title: Effectiveness of a public dietitian-led diabetes nutrition intervention on glycemic control in a community setting in China.
abstract: OBJECTIVE
  Diabetes mellitus requires lifelong treatment, most of which is accomplished in family and community settings. The present study was designed to identify the effectiveness of nutrition intervention provided by public dietitian on glycemic control in a community setting in China.
  
  
  METHODS
  Two communities were selected and randomly assigned to a routine care group (59 subjects) and a public dietitian-led intervention group (58 subjects) who received diabetic nutrition management for one year. The main measures included fasting plasma glucose, HbA1c, weight, body mass index (BMI), lipid profile, and blood pressure.
  
  
  RESULTS
  In the intervention group, there was significant improvement in fasting plasma glucose, HbA1c, cholesterol, and triglyceride levels relative to the control subjects (p<0.05). Over the 12-month period, there was a decrease in energy intake, including reductions in absolute amounts (grams) of protein and fat in the intervention group. The energy percent values of carbohydrate, protein, and fat were 50.7%, 17.0%, and 32.3%, respectively, at baseline and 53.0%, 17.1%, and 29.9% (within the recommended range) after the intervention. There were significant improvements in total energy, absolute amounts of fat and protein, and the energy percent values of carbohydrates and fat. In the control group, however, these values were similar before and after the intervention, and the energy percent values of fat were still above the recommended range.
  
  
  CONCLUSIONS
  In a community setting, a diabetes nutrition intervention led by a public dietitian significantly improved the glycemic control of type 2 diabetic patients.
authors.affiliation: Department of Preventive Medicine, Bengbu Medical College, Anhui, Bengbu, China.
authors.forename: Huaqing
authors.initials: H
authors.lastname: Liu
authors.affiliation: Department of Health Management, Bengbu Medical College, Anhui, Bengbu, China.
authors.forename: Min
authors.initials: M
authors.lastname: Zhang
authors.affiliation: Department of Preventive Medicine, Bengbu Medical College, Anhui, Bengbu, China.
authors.forename: Xuesen
authors.initials: X
authors.lastname: Wu
authors.affiliation: Department of Preventive Medicine, Bengbu Medical College, Anhui, Bengbu, China.
authors.forename: Chunhua
authors.initials: C
authors.lastname: Wang
authors.affiliation: Department of Nutrition and Food Hygiene, School of Public Health, Nanjing Medical University, Nanjing, China. Email: uiuclz@126.com.
authors.forename: Zhong
authors.initials: Z
authors.lastname: Li
mesh_terms: D001786:Blood Glucose; D015992:Body Mass Index; D002681:China; D016000:Cluster Analysis; D003153:Community Health Services / Q000379:methods* / Q000706:statistics & numerical data; D003920:Diabetes Mellitus / Q000178:diet therapy*; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D038321:Glycemic Index; D006801:Humans; D008297:Male; D008875:Middle Aged; D064686:Nutritionists; D015397:Program Evaluation / Q000379:methods / Q000706:statistics & numerical data*; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose