Study of Impact of Implementation of Medical Nutrition Therapy on Glycemic Control in Type 2 Diabetes Patients
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
Medical nutrition therapy (MNT) is one of the important cornerstones in the management of glycemic control in type 2 diabetes mellitus (T2DM). Hence, this study was envisioned to evaluate the impact of MNT on glycemic control in type 2 diabetes patients in a medical care centre in North Eastern India. A total of two hundred patients were enrolled for the study. Patients, whose medical back ground, co-morbid condition does not permit MNT, were excluded. Those patients, for whom regular follow up for any cause was not possible, were also excluded. Finally 168 patients were selected for study. After adjusting medical therapy, patients were distributed to Group A and Group B by lottery. Counseling on medical nutrition therapy was given to the subjects of Group A and was termed as intervention group and requested to follow the MNT regimen strictly. Patients of group B were asked to follow the usual conventional diet management and were termed as non-intervention group. All the patients were asked to come for review in every 2 week intervals and dietary practice of MNT was confirmed in every follow up visits to all available subjects of Intervention Group. During the study 7 patients of intervention group and 4 patients of non intervention group had acute medical condition, they were dropped. Those patients did not turn up for at least 2 follow up visit and a visit at the end of study period were also excluded (6 of Group A and 13 of Group B) from final analysis. Thus total of 138 patients were included for the final analysis of the study. Finally, there were 71 patients in Intervention group and 67 patients in Non-intervention group. In this study, we found that there was significant change of weight, body mass index (BMI), waist hip ratio (WHR), fasting sugar, post prandial sugar and glycated hemoglobin (HbA1c) in both the group. Further in the inter-group comparison, though no significant difference could be appreciated in the change of parameters like WHR but reductions in fasting sugar, post prandial sugar and HbA1c were more significantly prominent in the intervention group. Therefore, this study hypothesized that even short term adherence to medical nutrition therapy may bring significant change in glycemic control of type 2 diabetes patients.
Authors and Affiliations
Dipankar Prakas Bhaumik, Mukut Roy, Sulata Das
Keywords
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