AbstractThe study entitled Effect of Nutritional Counselling on Risk Level of Dyslipidemia in Type 2 Diabetics was carried out at Sardar Patel Medical College and Hospital, Bikaner city. For the purpose, 180 type II diabetics, belonging to the middle income group were selected. The selection of the subjects was done on the basis of the duration of the disease : diabetics suffering from, last 5 years (stratum I) and last 10 years (stratum II). Further each strata was divided on the basis of BMI into obese, normal weight and underweight group with equal number of males and females in each group. General information like subjects’ age, sex, income, educational status, occupational status, food habits and type of life style were studied. Past history of the subjects in relation to diabetes like age at onset of disease, duration of disease, history of disease in the family, associated diseases and symptoms occurring on hyperglycemia were also studied. The lipid profile of the subjects was assessed in relation to total cholesterol, triglyceride and HDL cholesterol. Data on lipid profile was collected twice, first record was taken at starting of the study (prior to counselling) and the second after 3 months of nutrition counselling. Maximum per cent of subjects (55.55%) were falling in the age group of 45-55 years at the time of study. The mean age at the onset of diabetes was 47 years. Thus, maximum number of subjects
suffered from diabetes above 40 years of age. Data regarding serum cholesterol and serum triglycerides stated that prior to counselling subjects were at ‘high’ and ‘high moderate risk’ of dyslipidemia, respectively. Further, subjects of stratum II were noted for significantly (P<0.01) higher levels of serum cholesterol and triglycerides prior to counselling. But impact of counselling was clearly noted by the significant (P<0.005) decrease in the levels, with majority of the subjects noted for ‘low risk’ of hyperlipidemia for both serum cholesterol and triglycerides level. The difference in between the two strata was non significant after the counselling. A non significant difference in HDL-C level of the subjects was noted within and in between the two strata with ‘moderate risk’ of hyperlipidemia noted at both prior and after the counselling.
Keywords: Non insulin independent diabetes mellitus; Dyslipidemia; Total cholesterol; Triglyceride level; High density lipo protein; Nutrition counselling.