Self-care diet management in type 2 diabetes mellitus : determinants and glycemic control / Normahitta Pandes Gordoncillo ; Corazon VC. Barba, chair, advisory committee.

Date

4-2011

Abstract

This study used primary data generated through structured data capture instruments administered to 115 randomly selected individuals with type 2 diabetes, from the records at the University Health Service, University of the Philippines Los Baños. Aimed at examining self-care diet management among individuals with type 2 diabetes in context of overall diabetes management, the information gathered were analyzed both descriptively and inferentially. Results of the tests on glycosylated hemoglobin (Hba1c) showed more than half of the participants to be in poor glycemic control, either below cut off for normal HbA1c of 4.0% or above 7.5% HbA1c. Only 24.3% of the 115 participants satisfied all the recommended ranges of carbohydrate, protein and fat (CPF) percentage contributions to total calorie intakes, with just 17.9% of them to have met their individualized recommended energy intakes. Inferentially, this study proved that the self-care diet management as alternately represented by energy adequacy levels and carbohydrate percentage contribution is influenced by household size, sex, physical activity, co-morbidities and perceived diet. Glycemic control as presented by glycosylated hemoglobin is also influenced by age, cholesterol level, medications and genetic predisposition. In conclusion, this study demonstrated that self-care diet management is not a unitary practice, i.e., the individual with diabetes may be only partly practicing or even totally not practicing recommended regimens of care depending on a variety of situational factors. The qualities that may define self-care management in view of a good glycemic control remained elusive in this study for lack of discernible patterns.

Document Type

Dissertation

Degree

Doctor of Philosophy in in Human Nutrition

College

Graduate School (GS)

Adviser/Committee Chair

Corazon VC. Barba

Committee Member

Wilma A. Hurtada, Maritess G. Yee, Agnes C. Rola, Corazon VC. Barba

Language

English

LC Subject

Diabetes, Diabetes, Diabetes mellitus, Human nutrition Institute of Human Nutrition and Food

Location

UPLB Main Library Special Collections Section (USCS)

Call Number

LG 996 2011 H85 G67

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