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KMID : 0354719920160010035
Journal of Korean Diabetes Association
1992 Volume.16 No. 1 p.35 ~ p.44
Influence of Duration of Diabetes on Nutritional Status in Non-Insulin Dependent Diabetes Mellitus
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Abstract
Anthropometry, nutrient intake and serum levels of proteins, minerals and lipids were estimated on 113 (66 male, 47 female) nonobese NIDDM and 23 (4 male, 19 female) obese NIDDM patients, Two groups, recent-onset diabetic patients (druation<1
year)
and
patientswith long duration of diabetes (duration¡Ã10 years), were compared in each sex to investigte the effect of duration of diabetes on unutritional status. Patients with long duration of diabetes had a lower percent ideal body weight than
recent-onset diabetic patients. However, there was no difference in waist-hip ratio, body fat concent, serum glucose and lipids between two groups. Recent-onset male diabetic patients showed decreased nutritional status in terms of calorie
intake,
the
levels of visceral protein status and serum micronutrients, while female diabetic patients showed obesity and normal nutritional status. Intakes of insufficient calories and alcohol could explain mild nutritional decrease in recent0-onset male
diabetic
patients compared to female diabetic patients. Male patients with long duration of diabetes showed a lower level of serum zinc and female patients showed lower levels in serum transferrin, zinc, iron, hemoglobin and hematocrit, compared with
recent-onset diabetic patients, Intakes of reduced calories and poor quality of protein could explain moderate nutritional decrease in female patients with long duration of diabetes. The study shows that NIDDM patients with long duration of
diabetes can
show nutritional deprivation and weight reduction without a decrease in central fat can not show any improvement in serum glucose an lipids.
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