Dietary guidance for older patients with diabetes mellitus and their primary caregivers using a Model Nutritional Balance Chart

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Abstract

Aim

Dietary control of diabetes mellitus becomes hard in care-dependent older patients staying at home due to the difficulty of understanding nutritional balance by their primary caregivers. In the present study, an easily handled Model Nutritional Balance Chart (MNBC) for care-dependent older patients with diabetes mellitus and their primary caregivers was investigated.

Methods

Nine care-dependent older patients with diabetes mellitus and their primary caregivers received dietary guidance using the MNBC once per month for 6 months. Nine control care-dependent older patients with diabetes mellitus and their primary caregivers did not receive dietary guidance but cooperated in providing data once per month. The medicines for the patients were kept the same during the entire length of the study. The effectiveness of the program was judged by changes in nutritional balance and hemoglobin A1c (HbA1c) values.

Results

Improvements in nutritional balance were observed in relation to fish, fruit, oil, and sugar. The HbA1c values significantly decreased after 6 months in the intervention group, while the HbA1c values in the control group did not change.

Conclusion

Our guidance method seems to be useful for care-dependent older patients with diabetes mellitus who are staying at home with their primary caregivers.

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