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Abstract

Objective: In this study, we aimed to examine the effects of diet and exercise on diabetes control in type 2 diabetics (NIDDM) who use only oral antidiabetic drugs (OAD). Methods: 217 patients with the diagnosis of NIDDM and using OAD, who admitted to family medicine outpatient clinic between December 2012 and February 2013, were included in the study. Patients were divided into four groups according to their regular diet and exercise. Group 1: Only dieting, Group 2: Only exercising, Group 3: Both dieting and exercising, Group 4: Neither dieting nor exercising. Age, duration of diabetes, body mass index (BMI) and hemoglobin A1c (HbA1c) levels were compared between groups. Results: The mean age of patients participating in the study was 54.5±10.0 years (p=0.878). 62.7% were women and 37.3% were men. The median duration of diabetes, mean BMI, median HbA1c levels were 36 months, 30.2±4.6 kg/m2 and 7.1. Statistically significant difference was not detected (diabetes duration; p=0.188, BMI; p=0,163 and HbA1c; p=0,290). Median HbA1c levels of groups were 7.0; 7.3; 6.8 and 7.2 respectively. No other difference was observed in the other comparisons between groups (p>0.05). Conclusion: There are positive effects of diet and exercise on diabetes control in type 2 diabetics who use only OAD. Diet and exercise have better control in diabetes patients on OAD. However these effects are more noticeable in patients who tackle implement diet and exercise together

Keywords

• Diabetes Mellitus, Diet, Exercise, HbA1c

Oral Antidiyabetik İlaç Kullanan Tip 2 Diyabetes Mellitus Hastalarında Diyet ve Egzersizin Hemoglobin A1c Düzeylerine Etkisi

Abstract

Amaç: Bu çalışmada tip 2 Diabetes Mellitus (T2DM) nedeniyle sadece oral antidiyabetik (OAD) kullanan hastalarda diyet ve egzersizin diyabet kontrolü üzerine etkilerini incelemeyi amaçladık. Yöntem: Çalışmaya Aralık 2012 - Şubat 2013 ayları arasında Aile hekimliği polikliniğine başvuran, bilinen T2DM tanısı olan ve OAD kullanan 217 hasta alındı. Hastalar düzenli diyet ve egzersiz yapma durumlarına göre dört gruba ayrıldı. Grup 1: Sadece diyet yapan, Grup 2: Sadece egzersiz yapan, Grup 3: Hem diyet hem de egzersiz yapan, Grup 4: Diyet ve egzersiz yapmayan grup. Grupların yaş, diyabet süreleri, beden kitle indeksi (BKİ) ve Hemoglobin A1c (HbA1c) düzeyleri karşılaştırıldı. Bulgular: Çalışmaya katılan hastaların yaş ortalaması 54,5±10,0 yıl idi (p=0.878). Hastaların 136’sı (%62,7) kadın, 81’ i (%37,3) erkek idi. Olguların medyan diyabet süresi, ortalama BKİ ve medyan HbA1c düzeyleri sırasıyla 36 ay (min: 0 - maks: 360), 30,2±4.6 kg/m2 ve 7.1 (min: 4.1-maks: 13.3) idi ve istatistiksel olarak farklılık saptanmadı (diyabet süresi; p=0,188, BKİ; p=0,163 ve HbA1c; p=0,290). Grupların medyan HbA1c seviyeleri sırasıyla 7,0; 7,3; 6,8 ve 7,2 olarak bulundu. Diğer gruplar arası karşılaştırmalarda fark gözlenmedi (p>0,05). Sonuç: T2DM olan ve sadece OAD kullanan hastalarda diyet ve egzersizin diyabet kontrolü üzerine olumlu etkisi vardır. Ancak bu etkinlik hem diyet hem de egzersizi birlikte yapan hastalarda daha belirgin olmaktadır

Keywords

• Diyabet, Diyet, Egzersiz, HbA1c

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