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Manipal Journal of Nursing and Health Sciences

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a complex, chronic condition that can cause acute and chronic complications due to poor glycaemic control. This highlights the importance of self-management in achieving optimal glycaemic control. Dietary advice plays a vital role in the self-management of T2DM.

Objective: To study the effect of dietician consultation on the glycated Hb levels in T2DM patients and to compare it with T2DM patients, not on dietician consultation.

Methods: This is a cross-sectional study amongst people with type 2 diabetes mellitus (T2DM) was conducted in predominantly rural and suburban communities of Udupi taluk, Karnataka, South India. Using a purposive sampling technique, 482 participants participated in the study. Among the 467 participants, 53 people with T2DM were on dietician consultation, and the equal number of age and duration-matched participants who were not on dietician consultation were analyzed to assess the effect of dietician consultation on glycaemic control. The demographic details and glycated Hb levels (HbA1c) were obtained for both groups. One sample t-test, independent t-test, and Pearson correlation were used for the data analysis.

Results: On comparing mean HbA1c levels between age and duration-matched groups, the participants not on dietician consultation had a significantly higher HbA1c.

Conclusion: The dietician consultation has a positive impact on glycaemic control in people with T2DM. Along with medication, lifestyle modifications, the dietician consultation is recommended to achieve better glycaemic control and prevent T2DM related complications

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