The effectiveness of diabetic mellitus diet-counseling to monks with type 2 diabetes

Diabetes Mellitusis a chronic disease which can cause many complications seriously affecting quality of life and longevity. Good management of blood sugarlevel reduces and avoids complications. Dietary managementis one of very important factors to control blood sugarlevel. Since the difference regulations from people about proper timefor a monk consumption, i.e. not eating before 6.00 AM and not after noon and taking food from the donor presenting to the hand or in the bowl, it may affect the control normal blood sugarlevel. In this study, we developed and evaluated the diabetic mellitusdiet-counseling pattern in the type 2 diabetes with non-insulin dependent diabetes mellitus(NIDDM) monk out-patients of Priest Hospital. One hundred cases were randomly recruited. All were counseled in the first visit about disease, complication, dietary therapy and appropriate behavior. Blood sample collections for serum lipid levels and blood sugarlevels determination and completion of the test regarding general history, knowledge and the behavioral frequency questionnaire were conducted two times (week 0 and week 6). At week 6, the level of FBS, TC, LDL-C, TG, body mass index (BMI), weight, systolic blood pressure, diastolic blood pressure and weight score of inappropriate behavior test decreased significantly (p < 0.05). In contrast, the score of knowledge test and the weight score of appropriate behavior test increase significantly (p < 0.05). The same manner occurr in HDL-C level without significant differences. The results suggested that dietary and appropriate behavior counseling were the method that the NIDDM monks understood and could do effectively. Diabetic mellitusdiet-counseling to monks with type 2 diabetes mellituswas effective to attain the reduction of blood sugarlevels and serum lipids, and sustainably improved eating behavior. Key words: non-insulin diabetes mellitus(NIDDM) monk, counseling, dietary and appropriate behavior counseling, knowledge and behavior test