Diabetes Diagnosis Status Impacts Dietary Quality among Hispanic Women with or at Risk for Type 2 Diabetes

• DOI: 10.1096/fasebj.31.1_supplement.961.16
• Publication Date: 2023-11-26T17:29:50Z
• Authors: Sonia Vega‐López; Nangel M Lindberg; Michael Leo; Mayra Arias‐Gastélum; Milena Petrovic; Elizabeth Shuster; Erin S LeBlanc; Victor J Stevens; Richard T Meenan
• Keywords: Medical record; Medical History

Background Diet quality is an important factor contributing to type 2 diabetes (T2D) prevention and control. Although nutrition therapy recommended as part of standard medical care for T2D patients, it not known whether diet differs among Hispanic women depending on their diagnosis status. This particular importance given the low awareness pre‐diabetes (preD) in this population. Objective To compare baseline macronutrient intake dietary overweight/obese with or at‐risk T2D, based status record (with without pre‐D T2D). Methods Participants included 197 (age = 43.6±10.2 y; weight 86.6±16.5 kg; BMI 36.4±6.5 kg/m ; HbA1c 6.5±1.5 %) at risk enrolled De Por Vida, a culturally‐tailored loss intervention. As recorded electronic record, 90 participants did have formal (but were considered history gestational diabetes, hyperlipidemia hypertension), 107 had established diagnosis. Regardless 140 ≥ 5.7%. Baseline data reflecting prior three months collected using Southwestern Food Frequency Questionnaire. Macronutrients quality, assessed Healthy Eating Index (HEI), compared participants' We total 23 outcomes t‐tests report p values unadjusted multiple comparisons. Results Mean daily energy was 1656±905 kcal, protein fat 17.7±3.1 % 30.7±5.5 energy, respectively. carbohydrate 219±117 g, which 84±59 g sugars 24±12 fiber. Relative no pre‐D/T2D diagnosis, those reported lower (1508±802 kcal vs. 1832±989 kcal; p=.01) carbohydrates (200±99 242±132 g; Women greater HEI score (67.5±8.2) than (64.7±10.1, p=.03). subscores vegetables (p=.03), fatty acids (p=.048) empty calories (p=.01) Other differ Among all participants, adequacy particularly high (> 80% maximum) vegetables, greens beans, whole fruit protein. Subscores (<51% grains, sodium refined grains. Conclusions Vida adequate intakes food groups including However, there room improving through reducing replacing grains counterparts. Having associated higher highlights condition individuals risk. Support Funding Information NIH/NIDDK – 1R01DK099277