Dietary Quality and Self-Management Status According to the Glycemic Control in the Elderly with Type 2 Diabetes

다국어 초록 (Multilingual Abstract)

Evidence for the effects of different health behaviors, including diet, in elderly diabetes is currently limited. The aim
of this study was to compare the quality of diet and health behaviors in Korean elderly T2DM patients, using a glycemic
control. T2DM elders(>65 yr, n=48) were recruited and categorized by the concentration of glycated-hemoglobin HbA1c;
subjects with HbA1c<7% were the good control(GC) group, and subjects with HbA1c≥8% constituted the poor control(PC)
group. General characteristics, self-management behavior questionnaires, and 3-d diet records were all collected and assessed.
No significant differences in general characteristics between GC and PC were detected, with the exception of a higher level
of education in GC(p<0.05). A twofold longer duration of diabetes was observed in PC as compared to GC(p<0.01). The
GC group did exercise for a longer time(p<0.001), and had an earlier beginning of diabetes self-management education
(DSME) by healthcare practitioners using a team teach as compared with the PC group(p<0.05). The total dietary quality
index(p<0.001) and individual index for carbohydrate(p<0.001) or vegetables and fruit(p<0.05) were better in GC than in
PC. Therefore, the earlier DSME including intensive exercise and balanced diet selection should be expected to improve
glycemic control in diabetic Korean elders.

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