Investigating The Impact of Educational Interventions and Ketogenic Diet on Type 2 Diabetic Patients

Hasan Ergenç, Zeynep Ergenc, Cengiz Karacaer, Engin Deniz, Feyzi Gokosmanoglu, Kerim Guzel


Background and Aim: Proper control of blood glucose and insulin level, as one of the most critical self-care behaviors, prevents the development and progression of diabetes complications. Due to a lack of self-care behavior in diabetic patients and also the effective role of education, the present study aimed to determine the effect of educational intervention and a ketogenic diet with intermittent fasting.

Materials and Methods: The present study is a repeated measurement study performed on 18 patients with type 2 diabetes referred to the clinic State Hospital in 2019. Educational interventions were conducted in the context of diabetes education and the presentation of a ketogenic diet and intermittent fasting. The intervention group performed 12 sessions for three months. Fifty-one parameters were assessed before the intervention, in the second month and after the last session. Data were analyzed by SPSS software using repeated measures and the Friedman test. The significance level was considered less than 0.05.

Results: The results showed a significant improvement in some important parameters such as insulin, BMI, HbA1c, and Vitamin D for the study group before and after the intervention. Specifically for vitamin D, the mean value was 19.3935 (Std.deviation = 6.41057), 22.7000 (Std.deviation = 7.69294), 29.9194 (Std.deviation = 7.65108) for the first, second and third tests, respectively

Conclusion: Group-based intervention and the ketogenic diet with intermittent fasting can be effective in self-care behaviors, weight loss, and enhancement of insulin, BMI, HbA1c, and vitamin D in type 2 diabetes patients.




Diabetes, Self-care, Ketogenic diet; Educational intervention; Vitamin D

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