PMID- 37533574 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230804 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 10 DP - 2023 TI - Optimising blood glucose control with portioned meal box in type 2 diabetes mellitus patients: a randomised control trial. PG - 1216753 LID - 10.3389/fnut.2023.1216753 [doi] LID - 1216753 AB - BACKGROUND: The impact of dietary factors on glycaemic control in type 2 diabetes mellitus (T2DM) is well established. However, the effectiveness of transforming portion control into a practical innovation for glycaemic control in T2DM has not yet been established for counselling in nutrition. The aim of this study was to compare the effect of general counselling in nutrition (GCN) and a portioned meal box (PMB) on fasting blood glucose, glycated haemoglobin (HbA1c) and body composition. METHODS: A randomised, parallel intervention trial was conducted over 12 weeks, with GCN: carbohydrate portion control concept by using food exchange lists (n = 25) and PMB: portioned meal box was set by energy requirements (n = 25). RESULTS: Both GCN and PMB demonstrated reductions in HbA1c levels at the 6th and 12th weeks compared to baseline. However, no significant difference in HbA1c was observed between GCN and PMB at either the 6th or 12th week. Using PMB at least four times a week significantly decreased HbA1c during the intervention period (p = 0.021 and p < 0.001 for weeks 6 and 12 when compared with baseline, respectively). Changes in body composition were observed: body weight decrease in PMB only, body fat decrease and constant muscle mass in both groups. Both methods tended to relieve hunger and increased satiety in both groups. The satisfaction evaluation showed that participants preferred to use PMB over GCN (p = 0.001). Additionally, participants consumed less energy, carbohydrate and fat in PMB (p = 0.001, p = 0.019, and p = 0.001, respectively) and less energy and fat in GCN (p = 0.006 and p = 0.001, respectively). CONCLUSION: A better diet, either through GCN or PMB, can play an important role in improving dietary intake compliance and controlling blood glucose. CI - Copyright (c) 2023 Maneesing, Dawangpa, Chaivanit, Songsakul, Prasertsri, Yumi Noronha, Watanabe, Nonino, Pratumvinit and Sae-Lee. FAU - Maneesing, Tanu-Udom AU - Maneesing TU AD - Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand. AD - Exercise and Nutrition Innovation and Sciences Research Unit, Burapha University, Chonburi, Thailand. FAU - Dawangpa, Atchara AU - Dawangpa A AD - Department of Clinical Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. AD - Research Division, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Chaivanit, Pechngam AU - Chaivanit P AD - Department of Internal Medicine, Faculty of Medicine, Burapha University, Chonburi, Thailand. FAU - Songsakul, Sudjai AU - Songsakul S AD - Department of Internal Medicine, Faculty of Medicine, Burapha University, Chonburi, Thailand. FAU - Prasertsri, Piyapong AU - Prasertsri P AD - Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand. AD - Exercise and Nutrition Innovation and Sciences Research Unit, Burapha University, Chonburi, Thailand. FAU - Yumi Noronha, Natalia AU - Yumi Noronha N AD - Department of Health Sciences, Ribeirao Preto Medical School, Sao Paulo, Brazil. FAU - Watanabe, Ligia Moriguchi AU - Watanabe LM AD - Department of Internal Medicine, Ribeirao Preto Medical School, University of Sao Paulo, Sao Paulo, Brazil. FAU - Nonino, Carla Barbosa AU - Nonino CB AD - Department of Health Sciences, Ribeirao Preto Medical School, Sao Paulo, Brazil. AD - Department of Internal Medicine, Ribeirao Preto Medical School, University of Sao Paulo, Sao Paulo, Brazil. FAU - Pratumvinit, Busadee AU - Pratumvinit B AD - Department of Clinical Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Sae-Lee, Chanachai AU - Sae-Lee C AD - Department of Clinical Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. AD - Research Division, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. LA - eng PT - Journal Article DEP - 20230718 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC10390788 OTO - NOTNLM OT - HbA1c OT - dietary counselling OT - fasting blood glucose OT - portioned meal box OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer LN declared a shared parent affiliation with the authors NY, LW, CN to the handling editor at time of review. EDAT- 2023/08/03 06:43 MHDA- 2023/08/03 06:44 PMCR- 2023/01/01 CRDT- 2023/08/03 03:53 PHST- 2023/05/04 00:00 [received] PHST- 2023/07/04 00:00 [accepted] PHST- 2023/08/03 06:44 [medline] PHST- 2023/08/03 06:43 [pubmed] PHST- 2023/08/03 03:53 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2023.1216753 [doi] PST - epublish SO - Front Nutr. 2023 Jul 18;10:1216753. doi: 10.3389/fnut.2023.1216753. eCollection 2023.