PMID- 37469812
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230721
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 6
DP  - 2023 Jun
TI  - Food Diary Completion Does Not Significantly Impact Glycemic Control in an 
      Observational Single-Institution Pilot Study of Patients with Type 2 Diabetes 
      Mellitus.
PG  - e40596
LID - 10.7759/cureus.40596 [doi]
LID - e40596
AB  - INTRODUCTION: Hemoglobin A1c is frequently used to monitor glycemic control in 
      patients with type 2 diabetes mellitus (T2DM). There is an association between 
      dietary habits and hemoglobin A1c. Food diaries are often used to assist in 
      dietary management and have been associated with modification of dietary habits. 
      We aimed to investigate the impact of completing a seven-day food diary on 
      hemoglobin A1c in subjects with T2DM. We hypothesized that patients who completed 
      a food diary might independently modify their dietary habits, resulting in a 
      clinically significant change in hemoglobin A1c. METHODS: Forty-five subjects 
      with T2DM who completed a seven-day food diary were included in this 
      observational study. Subjects had a mean hemoglobin A1c at baseline of 7.56 +/- 
      1.43 and a body mass index of 33.6 +/- 7.6 kg/m(2). A majority were female (57.8%) 
      and insulin-dependent (71.1%). The primary outcome of interest was a clinically 
      significant change in hemoglobin A1c (>/=0.5%). Outcomes were assessed before and 
      within six months after the food diary completion. Chi-square, independent-sample 
      t-tests, and logistic regression were used to analyze the data. RESULTS: Twelve 
      patients demonstrated a clinically significant decrease in hemoglobin A1c; 
      however, this was not statistically significant regardless of gender (p = 0.5), 
      baseline body mass index (p = 0.5), insulin use (p = 0.3), or community needs 
      index (p = 0.7). CONCLUSIONS: Although some patients had clinically significant 
      improvements in their hemoglobin A1c, our findings suggest that the use of food 
      diaries alone without goal-directed initiatives is insufficient to achieve 
      differences in hemoglobin A1c in patients with T2DM and an average A1c within the 
      range of 6%-8%.
CI  - Copyright (c) 2023, Alver et al.
FAU - Alver, Amalie
AU  - Alver A
AD  - Endocrinology, Kirk Kerkorian School of Medicine at the University of Nevada Las 
      Vegas, Las Vegas, USA.
AD  - Emergency Medicine, University of Washington, Seattle, USA.
FAU - Batra, Kavita
AU  - Batra K
AD  - Research, Kirk Kerkorian School of Medicine at the University of Nevada Las 
      Vegas, Las Vegas, USA.
FAU - Basu, Arpita
AU  - Basu A
AD  - Kinesiology and Nutrition Sciences, Kirk Kerkorian School of Medicine at the 
      University of Nevada Las Vegas, Las Vegas, USA.
FAU - Izuora, Kenneth
AU  - Izuora K
AD  - Endocrinology, Kirk Kerkorian School of Medicine at the University of Nevada Las 
      Vegas, Las Vegas, USA.
LA  - eng
PT  - Journal Article
DEP - 20230618
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10353833
OTO - NOTNLM
OT  - diabetes
OT  - diabetes type 2
OT  - food and nutrition
OT  - food diary
OT  - food log
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/07/20 06:42
MHDA- 2023/07/20 06:43
PMCR- 2023/06/18
CRDT- 2023/07/20 04:10
PHST- 2023/06/18 00:00 [accepted]
PHST- 2023/07/20 06:43 [medline]
PHST- 2023/07/20 06:42 [pubmed]
PHST- 2023/07/20 04:10 [entrez]
PHST- 2023/06/18 00:00 [pmc-release]
AID - 10.7759/cureus.40596 [doi]
PST - epublish
SO  - Cureus. 2023 Jun 18;15(6):e40596. doi: 10.7759/cureus.40596. eCollection 2023 
      Jun.