OBJECTIVE: We investigated the role of family support in glycemic control by nutritional self-care behavior of Japanese patients with type 2 diabetes. METHODS: One hundred twelve Japanese out-patients with type 2 diabetes were recruited for the study at Kansai Electric Power Hospital. Interviews were conducted and HbA1c and triglyceride levels were measured. RESULTS: HbA1c levels were significantly related to family nutritional support. Patients under 60 years old with family nutritional support showed significantly lower HbA1c than patients without family support (p<0.05). Female patients with family support showed significantly lower HbA1c than those without family support (p<0.05). In addition, male patients with family support showed significantly lower triglyceride levels than those without family support (p<0.05). In male patients, those who were supported by cooking or buying light meals showed significantly lower HbA1c than those who were supported by advice or encouragement (p<0.05). The frequency of support (every day, 2-3 days, 1 week) showed similar outcomes in glycemic control. Patients who appreciate the support and follow the advice showed lower HbA1c (6.88 +/- 0.22%) than (7.43 +/- 0.23%) patients who appreciate the advice but sometimes feel emotional barriers. CONCLUSION: Family nutritional support is useful in improving metabolic outcome of diabetic patients. Self-care practice in disease management should be carefully adjusted to the family setting of type 2 diabetic patients. Emotional barriers to family support may affect the metabolic consequences, especially in the Japanese elderly.
OBJECTIVE: We investigated the role of family support in glycemic control by nutritional self-care behavior of Japanese patients with type 2 diabetes. METHODS: One hundred twelve Japanese out-patients with type 2 diabetes were recruited for the study at Kansai Electric Power Hospital. Interviews were conducted and HbA1c and triglyceride levels were measured. RESULTS: HbA1c levels were significantly related to family nutritional support. Patients under 60 years old with family nutritional support showed significantly lower HbA1c than patients without family support (p<0.05). Female patients with family support showed significantly lower HbA1c than those without family support (p<0.05). In addition, male patients with family support showed significantly lower triglyceride levels than those without family support (p<0.05). In male patients, those who were supported by cooking or buying light meals showed significantly lower HbA1c than those who were supported by advice or encouragement (p<0.05). The frequency of support (every day, 2-3 days, 1 week) showed similar outcomes in glycemic control. Patients who appreciate the support and follow the advice showed lower HbA1c (6.88 +/- 0.22%) than (7.43 +/- 0.23%) patients who appreciate the advice but sometimes feel emotional barriers. CONCLUSION: Family nutritional support is useful in improving metabolic outcome of diabeticpatients. Self-care practice in disease management should be carefully adjusted to the family setting of type 2 diabeticpatients. Emotional barriers to family support may affect the metabolic consequences, especially in the Japanese elderly.
Authors: Katya Vargas-Ortiz; Georgina Lira-Mendiola; Claudia M Gómez-Navarro; Katya Padilla-Estrada; Fabiola Angulo-Romero; José M Hernández-Márquez; Ana K Villa-Martínez; Jessica N González-Mena; Maciste H Macías-Cervantes; Maria de Lourdes Reyes-Escogido; Rodolfo Guardado-Mendoza Journal: BMC Public Health Date: 2020-01-22 Impact factor: 3.295