Journal of Nutritional Sciences and Dietetics 2015. 1(2):98-106.

Provision of nutritional/lifestyle counseling on diabetes self-management: A chance to improve metabolic control in new cases of type 2 diabetes
Alireza Milajerdi, Sakineh Shab-Bidar, Atieh Azizgol, Hossein Khosravi-Boroujeni

Abstract


Background: Type  2  diabetes  (T2D)  is  an  increasing  public  health  problem primarily because of increase in the prevalence of a sedentary lifestyle and obesity. The aim of this study was to evaluate the efficacy of self-management education on metabolic control in adults with T2D.

Methods: In a quasi-experimental study, 300 patients with T2D recruited from the Diabetes Society of Natanz, Isfahan, Iran, from October 2012 to January 2013. The patients participated in a 16-week educational program held by trained dietician. At baseline, the intervention group attended a 20 minutes lifestyle and nutritional oral education program. Participants were assessed at baseline, 2 and 4 months follow-up for changes in body mass index, glycemic status, and lipid profile. Non-parametric  and  parametric  descriptive  and  group  ×  time  (pre-post)  repeated measure analysis of variance was done.

Results: The mean (± standard deviation) amount of weight lost between baseline and the end of 16 weeks was 0.66 ± 1.62 kg in compared to baseline (p < 0.0010). Significant  time  ×  treatment  interaction  effects  were  found  for  triglycerides (p < 0.0001), high density lipoprotein-cholesterol (p = 0.0010), fasting blood sugar (FBS) (p < 0.0001), 2-hour postprandial glucose (p < 0.0001), systolic blood pressure (BP)  (p  <  0.0001), diastolic BP  (p  < 0.0001), and hemoglobin A1c (HbA1c) (p = 0.0010). Mean FBS concentrations decreased by 30 mg/dl at week16. There was a non-significant increase in the HbA1c.

Conclusion: Nutritional/lifestyle counseling may improve metabolic control in T2D patients. Hence, it is possible to improve T2D control by means of non- pharmacologic interventions.


Keywords


Lifestyle modification; Education program;Type 2 diabetes; Self-management

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