(d).

Citation/level and quality	Purpose	Sample/setting	Design	Results/conclusion	Recommendations
Muhabuura, [32] Johns Hopkins level: III Quality: high quality	To determine the knowledge of the role of diet and exercise lifestyle recommendations, prevalence of nonadherence to diet and exercise recommendations, and describe the factors associated with nonadherence to diet and exercise among type 2 diabetic patients	The total sample size was 324 participants with age greater than 30 years In Kenyatta National Hospital (KNH) diabetic clinic	Descriptive cross- sectional study A structured, pilot-tested questionnaire was used to collect data.	The results from this study demonstrated lower rates of nonadherence to diet and exercise recommendations among people diagnosed with type 2 diabetes mellitus Financial constraints and lack of detailed written instructions regarding diet as reasons for nonadherence to diet while reasons for nonadherence to exercise were lack of information and belief that exercise potentially exacerbates illness.	There is a need for active involvement of family and friends of diabetic patients in management of type 2 diabetes. Detailed written instructions on proper diet and exercise should be tailored to individual patients taking into account other factors such as presence of other co morbidities.