Effect of Change in Dietary Feeding Practices and Lifestyle on Treatment Outcomes of Type-2 Diabetic Patients

Mutagwanya Robert1*, Christine Magala Nyago1, Fredrick Nelson Nakwagala2

1School of Food Technology, Nutrition and Bio-engineering, Makerere University, Uganda 2Endocrine unit of Mulago hospital, College of Health Sciences, Makerere University, Uganda

*Correspondence Email Address: [email protected]


Background: Physical activity and dietary knowledge practice among type 2 diabetes patients are significant factors in improving dietary patterns, hyperglycemia and dyslipidemia. Objectives: To investigate the additive effect of change in dietary feeding practices and lifestyle on the treatment outcomes of type-2 diabetes patients.  Methods: A longitudinal cohort study was conducted. One hundred patients; randomly allocated equally into control and intervention groups in a four-month nutrition education intervention (Two days weekly; two 30-minute sessions each day) underwent end-line and baseline biochemical, dietary and physical activity assessments using standard methods. Data analysis entailed paired t-tests at 95% confidence interval.  Results: Baseline biochemical data exceeded recommended values. Among the intervention group, there was a significant reduction (P = 0.001) in HbA1c, Random blood sugar (P < 0.001), systolic blood pressure (P < 0.001) and Diastolic blood pressure (P < 0.001) at end-line.  Results also indicate a significant increment (P<0.05) and a reduction (P < 0.001) in LDL among the control (0.45%) and intervention (0.37%) groups respectively. There was a 12% decrease in HDL among the intervention group. Conclusion:  Nutrition knowledge, positive dietary and lifestyle changes alongside medication yield better type 2 diabetes treatment outcomes. Recommendation: Comprehensive care for type 2 diabetes patients spanning from dietary practice and lifestyle changes should be advocated for in addition to routine medical care.

Keywords: Diet, Feeding Practices, Nutrition Education, Physical Activity, Type 2 Diabetes

Citation: Mutagwanya Robert, Christine Magala Nyago, Fredrick Nelson Nakwagala. Effect of Change in Dietary Feeding Practices and Lifestyle on Treatment Outcomes of Type-2 Diabetic Patients. Canadian Journal of Clinical Nutrition. 2022; 10 (2): 6-23.

DOI: https://dx.doi.org/10.14206/canad.j.clin.nutr.2022.02.02