J. Dairying, Foods & H.S., 27 (3/4) : 244 - 246, 2008 STUDIES OF DIETARY PATTERN AND STYLE OF LIVING OF DIABETIC PATIENTS Reeta Dwivedi* and Pushpa Shukla
Department of Foods and Nutrition, College of Home Science,
G.B. Pant University of Agriculture and Technology, Pantnagar - 263 145, Uttaranchal, India
ABSTRACT Thirty diabetic subjects were selected aged between 39-59 years (24 males and 6 females) to study the general profile, diet pattern, history of disease, type of medicinal treatment taken, blood glucose level and type of exercise performed by the subjects. The dietary pattern of the subjects was assessed through twenty four hour recall and food frequency questionnaire. Of the total, 50 per cent subjects belonged to small families. 83.33 per cent were independent and doing job. The average frequency of taking meal was 2.77 times a day. Only 26.67 per cent subjects were having family history of disease. Most of the subjects were taking ayurvedic medicines. Out of the total, 23.33, 10.00 and 6.67 per cent subjects were tobacco chewers, smokers and both tobacco chewers and smokers, respectively. Thus, nutrition and health status of diabetics are associated with various such factors like family size, income, physical activity etc. INTRODUCTION
hills. A total of 30 diabetic subjects (24 males
Diabetes mellitus is a complex multifactor
and 6 females) aged between 39-59 years, were
prevalence approaching nearly 20 per cent which
elicit information on various aspects like general
is the highest in the world (Park, 2000). It is
profile, diet profile, medicinal treatment including
projected that the disease prevalence will be 4.5
blood glucose level and type of exercise performed
per cent by the year 2025, with global diabetic
population reaching 300 million. Of which,
nearly 77 per cent of the global burden of disease
frequency questionnaire were used to assess the
is projected to occur in the developing countries
dietary intake of these subjects. Information was
(Park and Park, 2000). According to the World
collected on regular consumption of any type of
Health Organization (WHO), the prevalence in
dietary supplements in the period of study.
developing countries is due to the adoption of
Anthropometric measurements of the subjects
western life style, smoking, high fat diet and lack
such as height, weight were taken as per methods
given by Jelliffe (1996). Other information like
use of tobacco or smoking was also collected.
out the diet pattern, history of disease, medicinal
The information was obtained personally from
treatment and type of exercise performed by the
the diabetic subjects. Data were tabulated and
diabetic subjects, which can serve as a basis for
statistically analyzed for mean, range, percentage
forming appropriate nutrition education strategies
RESULTS AND DISCUSSION MATERIAL AND METHODS
Per cent distribution of subjects according
The study was conducted in the residential
to family size and occupation is given in Table
conlonies of G.B. Pant University of Agriculture
1. Under family size, they were classified into
and Technology, Pantnagar which comes in the
three groups- (i) 1-4 members as small family,
Tarai belt of Shivalik range of Himalaya foot-
(ii) 5-7 members as medium size family and
* Department of Foods and Nurtition, College of Home Science, M.S. University of Baroda, Vadodara - 390 002,
Table 1. Per cent distribution of subjects according Table 2. Per cent distribution of subjects according
Figure 2 shows the distribution of diabetic
subjects according to age. It was evident from
the study that average age of diabetics was 50.77
years. According to Rao et al. (1989), a 6.1 per
(iii) > 7 members as large family. Fifty per cent
cent prevalence rate has been reported among
of subjects had small family size. Majority of
40 years old people which rose to 13.33 per cent
subjects (83.33 per cent) were independent.
in the age group of 50-59 years. In urban area
prevalence rate has been reported as 2.5 per cent
retired, businessmen and labour while rest 76.67
where as in rural area it was 1.5 per cent
per cent were doing job. Most of the subjects
were belonging to the middle income group
strata. Data revealed that 17 subjects were
vegetarian and rest of them was non-vegetarian.
The average frequency of taking meal was 2.77
times a day. This is due to their job pattern.
cooking medium by most of the subjects. The
average precautions taken by the subjects were
as according to Table 2. The specific foods which
were taken to reduce the sugar level were – karela,
Fig. 2. Distribution of diabetic subjects according to age
bajara, black-berry powder, methi dana. The
common food preparations included in the daily
diabetics was 66.86 kg and it ranges from 46-
diet of subjects were tea, pulses, vegetable,
106 kg weight. The height of the subjects ranged
from 4 feet 11 inches to 6 feet. Average height
was 5 feet 5 inches. It was found that 26.67 per
cent subjects were having family history of this
particular disease while rest of them (73.33 per
cent) had no history of this disease. Average
duration of disease was found to be 8.1 years.
Figure 1 shows the distribution of diabetic subjects
according to duration of disease. Most of the
subjects were having high blood pressure and
heart problems. Diabetic subjects are known to
be at high risks for the development of coronary
Fig. 1. Distribution of diabetic subjects according to
Most of the subjects (73.33 per cent) were
walk was taken by them. It was noted that 23.33
taking ayurvedic medicines, 16.67 per cent
per cent subjects were tobacco chewers, 10 per
allopathic and rests of them were taking both
cent were smokers and 6.67 per cent were both
ayurvedic and allopathic treatment. Among
smokers and tobacco chewers while rest of them
ayurvedic medicines, cheraita, madhumehahari,
were neither smokers nor tobacco chewers.
diavarid, panirdodi, mersinia, diabieon tablet and
diabecon were commonly taken by the subjects.
can be concluded that nutrition and health status
Among allopathic, olaonil, glynase, glycor-C
of diabetic patients were affected by parameters
pioglar, amaril, glized-M, digitraco, K-cor, glycol-
like family size, per capita income, physical
080, M-sil-2-MG were taken. some patients were
activity, daily intake of nutrients, regular exercise
controlling their blood sugar level by diet and
pattern, chewing or smoking habits and type of
exercise without taking any medicinal treatment.
In all cases, blood glucose level was higher
advancing age became more vulnerable to this
than normal. The average frequency of urination
disease which was associated with other diseases/
of the subjects was found to be 1.5 times in the
problems. Thus some preventive, curative and
night. Majority of the subjects (70 per cent) were
rehabilitating programmes were required to
taking exercise regularly. Morning and evening
REFERENCES
Haffner, S.M. (1997) Diabetes Complications, March-April. 11(2):69-76.
Jelliffe, D.B. (1966) In: Assessment of Nutritional Status of Community. WHO, Geneva, pp.10-70.
Park, T.D. (2000) Learning to eat scientifically. The Hindu; 11:7-8.
Park, K. and Park, T. (2000) Text Book of Preventive and Social Medicine. 16th edition. Pub. Banareasidas Bhanot.
Ramachandran, A. et al. (1992) Diabetes Care. 15:1348-1355.
Rao, P.V. et al. (1989) Diabetes Res. Clinical Practice. 7(1):29-31.
Medication Diabetes medications are usually needed for people with type 2 diabetes. As time goes by healthy eating and exercise are not enough to keep blood glucose on target. Medication (tablets and / or insulin) are needed in addition to healthy eating and exercise. Together you and your doctor will choose medication most suitable for you. Your needs will change over time. The longer yo
Contents lists available at ScienceDirectj o u r n a l h o m e p a g e : w w w. e l s ev i e r. c o m / l o c a t e / t h ro m re sCombination warfarin-ASA therapy: Which patients should receive it, which patientsDepartment of Medicine, McMaster University and St Joseph's Healthcare, Hamilton, ON, CanadaCombination warfarin-ASA therapy is currently used in approximately 800,000 patients in