The Relationship Between Nutrition Knowledge and Development of Complications in Type 2 Diabetic Patients

Abstract

Background and Aims: Diabetes is increasing rapidly in Turkey as most countries in the world. The prevention of complications which is the main aim in the treatment of diabetes can be accomplished partly with nutrition education. The aim of this study was to assess the relationship between nutrition knowledge (NK) and complications in patients with type 2 diabetes. Materials and Methods: 280 patients with 8-20 years of diabetes duration who applied to diet outpatient clinic were recruited. The questionnaire was prepared by the investigators to assess the NK. A score was calculated on the scale of 100. The complications were determined based on hospital records and patients’ selfreport. Results: 63.2% of participants were female and 36.8% were male. The most common complications in participants were retinopathy (56.1%) and neuropathy (42.9%). The mean NK score was 80.2±11.7. At least one complication was seen in 85.0% of the participants. There was no significant difference for having any complication in patients with adequate and inadequate NK. However the risk of diabetic foot, and coronary artery disease was significantly higher in women with inadequate NK. Conclusion: NK is quite high in long term diabetic patients. However no effect of the NK on the development of complications could be shown. The difference of effect between men and women could be due to the fact that food is mostly prepared by women thus not much chance of the knowledge of men to be reflected on his eating habits. The knowledge difference among female patients was seen in the results as; in women with inadequate NK, the prevalence of diabetic foot and CAD was significantly higher.

Insights on Medical Nutrition Therapy for Type 2 Diabetes Mellitus: An Indian Perspective

“…As the majority of morbidities and mortalities due to T2DM are attributed to micro- and macrovascular complications, it is important to expand the focus of care beyond glycemic control. A positive correlation between insufficient nutritional knowledge and diabetic foot [odds ratio 3.86 (95% CI 0.99–14.98), p = 0.051] and coronary artery disease [odds ratio 2.23 (95% CI 1.13–4.40), p = 0.021] was observed in women with diabetes [77]. Results from landmark studies such as the Diabetes Control and Complications Trial (DCCT) and the UK Prospective Diabetes Study (UKPDS) have provided compelling evidence for the role of MNT in preventing micro- and macrovascular complications of diabetes [21, 78].…”

Phytopharmacology and Clinical Updates of Berberis Species Against Diabetes and Other Metabolic Diseases

“…On the other hand, in diabetic rats, the beneficial effects of B. vulgaris extracts showed positive effects in attenuating the side effects of T2DM (Karami et al, 2016), ameliorating oxidative stress (Hemmati et al, 2016), decreasing the liver damage by influencing hepatic histopathological and biochemical markers (Rahimi-Madiseh et al, 2017), and showed that the serum cholesterol and serum triglycerides levels were decreased (Meliani et al, 2011).…”

Ulcerative colitis: a phytomedical technical note

“…In this regard, use of medicinal plants and their derivatives such as essential oil, alcoholic, aqueous, and hydroalcoholic extracts has obtained more attention by scientists. I and my colleagues published several studies on the in vivo effects of some medicinal plants such as Satureja khuzestanica (Hafezi et al 2015), Berberis vulgaris (Karami et al 2016), and Galega officinalis and Trigonella foenum-graecum (Shojaee et al 2015) in diabetes mellitus, Zizyphus jujuba (Koohi-Hosseinabadi et al 2015a), Carum carvi , Olea europaea (Showraki et al 2016), and other species (Sepehrimanesh 2016) in oral mucositis, Satureja khuzestanica and Pistacia atlantica (Nazifi et al 2012) in thyroid dysfunction, Thymus vulgaris (Koohi-Hosseinabadi et al 2015b) in hyperlipidemia, Berberis vulgaris (Yazdani et al 2013) on intestinal morphology plus in vitro antimicrobial activity of Scutellaria luteo-caerulea and Calotropis procera ), antihelminthic effect of Peganum harmala (Roozitalab et al 2017) and antioxidant properties of Scutellaria luteo-caerulea ), Calotropis procera (Kazemipour et al 2015) and Mentha piperita (Najafian et al 2016) and Stevia rebaudiana (Najafian et al 2016). Now, we know that these effects are due to mineral elements, phenolic compounds, or other active substances (Kazemipour et al 2015;Najafian et al 2016;Nikbin et al 2014b).…”