Korean Journal of Community Nutrition

Research Article

[English]
Effect of Nutrition Counseling by Nutrition Care Process on Diet Therapy Practice and Glycemic Control in Type 2 Diabetic Patients: Tae-Jeong Bae, Na-Eun Jeon, Soo-Kyong Choi, Jung-Sook Seo; Korean J Community Nutr 2020;25(3):214-225. Published online June 30, 2020; DOI: https://doi.org/10.5720/kjcn.2020.25.3.214

Objectives
This study examined the effects of nutrition counseling by the nutrition care process (NCP) on diet therapy practice and glycemic control in patients with type 2 diabetes mellitus.
Methods
The survey was conducted on 49 patients whose hemoglobin A1c (HbA1c) level ranged from 6.5% to below 10% among patients aged 30∼60s with type 2 diabetes mellitus. Nutrition counseling by the NCP process was carried out twice: first nutrition counseling and follow up counseling. The questionnaires were composed of 54 questions in five fields (general characteristics, health-related behaviors, diet therapyrelated items, dietary life, diet therapy-related knowledge, diet therapy-related barriers). Nutrition intervention in nutrition counseling was performed based on the individualized diagnosis of NCP.
Results
All the subjects practiced self-monitoring of their blood glucose levels, regular exercise, and diet therapy after NCP-based nutrition counseling. Diet therapy-related knowledge and practice by the subjects were improved after nutrition counseling. While the intake of boiled white rice decreased, the intake of boiled brown rice and barley rice in the subjects increased significantly. After nutrition counseling, the weight and HbA1c of the subjects decreased.
Conclusions
These results suggest that personalized nutrition counseling by NCP process is effective for diet therapy compliance and glycemic control of type 2 diabetic patients.

Citations

Citations to this article as recorded by

Nutrition education programs necessary for social welfare facilities for persons with disabilities: a cross-sectional study
Jinkyung Kim, Min-Sun Jeon
Korean Journal of Community Nutrition.2024; 29(1): 1. CrossRef
Effect of Health educational intervention in the form of counseling on changes in anthropometric and biochemical parameters of type 2 diabetes mellitus
Dijana Stantić-Romić, Hajnalka Požar, Sanja Šumonja
Sestrinska rec.2023; 26(86): 17. CrossRef
The association between nutrition label utilization and disease management education among hypertension or diabetes diagnosed in Korea using 2018 Community Health Survey: a cross-sectional study
Miran Jin, Jayeun Kim, Kyuhyun Yoon
Korean Journal of Community Nutrition.2023; 28(1): 38. CrossRef

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Original Articles

[English]
Effects of an Intensive Management Program for Diabetic Patients on a Blood Biochemical Profile and Diabetes Knowledge: Su Jeong Yeo, Bok Hee Kim; Korean J Community Nutr 2018;23(2):148-161. Published online April 30, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.2.148

Abstract PDF PubReader

OBJECTIVES
This study examined the effects of nutrition education and exercise therapies on the hematological status and diabetes knowledge of diabetic patients. For this purpose, a 12-week intensive management program was provided to diabetic patients participating in an exercise program in S health subcenter in Kwangju city and the effects were analyzed.
METHODS
The subjects were 26 diabetic patients, who provided written informed consent. As a preliminary survey, this study examined the general characteristics, physical status, obesity, blood pressure, hematological status, daily activity level, diabetes knowledge, diet performance, and barriers to diet therapy. After the 12-week intensive management program was completed, a post-test was conducted in the same way as the preliminary test. The data were analyzed with using SPSS 18.0. The data from this study are presented as the mean Â± standard deviation. A paired t-test was conducted to compare differences in the means before and after the program. Statistical significance was set to p < 0.05.
RESULTS
The results of the program are presented as follows. The HDL-cholesterol levels changed from 39.8 Â± 10.5 mg/dL to 48.3 Â± 13.1 mg/dL, showing a significant increase (p < 0.001). The blood sugar 2 hours after a meal changed from 175.2 Â± 67.1 mg/dL to 140.5 Â± 42.5 mg/dL, showing a significant decrease (p=0.014). The glycosylated hemoglobin levels decreased significantly from 6.7 Â± 1.1% to 6.3 Â± 1.0% (p=0.010). The total scores of the daily activity levels increased significantly from 3.8 Â± 2.4 to 4.8 Â± 2.5 (p=0.040). The scores of knowledge on diabetes increased from 11.5 Â± 3.6 to 14.0 Â± 3.8 (p=0.001). The scores of knowledge on diet therapy changed from 6.7 Â± 2.2 to 7.9 Â± 1.7, showing a significant increase (p=0.027).
CONCLUSIONS
The 12-week intensive management program intervened by nutrition education and exercise therapies induced positive changes to the HDL-cholesterol, blood sugar 2 hours after a meal, glycosylated hemoglobin, daily activity levels, and knowledge on diabetes.

