Abstract: PO0994
Attitude Toward Care and Dietary Patterns Differ in CKD and Transplant Patients with and Without Diabetes
Session Information
- Diabetic Kidney Disease: Clinical - 1
October 22, 2020 | Location: On-Demand
Abstract Time: 10:00 AM - 12:00 PM
Category: Diabetic Kidney Disease
- 602 Diabetic Kidney Disease: Clinical
Authors
- Nadeem, Iqra, SUNY Downstate Health Sciences University, Brooklyn, New York, United States
- Morancy, Takisha, SUNY Downstate Health Sciences University, Brooklyn, New York, United States
- Saleh, Ahmad, SUNY Downstate Health Sciences University, Brooklyn, New York, United States
- Cruickshank, Kingsley, SUNY Downstate Health Sciences University, Brooklyn, New York, United States
- Markell, Mariana, SUNY Downstate Health Sciences University, Brooklyn, New York, United States
Background
Diabetes mellitus requires dietary changes and increased interaction with the health care team over that required by kidney disease alone. We compared dietary adherence and attitudes in pts with kidney disease with and without diabetes in inner-city Brooklyn.
Methods
A face-to-face survey was conducted in a random convenience sample of pts from CKD (23) and transplant (33) clinics. Diet was studied by 24-hour recall using ASA24 software. Healthy Eating Index was calculated using the HEI-15 score. The Beliefs in Medicine Questionnaire (BMQ) was used to elicit attitudes toward the healthcare environment. Comparisons were by t-test.
Results
15 (45%) transplant (TXP) and 13 (57%) CKD pts had diabetes (DIAB). DIAB were older than pts without diabetes (NODIAB) (62.1±1.98 vs 50.4±2.4 yrs, p<0.0001) but age did not correlate with any finding. Mean creat was 1.83±0.15 mg/dl and did not differ between CKD and TXP, or DIAB and NODIAB. Mean HbA1c was 8.0± 0.28, time with diabetes was 97.7±20.3 months and did not differ between clinics. DIAB were more likely to agree that their health depends on medications in the future (1.36±0.12 vs 2.00±0.26, p=0.024), less likely to believe that if doctors had more time, they would prescribe fewer medications (3.61±0.25 vs 2.79±0.28, p=0.034) and less likely to believe that medicines are poisons (4.5±0.14 vs 3.93±0.23, p=0.039). DIAB pts ate fewer carbohydrates (137.4±11.6 vs 211.8±13.4, p<0.0001), less sugar (44.7±5.6 vs 89.4±9.5, p<0.0001), less fiber (10.9±1.1 vs 16.1±1.4, p<0.005), less vitamin C (54.2±9.9 vs 110.2±23.3,p=0.031), less fruit (0.3±0.1 vs 1.96±0.6, p=0.015) and less refined grains (3.01±0.43 vs 4.61±0.59, p=0.035). There was no difference for HEI score, total caloric or protein intake.
Conclusion
In our population: 1. Approximately 50% of our pts had diabetes. 2. Pts with diabetes had a more positive opinion of the healthcare environment.and ate fewer carbohydrates, sugars and refined grains but less fresh fruit, fiber and vitamin C. 3. Education of our pts with kidney disease and diabetes should reinforce their attitudes towards the healthcare environment while encouraging an eating plan that includes fruits and vegetables, as pts appear to be focusing on restricting sugar and carbohydrates and plant based eating has been shown to be beneficial for pts with kidney disease.