Macronutrient Intake and Life Style Factors Associated to HbA1c Status in Type-2 Diabetic Patients

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Imelda Wiradarma
Saptawati Bardosono
Soeharko Soebardi


Background: This study aims to determine the relationship between macronutrients intake and lifestyle factors to HbA1c status of type-2 diabetic patients in improving the effectiveness of patients nutritional support therapy and preventing diabetic complications.Methods: Type-2 diabetic patients were categorized into 2 groups, i.e. patients with good glycemic control with HbA1c < 7.0 and patients with poor glycemic control with HbA1c ? 7.0. Data collection included clinical characteristics (i.e. age, gender, body mass index, duration of illness, type and amount of diabetic medication, and diabetic complication). Macronutrient intake consisted of total daily calories and carbohydrate, protein, fat and fiber intakes, whilelifestyle factors consisted of the adherence to dietary advice and medication, physical activities, smoking habit, and alcohol intake. The relationships between all data to HbA1c status were analyzed using Chi Square test.Results: Younger type-2diabetic patients (<55 years old), carbohydrate intake, and adherence to dietary advice had statistically significant in related to HbA1c status (p<0.05).Conclusions: Health and nutrition education should be provided to the younger age of type-2diabetic patients to maintain proper dietary pattern following to medical nutrition therapy.


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Author Biographies

Imelda Wiradarma, Universitas Indonesia

Department of Nutrition Faculty of Medicine

Saptawati Bardosono, Universitas Indonesia

Departement of Nutrition Faculty of Medicine

Soeharko Soebardi, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo General Hospital

Department of Internal Medicine,


Suyono S. Diabetes melitus di Indonesia. Dalam: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S, editor. Buku Ajar Ilmu Penyakit Dalam. Jakarta: Interna Publishing; 2009. [Google Scholar]

Hermansen MLF, Eriksen NMB, Mortensen LS, Holm L, Hermansen K. Can the glycemic index (GI) be used as a tool in the prevention and management of type 2 diabetes. Rev Diabetic Stud 2006;3:61. [Google Scholar]

Suyono S. Kecenderungan peningkatan jumlah penyandang diabetes. In: Soegondo S, Soewondo P, Subekti I. Penatalaksanaan Diabetes Melitus Terpadu. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2009. [Google Scholar]

Waspadji S. Komplikasi kronik diabetes: Mekanisme terjadinya, diagnosis dan strategi pengelolaan. In: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S, editor. Buku Ajar IlmuPenyakitDalam. Jakarta: Interna Publishing; 2009. [Google Scholar]

Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K. Factors associated with poor glycemic control among patients with type 2 diabetes. Journal of Diabetes and Its Complications 2010;24:84. [Google Scholar]

Perkumpulan Endokrinologi Indonesia. Konsensus pengendalian dan pencegahan diabetes melitustipe 2 di Indonesia. 2011

Yannakoulia M. Eating behaviour among type 2 diabetic patients: a poorly recognized aspect in a poorly controlled disease. Rev Diabetic Stud 2006;3:11. [Google Scholar]

Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, et al. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. New England journal of medicine 2001 Sep;345(11):790-7. [Google Scholar]

Rawal LB, Tabb RJ, Williams ED, Chan C, Yasin S, Oldenburg B. Prevention of type 2 diabetes and its complications in developing countries: a riview. Int J Behav Med 2012;19:121. [Google Scholar]

Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Medicine & Science in Sports & Exercise 2000;32. [Google Scholar]

Karakelides H, Irving BA, Short KR, O’Brien P, Nair KS. Age, obesity, and sex effects on insulin sensitivity and skeletal muscle mitochondrial function. Diabetes 2010;59:89. [Google Scholar]

Donelly LA, Morris AD, Evans JM. Adherence to insulin and its association with glycaemic control in patient with type 2 diabetes. Quarterly Journal of Medicine 2007;100:345. [Google Scholar]

Woo MH, Park S, Woo JT, Choue R. A comparative study of diet in good and poor glycemic control groups in elderly patients with type 2 diabetes mellitus. Korean Diabetes J 2010;34:303. [Google Scholar]

Franz MJ. Medical nutrition therapy for diabetes mellitus and hypoglycemia of nondiabetic origin. In: Mahan LK, Escott-Stump S, Raymond JL, editor. Krause’s Food and the Nutrition Care Process. 13th ed. Missouri: Elsevier Saunders, 2012:675—710.