David C. Ziemer|Kathy J. Berkowitz|Rita M. Panayioto|Imad M. El?Kebbi|Victoria C. Musey|Lynda A. Anderson|Nancy S. Wanko|Margaret Fowke|Carol W. Brazier|Virginia G. Dunbar|Wrenn Slocum|Gael M. Bacha|Daniel L. Gallina|Curtiss B. Cook|Lawrence Phillips
A Simple Meal Plan Emphasizing Healthy Food Choices Is as Effective as an Exchange-Based Meal Plan for Urban African Americans With Type 2 Diabetes
Emory University|Emory University|Emory University|Emory University|Emory University|Community Health Center|Centers for Disease Control and Prevention|Grady Health System|National Oceanic and Atmospheric Administration|Grady Health System|Grady Health System|Centers for Disease Control and Prevention|Emory University|Emory University|Emory University|Emory University
compare simple meal plan emphasizing healthy food choices traditional exchangebased meal plan reducing hba1c levels urban african americans type 2 diabetesa total 648 patients type 2 diabetes randomized receive instruction either healthy food choices meal plan hfc exchangebased meal plan exch compare impact glycemic control weight loss serum lipids blood pressure 6 months followup dietary practices assessed food frequency questionnairesat presentation hfc exch groups comparable age 52 years sex 65 women weight 94 kg bmi 335 duration diabetes 48 years fasting plasma glucose 105 mmoll hba1c 94 improvements glycemic control 6 months significant p 00001 similar groups hba1c decreased 97 78 hfc 96 77 exch improvements hdl cholesterol triglycerides comparable groups whereas lipids blood pressure altered hfc exch groups exhibited similar improvement dietary practices respect intake fats sugar sweetened foods among obese patients average weight change percentage patients losing weight distribution weight lost comparable two approachesmedical nutrition therapy effective urban african americans type 2 diabetes either meal plan emphasizing guidelines healthy food choices low literacy exchange method equally effective meal planning approach hfc meal plan may easier teach easier patients understand may preferable lowliteracy patient populations