[Importance of nutritional counseling and dietary fiber content on glycemic control in type 2 diabetic patients under intensive educational intervention]. / Importância da orientação nutricional e do teor de fibras da dieta no controle glicêmico de pacientes diabéticos tipo 2 sob intervenção educacional intensiva.
Arq Bras Endocrinol Metabol
; 56(2): 110-9, 2012 Mar.
Article
em Pt
| MEDLINE
| ID: mdl-22584564
ABSTRACT
OBJECTIVE:
To evaluate the importance of nutritional counseling within a set of multidisciplinary interventions. SUBJECTS ANDMETHODS:
Forty-seven patients with type 2 diabetes and hyperglycemia (A1C ≥ 8%), treated conventionally (n = 19, GC) or intensively in six weekly visits (n = 28, GI) were analyzed. We evaluated mean weekly blood glucose (MWG) at baseline and after 6 weeks in both groups.RESULTS:
GI reduced caloric (p = 0.001), carbohydrate (p = 0.004), and fat (p = 0.001) intake, and increased fiber consumption, while GC reduced fiber intake (p = 0.018). Glycemic control (MWG ≤ 150 mg/dL) occurred in 75% of GI patients and in 31.6% of CG patients (p = 0.003), with negative correlation between changes in fiber intake and MWG values (r =-0.309; P = 0.035). Results were maintained after 12 weeks.CONCLUSION:
Educational short-term intensive intervention was more effective than conventional treatment to achieve glycemic control. Our results also indicate that a more appropriate fiber content in the diet contributes for better blood glucose control in these patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Equipe de Assistência ao Paciente
/
Glicemia
/
Fibras na Dieta
/
Educação de Pacientes como Assunto
/
Diabetes Mellitus Tipo 2
Idioma:
Pt
Ano de publicação:
2012
Tipo de documento:
Article