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. 2008 Jan;42(1):59-63.
doi: 10.3164/jcbn.2008010.

Intervention with delivery of diabetic meals improves glycemic control in patients with type 2 diabetes mellitus

Saeko Imai  1 , Hana Kozai, Mikuko Matsuda, Goji Hasegawa, Hiroshi Obayashi, Chikako Togawa, Toyomi Yamamura, Kanji Watanabe, Syuichi Miyatani, Toshikazu Yoshikawa, Shizuo Kajiyama
Affiliations

Intervention with delivery of diabetic meals improves glycemic control in patients with type 2 diabetes mellitus

Saeko Imai et al. J Clin Biochem Nutr. 2008 Jan.

Abstract

The aim of this study was to investigate the effects of a diabetic meal delivery system on glycemic control over a 12 month period in patients with type 2 diabetes. A total of 77 patients with type 2 diabetes were assigned randomly into three dietary intervention groups: group M, diabetic meal delivery; group D, individual dietary counseling; and group C, conventional dietary education. In group M, HbA(1c) levels decreased significantly from 8.2 +/- 1.2% to 7.4 +/- 0.8% after 12 months (p<0.05), while in group D, HbA(1c) levels decreased significantly throughout the entire 12 month period, from 8.5 +/- 1.7% at baseline to 7.4 +/- 1.1% at the endpoint. Similarly, fasting blood glucose (FBG) levels decreased significantly between 1 and 12 months in group M (p<0.05), and decreased significantly during the entire 12 month period in group D (p<0.01). There were no significant changes in either HbA(1c) or FBG levels in group C. This study provides evidence that intervention with delivery of diabetic meals to patients with type 2 diabetes can be equally effective for achieving glycemic control as individual dietary counselling by a dietitian. Diabetic meal delivery can therefore be used successfully to provide diabetes education to outpatients.

Keywords: diabetic meal delivery; diet counseling; glycemic control; self-management; type 2 diabetes.

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Figures

Fig. 1
Fig. 1
HbA1c levels after intervention in the group M (closed circle), D (open circle) and C (closed triangle). The data are expressed as means ± SE. *Significant difference from the baseline (p<0.05). **Significant difference from the baseline (p<0.01). M group vs C group (p<0.05). †D group vs C group (p<0.05). ††D group vs C group (p<0.01).
See this image and copyright information in PMC

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