Evaluation of a Structured Nutrition Educational Program in Insulin-treated Diabetic Patients in Vietnam

Summary

The purpose of this study is to find out if learning about healthy eating can help people with diabetes control their blood sugar better. This study is for men and women between 18 and 70 years old who use insulin at least twice a day but still have high blood sugar. We want to answer the following questions: Can nutrition education help lower HbA1c (a blood test that shows average blood sugar over the past 3 months)? Can it improve knowledge about nutrition, quality of life, and make blood sugar more stable? Will it help reduce fasting blood sugar, lipid levels, body weight, and the number of times low blood sugar (hypoglycemia) happens? Participants will be divided into two groups: One group will receive a nutrition booklet. The other group will receive the same booklet and join four monthly lessons with a researcher. The four lessons will talk about: Goals for managing diabetes Main nutrients in food How to plan meals How to eat in a way that supports better blood sugar control

Eligibility

Inclusion Criteria:

* People between 18 and 70 years old.
* People who come to Cho Ray Hospital for diabetes care and plan to keep getting care there for at least six months.
* People who have diabetes and have been prescribed diabetes medicine.
* People who were recently diagnosed with diabetes, based on the latest guidelines from the American Diabetes Association.
* People whose blood sugar (HbA1c) level is higher than 8%.
* People who are currently using at least two insulin injections a day or have just started a daily multiple insulin injection plan because their diabetes is not well controlled.

Exclusion Criteria:

* People who are seriously ill and need to stay in the hospital, such as those with infections, pneumonia, heart attacks, strokes, or infected diabetic foot.
* People who have cancer, serious mental health problems, or problems with drug use.
* People who do not want to take part or cannot follow the study plan.

Conditions2

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