Dietary Compliance and its Association with Glycemic Control among Poorly Controlled Type 2 Diabetic Outpatients in Hospital Universiti Sains Malaysia
- Author:
Tan SL
;
Juliana S
;
Sakinah H
- Publication Type:Journal Article
- Keywords:
Dietary compliance, diet counseling, type 2 diabetes mellitus
- From:
Malaysian Journal of Nutrition
2011;17(3):287-299
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Compliance with medical nutrition therapy is important to improve
patient outcomes. The purpose of this study was to determine dietary compliance
and its association with glycemic control among outpatients with poorly
controlled type 2 diabetes mellitus (T2DM) in Hospital Universiti Sains Malaysia
(HUSM). Methods: In this cross-sectional study, patients who had a glycosylated
hemoglobin (HbA1c) level of at least 6.5%, after attending a diet counseling
session at the Outpatient Dietetic Clinic, HUSM, were enrolled. Out of 150 diabetic
patients reviewed between 2006 and 2008, 61 adults (32 men and 29 women)
agreed to participate in this study. A questionnaire-based interview was used to
collect socio-demographic, clinical and diabetes self-care data. The patient’s
dietary compliance rate was determined by the Summary of Diabetes Self-Care
Activities (SDSCA) measure. Anthropometric and biological measurements were
also taken. Results: Only 16.4% of the respondents adhered to the dietary regimen
provided by dietitians. Among the 7 dietary self-care behaviours, item number
6 (eat lots of food high in dietary fibre such as vegetable or oats) had the highest
compliant rate (54.1%); whereas item number 3 (eat five or more servings of
fruits and vegetables per day) had the lowest compliant rate (23.0%). There was
a significant association between gender (p=0.037) and fasting blood sugar (FBS)
(p=0.007) with the compliance status. Conclusion: Dietary non-compliance is
still common among T2DM patients. Dietitians need to improve their skills and
use more effective intervention approaches in providing dietary counseling to
patients.
- Full text:W020150714505667057777.pdf
