title: [Importance of nutritional counseling and dietary fiber content on glycemic control in type 2 diabetic patients under intensive educational intervention].
abstract: OBJECTIVE
  To evaluate the importance of nutritional counseling within a set of multidisciplinary interventions.
  
  
  METHODS
  Forty-seven patients with type 2 diabetes and hyperglycemia (A1C ≥ 8%), treated conventionally (n = 19, GC) or intensively in six weekly visits (n = 28, GI) were analyzed. We evaluated mean weekly blood glucose (MWG) at baseline and after 6 weeks in both groups.
  
  
  RESULTS
  GI reduced caloric (p = 0.001), carbohydrate (p = 0.004), and fat (p = 0.001) intake, and increased fiber consumption, while GC reduced fiber intake (p = 0.018). Glycemic control (MWG ≤ 150 mg/dL) occurred in 75% of GI patients and in 31.6% of CG patients (p = 0.003), with negative correlation between changes in fiber intake and MWG values (r =-0.309; P = 0.035). Results were maintained after 12 weeks.
  
  
  CONCLUSIONS
  Educational short-term intensive intervention was more effective than conventional treatment to achieve glycemic control. Our results also indicate that a more appropriate fiber content in the diet contributes for better blood glucose control in these patients.
authors.affiliation: Departamento de Medicina, Escola Paulista de Medicina, Universidade Federal de São Paulo, Brasil. fe_sanchesc@hotmail.com
authors.forename: Fernanda Sanches
authors.initials: FS
authors.lastname: Carvalho
authors.forename: Augusto
authors.initials: A
authors.lastname: Pimazoni Netto
authors.forename: Patrícia
authors.initials: P
authors.lastname: Zach
authors.forename: Anita
authors.initials: A
authors.lastname: Sachs
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Zanella
mesh_terms: D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000178:diet therapy*; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004043:Dietary Fiber / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards*; D011446:Prospective Studies; D018709:Statistics, Nonparametric
chemical_list: D001786:Blood Glucose; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004043:Dietary Fiber