Adherence to Dietary Recommendations and Barriers Among Type 2 Diabetic Patients: A Cross-Sectional Study at Ho Teaching Hospital, Ghana
by Linda Afriyie Gyimah, Philippine Esiawonam Deku, Rita Judith Akunor-Sackey
Published: March 25, 2026 • DOI: 10.47772/IJRISS.2026.100300042
Abstract
Background: Type 2 Diabetes Mellitus (T2DM) is a growing global health burden, with dietary adherence central to glycaemic management.
Objective: This study investigated adherence levels and barriers to dietary recommendations among T2DM patients at Ho Teaching Hospital, Ghana.
Methods: A cross-sectional survey of 135 patients using a modified Perceived Dietary Adherence Questionnaire was employed.
Results: Adherence was high for avoiding sweets (93.33%) and alcohol (93.33%) but poor for fruits (85.93%) and vegetables (69.63%). Financial constraints (41.48%) were the leading barrier; 71.11% reported at least one barrier. Younger patients faced significantly more barriers (p = 0.002).
Conclusion: Targeted dietary education and economic support strategies are urgently needed for T2DM management in Ghana.