2016 Volume 56 Issue 10 Pages 1002-1005
Background : Nutrition therapy is the basis of treatment for type 2 diabetes, but its adherence is not easy. To support the patient’s self management, the dietitian participates in their nutrition therapy when needed as well as from when the patient has been diagnosed with diabetes. According to the position statements by the American Diabetes Association there is no standard meal plan or eating pattern of ideal percentages of carbohydrates, proteins and fats, so the nutrition therapy is specifically tailored to each patient based on their goals. Furthermore, the method of motivational interviewing (MI) by Miller and Rollnick has been applied to type 2 diabetes patients, because it helps them find motivation within themselves to follow the treatment plan which might lead to better adherence to the nutritional treatment. Method and Results : In our outpatient department 58 patients (32 men and 26 women, median age ; 65 years old) who have high HbA1c (≧7.0%) were treated by both MI and nutrition therapy from January 2014 to August 2014. Nutritional counseling by dietitians and MI by the physician were conducted several times according to each patient’s needs. The patients’ HbA1c before the study was 8.3±1.1% (mean±SD). After both the treatments, HbA1c was sustained at 7.7±1.1% during the 12 month study. In half of the patients the HbA1c decreased by over 0.5% in the same period. The number of nutrition counseling sessions might correlate to the reduction of HbA1c (p=0.0822). Conclusions : The combination of nutrition therapy and MI might be effective against the poor glycemic control of type 2 diabetes patients.
