Nutrition and lifestyle habits of patients with type 2 diabetes mellitus in Baranja region

Dijabetes tipa 2 (diabetes melitus tip 2, DMT2) jedna je od najraširenijih endokrinoloških bolesti u svijetu, a zajedno sa svojim kroničnim komplikacijama spada među najvažnije uzročnike mortaliteta i morbiditeta u svijetu. U Hrvatskoj 6,1 % odrasle populacije živi s DMT2. Danas standardna medicinska skrb za osobu s DMT2 uz medikamentnu terapiju uključuje i edukaciju o prehrani i redovitoj tjelesnoj aktivnosti. Cilj rada bio je istražiti prehranu i životne navike, razinu kontrole i učestalost komplikacija među oboljelima od DMT2 na području Baranje, te u kojoj se mjeri pridržavaju preporuka o prehrani i utječe li i u kojoj mjeri dijagnoza DMT2 na kvalitetu njihovog života. Devedeset osoba s dijagnozom DMT2, prosječne starosti 67 ± 10,9 godina (34 do 87 godina, 44,5 % muškaraca, 55,5 % žena), koji žive u ruralnoj sredini (92,2 %) i umirovljeni su (74,4 %) ispunilo je anketu specifično kreiranu za potrebe ovog istraživanja. Ispitanici su imali lošu kontrolu glikemije (70,6 % prema kriteriju glukoze), 81,1 % ima povećani indeks tjelesne mase, akutne komplikacije su prisutne kod 63,3 % ispitanika, a kronične kod 53,3 %. Preporuke o prehrani se ne pridržava 62,2 % ispitanika, ali 74,4 % iskazuje interes za dodatnom edukcijom o prehrani. Osobe koje su bile educirane o prehrani imaju bolju prehranu (p<0,001), bolji društveni život (p<0,001) i bolje psihofizičko stanje (p=0,004), uz bolji subjektivni doživljaj ukupne kvalitete života. Dobiveni rezultati pokazuju jasan pozitivan utjecaj edukacije dijabetičara, a ljekarne bi se trebale razmotriti kao potencijalna mjesta za edukaciju, posebice za osobe starije životne dobi, koji žive u ruralnim sredinama.Type 2 diabetes mellitus (DMT2) is one of the most common endocrinological diseases around the world, and together with its chronic complications represents the main cause of morbidity and mortality around the globe. In Croatia 6.1 % of adult population live with DMT2. Today, standard medical care for a person diagnosed with DMT2 together with medications includes education on diet and regular physical activity. The aim was to analyze diet and lifestyle habits, level of control and frequency of complications among DMT2 patients from Baranja region, and in what level do they adhere to recommended diet and if the DMT2 diagnosis affects their life quality. Ninety adults diagnosed with DMT2, average age 67 ± 10.9 years (44.5 % males, 55.5 % females), living in rural areas (92.2 %) and retired (74.4 %) filled in a study-specific questionnaire. Study participants had badly controlled glycaemia (70.6 % according to blood glucose criteria), 81.1 % have increased body mass index, acute complications are presented in 63.3 % of participants, and chronic in 53.3 %. Dietary recommendations are not followed by 62.2 % of participants, but 74.4 % said they are interested in additional education on diet. Participants who were educated on diet have diet of better quality (p<0.001), better social life (p<0.001) and better psychophysical state (p=0.004), with better subjective impress of total quality of life. The results show clear positive influence that the education of diabetic patients has, and pharmacies should be considered as potential places for education, especially for elderly, and people living in rural areas

The importance of nutrition education for diabetics – type 1 versus type 2 diabetics

Nutrition education is an integral part of the diabetic therapy that aims at achieving good glycaemic control to prevent complications. This is very important for type 1 diabetics (DMT1), where nutrition and insulin therapy must be matched. The aims of the study were: the evaluation of differences in nutrition education between DMT1 and type 2 diabetics (DMT2), the influence of education on glycaemic control and diet quality, and the self-assessment of health-related quality of life. A descriptive study was conducted on patients with DMT1 (n=101) and DMT2 (n=90) from Croatia using a study-specific questionnaire. Diet quality did not differ significantly between DMT1 and DMT2 patients. However, 18.0% of DMT1 and 20.0% of DMT2 patients do not possess adequate knowledge of the diabetic diet, nor stick to relating nutritional guidelines. Poor glycaemic control had 48.5% of DMT1 and 73.5% of DMT2 patients (p<0.001). Psychophysical health is better among the DMT2 patients (p<0.001), while the DMT1 patients have a better social life (p=0.015) and the overall quality of life (p<0.001). The results show that diabetics have poor nutrition knowledge, clearly showing the need for professional, continuous nutrition education. Education would help diabetics in improving their quality of life and glycaemia control, which decreases disease complications

With food to health : proceedings of the 10th International scientific and professional conference

Proceedings contains 13 original scientific papers, 10 professional papers and 2 review papers which were presented at "10th International Scientific and Professional Conference WITH FOOD TO HEALTH", organised in following sections: Nutrition, Dietetics and diet therapy, Functional food and food supplemnents, Food safety, Food analysis, Production of safe food and food with added nutritional value

Hipoglikemijski i antioksidativni učinak ekstrakta kore kineskog cimeta (Cinnamomum cassia Blume)

Chinese cinnamon (Cinnamomum cassia Btume, Lauraceae) is evergreen tree originating from China. The aim of presented research was to evaluate hypoglycemic and antioxidant properties of Chinese cinnamon bark extract. Antioxidant activity in vitro was investigated by four methods: antiradical and chelating activity, reducing power and activity in /3-carotene-linoleate assay. Diabetes in rats was induced by intraperitoneal injection of streptozotocin. Glucose bloocl level, as well as some parameters of oxidative stress in erythrocite and plasma (superoxide radical, lipid peroxidation, carbonylatecl proteins) were determined. Chinese cinnamon bark extract clemonstrated significanr in vitro antioxiclant activity. Chelating activity of the extract was equal to the activity of EDTA ancl greater than the activity of quercetin, while the activity of extract in /3-carotene-linoleate assay was greater than the activity of butylated hyclroxyanisole. Moreover, blood glucose level in rats treatecl with Chinese cinnamon was lower than in untreated rats. The indicators of oxidative stress were also lowerecl. The results indicate that Chinese cinnamon bark extract might be helpful in treatment of hyperglycemia and secondary complications of type 2 diabetes