Dietary pattern among type 2 diabetes in rural area of Mysuru

Nishchitha S., Sunil Kumar D., Chandan N., Arun Gopi, Narayan Murthy M. R., Anil S. Bilimale


Background: Type 2 diabetes mellitus is considered one of the most common diseases in the world. It has a complex aetiology that includes both irreversible and reversible risk variables. Diet and its practice, sedentary way of life are the key factors for rapidly rising incidence amongst developing countries. Different methodological approach, to construct their diet patterns and their composition bound to conclusions on healthy patterns for diabetics. The study aimed to assess the dietary pattern among type 2 diabetic patients in rural field practice area of department of community medicine, Suttur, Mysuru.

Methods: The study was conducted at rural primary health center, Suttur, Mysore. 384 patients with type 2 diabetes (having for >1 years) aged between 18-70 years formed the study population. Semi-structured questionnaires were used to obtain data about dietary practices and food frequency questionnaire was used to assess food intake.

Results: Results revealed 70% were illiterates, 47.9% were between 1-3 years duration of diabetes and 97.4% followed both diet and oral medications. All of them consumed 3 meals a day. Dietary practices incorporated due to diabetic state were: cereals (100%) and fruits (166.6%), meat and poultry (200.6%) weekly.

Conclusions: It is one such type of disease which can be prevented at various levels by identifying predictors. Diabetic patients had poor dietary practices and consumed protective foods inadequately. Dietary practices did not change markedly except for reduction in cereals, and fruits.


Dietary pattern, Nutritional status, Lifestyle, FFQ, T2DM, Suttur

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Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Al Kaabi J. Epidemiology of type 2 diabetes - Global Burden of Disease and forecasted trends. J Epidemiol Glob Health. 2020;10(1):107-11

Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. Australas Med J. 2014;7(1): 45-8.

Anjana RM, Ali MK, Pradeepa R, Deepa M, Datta M, Unnikrishnan R, et al. The need for obtaining accurate nationwide estimates of diabetes prevalence in India - rationale for a national study on diabetes. Indian J Med Res. 2011;133:369-80.

Sigal RJ, Kenny GP, Wasserman DH, Wasserman DH. Physical activity/exercise and type 2 diabetes. Diabetes Care. 2006;29(6):1433-8.

Ash S, Reeves MM, Yeo S. Effect of intensive dietetic interventions on weight and glycaemic control in overweight men with type II diabetes: a randomized trial. Int J Obes Relat Metab Disord. 2003;27:797-802.

Asif M. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. J Educ Health Promot. 2014;3(1):45-9.

Cooper AJ, Sharp SJ, Lentjes MA. A prospective study of the association between quantity and variety of fruit and vegetable intake and incident type 2 diabetes. Diabetes Care. 2012;35:1293-300.

Haimoto H, Sasakabe T, Wakai K. Effects of a low-carbohydrate diet on glycemic control in outpatients with severe type 2 diabetes. Nutr Metab. 2009;6:21.

Feinman RD, Pogozelski WK, Astrup A. Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base. Nutrition. 2015;31(1):1-13.

Worku A, Abebe SM, Wassie MM. Dietary practice and associated factors among type 2 diabetic patients: across sectional hospital based study. Ethiopia: Springer Plus; 2015:4(15).

Abioye-Kuteyi EA, Ojofeitimi EO, Ijadunola KT. Assessment of dietary knowledge, practices and control in type 2 diabetes in a Nigerian teaching hospital. Niger J Med. 2005;14(1):58-64.

Evert AB, Boucher JL, Cypress M. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2014;37:S120-43.

Chacko M, Begum K. Dietary practices among type 2 diabetic patients - A cross-sectional study from a major city in India. Ijhsr. 2021;6(4):45-9.

Dietary guidelines for Indians- A manual. Available at: GuidelinesforNINwebsite.pdf. Accessed on 20 May 2021.

Vermeire E, Hearnshaw H, Van Royen P. Patient adherence to treatment: Three decades of research. A comprehensive review. J Clin Pharm Ther. 2001;26: 331-42.

Majlessi F, Mohebbi B, Tol A. Assessment of knowledge and beliefs’. Int J Health Sci Res. 2016; 6(4):377.

Tol A, Shojaeezadeh D, Sharifirad GH. Predictors of self-management behaviors among type 2 diabetes patients. J Basic Appl Sci Res. 2012;2:2270-4.

Yannakoulia M. Eating behavior among type 2 diabetic patients. A poorly recognized aspect in a poorly controlled disease. Rev Diabet Stud. 2006; 3(1):11-6.

Gupta RK, Shora TN, Jan R, Raina SK, Mengi V, Khajuria V. Knowledge, attitude and practices in type 2 diabetes mellitus patients in rural Northern India. Indian J Comm Health. 2015;27(3):327‐33.

Venn BJ, Mann JI. Cereal grains, legumes and diabetes. Eur J Clin Nutr. 2004;58(11):1443-61.

Pasin G, Comerford KB. Dairy foods and dairy proteins in the management of type 2 diabetes: A systematic review of the clinical evidence. Adv Nutr. 2015;6:245-59.

Imai S, Fukui M, Kajiyama S. Effect of eating vegetables before carbohydrates on glucose excursions in patients with type 2 diabetes. J Clin Biochem Nutr. 2014;54(1):7-11.

Jenkins DJ, Kendall CW, Marchie A. Type 2 diabetes and the vegetarian diet. Am J Clin Nutr. 2003;78(3): 610S-6S.