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      Recommendations of the Polish Society of Diabetology and the Lifestyle of Patients with Type 2 Diabetes Mellitus: An Own Research

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          Abstract

          Background and Objectives:Currently, diabetes is becoming a very serious challenge in medicine;type 2 diabetes mellitus (T2DM) is referred to as a noncontagious epidemic of the 21st century. The aim of the study is to assess the lifestyle of patients with type 2 diabetes, in particular eating habits, physical activity, and tobacco smoking, and to compare the obtained values with the latest recommendations of the Polish Society of Diabetology. Materials and Methods: The study group was comprised of 460 patients with type 2 diabetes, treated in the Diabetes Outpatient Clinic ( n = 299) and the Clinical Department of Internal Medicine ( n = 166). The study was conducted using a questionnaire, which included the Food Intake Frequency Questionnaire, 24 h dietary recall, and the International Physical Activity Questionnaire. Results: Abnormal excessive consumption of saturated fatty acids and salt and insufficient intake of dietary fiber was observed in the study group. Physical activity was insufficient in over 50% of the study group. In the study group, 17% of patients were smokers and the mean number of pack-years was 23. Conclusions:In the study group, excessive fat consumption (i.e.,saturated fatty acids) and dietary fiber deficiency were found in the daily diet.

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          Evidence for validity of a national physician and patient-reported, cross-sectional survey in China and UK: the Disease Specific Programme

          Objective Diabetes represents a significant challenge for Chinese healthcare providers. Healthcare decision-making is generally based on many data sources, including randomised controlled and real-world studies; however, good-quality data from Chinese diabetes patients are scarce. We performed an initial validation to assess the representativeness of one source of real-world data—the Diabetes Adelphi Disease Specific Programme (DSP) in China. Setting China, UK. Participants The Chinese DSP included 2060 patients with previously diagnosed type 2 diabetes mellitus (T2DM) sampled by 200 physicians. The reference Chinese population comprised 238 639 patients with previously diagnosed T2DM. The UK DSP contained 1481 patients with T2DM sampled by 125 physicians; the reference UK population comprised 289 patients with diabetes. Primary and secondary outcomes The primary outcome was comparison of unweighted China DSP and reference data for sex, body mass index (BMI), blood pressure (BP), patients achieving glycosylated haemoglobin (HbA1c)<7%, total cholesterol, coronary heart disease and dyslipidaemia. The secondary outcome was comparison of weighted UK DSP and reference data for BMI, BP, mean HbA1c, total cholesterol, smoking and insulin status. Results Comparison of unweighted China DSP and reference data revealed statistical equivalence for BMI, systolic BP, proportion of patients achieving HbA1c <7%, total cholesterol, coronary heart disease and dyslipidaemia. Sex, age, diabetes duration, diastolic BP and mean HbA1c level were not equivalent, although differences were generally small. Weighting of data did not substantially affect the results. A similar pattern was observed for UK data. Conclusions This study provides evidence that the methodology used for the China and UK parts of the Diabetes DSP produces representative samples that are comparable with other independent sources of patient treatment outcomes data, which may ultimately inform public health decision-making. Although this method could be used in other countries, the current validation applies to UK and China. Further research is required for other countries.
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            Low-Carb and Ketogenic Diets in Type 1 and Type 2 Diabetes

            Low-carb and ketogenic diets are popular among clinicians and patients, but the appropriateness of reducing carbohydrates intake in obese patients and in patients with diabetes is still debated. Studies in the literature are indeed controversial, possibly because these diets are generally poorly defined; this, together with the intrinsic complexity of dietary interventions, makes it difficult to compare results from different studies. Despite the evidence that reducing carbohydrates intake lowers body weight and, in patients with type 2 diabetes, improves glucose control, few data are available about sustainability, safety and efficacy in the long-term. In this review we explored the possible role of low-carb and ketogenic diets in the pathogenesis and management of type 2 diabetes and obesity. Furthermore, we also reviewed evidence of carbohydrates restriction in both pathogenesis of type 1 diabetes, through gut microbiota modification, and treatment of type 1 diabetes, addressing the legitimate concerns about the use of such diets in patients who are ketosis-prone and often have not completed their growth.
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              Global report on diabetes

              (2016)
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                Author and article information

                Journal
                Healthcare (Basel)
                Healthcare (Basel)
                healthcare
                Healthcare
                MDPI
                2227-9032
                20 November 2020
                December 2020
                : 8
                : 4
                : 504
                Affiliations
                [1 ]Faculty of Health Sciences, College of Engineering and Health, 02-366 Warsaw, Poland
                [2 ]Department of Human Nutrition, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, 40-055 Katowice, Poland; bcalyniuk@ 123456sum.edu.pl
                [3 ]University of Economics in Katowice, Faculty of Informatics and Communication, Department of Demography and Economic Statistics, 40-287 Katowice, Poland; alicja.ganczarek-gamrot@ 123456ue.katowice.pl
                [4 ]Department of Nutrition-Related Disease Prevention, Department of Metabolic Disease Prevention, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, 40-055 Katowice, Poland; karolina.janion@ 123456med.sum.edu.pl (K.J.); enowakowska-zajdel@ 123456sum.edu.pl (E.N.-Z.)
                [5 ]Department of Internal Medicine, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, 40-055 Katowice, Poland; mwierzgon@ 123456sum.edu.pl
                [6 ]Department of Clinical Oncology, No. 4 Provincial Specialist Hospital, 41-902 Bytom, Poland
                Author notes
                [* ]Correspondence: mgetek-paszek@ 123456wsiiz.pl ; Tel.: +48-505-868-710
                Author information
                https://orcid.org/0000-0002-3351-1144
                https://orcid.org/0000-0002-2856-9739
                https://orcid.org/0000-0001-6562-7072
                Article
                healthcare-08-00504
                10.3390/healthcare8040504
                7711838
                33233730
                68393a3c-7549-4bc0-9eb9-6e73244eed3d
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 27 September 2020
                : 18 November 2020
                Categories
                Article

                diet,smoking,physical activity,type 2 diabetes mellitus,lifestyle

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