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Lath, Gunjan
- Relevance of Nutrition Intervention in Diabetes Management:A Perspective from Indian Clinical Experts
Abstract Views :274 |
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Authors
Arun Vadavi
1,
Vinod Kumar Bhargava
2,
Ashok Jhingan
3,
C. R. Anand Moses
4,
Partha Sarathi Mandal
5,
Gunjan Lath
6,
V. Anand
6,
Sameer Rao
6
Affiliations
1 Sudha The Prevention Centre, No.572, 2nd Main, 6th Block, 2nd Phase, Hoskerahalli Cross, Banashankari 3rd Stage, Bangalore, IN
2 Apollo Hospital, Jubilee Hills, Hyderabad, IN
3 Diabetes Education and Research Foundation, J-136, Rajouri Garden, Delhi, IN
4 Moses Diabetes Centre, Department of Diabetology, Chennai, IN
5 AMRI hospital, Salt Lake, Kolkata, IN
6 Department of Scientific and Medical Affairs, Abbott Nutrition International, Mumbai, IN
1 Sudha The Prevention Centre, No.572, 2nd Main, 6th Block, 2nd Phase, Hoskerahalli Cross, Banashankari 3rd Stage, Bangalore, IN
2 Apollo Hospital, Jubilee Hills, Hyderabad, IN
3 Diabetes Education and Research Foundation, J-136, Rajouri Garden, Delhi, IN
4 Moses Diabetes Centre, Department of Diabetology, Chennai, IN
5 AMRI hospital, Salt Lake, Kolkata, IN
6 Department of Scientific and Medical Affairs, Abbott Nutrition International, Mumbai, IN
Source
The Indian Practitioner, Vol 73, No 4 (2020), Pagination: 29-35Abstract
Poor glycemic control in diabetes patients is a major hurdle in the management of disease and its associated comorbidities. Pharmacotherapy alone is not sufficient to curb the risk of associated complications. The role of nutrition along with physical exercise in achieving optimal glycemic con-trol is overlooked for many years in India. Nowadays, medical nutrition therapy (MNT) has evolved as an integral therapy in achieving better gly-cemic control. However, there is a lack of uniformity in health care practitioner’s perception and lack of recommendations in a structured manner regard-ing its use. Through a series of regional advisory board meeting, insights were gained into current practices in diabetes management to uncover the gaps in nutrition for better patient outcomes, and understand patient knowledge, attitude and perceptions towards nutrition in general and diabetes-specific formulas (DSF) in particular. The key viewpoints were as follows: i) Good self-care practice and creating awareness inpatients about glycemic variations is important. ii) Experts highlighted the importance of referring patients to a clinical nutritionist or dietician. Patients should be introduced to diabetic educators and education through charts regarding different foods with low glycemic index is advised. iii) Portion in patients diet plan as a partial if not full meal replacement. Diabetes-specific formulas should be palatable and affordable to ensure patients compliance. These formulas can be taken in combination with meals in proportionate amounts. v) Diabetes-specific nutrition improves multiple health outcomes and the mindset of Indian patients towards nutritious food needs to be changed.Keywords
Diabetes Mellitus, Diabetes Management, Medical Nutrition Therapy, Lifestyle Intervention, Diabetes Nutrition.
References
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- Study of Knowledge, Attitudes, Practices, and Perceptions of Primary Care Physicians in India towards Dietary Intervention in Management of Patients with Type 2 Diabetes Mellitus
Abstract Views :204 |
PDF Views:1
Authors
Affiliations
1 Scientific & Medical Affairs Department, Abbott Nutrition International, IN
1 Scientific & Medical Affairs Department, Abbott Nutrition International, IN
Source
The Indian Practitioner, Vol 73, No 5 (2020), Pagination: 20-25Abstract
Background: Family physicians have a primary role in detecting, diagnosing, and managing diseases especially in a country burdened with Type 2 Diabetes mellitus (T2DM) cases. Unfortunately, the data on their knowledge about nutrition; one of the cornerstones for T2DM management, is missing from India.
Aims: We aimed to assess the knowledge (K), attitude (A), practices (P), and perceptions (Pr) (KAPP) of Primary Care Physicians (PCPs) in India on nutrition management in patients with T2DM.
Method: A self-administered 7 questions-based survey was conducted amongst PCPs to gather from the period of December 2018- January 2019.
Findings: A total of 496 PCPs from metros (47%) and non-metro (57%) cities shared their responses. More than 90% (n=488) of the PCPs recommend dietary changes for patients on the diagnosis of T2DM with similar trends across regions. 402 PCPs (81%) recommended ≥2 dietary modifications which include; avoidance of sugars (83%), avoidance of foods with high carbohydrates (81%), and increase protein intake (58%), being the common ones. About 93% (n=463) PCPs actively discussed dietary recommendations even during follow-up visits. In terms of knowledge, Glycemic Index (GI)/Glycemic Load (GL), n=429; was the most familiar nutrition-related term known by the PCPs followed by soluble fibre and Glucagon Like Peptide-1 (GLP-1). Products promoted as Diabetes Specific Nutrition (DSN) and multivitamins came as the most preferred nutritional supplements with almost 70% and 47% PCPs recommendations, respectively. While majority of the PCPs (>50%) reported giddiness (a symptom of hypoglycaemia) as a complaint in <10% of their patients on oral anti-diabetic drugs, almost 90% PCPs felt DSN could help manage such cases if occurred.
Conclusion: PCPs in India do believe strongly in recommending dietary modifications and are keen to implement lifestyle interventions for patients with T2DM, however, they face challenges in doing so. The observed inclination of PCPs towards nutrition calls for further continuous and evidence-based awareness programs on nutrition to empower them on the way of better outcomes among patients with T2DM.
Keywords
Diabetes mellitus, Diabetes Management, Medical Nutrition Therapy, Lifestyle Intervention, Diabetes NutritionDiabetes mellitus, Diabetes Management, Medical Nutrition Therapy, Lifestyle Intervention, Diabetes Nutrition.References
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