Abstract

BackgroundSri Lanka has a high prevalence of type 2 diabetes mellitus. Energy and macronutrient intakes of diabetic patients have not been previously studied in this population. We aimed to clarify the energy and nutrient intakes among a group of type 2 diabetic patients attending a tertiary care diabetes facility in Sri Lanka.MethodsNutritional and energy intake of 123 randomly selected patients with type 2 diabetes, aged 30–74 years was assessed using a 24-h dietary recall.ResultsThe mean energy intake for all participants was 1438 (SD 412) Kcal/day. The mean proportions of total carbohydrate, protein and fat comprising total energy intake were 68.1, 11.5 and 20.2 % respectively. The mean carbohydrate intake of 249.7 g/day comprised 50 % of rice. The mean daily protein, fat and dietary fibre intake was 42.5, 33 and 18.1 g respectively with a major contribution from plant sources. There was no significant difference in energy and nutrient intakes among the male and female participants.ConclusionThe present study provides the first pilot data on the energy and macronutrient intakes of diabetes patients in Sri Lanka. We clarified that these patients consumed an energy restricted, high-carbohydrate low fat diet compared to western diabetic patients. A larger nationwide dietary survey is recommended to confirm our findings.

Highlights

  • Sri Lanka has a high prevalence of type 2 diabetes mellitus

  • Sri Lanka has a high burden of non-communicable diseases (NCD), and in 2005 the prevalence of hypertension, diabetes and dysglycaemia was 18.8, 13.8 and 14 % respectively from a survey performed in 3 of its 9 provinces [1]

  • Socio‐demographic profile One hundred and twenty-three patients with type 2 diabetes were enrolled in the study following informed consent

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Summary

Introduction

Sri Lanka has a high prevalence of type 2 diabetes mellitus. Energy and macronutrient intakes of diabetic patients have not been previously studied in this population. We aimed to clarify the energy and nutrient intakes among a group of type 2 diabetic patients attending a tertiary care diabetes facility in Sri Lanka. Sri Lanka is a developing country with a population of 20 million and a heavy burden of diabetes. Sri Lanka has a high burden of non-communicable diseases (NCD), and in 2005 the prevalence of hypertension, diabetes and dysglycaemia was 18.8, 13.8 and 14 % respectively from a survey performed in 3 of its 9 provinces [1]. Prevalence of diabetes was notably higher among the urban population [2]. While Sri Lanka recorded a mortality of 524 deaths from

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