A study on dietary pattern of patients with type-2 diabetes


  • Md. Abdul Bashet Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh, India
  • Tushar Chandra Dash Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh, India
  • Md. Estiar Rahman Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh, India
  • Most Sabrina Moonajilin Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh, India




Dietary pattern, Type-2 diabetes, Interventions, Food items


Background: Diabetes prevalence is increasing rapidly in middle and low income countries. According to the World Health Organization, diabetes was the seventh leading cause of death in 2016. The study aimed to assess dietary pattern of rural patients with type 2 diabetes (T2DM) in Bangladesh.

Methods: A descriptive cross sectional study was conducted on 149 patients with T2DM from Nagorpur, Tangail district in Bangladesh. The daily intake of foods was assessed by a prepared seven days food frequency questionnaire. Descriptive statistics were computed and chi square test was employed to signify association between variables.  

Results: Total 149 patients with T2DM were included in the study. The patient’s mean age and BMI was 46.68 (±10.05) years and 22.51 (±2.28) respectively. The average intake of calorie, carbohydrate, protein and fat of the patients was 1572 (±268) Kcal/day, 241 (±33) g/day, 85 (±15) g/day and 57 (±11) g/day respectively. Gender was associated with calorie (χ2=16.68, p<0.05), carbohydrate (χ2=10.63, p<0.05) and protein (χ2=9.42, p<0.05) intake. Age was also associated with calorie (χ2=13.54, p<0.05) and fat (χ2=13.16, p<0.05) intake. However, the study revealed that majority of the diabetic patients follows recommended dietary guidelines.

Conclusions: To prevent diabetes and manage its complications, dietary guideline should be followed appropriately. We found quite satisfactory results regarding dietary intake of patients with T2DM. Yet, continual interventions need to be provided. 


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Nolan CJ, Damm P, Prentki M. Type 2 diabetes across generations: from pathophysiology to prevention and management. Lancet. 2011;378(9786):169–81.

WHO Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey [Internet]. WHO. 2019.

Donnelly R, Emslie-Smith AM, Gardner ID, Morris AD. Vascular complications of diabetes. BMJ . 2000 ;320(7241):1062–6.

Duc Son LNT, Hanh TTM, Kusama K, Kunii D, Sakai T, Hung NTK, et al. Anthropometric characteristics, dietary patterns and risk of type 2 diabetes mellitus in Vietnam. J Am Coll Nutr. 2005;24(4):229–34.

Neuhouser ML, Miller DL, Kristal AR, Barnett MJ, Cheskin LJ. Diet and exercise habits of patients with diabetes, dyslipidemia, cardiovascular disease or hypertension. J Am Coll Nutr. 2002;21(5):394–401.

Yu R, Woo J, Chan R, Sham A, Ho S, Tso A, et al. Relationship between dietary intake and the development of type 2 diabetes in a Chinese population: the Hong Kong Dietary Survey. Public Health Nutr. 2011;14(7):1133–41.

Hendry. Priority setting in clinical nursing practice: literature review. Journal of Advanced Nursing - Wiley Online Library. 2019.

Mumu SJ, Saleh F, Afnan F, Akhter A, Ahmed KR. Pattern of dietary intake among newly diagnosed type 2 diabetic subjects with hypercholesterolemia. Pak J Nutr. 2009;8(6):721–4.

Smeltzer SC, Bare BG. Brunner & Suddarth’s textbook of medical-surgical nursing. Philadelphia: JB Lippincott; 1992.

Gebhardt SE, Thomas RG. U.S. Department of Agriculture, Agricultural Research Service, Nutrient Data Laboratory, Beltsville, Maryland. 2016: 104.

Dey S, Islam S. Food Composition Table for Bangladesh. 1st edition. Bangladesh: Intergraphic Ltd; 2013: 1-214.

Van Dam RM, Willett WC, Rimm EB, Stampfer MJ, Hu FB. Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care. 2002;25(3):417–24.

Feskens EJ, Virtanen SM, Räsänen L, Tuomilehto J, Stenga ard J, Pekkanen J, et al. Dietary factors determining diabetes and impaired glucose tolerance: a 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study. Diabetes Care. 1995;18(8):1104–12.

Harding A-H, Sargeant LA, Welch A, Oakes S, Luben RN, Bingham S, et al. Fat consumption and HbA1c levels: the EPIC-Norfolk study. Diabetes Care. 2001;24(11):1911–6.

Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, et al. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med. 2001;345(11):790–7.

Salmeron J, Hu FB, Manson JE, Stampfer MJ, Colditz GA, Rimm EB, et al. Dietary fat intake and risk of type 2 diabetes in women. Am J Clin Nutr. 2001;73(6):1019–26.

The Annual Report of the Department of Health. 2011: 1-91.

Sacerdote C, Ricceri F, Rolandsson O, Baldi I, Chirlaque M-D, Feskens E, et al. Lower educational level is a predictor of incident type 2 diabetes in European countries: the EPIC-InterAct study. Int J Epidemiol. 2012;41(4):1162–73.

Mehrotra JP. Diet Chart For Diabetes Patient. 2019.

Sumiyoshi K, Kawata C, Shikata K, Makino H. Influencing factors for dietary behaviors of patients with diabetic nephropathy. Acta Med Okayama. 2010;64(1):39–47.

Rafique G, Azam SI, White F. Diabetes knowledge, beliefs and practices among people with diabetes attending a university hospital in Karachi, Pakistan. East Mediterr Health J. 2006;12(5):590-8.

Jaffiol C, Fontbonne A, Vannereau D, Olive J-P, Passeron S. Diabetes and social deprivation. Bull Acad Natl Med. 2012;196(4–5):953–75.






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