Table 1 Topics for PLWH+DM educational intervention
Evidence-based intervention components | PLWH+DM tailored strategies |
|---|---|
Understanding T2DM | Understanding the connection between DM and HIV. Comparing HIV and DM symptoms, complications, and medication side effects |
Management principles of T2DM | Addressing understandings/misguided information about management principles of HIV |
Diet | Integrating dietary recommendations with information that addresses common symptoms and side effects, including nausea and mouth sores. Stress low carbohydrates and increase in fruits and vegetables |
Medications | HIV medications and the need for adherence to prevent resistance. DM medication adherence and blood glucose check when appropriate |
Mental health/stress management | Acknowledging and appreciating stress associated with the development of HIV and accompanying illnesses Acknowledging level of stigma, mental health issues, and relationship of stress to managing HIV-T2DM |
Mobilization of social support by nurse counselor | Enhancing individualized self-care skills including self-monitoring, adherence, and problem solving, by addressing barriers to care, HIV transmission, stigma, available resources |