relationship between eating patterns and metabolic control in patients with non-insulin-dependent diabetes mellitus (NIDDM)

The most important elements in the therapeutic plan of patients with non-insulin-dependent diabetes mellitus (NIDDM) is dietary modification. Dietary instructions target patient behaviors in two areas: following an exchange-based diet and adhering to the same basic eating pattern every day. However,...

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Bibliographic Details
Published in:The Diabetes educator 1994-07, Vol.20 (4), p.317-321
Main Authors: Schmidt, L.E, Rost, K.M, McGill, J.B, Santiago, J.V
Format: Article
Language:English
Subjects:
diabetes mellitus
Diabetes Mellitus, Type 2 - diet therapy
Diabetes Mellitus, Type 2 - metabolism
Diet, Diabetic - methods
eating habits
Feeding Behavior
Female
Follow-Up Studies
Humans
Male
men
metabolism
Middle Aged
Nursing
nutrition education
women
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Summary:The most important elements in the therapeutic plan of patients with non-insulin-dependent diabetes mellitus (NIDDM) is dietary modification. Dietary instructions target patient behaviors in two areas: following an exchange-based diet and adhering to the same basic eating pattern every day. However, there is little empirical data that addresses the relationship between dietary instruction and metabolic control. Fifty patients with NIDDM were enrolled in an 8-week study to ascertain if either dietary approach was more predictive of improved metabolic control. The effect on metabolic control was determined by changes in HbA1c over a 2- to 3-month period. Patients added or deleted almost half of all prescribed exchanges, and added or deleted an average of one prescribed meal or snack per day. Deviations in prescribed eating patterns, particularly breakfast-skipping and snack additions and deletions, were related to poorer metabolic control. Maintaining consistent eating patterns should be further evaluated as an important component of dietary instruction for patients with NIDDM.
ISSN:0145-7217
1554-6063
DOI:10.1177/014572179402000410