The Lack of the Knowledge about the Postprandial Blood Glucose by the Education using the Single Absolute Tool for the Diabetic Dietary Therapy in Japan
Journal Title: Archives of Renal Diseases and Management - Year 2015, Vol 1, Issue 1
Abstract
The diabetic dietary therapy is the primary strategy to control and prevent the progression of diabetes and its complications. Energy counting based on diabetic food exchange lists, in which 1 exchange unit is equivalent to 80 kcal, has been used as the single absolute tool in dietary education in Japan for patients with diabetes for 1993 to 2013 by Japan Diabetes Society. And the 5th and 6th editions of this material had put emphasis on only energy intake and made light of the fact that the postprandial blood glucose levels depend on carbohydrate intake. This approach may have created a misunderstanding among Japanese people that postprandial blood glucose levels are dependent on energy intake. We herein conducted a pilot survey to determine whether 19 diabetic patients undergoing maintenance hemodialysis were aware that “ the dietary intake of carbohydrates, not energy has a major effect on postprandial blood glucose levels, while dietary fat and protein have a minimal effect” just before starting carbohydrate counting education to these patients, and repeated the survey with 15 allied health professionals and 22 physicians nationwide who were qualified as Fellows of the Japanese Society for Dialysis Therapy. The results obtained revealed that 18 out of the 19 patients, all allied health professionals, and 21 out of the 22 physicians misunderstood that energy intake was responsible for raising blood glucose levels after meals, irrespective of the types of nutrients consumed. These results revealed that most of medical staffs as the representatives of the Japanese public people and the diabetic dialysis patients did not know the important element in the diabetic dietary therapy.
Authors and Affiliations
Hyodo Toru, Kitajima Yukie, Mikami Noriko, Wakai Haruki, Nakajima Fumitaka, Shibahara Nobuhisa, Hida Miho, Kurata Yasuhisa, Sovannbophea Yim, Leakhena Som, Chan Sovandy, Ojano Sabo, Kawanishi Hideki
Keywords
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- EP ID EP343330
- DOI 10.17352/2455-5495.000001
- Views 82
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