Qualitative evaluation of attitude to nutrition of patients with type 2 diabetes mellitus

Yu.A. Moiseeva; Mariya I. Marushchak; N.V. Lisnianska; O.M. Kopanytsia

Summary. One of the common goals of T2DM diet therapy is to improve knowledge about diabetes-related nutrition in order to promote positive dietary practices and improve the quality of nutrition. The aim of the study – to assess the attitude to nutrition of patients with type 2 diabetes. Materials and Methods. The study included 34 patients with T2DM who were hospitalized in the municipal institution "City Clinical Hospital No 4" of the Dnipro City Council. Each patient was interviewed for 30–60 minutes, during which the researcher found out how the diagnosis of diabetes changed the attitude to nutrition, the role of nutrition in diabetes, in particular, the following questions were asked: do you consider nutrition a component of a normal stable life; how your diet changed since you had been diagnosed with diabetes; did your attitude towards food change after you learned that you had diabetes; how others relate to the fact that you refuse certain foods due to diabetes; how you assess your emotional state in the company at the table; how you organized your meals in the family; do you get positive emotions from eating; do you associate glucose growth with dietary errors? Results. The analysis of the obtained results showed that the vast majority of patients (61.76 %) understand that nutrition is an important component of a normal stable life, but the remaining 38.24 % of patients do not think about the quality of nutrition for the normal functioning of their body. Almost all patients with T2DM changed their diet after the disease was detected, and 9 patients are strictly following the diet, 4 patients reducing only the portion size, the rest trying to follow a diet. After the diagnosed T2DM patients also changed their attitude to food, in particular, most patients increased the desire to eat "harmful" for this category of patients. Often, both patients and surrounded people felt uncomfortable eating at the same table. Conclusions. Dietary modification is a necessary measure for the effective management of type 2 diabetes mellitus in patients. The joint work of medical staff with a patient with diabetes will allow to develop strategies for a particular patient that will balance not only their diet, but also interpersonal relationships during meals

[1] Voloshin O, Glubochenko O, Pankiv I. Peculiarities of phytotherapy of diabetes mellitus through the prism of comorbidity and prevention of complications (review of literature). International Journal of Endocrinology. 2019;15(3): 258-67.

[2] Kaiser AB, Zhang N, Van Der Pluijm W. Global prevalence of type 2 diabetes over the next ten years (2018-2028). Diabetes. 2018;67(1): 202.

[3] Caspersen CJ, Thomas GD, Boseman LA. Aging, diabetes, and the public health system in the United States. Am J Public Health. 2012;102: 1482-97.

[4] Pi-Sunyer FX, Maggio CA, McCarron DA. Multicenter randomized trial of a comprehensive prepared meal program in type 2 diabetes. Diabetes Care. 1999;22: 191-7.

[5] Schoenberg NE, Howell BM, Swanson M, et al.Perspectives on healthy eating among Appalachian residents. J Rural Health. 2013;29(Suppl. 1): S25-S34.

[6] Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. Lancet. 2004;363: 1589-97.

[7] Beverly EA, Fitzgerald SM, Brooks KM. Impact of reinforcement of diabetes self-care on poorly controlled diabetes: a randomized controlled trial. Diabetes Educ. 2013;39: 504-14.

[8] Evert AB, Boucher JL, Cypress M, et al. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2013;36: 3821-42.

[9] Franz MJ, Boucher JL, Evert AB. Evidence-based diabetes nutrition therapy recommendations are effective: the key is individualization. Diabetes Metab Syndr Obes. 2014;7: 65-72.

[10] Franz MJ, Boucher JL, Green-Pastors J, Powers MA. Evidence-based nutrition practice guidelines for diabetes and scope and standards of practice. J Am Diet Assoc. 2008;108(Suppl. 1): S52-8.

[11] Franz MJ, Powers MA, Leontos C. The evidence for medical nutrition therapy for type 1 and type 2 diabetes in adults. J Am Diet Assoc. 2010;110: 1852-89.

[12] Ajala O, English P, Pinkney J. Systematic review and meta-analysis of different dietary approaches to themanagement of type 2 diabetes. Am J Clin Nutr. 2013;97: 505-16.

[13] Ley SH, Hamdy O, Mohan V, Hu FB. Prevention and management of type 2 diabetes: dietary components and nutritional strategies. Lancet. 2014;383: 1999-2007.

[14] Ali MK, Bullard KM, Gregg EW. Achievement of goals in U.S. diabetes care, 1999–2010. N Engl J Med. 2013;369: 287-8.