OPTIMIZING DIETARY STRATEGIES IN THE CARE OF PATIENTS WITH DIABETES MELLITUS

Zivkovikj, Gabriel and Arsovski, Denis and Jankulovska, Angelka and Lozanovski, Zlatko (2026) OPTIMIZING DIETARY STRATEGIES IN THE CARE OF PATIENTS WITH DIABETES MELLITUS. In: 1 st International Scientific Conference - Food Science, Nutrition, Innovative Technologies and Sustainability, 03.10.2025, Veles, North Macedonia.

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Abstract

Introduction: Diabetes mellitus is a chronic metabolic disorder requiring a comprehensive, multidisciplinary approach, with dietary management serving as a foundation for optimal glycemic control and prevention of complications. A structured dietary regimen complements pharmacological treatment, yet long-term adherence remains challenging due to behavioral, socioeconomic, and educational barriers.
Materials and methods: This research involved 40 participants with type 1, type 2 and gestational diabetes mellitus. Data were collected with a structured questionnaire that assess dietary habits, nutritional knowledge, viewed obstacles to dietary adherence, and participation in professional nutritional counseling. Clinical indicators such as fasting blood glucose and HbA1c levels were recorded to evaluate glycemic control in relation to dietary practices.
Discussion: Although most participants appreciated the significance of diet in diabetes management, consistent adherence to recommended practices was limited. The most frequently reported barrier was poor dietary discipline, followed by limited availability of suitable food and financial constraints. Positive dietary changes such as reduced sugar intake, elimination of sweetened beverages, and increased vegetable consumption were found, but were inconsistently maintained. Finally, the role of nutritionists in planning and implementing appropriate dietary strategies was underrepresented, with most participants relying on self-designed diets or
guidance from diabetologists.
Conclusion: Despite general awareness of the importance of nutrition, there is still a critical shortfall between knowledge and implementation. Greater integration of nutritionists into multidisciplinary diabetes care, expanded patient education, and adoption of digital tools for individualized dietary support can improve dietary adherence and glycemic outcomes.

Item Type:	Conference or Workshop Item (Paper)
Subjects:	Scientific Fields (Frascati) > Medical and Health Sciences > Health sciences
Divisions:	Higher Medical School
Depositing User:	MSc Denis Arsovski
Date Deposited:	13 Mar 2026 11:19
Last Modified:	13 Mar 2026 11:19
URI:	https://eprints.uklo.edu.mk/id/eprint/11448

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