How does the utilization of diabetes dietitian and educator service in Saudi Arabia affect glycemic outcomes?

AlShareef, Saad Mohammed; AlKhathlan, Mujahed A.; Alwabel, Abdullah A; Al-Bawardi, Abdulkarim A; Alqarni, Abdulrahman H; Almuryidi, Ali S; Altuwaim, Ibrahim N; Alhabib, Monther Khalid; Almuzaini, Omar A; Alqahtani, Turki

doi:10.4103/jfcm.jfcm_126_17

Cited by 6 publications

(7 citation statements)

References 18 publications

(27 reference statements)

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“…The results showed that 54% of the participants intended to use the CC method for DM management, visited a dietician and were frequently taught about the CC method. However, this trend contrasts with other SA studies, in which 18% of participants used the CC method18 and 19.8% reported visiting a dietitian 23. The reason for these differences may be that the UDC, where the study was conducted, is a long-established, specialised diabetes centre in Riyadh that provides different services and treatment options for DM management, including intensive insulin therapy with multidisciplinary teams.…”

Section: Discussionmentioning

confidence: 77%

“…However, this trend contrasts with other SA studies, in which 18% of participants used the CC method 18 and 19.8% reported visiting a dietitian. 23 The reason for these differences may be that the UDC, where the study was conducted, is a long-established, specialised diabetes centre in Riyadh that provides different services and treatment options for DM management, including intensive insulin therapy with multidisciplinary teams. Furthermore, the mean knowledge score was 23.01±7.3, which is consistent with the mean knowledge score of the original questionnaire (23.9±8.3).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of carbohydrate counting knowledge among individuals with type 1 diabetes mellitus in Saudi Arabia: a cross-sectional study

Bawazeer

Alshehri

Alharbi

et al. 2022

BMJNPH

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IntroductionCarbohydrate counting (CC) is an important nutritional strategy to improve glycaemic outcomes among patients with diabetes. Few studies have investigated CC knowledge among individuals with type 1 diabetes mellitus (T1DM) in Saudi Arabia. Therefore, we aimed to evaluate CC knowledge in Saudi adults with T1DM.Study design and methodsA cross-sectional study was conducted between December 2021 and February 2022, including 224 patients with T1DM from the University Diabetes Center, Riyadh. Adults aged ≥18 years, diagnosed with T1DM for >1 year, and residing in Saudi Arabia were included. CC knowledge was assessed using a previously well-studied tool (AdultCarbQuiz), which was translated into Arabic and tested for validity by a group of dieticians. Descriptive statistics were used for data analysis, and bivariate and regression analyses were conducted.ResultsThe AdultCarbQuiz questionnaire-Arabic version had good validity and reliability (Cronbach’s α: 0.87). The CC method was used by 54% of the participants. The mean CC knowledge score was 23.01±7.31. A significant negative linear relationship between the participants’ CC knowledge scores, and age and glycated haemoglobin (HbA1c) levels, was revealed by simple regression analysis. Furthermore, significant independent variables related to CC knowledge scores were CC use, HbA1c levels, being taught about CC (>5 times), insulin pump usage and DM duration (≤15 years).ConclusionsApproximately half of the patients used the CC method. The mean CC knowledge scores were better in patients who used the CC method, were more frequently taught about CC, were treated using an insulin pump, and had a shorter DM duration than their counterparts. Therefore, designing and implementing a well-structured nutrition education programme tailored to individuals with diabetes is crucial to provide them with up-to-date dietary information, as well as the necessary knowledge and skills, to improve their outcomes and manage their condition.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Evaluation of carbohydrate counting knowledge among individuals with type 1 diabetes mellitus in Saudi Arabia: a cross-sectional study

Bawazeer

Alshehri

Alharbi

et al. 2022

BMJNPH

View full text Add to dashboard Cite

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“…With the exception of two investigations (Al-Shahrani, 2018;Alshareef et al, 2018), most previous have shown a similar effect on HbA1c levels (ranging from 0.6 to 0.93) (Dinar et al, 2019;International Diabetes Federation, 2017;Plank et al, 2004;Rashid, 2012). Our achieved net effect on HbA1c was even more favourable than those observed in these studies, likely due to the strength and routine nature of our extensive educational sessions.…”

Section: Discussionmentioning

confidence: 95%

Impact of a diabetes educator-led clinic on the control of type 1 diabetes among adults

