PMID- 22655451
OWN - NLM
STAT- MEDLINE
DCOM- 20120713
LR  - 20221207
IS  - 1394-035X (Print)
IS  - 1394-035X (Linking)
VI  - 17
IP  - 3
DP  - 2011 Dec
TI  - Dietary compliance and its association with glycemic control among poorly 
      controlled type 2 diabetic outpatients in Hospital Universiti Sains Malaysia.
PG  - 287-99
AB  - INTRODUCTION: Compliance with medical nutrition therapy is important to improve 
      patient outcomes. The purpose of this study was to determine dietary compliance 
      and its association with glycemic control among outpatients with poorly 
      controlled type 2 diabetes mellitus (T2DM) in Hospital Universiti Sains Malaysia 
      (HUSM). METHODS: In this cross-sectional study, patients who had a glycosylated 
      hemoglobin (HbA1c) level of at least 6.5%, after attending a diet counseling 
      session at the Outpatient Dietetic Clinic, HUSM, were enrolled. Out of 150 
      diabetic patients reviewed between 2006 and 2008, 61 adults (32 men and 29 women) 
      agreed to participate in this study. A questionnaire-based interview was used to 
      collect socio-demographic, clinical and diabetes self-care data. The patient's 
      dietary compliance rate was determined by the Summary of Diabetes Self-Care 
      Activities (SDSCA) measure. Anthropometric and biological measurements were also 
      taken. RESULTS: Only 16.4% of the respondents adhered to the dietary regimen 
      provided by dietitians. Among the 7 dietary self-care behaviours, item number 6 
      (eat lots of food high in dietary fibre such as vegetable or oats) had the 
      highest compliant rate (54.1%); whereas item number 3 (eat five or more servings 
      of fruits and vegetables per day) had the lowest compliant rate (23.0%). There 
      was a significant association between gender (p = 0.037) and fasting blood sugar 
      (FBS) (p = 0.007) with the compliance status. CONCLUSION: Dietary non-compliance 
      is still common among T2DM patients. Dietitians need to improve their skills and 
      use more effective intervention approaches in providing dietary counseling to 
      patients.
FAU - Tan, S L
AU  - Tan SL
AD  - Dietetic Program, School of Health Sciences, Health Campus, Universiti Sains 
      Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. szelin.tan@yahoo.com
FAU - Juliana, S
AU  - Juliana S
FAU - Sakinah, H
AU  - Sakinah H
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Malaysia
TA  - Malays J Nutr
JT  - Malaysian journal of nutrition
JID - 101286655
RN  - 0 (Blood Glucose)
RN  - 0 (Dietary Fiber)
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Blood Glucose/*analysis
MH  - Body Mass Index
MH  - Counseling
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/blood/complications/*diet therapy
MH  - Dietary Fiber/administration & dosage
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Malaysia
MH  - Male
MH  - Middle Aged
MH  - Obesity/complications
MH  - Overweight/complications
MH  - Patient Compliance
MH  - Surveys and Questionnaires
EDAT- 2012/06/05 06:00
MHDA- 2012/07/14 06:00
CRDT- 2012/06/05 06:00
PHST- 2012/06/05 06:00 [entrez]
PHST- 2012/06/05 06:00 [pubmed]
PHST- 2012/07/14 06:00 [medline]
PST - ppublish
SO  - Malays J Nutr. 2011 Dec;17(3):287-99.