Korean Diabetes J.  2010 Oct;34(5):303-311. 10.4093/kdj.2010.34.5.303.

A Comparative Study of Diet in Good and Poor Glycemic Control Groups in Elderly Patients with Type 2 Diabetes Mellitus

• Woo MH
• Park S
• Woo JT
• Choue R

• KMID: 2029888
• DOI: http://doi.org/10.4093/kdj.2010.34.5.303

Abstract

BACKGROUND
Identification of dietary patterns is important for glycemic management in elderly patients with type 2 diabetes mellitus (T2DM).
METHODS
Elderly T2DM patients (> 65 years of age, n = 48) were categorized based on their concentration of glycated hemoglobin (HbA1c). Subjects with HbA1c levels below 7% were placed in the good control (GC) group and those with HbA1c levels equal to or above 8% were placed in the poor control (PC) group. Anthropometric data, blood parameters, and dietary intake records were compared between the groups. Statistical analysis included Student's t-test, chi-square test, and Pearson correlation coefficient test.
RESULTS
Anthropometric data, including body mass index (24.7 +/- 2.9 kg/m2), did not differ between the GC and PC groups. Significant abnormalities in blood glucose levels (P < 0.01), lean body mass (P < 0.01), and plasma protein and albumin levels (P < 0.05, P < 0.01) were found in the PC group. In contrast to the GC group, the PC group depended on carbohydrate (P = 0.014) rather than protein (P = 0.013) or fat (P = 0.005) as a major source of energy, and had a lower index of nutritional quality for nutrients such as protein (P = 0.001), and all vitamins and minerals (P < 0.001, 0.01, or 0.05 for individual nutrients), except vitamin C, in their usual diet. Negative correlations between HbA1C levels and protein (r = -0.338, P < 0.05) or fat (r = -0.385, P < 0.01) intakes were also found.
CONCLUSIONS
Healthcare professionals should encourage elderly diabetic patients to consume a balanced diet to maintain good glycemic control.

Keyword

Diabetic elders; Fat; HbA1(C); Micronutrients; Protein

MeSH Terms

Aged
Ascorbic Acid
Blood Glucose
Body Mass Index
Delivery of Health Care
Diabetes Mellitus, Type 2
Diet
Hemoglobins
Humans
Micronutrients
Minerals
Nutritive Value
Plasma
Vitamins
Ascorbic Acid
Blood Glucose
Hemoglobins
Micronutrients
Minerals
Vitamins

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