University Soroka Medical Center, Beer Sheva, Israel

    Department of Internal Medicine, Soroka University Medical Center, Beer Sheva, Israel
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  • Idit F. Liberty
    Affiliations
    Departments of Internal Medicine and Diabetes, Soroka University Medical Center, Beer-Sheva, Israel
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  • Gal Ifergane
    Affiliations
    The Joyce and Irving Goldman Medical school, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel

    Department of Neurology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel
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  • Author Footnotes
    1 These two authors contributed equally.
Published:August 23, 2019DOI:https://doi.org/10.1016/j.ejim.2019.08.018
      Moral judgment and Stigmatization are common in our society [
      • Puhl RM
      • Brownell KD
      Confronting and coping with weight stigma: an investigation of overweight and obese adults*.
      ], and health care professionals are no different [
      • Chrisler JC
      • Barney A
      Sizeism is a health hazard.
      ,
      • Bleich SN
      • Bandara S
      • Bennett WL
      • Cooper LA
      • Gudzune KA
      U.S. health professionals’ views on obesity care, training, and self-efficacy.
      ,
      • Malterud K
      • Ulriksen K
      Obesity, stigma, and responsibility in health care: a synthesis of qualitative studies.
      ,
      • Foster GD
      • Wadden TA
      • Makris AP
      • et al.
      Primary care physicians’ attitudes about obesity and its treatment.
      ]. Patients who trigger moral judgment are often patients in which the medical condition is perceived as controllable by the patient (obese patients, smokers and others) and physicians occasionally use shaming and stigmatization toward them, seemingly with good intentions as they hope to encourage them to better health [
      • Chrisler JC
      • Barney A
      Sizeism is a health hazard.
      ,
      • Malterud K
      • Ulriksen K
      Obesity, stigma, and responsibility in health care: a synthesis of qualitative studies.
      ]. However, studies suggest counterproductive consequences [
      • Chrisler JC
      • Barney A
      Sizeism is a health hazard.
      ,
      • Malterud K
      • Ulriksen K
      Obesity, stigma, and responsibility in health care: a synthesis of qualitative studies.
      ,
      • Gudzune KA
      • Bennett WL
      • Cooper LA
      • Bleich SN
      Perceived judgment about weight can negatively influence weight loss: a cross-sectional study of overweight and obese patients.
      ]. In this study, we attempted to evaluate how common is this phenomenon, and if there is truly a correlation between the amount of bedside carbohydrates and glycemic control.

      Keywords

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