Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
권호 표지

Individual Diabetes Nutrition Education Can Help Management for Type II Diabetes

제2형 당뇨환자의 개인별 맞춤영양교육의 효과 평가

  • Woo, Ye-Ji (Department of Food and Nutrition, Ewha Woman University) ;
  • Lee, Hyun-Sook (Department of Sports Science, Seoul Sports Graduate University) ;
  • Kim, Wha-Young (Department of Food and Nutrition, Ewha Woman University)
  • 우예지 (이화여자대학교 생활환경대학 식품영양학과) ;
  • 이현숙 (서울스포츠대학원대학교 스포츠과학학과) ;
  • 김화영 (이화여자대학교 생활환경대학 식품영양학과)
  • Published : 2006.10.31
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Abstract

This study was designed to evaluate the effect of the individual nutrition education for type 2 diabetes who participate the diabetes buffet. The subjects were 66 patients and divided into education (n=34) and control groups (n=32). The mean age of education and control groups were 59.8 and 56.6 years old, respectively. There were no differences in age and body mass index (BMI) between two groups. Initial glycosylated hemoglobin (HbA1c), post prandial plasma glucose (PP2), total plasma cholesterol, and blood pressure were not different between two groups. But fasting blood sugar (FBS) was higher in education group than in control group. On completion of the study, the education group showed significant decreases in body weight, BMI, FBS and PP2, however, the control group showed no changes in body weight, BMI and PP2, and showed a significant increase in FBS. Initial calorie and protein intakes of the education group did not meet the prescribed amount, however, mineral and vitamin intakes were higher than estimated average requirement (EAR). By the end of study, calorie and protein intakes were significantly increased to meet the prescription. In order to evaluate the effect of diet education, awareness of calorie requirement was used as an index of understanding diet prescription. The degree of awareness of calorie requirement was dependent on age: younger patients showed higher awareness than older subjects. The subject who showed better understanding of diet prescription showed lower levels of HbA1c, FBS, and PP2 at the end of the experiment period. The results of this study clearly show that individual diabetes diet education is effective to make the patient understand their diet prescription, and is effective to control body weight and blood sugar level. Awareness of calorie requirement could be used as an index of understanding of prescribed diet. Since age is an important variable to determine the awareness of calorie requirement, different strategies of nutrition education should be developed for different age groups, especially patients over 70 years old.

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References

  1. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 27(5): 1047-1053, 2004 https://doi.org/10.2337/diacare.27.5.1047
  2. King H, Aubert RE, Herman WH. Global burden of diabetes. 1995-2025: Prevalence, numerical estimates and projects. Diabetes Care 21: 1414-1431, 1998
  3. Rhee BD. Epidemiological characteristics of diabetes mellitus among Korean population. Korean J Diabetes Assoc 27(3): 173-178, 2003
  4. Park Y, Lee H, Koh CS, Min H, Yoo K, Kim Y, Shin Y. Prevalence of diabetes and IGT in Yonchon County, South Korea. Diabetes Care 18: 545-548, 1999 https://doi.org/10.2337/diacare.18.4.545
  5. Song MS, Song KH, Ko SH, Ahn YB, Kim JS, Shin JH, Cho YK, Yoon KH, Cha BY, Son HY, Lee DH. The long term effect of a structured diabetes education program for uncontrolled Type 2 diabetes mellitus patients-a 4-year follow-up. Korean J Diabetes Assoc 29(2): 140-150, 2005
  6. Park CO, Baik HY, Lee HK, Min HK. The effect of knowledge and dietary compliance on diabetic control in non-insulin dependent diabetes. Korean J Diabetes Assoc 12(1): 79-88, 1987
  7. You HJ. Diabetes education in Korea. Korean J Diabetes Assoc 17(3): 301-306, 1994
  8. Lee YM, Jin KN, Lee DW. Effectiveness of dietary education for the diabetes treatment. Korean J Clin Diabetes 3(1): 87-96, 2002
  9. Lee E. Risk factors for microalbuminuria: relationship between dietary intake and urinary albumin excretion in Korean type 2 diabetes. Ewha Womans University Master's Thesis, 2004
  10. Dietary Reference Intakes for Koreans. The Korean Nutrition Society, 2005
  11. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18(6): 499-502, 1972
  12. Park YK, Lee JH, Yoon JY, Park EJ, Chung YS, Lee HC, Hur KB. Effect of weight loss on glucose and lipid metabolism in overweight or obese NIDDM patients. Korean J Diabetes Assoc 18(1): 31-39, 1994
  13. Sonnichsen AC, Richter WO, Schwandt P. Benefit from hypocaloric diet in obese men depends on the extent of weight-loss regarding cholesterol and a simultaneous change in body fat distribution regarding insulin sensitivity and glucose tolerance. Metabolism 41: 1035-1039, 1992 https://doi.org/10.1016/0026-0495(92)90134-V
  14. Choi MS, Lee JH, Baik IK, Ahn KJ, Chung YS, Lee HC, Hur KB. Influence of duration of diabetes on nutritional status in noninsulin dependent diabetes mellitus. Korean J Diabetes Assoc 16(1): 35-44, 1992
  15. Schade DS, Boyle PJ. Insulin resistance: its role in health and disease. Clin Diabetes 10(1): 3-6, 1992F