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Sustaining Effect of Intensive Nutritional Intervention Combined with Health Education on Dietary Behavior and Plasma Glucose in Type 2 Diabetes Mellitus Patients

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ABSTRACT

Diabetes mellitus is very common in elderly Chinese individuals. Although nutritional intervention can provide a balanced diet, the sustaining effect on at-home dietary behavior and long-term plasma glucose control is not clear. Consequently, we conducted a long-term survey following one month of experiential nutritional intervention combined with health education. Based on the Dietary Guidelines for a Chinese Resident, we found that the food items met the recommended values, the percentages of energy provided from fat, protein, and carbohydrate were more reasonable after one year. The newly formed dietary patterns were “Healthy”, “Monotonous”, “Vegetarian”, “Japanese”, “Low energy”, and “Traditional” diets. The 2h-PG of female participants as well as those favoring the “Japanese diet” decreased above 12 mmol/L. Participants who selected “Japanese” and “Healthy” diets showed an obvious reduction in FPG while the FPG of participants from Group A declined slightly. “Japanese” and “Healthy” diets also obtained the highest DDP scores, and thus can be considered suitable for T2DM treatment in China. The results of the newly formed dietary patterns, “Japanese” and “Healthy” diets, confirmed the profound efficacy of nutritional intervention combined with health education for improving dietary behavior and glycemic control although health education played a more important role. The present study is encouraging with regard to further exploration of comprehensive diabetes care.

No MeSH data available.


The 2h-plasma glucose (2h-PG) and fasting plasma glucose (FPG) of participants belonged to different groups. (a) the 2h-PG and FPG value; (b) hemoglobin A1c (HbA1c) value; (c) the reduction of FPG, 2h-PG and HbA1c. The results were expressed as mean (standard deviation). a compared with PG value at baseline (p < 0.05); b compared with HbA1c value at the baseline (p < 0.05); c compared with Group A at FPG reduction (p < 0.05).
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nutrients-08-00560-f002: The 2h-plasma glucose (2h-PG) and fasting plasma glucose (FPG) of participants belonged to different groups. (a) the 2h-PG and FPG value; (b) hemoglobin A1c (HbA1c) value; (c) the reduction of FPG, 2h-PG and HbA1c. The results were expressed as mean (standard deviation). a compared with PG value at baseline (p < 0.05); b compared with HbA1c value at the baseline (p < 0.05); c compared with Group A at FPG reduction (p < 0.05).

Mentions: One-year later, PG and HbA1c decreased significantly (p < 0.05) (Figure 2). FPG decreased significantly (p < 0.05) from 9.35 ± 3.1, 9.83 ± 2.6 and 9.48 ± 2.8 mmol/L in Group A, B, and C to 7.66 ± 2.5 (8.02 ± 1.9 and 7.44 ± 2.0 mmol/L in Group A, B, and C, while, 2h-PG declined significantly (p < 0.05) from 18.14 ± 5.2, 19.36 ± 5.3 and 17.36 ± 5.1 mmol/L in Group A, B, and C to 11.51 ± 4.7, 12.05 ± 4.5 and 11.05 ± 4.3 mmol/L in Group A, B, and C, respectively. Also, HbA1c decreased obviously (p < 0.05) from 8.02% ± 0.93%, 8.30% ± 1.02% and 8.35% ± 1.04% in Group A, B, and C to 7.32% ± 1.24%, 7.34% ± 1.04% and 7.26% ± 1.30% in Group A, B, and C, respectively (Figure 2b). It was observed from Figure 2c that the reduction of FPG, 2h-PG and HbA1c in Group A was smaller than that in Groups B and C after one year of intervention, the FPG of Group C decreased to a greater extent (23.79%) than it did in Group A (14.29%) (p < 0.05).


