Study on knowledge factors affecting adherence to diet among rural population and role of zinc copper magnesium vitamin B12 TSH in diabetes and its complications

Abstract

Our study parameter results of the participants has exhibited fair level of acquaintance in diabetes knowledge test and diet adherence as they could easily identify the food items related with the progression of diabetes. The baseline and diabetic management characteristic assessments indicated that the age exercise, family history, diet management, exercise, follow-up care and DM medication care are significantly (plt0.0001) plays a vital role in T2DM and an increased need for medication and all the practices are essential for the management of DM and its complications. The reason for lower selfcare practices could be due to lower level of education, socio-economic status, and overall knowledge of T2DM patients. Altered levels of zinc and copper (plt0.02) along with a significant increase in vitamin B12 levels (plt0.0015) have been identified as significant contributing factors associated in the pathogenesis and progression of diabetes mellitus as well as diabetes complications in the individuals. The current empirical analysis from this study and other scholarly evidence indicates that the metabolism of certain trace elements, micro-nutrients, and vitamins undergoes alterations in patients with DM with vitamin B12 as major player in this rural population in DM condition alone but there was no correlation with the vitamin B12 levels both in T2DM and the thyroid levels both in DM and its complications. Taken together, the current study provides valuable insight in to the dietary pattern, diabetic management, medication and the association of micro nutrients, trace elements and thyroid hormone for DM and its complications. Further studies are warranted to explore the possible mechanism and implication of diabetic complications in a much larger population. Moreover, educating the rural population with the management about diabetes, knowledge on healthy dietary pattern for diabetic patients may be helpful in the management of DM. Supplementation of these vital elements by clinicians during their regular visit can also lessen the impact of complications of diabetes in rural population. newline