EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS

Objective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus (DM).Material and Methods: Type 1 and Type 2 DM patients (n: 105) who had received medical nutrition therapy (MNT) education at least once were recruited. Nutritional knowledge sco...

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Bibliographic Details
Main Authors: Bita Motamedıan, Gülşah Yenidünya Yalın
Format: Article
Language:English
Published: Istanbul University Press 2024-02-01
Series:Sabiad
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8C50B5E0DB9A42DBA61385B42768B244
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Summary:Objective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus (DM).Material and Methods: Type 1 and Type 2 DM patients (n: 105) who had received medical nutrition therapy (MNT) education at least once were recruited. Nutritional knowledge scores (NKS) were obtained from the NKS evaluation form and patients were classified into Group 1 (NKS ≤60, n:24) and Group 2 (NKS>60, n:81). Patients’ socio-demographic characteristics, biochemical parameters, nutritional habits, anthropometric measurements, and 24-hour food consumption data were recruited.Results: Mean age in Group 1 and Group 2 was 50.5±12.1 and 45.5±15.5, respectively. Mean NKS scores were higher in patients with type 1 DM (p=0.02). There was no significant relation between NKS and HbA1c (p=0.3). NKS was significantly associated with higher educational degrees, higher HDL, and lower frequency of neuropathy (p=0.03; 0.01; 0.01, respectively). NKS was negatively correlated with age, triglyceride, and neuropathy frequency (p=0.001, r=-0.35, p=0.004, r=-0.36; p=0.01, r=-0.24, respectively); positively correlated with HDL, educational degree, health literacy and presence of leisure time activities (p<0.001, r=0.38; p<0.001, r=0.53; p=0.01, r=0.26 and p<0.001, r=0.31, respectively). Logistic regression analysis revealed the relationship between NKS and educational degree (p=0.01, OR:0.17, CI:0.04-0.68).Conclusion: Adequacy of nutritional knowledge may not be sufficient in achieving better glycemic regulation in DM and patients should be motivated to reflect their nutritional knowledge in their daily living activities.
ISSN:2651-4060