Endocrine Abstracts

Background: Nutritional interventions are required for effective management of diabetes Mellitus. Dietary recommendations act as amajor intervention for treatment of D Mand obesity. It is recommended that the diet should be individually adapted to personal choices and metabolic goals. With advent of technology newer monitoring tools like continuous glucose monitoring systems (CGM) are now finding their way into Diabetes management and nutrition therapy. The ambulatory glucose profile (AGP) acts as a major tool in managing the dietary intake and thus help our diabetic patients in modifying their diet and blood sugar control.

Method: 60 patients, (15–65 years) with T1DM and T2DM were randomly allocated to two groups of 30 persons each. In first group blood sugar measurement was carried out via AGP done by Abbott Libre Pro device for 14 days and other group was on routine blood sugar monitoring technique of SMBG. The patients were asked to modify their diet based on AGP and SMBG readings in respective groups. The participants were monitored for HBA1C at 3 month and surveyed for changes in dietary patterns adjudged by a questionnaire at 3 months.

Result: HBA1C reduction in AGP group was 2.2 % as compared to 1% in SMBG group. Number of patients achieving target goal of 7%HBA1C was better in AGP group (82 %) as compared to Non AGP group (54%). 72%patient in AGP group stopped intermeal snacking as compared to 38 % in Non AGP group. In AGP group 82 % have accepted to adopt to better food choices as compared to 32 % in Non AGP group.

Conclusion: AGP has a profound effect on the dietary modification of the patients. Dietary counselling if based on AGP readings can result in adopting better dietary choices and better sugar control. The use of AGP should be promoted by Health care professionals. Novel ways should be adopted to bring AGP cost to a level where this newer technology is affordable to many and hence a large proportion of population can be benefitted.