Effectiveness of and Adherence to Dietary and Lifestyle Counselling Effect on metabolic control in type 2 diabetic Omani patients
Journal Title: Sultan Qaboos University Medical Journal - Year 2010, Vol 10, Issue 3
Abstract
Te Nutritional Advice Protocol, established by the Department of Health to combat diabetes, has been implemented in primary health care throughout Oman since 2003. Tis study aimed to assess the effectiveness of dietary and lifestyle advice and determine the perception and attitudes of Omani adults with type 2 diabetes to diabetes management. Methods: A cross-sectional epidemiological survey was conducted on 98 patients diagnosed with type 2 diabetes in Al-Buraimi Governorate, Oman. Metabolic parameters, dietary intake and exercise levels were evaluated in 2005 and re-evaluated in 2008. Results: A total of 43% of the patients (male = 16, female = 27) had received no formal education. A signifcant reduction in fasting glucose and enhanced high density lipoprotein cholesterol were achieved in both male and female patients. However, in men, no changes were noted, other than in anthropometric and metabolic measurements and macronutrient intake. Conversely, women’s macronutrient intakes reduced signifcantly leading to considerable improvement in body weight, body mass index, blood glucose and total cholesterol levels. Eleven patients (11.6%) admitted that they did not adhere at all to the diet advised by the dietician; 63.2% (n = 62) reported they followed their diet sometimes, and 25.2% (n = 25) stated they strictly followed the diet. Conclusion: Counselling largely illiterate diabetic patients about the impact of food, nutrition and exercise on diabetes shifted the patients from “Poor†to “Good†control in terms of metabolic outcome (glycosylated haemoglobin, fasting glucose and total cholesterol). Tis minor improvement could be further enhanced by more health education.
Authors and Affiliations
Mohammed Al-Sinani| Department of Nutrition, Al-Buraimi Hospital, Al-Buraimi Governorate, Oman, Yoeju Min| Institute of Brain Chemistry & Human Nutrition, London Metropolitan University, UK, Kebreab Ghebremeskel| Institute of Brain Chemistry & Human Nutrition, London Metropolitan University, UK, Hussain S Qazaq| Nutrition Department, Eastern Medical Region, SEHA (Health Services Company), Abu Dhabi, United Arab Emirates
Keywords
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