Sustaining Effect of Intensive Nutritional Intervention Combined with Health Education on Dietary Behavior and Plasma Glucose in Type 2 Diabetes Mellitus Patients
The 2h-plasma glucose (2h-PG) and fasting plasma glucose (FPG) of participants belonged to different groups. (a) the 2h-PG and FPG value; (b) hemoglobin A1c (HbA1c) value; (c) the reduction of FPG, 2h-PG and HbA1c. The results were expressed as mean (standard deviation). a compared with PG value at baseline (p < 0.05); b compared with HbA1c value at the baseline (p < 0.05); c compared with Group A at FPG reduction (p < 0.05).
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Related In: Results  -  Collection

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getmorefigures.php?uid=PMC5037545&req=5

nutrients-08-00560-f002: The 2h-plasma glucose (2h-PG) and fasting plasma glucose (FPG) of participants belonged to different groups. (a) the 2h-PG and FPG value; (b) hemoglobin A1c (HbA1c) value; (c) the reduction of FPG, 2h-PG and HbA1c. The results were expressed as mean (standard deviation). a compared with PG value at baseline (p < 0.05); b compared with HbA1c value at the baseline (p < 0.05); c compared with Group A at FPG reduction (p < 0.05).
Mentions: One-year later, PG and HbA1c decreased significantly (p < 0.05) (Figure 2). FPG decreased significantly (p < 0.05) from 9.35 ± 3.1, 9.83 ± 2.6 and 9.48 ± 2.8 mmol/L in Group A, B, and C to 7.66 ± 2.5 (8.02 ± 1.9 and 7.44 ± 2.0 mmol/L in Group A, B, and C, while, 2h-PG declined significantly (p < 0.05) from 18.14 ± 5.2, 19.36 ± 5.3 and 17.36 ± 5.1 mmol/L in Group A, B, and C to 11.51 ± 4.7, 12.05 ± 4.5 and 11.05 ± 4.3 mmol/L in Group A, B, and C, respectively. Also, HbA1c decreased obviously (p < 0.05) from 8.02% ± 0.93%, 8.30% ± 1.02% and 8.35% ± 1.04% in Group A, B, and C to 7.32% ± 1.24%, 7.34% ± 1.04% and 7.26% ± 1.30% in Group A, B, and C, respectively (Figure 2b). It was observed from Figure 2c that the reduction of FPG, 2h-PG and HbA1c in Group A was smaller than that in Groups B and C after one year of intervention, the FPG of Group C decreased to a greater extent (23.79%) than it did in Group A (14.29%) (p < 0.05).

View Article: PubMed Central - PubMed

ABSTRACT

Diabetes mellitus is very common in elderly Chinese individuals. Although nutritional intervention can provide a balanced diet, the sustaining effect on at-home dietary behavior and long-term plasma glucose control is not clear. Consequently, we conducted a long-term survey following one month of experiential nutritional intervention combined with health education. Based on the Dietary Guidelines for a Chinese Resident, we found that the food items met the recommended values, the percentages of energy provided from fat, protein, and carbohydrate were more reasonable after one year. The newly formed dietary patterns were &ldquo;Healthy&rdquo;, &ldquo;Monotonous&rdquo;, &ldquo;Vegetarian&rdquo;, &ldquo;Japanese&rdquo;, &ldquo;Low energy&rdquo;, and &ldquo;Traditional&rdquo; diets. The 2h-PG of female participants as well as those favoring the &ldquo;Japanese diet&rdquo; decreased above 12 mmol/L. Participants who selected &ldquo;Japanese&rdquo; and &ldquo;Healthy&rdquo; diets showed an obvious reduction in FPG while the FPG of participants from Group A declined slightly. &ldquo;Japanese&rdquo; and &ldquo;Healthy&rdquo; diets also obtained the highest DDP scores, and thus can be considered suitable for T2DM treatment in China. The results of the newly formed dietary patterns, &ldquo;Japanese&rdquo; and &ldquo;Healthy&rdquo; diets, confirmed the profound efficacy of nutritional intervention combined with health education for improving dietary behavior and glycemic control although health education played a more important role. The present study is encouraging with regard to further exploration of comprehensive diabetes care.

No MeSH data available.