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Background: Type 2 diabetes is a serious growing public health burden. In overweight and obese patients, lifestyle modifications, including nutrition therapy, regular physical activity and weight loss, are considered fundamental for the management of type 2 diabetes. The objective of the study is to evaluate the effect of life style intervention that is diet on blood glucose in diabetic patient over a period of 1 month and to find out whether the variables like BMI, Waist circumference, hip circumference, waist-hip ratio, frequency of hypoglycemic events changes due to this intervention. Methods: The study setting is a diabetic clinic in Thiruvananthapuram. Subjects who were in the age group 40-65 years and who completed at least five years after diagnosed as diabetic mellitus is selected into the study. Subjects under medication like insulin, OHA and both were included. Sample size obtained was 74. Due to drop outs it came to 50. Patient willing to participate screened after obtaining written informed consent. Self care and self records on food items as well as nutrition were emphasized in order to incorporate them into their lifestyle. The data collected analyzed. Student’s t test and Chi-square test performed. Results: The mean age of duration of diabetes among subjects was 10.44 with a standard deviation 5.388. Average duration of years with type 2 diabetes is more for males than females. Adherence to physical activity (62%) is more than dietary adherence (46%). The intervention for one month is found to be effective as in the study we got significant difference in BMI, FBS and PPBS values. The occurrence of hypo events was also found to be effective after intervention. Conclusion: The intervention was for one month. There is significant difference in BMI, FBS and PPBS values after intervention, which shows that if the DM patients strictly adhere to Diet and Physical activity improvement can be seen in outcome variables right from first month onwards.

A study on the effectiveness of Diet and Physical Activity in Diabetes Mellitus patients attending in a clinic in Thiruvananthapuram, Kerala