Abstract
Abstract:
INTRODUCTION: Type-2 Diabetes mellitus often referred as diabetes due to a combination of hereditary and environmental causes resulting in abnormally high blood sugar levels (hyperglycemia). Basically diabetes is a syndrome of disordered metabolism. Effective lifestyle modifications and healthy dietary pattern like the Mediterranean diet, together with physical activity are the core stone in the prevention of type-2 diabetes.
OBJECTIVE: To study the lifestyle and dietary patterns of type-2 diabetes patients in Mumbai city
METHODS: A cross sectional study was conducted in 100 (74 male and 26 female) type-2 diabetes patients visiting diabetes health camps. Subjects were divided in to two groups according to the duration of diabetes. First group were who had diabetes for ≤5 years and second group were who had diabetes for ≥6 years. Anthropometry, biochemical parameters, clinical symptoms, medical history, personal habits, physical activity, psychological health, eating and sleeping patterns was measured with 3-days diet recall. Results were statistically analyzed by standard methods.
RESULTS: Mean height of the subject was 160.1± 6.1 cm and weight was 64.4± 12.9 Kg. When compared between gender, males were significantly taller as compared to females (P<0.05). Males who had diabetes for ≥ 6 years had significantly higher weight as compared to females who had diabetes for ≥ 6 years (P<0.05). Prevalence of cataract, consumption of milk and intake of carbohydrate and fibre was significantly higher in the subjects who had diabetes for ≥ 6 years as compared to those who had diabetes for ≤ 5 Years (P<0.05). Numbers of sleeping hours, days exercised, duration of exercise, level of daily physical activity, consumption frequency of food items:- wheat flour, milk, apple, pear, oranges, pizza cake, pastry, Frankie, chines, sugar and intake of sucrose was significantly higher in the subjects who had diabetes for ≤5 years as compared to those who had diabetes for ≥ 6 years (p<0.05). BMI, hip circumference and waist circumference were significantly positively correlated with total cholesterol and triglycerides (p<0.05). Blood urea and serum creatinine were significantly positively correlated with systolic and diastolic BP (p<0.05). The mean energy intake was 1193±236 kcal/day, protein intake 36.8±9.2 g/d, carbohydrates 154.2±38.1 g/d, fat 44.5±9.1 g/d, fibre 24.9±8.2 g/d, total starch 118.2±32.8 g/d, fructose 5.7±4.4 g/d, glucose 2.8±2.2 g/d, sucrose 3.2±2.7 g/d and free sugar 16.5±8.2 g/d.
CONCLUSION: Physical exercise and awareness of Dietary changes helped to manage blood sugar levels of Type 2 diabetes patients.