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

doi:10.5720/kjcn.2020.25.3.214

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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):214-225.
DOI: https://doi.org/10.5720/kjcn.2020.25.3.214
Published online: June 30, 2020

¹Dietitian, Dietary Team, Soon Chun Hyang University Hospital Gumi, Gumi, Korea

²Student, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea

³Professor, Department of Food and Nutrition, Ulsan College, Ulsan, Korea

⁴Professor, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea

Corresponding author: Jung-Sook Seo,
Email: jsseo@ynu.ac.kr

Received: 4 June 2020 • Revised: 22 June 2020 • Accepted: 23 June 2020

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Abstract

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.

Keywords: nutrition care process; nutrition counseling; type 2 diabetic patients; glycemic control; diet therapy

Korean J Community Nutr. 2020 Jun;25(3):214-225. Korean.
Published online Jun 30, 2020.
https://doi.org/10.5720/kjcn.2020.25.3.214

Original Article

Effect of Nutrition Counseling by Nutrition Care Process on Diet Therapy Practice and Glycemic Control in Type 2 Diabetic Patients

Tae-Jeong Bae

,¹ Na-Eun Jeon

,² Soo-Kyong Choi

,³ and Jung-Sook Seo

⁴

Author information

Author notes

- ¹Dietitian, Dietary Team, Soon Chun Hyang University Hospital Gumi, Gumi, Korea.
- ²Student, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea.
- ³Professor, Department of Food and Nutrition, Ulsan College, Ulsan, Korea.
- ⁴Professor, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea.
Corresponding author: Jung-Sook Seo. Department of Food and Nutrition, Yeungnam University, Gyeongsan 38541, Korea. Tel: (053) 810-2875, Fax: (053) 810-4768, Email: jsseo@ynu.ac.kr

Received June 04, 2020; Revised June 22, 2020; Accepted June 23, 2020.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 therapy-related 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.

Keywords

nutrition care process; nutrition counseling; type 2 diabetic patients; glycemic control; diet therapy

Figures

Fig. 1
Nutrition intervention achievement rate of the subjects

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Tables

Table 1
General characteristics of the subjects (n=49)

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Table 2
Diabetes-related factors of the subjects

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Table 3
Nutrition diagnositic analysis of the subjects

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Table 4
Change of health-related behaviors of the subjects before and after nutrition counseling1)

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Table 5
Change of diet therapy-related items of the subjects before and after nutrition counseling1)

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Table 6
Change of dietary life of the subjects before and after nutrition counseling1)

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Table 7
Change of diet therapy-related knowledge of the subjects before and after nutrition counseling1)

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Table 8
Change of diet therapy-related barriers of the subjects before and after nutrition counseling1)

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Table 9
Clinical characteristics of the subjects before and after nutrition counseling1)

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