| Summary: | 碩士 === 國立屏東科技大學 === 食品科學系所 === 97 === Diabetes mellitus becomes a burden of modern life, diabetes-related mortality rate is the fast-increasing one in the top 10 leading cause of death in the recent years, also with high incidence of hospitalization men´s health were challenged by the diabetes. It is estimated the cost of diabetes and it´s related complication care consumes 8-15% of the total medical expenditure. According to the studies, medical, diet control and planned exercise were prescribed by physician routinely; diet control is the mainstay of the diabetic metabolism. It is a safe and effective way to control diabetes. We study the nutrition education effects on the type 2 diabetes mellitus patients by investigating their dietary patterns and biochemical parameters.
80 type 2 diabetes mellitus patients were regular follow-up in the diabetic clinic during the period. 78 patients (40-75 years old, mean age 61.69±8.49) were included in the study except 2 patients who did not complete the nutritional education regularly. There were 38 patients (male23; female15) in the experimental group who had the completed nutritional education during the period, 40 patients (male22; female18) in the control group who had the nutritional education once only.
Both the systole and diastole blood pressure are controlled with in normal limits after the education lowered significantly than before (130.2±6.6/79.8±5.5mmHg, 131.5±6.7/81.8±6.6mmHg, P＜0.05) in the experimental group. Both AC sugar and HbA1c were significantly improved after education also (133.1±22.2mg/dl and 6.3±0.4%, 143.9±28.7 mg/dl and 6.9±0.9%, P＜0.05). On the contrary, the blood pressure, AC sugar and HbA1c of the control group were higher after the education. Biochemical files, triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), remained the same in pre- and post- education and in both groups but the TG, TC, LDL-C, were higher than normal limits, HDL-C were lower than the normal limits. Hyperlipidemia of the patients was noted.
Mean calorie and carbohydrate intakes were lowered significantly after the education in the experimental group (P＜0.05),mean fat intake ratio before and post education of both groups were 33.04±4.0%~33.6±5.4%, which was higher than recommendations. This shown excess fat intake of the DM patients.
Cereal and oil intake were decreased after the education in the experimental group. Post education cereal and oil intake of the control group were significant higher than the experimental group. Fruit intake were 2.79±2.41 serving before education and 2.03±1.12 serving after education in the experimental group, the intake of fruit were significant decreased (P＜0.05) and compared with the recommendation level (2 serving). Post-education sugar intake 0.92±3.3g were lowered significantly as compared with the pre-education 4.9±11.7g (P＜0.05), also significantly lowered, compared with the experimental group(4.24. ±8.4g P＜0.05).
|
|---|
