title: Outcomes monitoring of health, behavior, and quality of life after nutrition intervention in adults with type 2 diabetes.
abstract: OBJECTIVE
  To examine changes in health and lifestyle indicators over 6 months in persons with type 2 diabetes mellitus receiving nutrition counseling from a registered dietitian, and to promote dietetics professionals' participation in outcomes monitoring and research.
  
  
  METHODS
  Prospective, noncontrolled descriptive study.
  
  
  METHODS
  Two hundred forty-four physician-referred adults with type 2 diabetes mellitus from 31 sites who received usual and customary nutrition counseling, and 83 registered dietitians.
  
  
  METHODS
  Glycemic control, coronary heart disease risk, self-management behaviors, and quality of life were measured at baseline, 3 months, and 6 months. Dietitians' perceptions of the study were also measured.
  
  
  METHODS
  Repeated-measures analysis of variance, paired t test, Wilcoxon signed rank test, sign test, Spearman correlation, and chi 2 analysis were conducted.
  
  
  RESULTS
  Weight and glycemic control, coronary heart disease risk, and self-management behaviors improved significantly between baseline and 3 months and baseline and 6 months. Weight, body mass index, and glycosylated hemoglobin value also improved significantly between 3 months and 6 months. Increased time and/or number of sessions with the registered dietitian were associated with weight loss and reduced glycosylated hemoglobin, fasting plasma glucose, total cholesterol, and triglyceride levels. Self-perceived health status and missed workdays were significantly improved at 6 months. Difficulty obtaining current laboratory values, lack of time, and inability to reach subjects for follow-up presented the greatest obstacles for the dietitians.
  
  
  CONCLUSIONS
  Positive outcomes were observed in adults receiving nutrition intervention for type 2 diabetes. Clinical improvements were greatest between baseline and 3 months, with stabilization between 3 months and 6 months, suggesting ongoing intervention is needed to support continued clinical progress. Dietitians found participation in this state affiliate-coordinated research project rewarding.
authors.affiliation: Department of Human Biology, University of Wisconsin-Green Bay, WI, USA. ralemon@wisc.edu
authors.forename: Christina C
authors.initials: CC
authors.lastname: Lemon
authors.forename: Karen
authors.initials: K
authors.lastname: Lacey
authors.forename: Barbara
authors.initials: B
authors.lastname: Lohse
authors.forename: Diane Olson
authors.initials: DO
authors.lastname: Hubacher
authors.forename: Bridget
authors.initials: B
authors.lastname: Klawitter
authors.forename: Mari
authors.initials: M
authors.lastname: Palta
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D003376:Counseling; D048909:Diabetes Complications / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004046:Dietetics / Q000379:methods / Q000592:standards*; D019317:Evidence-Based Medicine; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D015438:Health Behavior; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D044623:Nutrition Therapy / Q000379:methods / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic; D011446:Prospective Studies; D011788:Quality of Life; D012044:Regression Analysis; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D006442:Glycated Hemoglobin