PMID- 29399299
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230926
IS  - 1976-1457 (Print)
IS  - 2005-6168 (Electronic)
IS  - 1976-1457 (Linking)
VI  - 12
IP  - 1
DP  - 2018 Feb
TI  - Self-management levels of diet and metabolic risk factors according to disease 
      duration in patients with type 2 diabetes.
PG  - 69-77
LID - 10.4162/nrp.2018.12.1.69 [doi]
AB  - BACKGROUND/OBJECTIVES: Metabolic risk factors should be managed effectively in 
      patients with type 2 diabetes mellitus (T2DM) to prevent or delay diabetic 
      complications. This study aimed to compare the self-management levels of diet and 
      metabolic risk factors in patients with T2DM, according to the duration of 
      illness, and to examine the trends in self-management levels during the recent 
      decades. SUBJECTS/METHODS: Data were collected from the Korea National Health and 
      Nutrition Examination Surveys (KNHANES, 1998-2014). In our analysis, 4,148 
      patients with T2DM, aged >/= 30 years, were categorized according to the duration 
      of their illness (< 5 years, 5-9 years, and >/= 10 years). Demographic and 
      lifestyle information was assessed through self-administered questionnaires, and 
      biomarker levels (e.g., fasting glucose level, blood pressure, or lipid level) 
      were obtained from a health examination. Dietary intake was assessed by a 
      24-recall, and adherence level to dietary guidelines (meal patterns and intake 
      levels of calories, carbohydrates, vegetable/seaweed, sodium, and alcohol) were 
      assessed. Multivariable generalized linear regression and unconditional logistic 
      regression models were used to compare the prevalence rates of hyperglycemia, 
      dyslipidemia, and hypertension according to the duration of patients' illness, 
      accounting for the complex survey design of the KNHANES. RESULTS: In the 
      multivariable adjusted models, patients with a longer duration (>/= 10 years) of 
      T2DM had a higher prevalence of hyperglycemia than those with a shorter duration 
      of T2DM (< 5 years) (odds ratio 2.20, 95% confidence interval 1.61-3.01, P for 
      trend < 0.001). We did not observe any associations of disease duration with the 
      prevalence of hypertension and dyslipidemia. In addition, the adherence levels to 
      dietary recommendations did not significantly differ according to disease 
      duration, except adherence to moderate alcohol consumption. There were 
      significant decreasing trends in the prevalence of hyperglycemia in patients with 
      a duration of illness >/= 10 years (P for trend = 0.004). CONCLUSION: Although the 
      proportion of patients with adequate control of glucose levels has improved in 
      recent decades, poorer self-management has been found in those with a longer 
      disease duration. These findings suggest the need for well-planned and 
      individualized patient education programs to improve self-management levels and 
      quality of life by preventing or delaying diabetic complications.
FAU - Cho, Sukyung
AU  - Cho S
AD  - Department of Food and Nutrition, Yeungnam University, 280 Daehak-ro, 
      Gyeongsan-si, Gyeongbuk 38541, Korea.
FAU - Kim, Minkyeong
AU  - Kim M
AD  - Department of Food and Nutrition, Yeungnam University, 280 Daehak-ro, 
      Gyeongsan-si, Gyeongbuk 38541, Korea.
FAU - Park, Kyong
AU  - Park K
AD  - Department of Food and Nutrition, Yeungnam University, 280 Daehak-ro, 
      Gyeongsan-si, Gyeongbuk 38541, Korea.
LA  - eng
PT  - Journal Article
DEP - 20180122
PL  - Korea (South)
TA  - Nutr Res Pract
JT  - Nutrition research and practice
JID - 101311052
PMC - PMC5792259
OTO - NOTNLM
OT  - Diabetes mellitus
OT  - duration of illness
OT  - glucose
OT  - metabolic risk factors
OT  - self-management
OT  - type 2
COIS- CONFLICT OF INTEREST: The authors declare no potential conflict of interests.
EDAT- 2018/02/06 06:00
MHDA- 2018/02/06 06:01
PMCR- 2018/02/01
CRDT- 2018/02/06 06:00
PHST- 2017/12/04 00:00 [received]
PHST- 2017/12/18 00:00 [revised]
PHST- 2017/12/24 00:00 [accepted]
PHST- 2018/02/06 06:00 [entrez]
PHST- 2018/02/06 06:00 [pubmed]
PHST- 2018/02/06 06:01 [medline]
PHST- 2018/02/01 00:00 [pmc-release]
AID - 10.4162/nrp.2018.12.1.69 [doi]
PST - ppublish
SO  - Nutr Res Pract. 2018 Feb;12(1):69-77. doi: 10.4162/nrp.2018.12.1.69. Epub 2018 
      Jan 22.