AsSaigal,

Al-Saigul,

Almutairi

2023

Health Education Journal

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Background: Type 1 diabetes mellitus (T1DM) is on the rise globally. Patient education is a major cornerstone in diabetes management. Diabetes educators play a pivotal role in educating patients with diabetes mellitus. Objectives: To estimate the impact of a diabetes educator-led clinic on the control of T1DM among adults. This was measured through mean changes in HbA1c levels and alterations in perceived dietary and physical activity compliance among patients attending a Diabetes Centre in the Qassim region of Saudi Arabia. Methods: We enrolled 97 adult T1DM patients in a quasi-experimental study, conducted at a certified diabetes educator-led clinic. All patients were followed up for 6 months pre-intervention and for a minimum of 6 months post-intervention. Patients’ weight, self-monitoring of blood glucose, hypoglycaemic events frequency, HbA1c level and lipid profiles were routinely recorded. In addition, compliance with advice on dietary plan and physical activity recommendations was also assessed at the pre-intervention, baseline and post-intervention stages. Results: Post-intervention, participants reported better compliance with dietary and physical activity advice. Fewer hypoglycaemic events and higher self-monitoring of blood glucose frequencies were also noted. While there was no significant difference between pre-intervention and baseline mean HbA1c levels, mean baseline and post-intervention HbA1c levels showed a clinical and statistically significant difference of 1.01 (95% confidence interval [CI]: 0.74–1.28). Mean low-density lipoprotein (LDL) and triglyceride differences also showed small but significant changes. Conclusion: Attendance at a diabetes educator-led clinic had a positive and significant impact on the control of T1DM among adults. We recommend diabetes educator employment at outpatient clinics for adults with T1DM.

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“…[28] In another cross-sectional study of 490 DMT2 patients enrolled in the public health-care institution in Riyadh, HbA1C levels were significantly lower in patients who had a periodical follow-up with a dietitian ( P < 0.0001). [29]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of type 2 diabetes and their complications among home health care patients at Al-Kharj military industries corporation hospital

Albarakat¹,

Guzu²

2019

J Family Med Prim Care

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Introduction:The diabetes mellitus type 2 is a result of hyperglycemia due to insulin resistance caused by insufficient secretion of insulin from the beta cells of pancreas. The detection and controlling of diabetes mellitus type 2 (DMT2) at primary health-care centers in Saudi Arabia is well justified and widely practiced. The knowledge and awareness of DMT2 patients should be increased through the determination of its prevalence which may decrease the rates of comorbidities.Methods:A questionnaire of 159 patients registered at Home Care Center at Family and Community Medicine Department, Al-Kharj Military Industries Corporation Hospital, Saudi Arabia was used. Hemoglobin A1C (HbA1C) percentage and blood pressure were measured for all participants. Statistical analysis was performed for all data.Results:A total of 36.5% of cases were males and 63.5% were females with a mean age of 77.6 years. 94.3% of participants had DMT2 where 3.8% had type 1. 74.2% of cases experienced only one to two complications other than diabetes where 20.8% had more than three diseases. 47.2% of cases had HbA1C% <7.5% where 29 cases had HbA1C% ranged from 7.5% to 8% and about 32.8% of patients had poor glycemic control with HbA1C >8%. 81.1% of cases had hypertension, while 25.8% suffered from Stroke complication, 8.8% of patients had a congestive cardiac failure, 7.5% had ischemic heart disease, and 6.3% suffered from chronic kidney disease. The treatment goals, HbA1C 7.5--8%, have been achieved for about 64% of DMT2 patients where 51 patients still had uncontrolled DMT2 with HbA1C >8%.Conclusion:Despite the majority of cases had good glycemic control, more attention should be paid to those over 65 years as they commonly had more morbidities that definitely affect their treatment regimes. Patients should be involved in different home health care programs to increase their awareness and knowledge of the possible risk factors and diabetes comorbidities.

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How does the utilization of diabetes dietitian and educator service in Saudi Arabia affect glycemic outcomes?

Cited by 6 publications

References 18 publications

Evaluation of carbohydrate counting knowledge among individuals with type 1 diabetes mellitus in Saudi Arabia: a cross-sectional study

Evaluation of carbohydrate counting knowledge among individuals with type 1 diabetes mellitus in Saudi Arabia: a cross-sectional study

Impact of a diabetes educator-led clinic on the control of type 1 diabetes among adults

Prevalence of type 2 diabetes and their complications among home health care patients at Al-Kharj military industries corporation hospital

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