Comparison of Diabetic Control in Diabetic Patients, with and without Nutritionist Consultation

Authors

  • Adil Khan Department of Family Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Sadaf Nawaz Department of Family Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Namra Nazir Department of Family Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Mehmood Hussain Department of Family Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Rafia Latif Department of Family Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i2.10012

Keywords:

Diabetes, Diabetic Control, HbA1C%, Nutritionist Consultation

Abstract

Objectives: To compare diabetic control in diabetic patients who undergo nutritionist consultation to those who do not have nutritionist consultation.

Study Design: Quasi-experimental study.

Place and Duration of Study:  Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jun to Dec 2022.

Methodology: A total of 42 patients (21 in the Group that had a nutritionist consultation and 21 in the Group that did not have a nutritionist consultation) fulfilling the inclusion criteria were included in the study. At the time of inclusion, baseline HbA1C% was documented for all the patients in both groups. After that, all the patients in Group-A had a nutritionist consultation, while patients in Group-B had dietary counseling from their attending physician. At a three-month follow-up visit, HbA1C% was again checked to assess for diabetic control.

Results: Mean age was 37.52±5.49 years. There were 27(64.30%) male participants and 15(35.70%) female participants. Median BMI was 34.00(37.00–28.00) kg/m2. Median duration of diabetes was 10.00(17.00–7.00) years. Mean baseline HbA1C% was 7.65±0.53%. The mean post-intervention HbA1C% in Group A was 6.37±0.27%, while in Group B, it was 7.10±0.29% (p<0.001).

Conclusion: Nutritionists play a vital role in achieving better and optimal diabetic control in patients who have diabetes.

Downloads

Download data is not yet available.

References

IDF-Diabetes Atlas 9th Edition. B-1160 Brussels, Belgium; 2020.

Akhtar S, Nasir JA, Abbas T, Sarwar A. Diabetes in Pakistan: A systematic review and meta-analysis. Pak J Med Sci 2019; 35(4): 1173-1178. https://doi.org/10.12669/pjms.35.4.194

Daryabor G, Atashzar MR, Kabelitz D, Meri S, Kalantar K. The effects of type 2 diabetes mellitus on organ metabolism and the immune system. Front Immunol 2020; 11: 1582.

https://doi.org/10.3389/fimmu.2020.01582

Yamazaki D, Hitomi H, Nishiyama A. Hypertension with diabetes mellitus complications. Hypertens Res 2018; 41(3): 147-156. https://doi.org/10.1038/s41440-017-0008-y

Galicia-Garcia U, Benito-Vicente A, Jebari S, Larrea-Sebal A, Siddiqi H, Uribe KB, et al. Pathophysiology of type 2 diabetes mellitus. Int J Mol Sci 2020; 21(17): 6275.

https://doi.org/10.3390/ijms21176275

Aras M, Tchang BG, Pape J. Obesity and Diabetes. Nurs Clin North Am 2021; 56(4): 527-541.

https://doi.org/10.1016/j.cnur.2021.07.008

Rajaei E, Jalali MT, Shahrabi S, Asnafi AA, Pezeshki SMS. HLAs in autoimmune diseases: Dependable diagnostic biomarkers? Curr Rheumatol Rev 2019; 15(4): 269-276.

https://doi.org/10.2174/1573397115666190115143226

Vlaar EMA, Nierkens V, Nicolaou M, Middelkoop BJC, Busschers WB, Stronks K, et al. Effectiveness of a targeted lifestyle intervention in primary care on diet and physical activity among South Asians at risk for diabetes: 2-year results of a randomised controlled trial in the Netherlands. BMJ Open 2017; 7(6): e012221.

https://doi.org/10.1136/bmjopen-2016-012221

Evert AB, Dennison M, Gardner CD, Garvey WT, Lau KHK, MacLeod J, et al. Nutrition therapy for adults with diabetes or prediabetes: A consensus report. Diabetes Care 2019; 42(5): 731-754. https://doi.org/10.2337/dci19-0014

Siopis G, Colagiuri S, Allman-Farinelli M. Dietitians' experiences and perspectives regarding access to and delivery of dietetic services for people with type 2 diabetes mellitus. Heliyon 2020; 6(2): e03344. https://doi.org/10.1016/j.heliyon.2020.e03344

Matpady P, Mayya GA, Mogan P, Shetty JK, Umakanth S. Effect of dietician consultation on glycaemic control: A cross-sectional survey from the western coast of India. Manipal J Nurs Health Sci 2021; 7(2): 34-39.

American Diabetes Association Professional Practice Committee. Diagnosis and classification of diabetes: standards of care in diabetes-2024. Diabetes Care 2024; 47(Suppl-1): S20-S42.

https://doi.org/10.2337/dc24-S002

American Diabetes Association Professional Practice Committee. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2022. Diabetes Care 2022; 45(Suppl-1): S17-S38.

https://doi.org/10.2337/dc22-S002

American Diabetes Association Professional Practice Committee. 6. Glycemic targets: Standards of medical care in diabetes-2022. Diabetes Care 2022; 45(Suppl-1): S83-S96.

https://doi.org/10.2337/dc22-S006

Kautzky-Willer A, Leutner M, Harreiter J. Sex differences in type 2 diabetes. Diabetologia 2023; 66(6): 1165.

https://doi.org/10.1007/s00125-023-05913-8

Nordström A, Hadrévi J, Olsson T, Franks PW, Nordström P. Higher prevalence of type 2 diabetes in men than in women is associated with differences in visceral fat mass. J Clin Endocrinol Metab 2016; 101(10): 3740-3746.

https://doi.org/10.1210/jc.2016-1915

Karin A, Jon E, Martin A, Lena B, Martin L, Naveed S, et al. Body mass index in adolescence, risk of type 2 diabetes and associated complications: A nationwide cohort study of men. EClinicalMed 2022; 46: 101356.

https://doi.org/10.1016/j.eclinm.2022.101356

Gupta S, Bansal S. Does a rise in BMI cause an increased risk of diabetes?: Evidence from India. PLoS One 2020; 15(4): e0229716.

https://doi.org/10.1371/journal.pone.0229716

Mottalib A, Salsberg V, Mohd-Yusof BN, Mohamed W, Carolan P, Pober DM, et al. Effects of nutrition therapy on HbA1c and cardiovascular disease risk factors in overweight and obese patients with type 2 diabetes. Nutr J 2018; 14: 42.

https://doi.org/10.1186/s12937-018-0351-0

Deshmane AR, Muley SA. Adherence and barriers to medical nutrition therapy and the effect on glycemic control among individuals with type 2 diabetes in India. Curr Res Nutr Food Sci J 2022; 10(3): 1020-1029.

https://doi.org/10.12944/CRNFSJ.10.3.18

Downloads

Published

29-04-2025

Issue

Section

Original Articles

How to Cite

1.
Khan A, Nawaz S, Nazir N, Hussain M, Latif R. Comparison of Diabetic Control in Diabetic Patients, with and without Nutritionist Consultation. Pak Armed Forces Med J [Internet]. 2025 Apr. 29 [cited 2025 May 1];75(2):300-3. Available from: https://www.pafmj.org/PAFMJ/article/view/10012