Resumen

Objective: The objective of this study is to demonstrate the effect of the therapeutic education methodology on the metabolic control of type 2 diabetes mellitus patients participating in the Nutritional Intervention Program in Chronic Diseases (PINEC, Spanish acronym) by the evaluation of biochemical, anthropometric, and dietetic parameters. Methodology: PINEC is a group nutrition attention model based on a therapeutic education approach. This descriptive study included people over 20 years old participating in PINEC from 2012 to 2016. The metabolic control was evaluated at the beginning and the end of the study period. Results: The educational intervention was completed by 1280 users (85%) of the initial population integrated by 72% of women and with an average age of 53 ± 11. A significant decrease in the following biochemical and anthropometric variables was achieved: glycosylated hemoglobin (from 8.76 ± 2.14 to 7.81 ± 1.78%), fasting glycemia (from 173.3 ± 76 to 152.3 ± 63.47 mg/dl), postprandial glycemia (from 181.7 ± 79.9 to 161.7 ± 71.9 mg/dl), triglycerides (from 247.5 ± 192.88 to 220.9 ± 185.1 mg/dl), and abdominal circumference (a 1.1 cm reduc- tion). Obesity was most frequent in women (51.2%) compared to men (17.3%, p = 0.001). Regarding dietary variables, an adjustment was detected in meal times, especially in the consumption of snacks. An improvement on daily distribution of carbohydrates, on the consumption of legumes, fruits, and vegetables, and an increase in protein food sources were also observed. Conclusions: The participation in the PINEC intervention, based on therapeutic education, showed a positive effect on metabolic and cardiovascular health, self-care behaviors, and quality of life in patients with diabetes.

Palabras clave: diabetes mellitus educational intervention therapeutic education metabolic control.

2018-10-10   |   531 visitas   |   Evalua este artículo 0 valoraciones

Vol. 8 Núm.3. Julio-Septiembre 2018 Pags. 99-109 Rev Asoc Latin Diabet 2018; 8(3)