PMID- 21076578 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20220409 IS - 2093-2650 (Electronic) IS - 1976-9180 (Print) IS - 1976-9180 (Linking) VI - 34 IP - 5 DP - 2010 Oct TI - A comparative study of diet in good and poor glycemic control groups in elderly patients with type 2 diabetes mellitus. PG - 303-11 LID - 10.4093/kdj.2010.34.5.303 [doi] AB - BACKGROUND: Identification of dietary patterns is important for glycemic management in elderly patients with type 2 diabetes mellitus (T2DM). METHODS: Elderly T2DM patients (> 65 years of age, n = 48) were categorized based on their concentration of glycated hemoglobin (HbA(1c)). Subjects with HbA(1c) levels below 7% were placed in the good control (GC) group and those with HbA(1c) levels equal to or above 8% were placed in the poor control (PC) group. Anthropometric data, blood parameters, and dietary intake records were compared between the groups. Statistical analysis included Student's t-test, chi-square test, and Pearson correlation coefficient test. RESULTS: Anthropometric data, including body mass index (24.7 +/- 2.9 kg/m(2)), did not differ between the GC and PC groups. Significant abnormalities in blood glucose levels (P < 0.01), lean body mass (P < 0.01), and plasma protein and albumin levels (P < 0.05, P < 0.01) were found in the PC group. In contrast to the GC group, the PC group depended on carbohydrate (P = 0.014) rather than protein (P = 0.013) or fat (P = 0.005) as a major source of energy, and had a lower index of nutritional quality for nutrients such as protein (P = 0.001), and all vitamins and minerals (P < 0.001, 0.01, or 0.05 for individual nutrients), except vitamin C, in their usual diet. Negative correlations between HbA(1c) levels and protein (r = -0.338, P < 0.05) or fat (r = -0.385, P < 0.01) intakes were also found. CONCLUSIONS: Healthcare professionals should encourage elderly diabetic patients to consume a balanced diet to maintain good glycemic control. FAU - Woo, Mi-Hye AU - Woo MH AD - Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Korea. FAU - Park, Soojin AU - Park S FAU - Woo, Jeong-Taek AU - Woo JT FAU - Choue, Ryowon AU - Choue R LA - eng PT - Journal Article DEP - 20101031 PL - Korea (South) TA - Korean Diabetes J JT - Korean diabetes journal JID - 101477168 PMC - PMC2972490 OTO - NOTNLM OT - Diabetic elders OT - Fat OT - HbA1c OT - Micronutrients OT - Protein EDAT- 2010/11/16 06:00 MHDA- 2010/11/16 06:01 PMCR- 2010/10/01 CRDT- 2010/11/16 06:00 PHST- 2010/02/02 00:00 [received] PHST- 2010/07/23 00:00 [accepted] PHST- 2010/11/16 06:00 [entrez] PHST- 2010/11/16 06:00 [pubmed] PHST- 2010/11/16 06:01 [medline] PHST- 2010/10/01 00:00 [pmc-release] AID - 10.4093/kdj.2010.34.5.303 [doi] PST - ppublish SO - Korean Diabetes J. 2010 Oct;34(5):303-11. doi: 10.4093/kdj.2010.34.5.303. Epub 2010 Oct 31.