Naslov
The effect of a lifestyle intervention on glycemic control in adults with diabetes type 2 six month after daily hospital

Autori
Martinis, Irena ; Ortner Hadžiabdić, Maja ; Vlak, Iva ; Lasić, Mirna ; Rahelić, Dario

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Diabetes and Nutrition Study Group / - , 2018, 67-67

Skup
36th International Symposium on Diabetes and Nutrition

Mjesto i datum
Opatija, Hrvatska, 27.06.2018. - 30.06.2018

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
lifestyle intervention ; glycemic control ; diabetes type 2

Sažetak
Objective: The aim of this study was to investigate the effect of lifestyle interventions in patients with type 2 diabetes on the value of glycated hemoglobin HbA1c, plasma glucose level and lipid profile after 6 months. Materials and Methods: This study was designed as observational, prospective study. Patients who visited Daily hospital at the Department of Endocrinology, Diabetes and Metabolic Disorders, Dubrava University Hospital and had non-regulated diabetes mellitus, defined as HbA1c ≥ 7, 5% were included in the study. Patients attended a five-day program of diabetes self-management education in Daily hospital. Patients were invited on control medical examination after six months. A successful patient was considered to reach HbA1c < 7% and plasma glucose < 7 mmol/L. Results: The study included 69 patients: median age 63, 3 ± 9, 8 years ; plasma glucose levels 11, 8 ± 4, 4 mmol/L ; HbA1c 9, 4 ± 1, 6 % ; body weight 91, 1 ± 21, 5 kg ; BMI 32, 4 ± 7, 0 kg/m2 ; waist circumference 107, 3 ± 15, 0 cm ; triglycerides 2, 2 ± 2, 5 mmol/L ; LDL 3, 0 ± 1, 1 mmol/L ; HDL 1, 2 ± 0, 3 mmol/L and total cholesterol 5, 1 ± 1, 3 mmol/L. On average, patients had 5, 6 ± 2, 6 diagnoses and used 5, 7 ± 2, 6 medicines. The study showed statistically significant results in lowering levels of plasma glucose (p = 0, 002), HbA1c (p < 0, 001), and triglycerides (p = 0, 002) while the other parameters showed a descending trend, but no statistically significant results. From the sociodemographic and clinical factors, only sex differences had a statistically significant influence on lowering levels of HbA1c. Men were more successful than women. Conclusion: Education and lifestyle interventions have success in lowering plasma glucose and HbA1c levels which could result in decreased incidence of complications, improved quality of life and reduced treatment costs.

Izvorni jezik
Engleski

Znanstvena područja
Nutricionizam, Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)

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