PDF(Pubmed)
Abstract：
UNASSIGNED: In the French overseas department of French Guiana, in South America, nutrition therapy for the management of diabetes is based on French guidelines. However, this region is demographically diverse and includes several populations of Indigenous Peoples, Parikwene among others, also called Palikur. Due to socio-economical, cultural, and geographical differences, along with distinctions in the local food system, dietary recommendations, which many consider in the context of post-colonial power dynamics, are not well suited to local populations. In the absence of suitable recommendations, it is hypothesized that local populations will adapt their dietary practices considering diabetes as an emerging health problem.
UNASSIGNED: Seventy-five interviews were conducted with community members and Elders, as well as healthcare professionals and administrators providing services to the Parikwene population of Macouria and Saint-Georges de l\'Oyapock communes. Data regarding the representation of cassava (Manihot esculenta Crantz) consumption and diabetes were collected via semi-structured interviews and participant observation (i.e., observation and participation in community activities), namely via participating in activities related to the transformation of cassava tubers at swidden and fallow fields.
UNASSIGNED: Parikwene have adapted the transformation of cassava tubers for their consumption in the management of diabetes.The importance of cassava tubers as a staple and core food to the Parikwene food system was established by identifying it as a cultural keystone species. Narratives illustrated conflicting perceptions regarding the implication of cassava consumption in the development of diabetes. Adaptations to the operational sequence involved in the transformation of cassava tubers led to the production of distinct cassava roasted semolina (i.e., couac), based on organoleptic properties (i.e., sweet, and acidic couac). Preferences for the consumption of acidic couac were grounded in the Parikwene knowledge system, as well as attention to diabetes related symptoms and glucometer readings.
UNASSIGNED: These results provide important insights related to knowledge, attitudes, and practices in developing locally and culturally adapted approaches to providing dietary recommendations in the treatment of diabetes.
UNASSIGNED: Seventy-five interviews were conducted with community members and Elders, as well as healthcare professionals and administrators providing services to the Parikwene population of Macouria and Saint-Georges de l\'Oyapock communes. Data regarding the representation of cassava (Manihot esculenta Crantz) consumption and diabetes were collected via semi-structured interviews and participant observation (i.e., observation and participation in community activities), namely via participating in activities related to the transformation of cassava tubers at swidden and fallow fields.
UNASSIGNED: Parikwene have adapted the transformation of cassava tubers for their consumption in the management of diabetes.The importance of cassava tubers as a staple and core food to the Parikwene food system was established by identifying it as a cultural keystone species. Narratives illustrated conflicting perceptions regarding the implication of cassava consumption in the development of diabetes. Adaptations to the operational sequence involved in the transformation of cassava tubers led to the production of distinct cassava roasted semolina (i.e., couac), based on organoleptic properties (i.e., sweet, and acidic couac). Preferences for the consumption of acidic couac were grounded in the Parikwene knowledge system, as well as attention to diabetes related symptoms and glucometer readings.
UNASSIGNED: These results provide important insights related to knowledge, attitudes, and practices in developing locally and culturally adapted approaches to providing dietary recommendations in the treatment of diabetes.
摘要：
■在法属圭亚那的法国海外部，在南美洲,糖尿病的营养治疗基于法国指南.然而,这个地区的人口结构多样，包括几个土著人民，Parikwene以及其他人，也叫Palikur.由于社会经济,文化,和地理差异，以及当地食物系统的区别，饮食建议，许多人在后殖民权力动态的背景下考虑，不适合当地居民。如果没有合适的建议，假设当地居民将糖尿病视为一个新出现的健康问题，他们会调整他们的饮食习惯。
■对社区成员和长者进行了75次访谈，以及为Macouria和Saint-Georgesdel\'Oyapock公社的Parikwene人口提供服务的医疗保健专业人员和管理人员。通过半结构化访谈和参与者观察收集了有关木薯（ManihotesculentaCrantz）消费和糖尿病代表的数据（即，观察和参与社区活动)，即通过参加与Swidden和休耕田地木薯块茎改造有关的活动。
■Parikwene已经适应了木薯块茎的转化，以用于糖尿病的治疗。木薯块茎作为主要和核心食物对Parikwene食物系统的重要性是通过将其确定为文化基石物种而确立的。叙述说明了关于木薯消费在糖尿病发展中的含义的相互矛盾的看法。对木薯块茎转化所涉及的操作顺序的适应导致了不同的木薯烤粗面粉的生产（即，couac),基于感官特性(即，甜，和酸性couac）。在Parikwene知识体系中，对酸性couac的消费偏好是基于，以及关注糖尿病相关症状和血糖仪读数。
■这些结果提供了与知识相关的重要见解，态度，以及开发当地和文化适应的方法来提供糖尿病治疗中的饮食建议的实践。
■对社区成员和长者进行了75次访谈，以及为Macouria和Saint-Georgesdel\'Oyapock公社的Parikwene人口提供服务的医疗保健专业人员和管理人员。通过半结构化访谈和参与者观察收集了有关木薯（ManihotesculentaCrantz）消费和糖尿病代表的数据（即，观察和参与社区活动)，即通过参加与Swidden和休耕田地木薯块茎改造有关的活动。
■Parikwene已经适应了木薯块茎的转化，以用于糖尿病的治疗。木薯块茎作为主要和核心食物对Parikwene食物系统的重要性是通过将其确定为文化基石物种而确立的。叙述说明了关于木薯消费在糖尿病发展中的含义的相互矛盾的看法。对木薯块茎转化所涉及的操作顺序的适应导致了不同的木薯烤粗面粉的生产（即，couac),基于感官特性(即，甜，和酸性couac）。在Parikwene知识体系中，对酸性couac的消费偏好是基于，以及关注糖尿病相关症状和血糖仪读数。
■这些结果提供了与知识相关的重要见解，态度，以及开发当地和文化适应的方法来提供糖尿病治疗中的饮食建议的实践。
