Evaluation of results obtained with nutritional orientation concerning improvement of food and glicemic profile of patients with diabetes type I and II in ambulatory attendance
Keywords:
diabetes mellitus, nutritional orientation, energy requirement, food habits, diabetic dietAbstract
The aim of this paper was to evaluate the results obtained with the nutritional orientation of ten patients with diabetes mellitus, two of them with type I and eight with type II, in ambulatory attendance at the Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Brazil, in a period of three months. During the assessment, data concerning anthropometry, alimentary anamnesis, energetic needs, micro and macronutrients biochemical examinations were collected. During the study it was observed that only one patient increased his caloric intake but seventy per cent increased fat intake and ninety per cent decreased carbohydrate intake, while only thirty per cent improved meal fractionation, fifty per cent maintained the Énsulin dose, eighty per cent decreased blood glycemia, although without reaching the recommended rate, and twenty per cent joined sports practice. From these results it was observed low adherence of patients to the improvement of food habits and glycemic control through dietetic orientation.
Downloads
References
ALLEN, F.M., STTILLAM, R., FITZ, R. Total dietary regulation in the treatment of diabetes in exercise. New York: Rockerfeller Institute of Medical Research, 1919. Chapter 5. (Monograph 11).
ANDREOLI, T.E., CARPENTER, C.C.J., PLUM, F., JÚNIO, S.L.H. Diabetes melitus. In: MEDICINA interna básica Cecil. Rio de Janeiro: 1991. p.439-450 Capítulo 73.
BANTLE, J.P. Tratamento dietético do diabetes mellitus. Clínicas Médicas da América do Norte, Rio de Janeiro, p.135-153, 1988. (Interlivros)
BLACKBURN, G.L., BISTRIAN, B,R., MAINI, B.S., SCHALAMM, H.T., SMITH, M.F. Nutritional and metabolic assessment of hospitalized patient, Journal of Parenteral and Enteral Nutrition , Baltimore, v.1, n.1, p.1-11, 1977.
BLOON, A. Relation of the complications of diabetes to the clinical state. Proceeding of the Royal Society of Medicine, London, v.60, n.2, p.149-152, 1967.
CAMARGO, R.M.S., VEIGA, G.V. Ambulatório de nutrição: uma experiência no Hospital Universitário Júlio Müller - Cuiabá, Mato Grosso. Medicina, Ribeirão Preto, v. 22, n.1/2, p.28-35, 1989.
CAVALCANTI, M.L.F. Teor de fibras alimentares. Fibra News, p.8, dez. 1990. Edição especial.
CERSOSIMO, E. Dieta e exercício: a base da terapia dos pacientes diabéticos no século XXI. Revista Brasileira de Nutrição Clínica, Porto Alegre, v.7, n.1, p.11-14, 1992.
CHRISTENSEN, N.K., TERRY, R.D., WYATT, S., PICHERT, J.W., LORENZ, R.A. Quantitative assessment of dietary adherence in patients with insulin-dependent diabetes mellitus. Diabetes Care, Vanderbilt, v.6, n.3, p.245-250, 1983.
FRANCO, G. Tabela de composição química de alimentos. 8. ed. Rio de Janeiro : Atheneu, 1987, 230 p.
GUYTON, A.C. Insulina, glucagon e diabetes mellitus. In: ______. Tratado de fisiologia médica, Rio de Janeiro: Guanabara Koogan, 1986, p.830-842 Capítulo 78.
JAMES, W.A., GUSTAFSON, N. J. Adherence to highcarbohydrate, high fiber diets. The Diabetes Educator, Lexington, v.15, n.5, p.429-434, 1989.
KRAUSE, M. V., MAHAN, L.K. Avaliação do estado nutricional: alimentos, nutrição e dietoterapia São Paulo: Roca, 1985. p.247-268 Capítulo 11.
LORENZ, R.A., CHRISTENSEN, N.K., PICHERT, J.W. Dierelated knowledge, skill and adherence among children with insulindependent diabetes mellitus. Pediatrics, Neshville, v.7, n.5, P.872-876, 1985.
OLIVEIRA, J.E.P. Dieta: a abordagem que melhora a aceitação no diabetes “Mellitus” . Arquivo Brasileiro de Endocrinologia e Metabologia, Rio de Janeiro, v.34, n.4, p.78-80, 1990.
ORGANIZACIÓN MUNDIAL DE LA SALUD. Necessidades de Energia y de proteínas. Genebra, 1985. 220p. (Série Informes Técnicos).
SCHMIDT, L.E., KLOVER, R.V., DELAMATER, A.M., HOBSON. D., ARFKEN, C.L. Compliance with dietary prescriptions in children and adolescente with insulin-dependent diabetes mellitus, Journal of the Americam Dietetic Association, Washington, DC, v.92, n.5, p.567-570, 1992.
TABELA de composição química de alimentos. Rev. [s.l.]: Departamento de Agricultura, Nutrição e Serviço de Informação, 1986. (Composição de alimentos: crus, processados e preparados, n.8, 1976-86; Série 1 a 16).
WEST, K.M. Diet therapy of diabetes: an analysis of failure. Annals of Internal Medicine, Philadelphia, v.79, n.3, p.425-533, 1973.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Rosemeire Maria Souza SANTOS, Rosane Pilot PESSA, Milton César FOSS, José Ernesto dos SANTOS

This work is licensed under a Creative Commons Attribution 4.0 International License.






