• Users Online: 65
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2018  |  Volume : 9  |  Issue : 2  |  Page : 59-64

Association of dietary patterns with glycated haemoglobin among Type 2 diabetics in Karachi, Pakistan


1 Department of Nutrition, Taibah University, Madinah Almuawwara, Saudi Arabia; Department of Research, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan
2 Department of Diet and Education, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan
3 Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan
4 Department of Research, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University; Department of Biochemistry, Baqai Medical University, Karachi, Pakistan

Correspondence Address:
Dr. Asher Fawwad
Baqai Medical University, Karachi; Baqai Institute of Diabetology and Endocrinology, Plot No. 1-2, II-B, Nazimabad No. 2, Karachi 74600
Pakistan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jod.jod_4_18

Rights and Permissions

Background: Dietary habits and sedentary lifestyle are major risk factors for rapidly rising incidence of type 2 diabetes. Aim: This study aims to study the association of dietary patterns with glycated haemoglobin (HbA1c) among type 2 diabetics in Karachi. Setting: Individuals attending outpatient department of Baqai Institute of Diabetology and Endocrinology (BIDE), Karachi, Pakistan. Design: Retrospective observational study. Methodology: A total of 3193 subject's data were available. Demographic, clinical parameters, food and nutrient intake were explored; patients were categorised into groups according to the adequacy of food intake. The nutrition care process at BIDE consists of getting details of 24-h diet recall. Academy of nutrition and dietetic food exchange system was used to estimate the food requirement, energy and macronutrient intakes. Statistical Analysis: Linear regression analysis was performed for establishing relationship of HbA1c. P < 0.05 was statistically significant. SPSS version 17.0 was used for the analysis. Results: Majority of the patients (89.5%) were above the age of 35 years, using oral hypoglycaemic agents (OHA) or insulin and being overweight or obese (88%). Mean HbA1c was significantly higher (P = 0.006) in cluster 1 (high cereal, vegetable and meat) as compared to cluster 2 (moderate cereal, high vegetable and moderate meat) and cluster 3 (low cereal, moderate vegetable and moderate meat). High percentage of dietary energy was found to be significant predictors of higher levels of HbA1c (P < 0.01). Females with type 2 diabetes using OHA or using OHA with Insulin following the prescribed diet pattern were associated with better glycaemic control. Conclusion: Significant association between dietary patterns and level of HbA1c was seen among type 2 diabetics. Dietary energy was found to be significant predictors of higher levels of HbA1c. Females with type 2 diabetes using OHA or using OHA with insulin following the prescribed diet pattern were associated with better glycaemic control.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed95    
    Printed7    
    Emailed0    
    PDF Downloaded21    
    Comments [Add]    

Recommend this journal