A Comparative Study of Diet in Good and Poor Glycemic Control Groups in Elderly Patients with Type 2 Diabetes Mellitus / 당뇨병
Korean Diabetes Journal
;
: 303-311, 2010.
Article
in English
| WPRIM
| ID: wpr-23771
ABSTRACT
BACKGROUND:
Identification of dietary patterns is important for glycemic management in elderly patients with type 2 diabetes mellitus (T2DM).METHODS:
Elderly T2DM patients (> 65 years of age, n = 48) were categorized based on their concentration of glycated hemoglobin (HbA1c). Subjects with HbA1c levels below 7% were placed in the good control (GC) group and those with HbA1c levels equal to or above 8% were placed in the poor control (PC) group. Anthropometric data, blood parameters, and dietary intake records were compared between the groups. Statistical analysis included Student's t-test, chi-square test, and Pearson correlation coefficient test.RESULTS:
Anthropometric data, including body mass index (24.7 +/- 2.9 kg/m2), did not differ between the GC and PC groups. Significant abnormalities in blood glucose levels (P < 0.01), lean body mass (P < 0.01), and plasma protein and albumin levels (P < 0.05, P < 0.01) were found in the PC group. In contrast to the GC group, the PC group depended on carbohydrate (P = 0.014) rather than protein (P = 0.013) or fat (P = 0.005) as a major source of energy, and had a lower index of nutritional quality for nutrients such as protein (P = 0.001), and all vitamins and minerals (P < 0.001, 0.01, or 0.05 for individual nutrients), except vitamin C, in their usual diet. Negative correlations between HbA1C levels and protein (r = -0.338, P < 0.05) or fat (r = -0.385, P < 0.01) intakes were also found.CONCLUSIONS:
Healthcare professionals should encourage elderly diabetic patients to consume a balanced diet to maintain good glycemic control.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Plasma
/
Ascorbic Acid
/
Vitamins
/
Blood Glucose
/
Hemoglobins
/
Body Mass Index
/
Micronutrients
/
Delivery of Health Care
/
Diabetes Mellitus, Type 2
/
Diet
Limits:
Aged
/
Humans
Language:
English
Journal:
Korean Diabetes Journal
Year:
2010
Type:
Article
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