How dietary intake of type 2 diabetes mellitus outpatients affects their fasting blood glucose levels?

Nguyen Thanh Ha; Nguyen Thi Phuong; Le Thi Thu Ha; Nguyen Thanh Ha; Nguyen Thi Phuong; Le Thi Thu Ha

doi:10.3934/publichealth.2019.4.424

AIMS Public Health

2019, Volume 6, Issue 4: 424-436. doi: 10.3934/publichealth.2019.4.424

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Research article

How dietary intake of type 2 diabetes mellitus outpatients affects their fasting blood glucose levels?

Ha Noi University of Public Health. No. 1A Duc Thang Ward, North Tu Liem, Ha Noi, Vietnam

Received: 02 August 2019 Accepted: 14 October 2019 Published: 21 October 2019

Objective: The study aims to explore the association between the adherence to dietary recommendations among type 2 diabetes mellitus (T2DM) patients with their fasting blood glucose levels. Method: This is a cross-sectional anthropometric and dietary study conducted on 169 T2DM patients receiving outpatient treatment at the Central Nursing and Rehabilitation Hospital in Thanh Hoa provincial hospital in Vietnam in 2018. Results: The rate of patients who had good fasting glycemic control was still low (30.8%). Their diets were poor in energy and unbalanced; the contribution of carbohydrates to the total dietary intake was high (68.2%), and only 24.9% of patients consumed 4–6 meals/day. There was a statistically significant association between the dietary intake with carbohydrate dietary intake containing ≥60% carbohydrate and the number of meals per day (<4 meals) with their fasting blood glucose levels (OR = 4.964, p < 0.05 and OR = 16.508; p < 0.01, respectively). Conclusions and recommendations: Hospital staff are advised to combine treatment with dietary counseling to help patients controlling their weights and glycemic levels more efficient, thereby contributing to improving their treatment outcomes.
- diabetes type 2,
- blood glucose,
- food consumption,
- food habit,
- meal frequency,
- Vietnam
Citation: Nguyen Thanh Ha, Nguyen Thi Phuong, Le Thi Thu Ha. How dietary intake of type 2 diabetes mellitus outpatients affects their fasting blood glucose levels?[J]. AIMS Public Health, 2019, 6(4): 424-436. doi: 10.3934/publichealth.2019.4.424

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Abstract

Objective: The study aims to explore the association between the adherence to dietary recommendations among type 2 diabetes mellitus (T2DM) patients with their fasting blood glucose levels. Method: This is a cross-sectional anthropometric and dietary study conducted on 169 T2DM patients receiving outpatient treatment at the Central Nursing and Rehabilitation Hospital in Thanh Hoa provincial hospital in Vietnam in 2018. Results: The rate of patients who had good fasting glycemic control was still low (30.8%). Their diets were poor in energy and unbalanced; the contribution of carbohydrates to the total dietary intake was high (68.2%), and only 24.9% of patients consumed 4–6 meals/day. There was a statistically significant association between the dietary intake with carbohydrate dietary intake containing ≥60% carbohydrate and the number of meals per day (<4 meals) with their fasting blood glucose levels (OR = 4.964, p < 0.05 and OR = 16.508; p < 0.01, respectively). Conclusions and recommendations: Hospital staff are advised to combine treatment with dietary counseling to help patients controlling their weights and glycemic levels more efficient, thereby contributing to improving their treatment outcomes.

Acknowledgments

We would like to thank all patients for their enthusiastic participation in this study. We are grateful to the Boards of Management of Central Hospital for Nursing and Rehabilitation for cooperating with us in data collection. All sources of funding of the study must be disclosed.

Conflict of interest

All authors report no conflict of interest.

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