Citations

Citations to this article as recorded by

The Associated Factors of Medical Treatment in Diabetic Patients
Sun Ju Choi, So Yeon Ryu, Jong Park, Seong Woo Choi
Journal of Health Informatics and Statistics.2021; 46(3): 302. CrossRef
Association between diabetes mellitus and anemia among Korean adults according to sex: a cross-sectional analysis of data from the Korea National Health and Nutrition Examination Survey (2010–2016)
Mihye Kim, Sook-Hyun Lee, Kyoung Sun Park, Eun-Jung Kim, Sujung Yeo, In-Hyuk Ha
BMC Endocrine Disorders.2021;[Epub] CrossRef
Effect of Nutrition Counseling by Nutrition Care Process on Diet Therapy Practice and Glycemic Control in Type 2 Diabetic Patients
Tae-Jeong Bae, Na-Eun Jeon, Soo-Kyong Choi, Jung-Sook Seo
Korean Journal of Community Nutrition.2020; 25(3): 214. CrossRef

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[English]
Perception and Use of Complementary and Alternative Medicine in Diabetic Patients in Busan Area: Hyeryung Kim, Eunjoo Son, Mikyung Kim, Eunsoon Lyu; Korean J Community Nutr 2011;16(4):488-496. Published online August 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.4.488

Abstract PDF PubReader

The purpose of this study was to investigate the perception and utilization of Complementary and Alternative Medicine (CAM) for diabetic patients in Busan. The subjects were 227 patients at two general hospitals (over 400 bed). This study was performed through the interviewing process using questionnaires conducted from January to April, 2010. Of a total of subjects, 109 patients (48.0%) had taken CAM at least one time. The patients used CAM recognized that they were 'auxiliary medicines' (39.4%), 'supplementary health foods' (32.1%) and 'medicines' (19.3%), but inexperienced patients perceived them as 'supplementary health foods' (29.6%), 'unscientific treatment' (22.6%) and 'medicines' (20.2%), It was significantly different between two groups of patients (p < 0.001). The number of CAM types used for the patients was 51. The CAM types were plant foods (64.3%), dietary supplement (23.6%) and animal diets (12.1%). The patients used an average of 5.9 different kinds of CAM and an average of 3.8 years them and paid \93,345 per month. The patients with diabetic complications and for longer morbidity periods used CAM for significantly (p < 0.05) longer periods. The mean effectiveness scores of the patients used CAM were 3.31/5.00 for efficacy satisfaction, 3.58/5.00 for fewer side effects compared to those of oral drugs, 3.60/5.00 for psychological stability, 3.81/5.00 for easiness to use, and 3.06/5.00 for economic satisfaction. Of the patients that used CAM, 55.9% did not consult with doctors about CAM. More than two-thirds of the patients (77.1%) did not feel the need to consult with doctors.

Citations

Citations to this article as recorded by

Utilization and Awareness of Complementary and Alternative Medicine (CAM) in Rural Hypertension or Diabetes Patients
Myung In Lee, Yoon Lee Kim, Young Mi Seo, Myung Ha Lee, Seok Hee Jeong
The Journal of Digital Policy and Management.2014; 12(1): 457. CrossRef
Utilization Behaviour and Influencing Factors of Complementary and Alternative Medicine Therapies Among the Elderly
Gi-Won Moon, Jun-Ho Kim, Chun-Bae Kim
Journal of agricultural medicine and community health.2013; 38(1): 25. CrossRef

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