The effectiveness of Idaho Plate Method as an adjunct to Food Exchange List in improving compliance to dietary management of Type 2 Diabetes Mellitus patient: a randomized controlled trial /
Jodelyn V. Magtalas [and two others]
Background: Diabetes is a chronic, progressive disease and a growing healthcare problem that accounts for a huge burden of morbidity and mortality. Nutrition interventions, being an integral part of T2DM interventions, are now widely offered as part of regular services in an outpatient setting; but still pose problems to family medicine practice in term of compliance. Objective: To determine the effectiveness of Idaho Plate Method as an adjunct to Food Exchange List in improving compliance to dietary management with a 350 kcal difference from baseline and improving glycemic control of T2DM patients at the UP-PGH Family Medicine Clinic. Methodology: Design; The study was a two-arm prospective and randomized controlled trial. Sample size. A total of 68 adult patients diagnosed with T2DM served as eligible subjects computed using Power Sample Size Calculator. Setting; The study was done at the UP-PGH Family Medicine Clinic and Nutrition. Population; The study was divided into control group (Food Exchange List) and intervention group (Food Exchange List and Idaho Plate Method) both fulfilling the set criteria. Results: There was a marked decrease in the average caloric intake from baseline and after 3 months follow-up on both the control and intervention groups. However, Food Exchange List showed a better compliance. In comparing the mean change between the two groups Conclusion: The results of this study do not provide a significant outcome on the effectiveness of Idaho Plate Method as adjunct to Food Exchange List in improving compliance to dietary management and in affecting glycemic control as well.
The Filipino Family Physician, 2012 50 (3) pages 111-118