KẾT QUẢ TƯ VẤN DINH DƯỠNG Ở NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG TYP 2 CÓ THỪA CÂN BÉO PHÌ TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG

Abstract

Objective: Evaluate the results of individual nutritional counseling in a group of overweight-obese type 2 diabetic patients who have not achieved treatment goals with oral hypoglycemic drugs. Research method: Nutritional counseling intervention study on 84 overweight-obese type 2 diabetic patients with an average age 52.1±6.1 years old, female (54.8%). Overweight patients accounted for the majority in the study (60.7%), average fasting blood sugar was 7.6±0.4 mmol/L and average HbA1c was 7.6±0.4%. Research results: The rates of knowledge and practice before and after intervention were: 48.8% and 81.0% (p < 0.05) and 38.1% and 75% (p < 0.05); Dietary energy in 24 hours after intervention decreased compared to before intervention (1442±321 kcal compared to 1779±542 kcal, p < 0.05). Average fasting blood sugar and HbA1c both decreased after intervention compared to before intervention, respectively 7.0±1.7 mmol/L vs 8.7±2.8 mmol/L (p < 0.05) and 6.9±0.5% vs. 7.6±0.4%, (p < 0.05). The average BMI, waist measurement, and waist-hip index before and after intervention did not change significantly. Conclusion: Nutritional counseling was a highly effective nutritional intervention to change knowledge, and practice and improve blood sugar in overweight-obese type 2 diabetic patients.