Medical Nutrition Therapy in Diabetes Mellitus: New Insights to an Old Problem

Grammatikopoulou, Maria G.; Goulis, Dimitrios G.

doi:10.3390/nu14030698

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…The latter may indeed help to preserve SMM and improve blood glucose responsiveness ( 46 ). Our findings are compatible with an earlier study by Grammatikopoulou et al on how an appropriate medical nutrition therapy has an important role in treating diabetic patients both prediabetes, gestational diabetes and T2DM ( 47 ). A possible mechanism of lowering HbA1c through PMB use could be via optimal energy, carbohydrate, protein and fat intake ( 48 ).…”

Section: Discussionsupporting

confidence: 93%

Optimising blood glucose control with portioned meal box in type 2 diabetes mellitus patients: a randomised control trial

Maneesing,

Dawangpa,

Chaivanit

et al. 2023

Front. Nutr.

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BackgroundThe impact of dietary factors on glycaemic control in type 2 diabetes mellitus (T2DM) is well established. However, the effectiveness of transforming portion control into a practical innovation for glycaemic control in T2DM has not yet been established for counselling in nutrition. The aim of this study was to compare the effect of general counselling in nutrition (GCN) and a portioned meal box (PMB) on fasting blood glucose, glycated haemoglobin (HbA1c) and body composition.MethodsA randomised, parallel intervention trial was conducted over 12 weeks, with GCN: carbohydrate portion control concept by using food exchange lists (n = 25) and PMB: portioned meal box was set by energy requirements (n = 25).ResultsBoth GCN and PMB demonstrated reductions in HbA1c levels at the 6th and 12th weeks compared to baseline. However, no significant difference in HbA1c was observed between GCN and PMB at either the 6th or 12th week. Using PMB at least four times a week significantly decreased HbA1c during the intervention period (p = 0.021 and p < 0.001 for weeks 6 and 12 when compared with baseline, respectively). Changes in body composition were observed: body weight decrease in PMB only, body fat decrease and constant muscle mass in both groups. Both methods tended to relieve hunger and increased satiety in both groups. The satisfaction evaluation showed that participants preferred to use PMB over GCN (p = 0.001). Additionally, participants consumed less energy, carbohydrate and fat in PMB (p = 0.001, p = 0.019, and p = 0.001, respectively) and less energy and fat in GCN (p = 0.006 and p = 0.001, respectively).ConclusionA better diet, either through GCN or PMB, can play an important role in improving dietary intake compliance and controlling blood glucose.

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Section: Discussionsupporting

confidence: 93%

Optimising blood glucose control with portioned meal box in type 2 diabetes mellitus patients: a randomised control trial

Maneesing,

Dawangpa,

Chaivanit

et al. 2023

Front. Nutr.

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“…Medical nutrition therapy (MNT), as an integral part of all diabetes care and management, is known to be cost effective (3) . Nutrition education is a segment of the MNT for patients with diabetes, and the delivery of nutritional education is believed to be a priority for improvement in T2DM treatment outcomes (4) . Moreover, pieces of evidence have shown that nutrition education can effectively reduce disability and mortality caused by diabetes (5) .…”

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confidence: 99%

Educational intervention based on the extended parallel process model improves adherence to diabetic diet and glycaemic control indices: a randomised, double-blind, controlled, factorial field trial

Dehghan,

Mohsenpour,

Karimi

et al. 2024

Br J Nutr

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Nutritional education is pivotal in the medical nutritional therapy of type 2 diabetes Mellitus (T2DM). The extended parallel process model (EPPM) is a health education method for inducing desirable health behaviors. The present study aimed to investigate the effect of nutritional education based on the EPPM in T2DM patients on knowledge, attitude, practice (KAP), anthropometric indices, glycemic factors, lipid profile, and adherence to the diabetic diet. A randomized, double-blind, controlled, factorial field trial was designed for T2DM patients aged 30-59 (n=88). Participants were randomly allocated into four groups to receive EPPM-based nutritional education through Gain Framed Message (GFM), Loss Framed Message (LFM), their combination (G\LFM), or usual diabetic education in the control group (CG). Participants were assessed before and after the study duration. After 3 months of intervention, 80 participants finished the study. The EPPM-Based intervention increased participants’ knowledge, behavioral intention, perceived sensitivity, severity, self-efficacy (P<0.001 for all), and response efficacy (P=0.029) in comparison with CG. GFM (P=0.004) and G\FLM (P=0.034) reduced carbohydrate intake, and LFM (P=0.034) and G\LFM (P=0.047) decreased fat intake. Between-group analysis indicated interventions reduced weight (P=0.046), body mass index (P=0.038), fasting blood sugar (P=0.030), 2-hour postprandial blood glucose (P=0.027), and triglycerides (P=0.002) in comparison with the CG. Results were not significant for protein intake, waist and hip circumference, waist-to-hip ratio, HbA1c, total cholesterol, LDL, and HDL. Nutritional education based on EPPM could increase the knowledge and awareness of T2DM patients. Also, it could be beneficial for blood glucose amendment. Further investigations are recommended.

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Vitamin C supplementation for diabetes management: A comprehensive narrative review

Mason

Parker

Pligt

et al. 2023

Free Radical Biology and Medicine

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Medical Nutrition Therapy in Diabetes Mellitus: New Insights to an Old Problem

Abstract: The management of all types of diabetes mellitus (DM) has transformed during the past decade.

Cited by 4 publications

References 16 publications

Optimising blood glucose control with portioned meal box in type 2 diabetes mellitus patients: a randomised control trial

Optimising blood glucose control with portioned meal box in type 2 diabetes mellitus patients: a randomised control trial

Educational intervention based on the extended parallel process model improves adherence to diabetic diet and glycaemic control indices: a randomised, double-blind, controlled, factorial field trial

Vitamin C supplementation for diabetes management: A comprehensive narrative review

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