Abstract:
Diabetic neuropathy is a common complication of diabetes that can significantly impact patients’ quality of
life. Practices play a crucial role in managing the condition and preventing further complications. This crosssectional study examined the practices and glycated hemoglobin levels among adult patients with diabetic
neuropathy. The study employed a cross-sectional design. A sample of adult patients diagnosed with diabetic
neuropathy at Nakuru referral and teaching hospital was recruited. Data on dietary practices, including food
choices, meal patterns, and dietary restrictions, were collected through structured interviews. Nutrient intake
was assessed using dietary recall methods and analyzed using descriptive statistics. The chi-square test was
used across the glycated hemoglobin (HbA1c) levels to compare categorical variables. Adherence to dietary
recommendations was evaluated based on established guidelines for diabetic neuropathy management.
Preliminary findings reveal sub-optimal practices in adults with diabetic neuropathy. Those with one or two daily
meals reported significantly elevated HbA1c levels [χ2
=11.808, p=0.008]. Skipping meals, especially breakfast
and lunch, correlated with elevated HbA1c [χ2
=17.622, p=0.001]. Smokers and alcohol consumers had a higher
proportion of elevated HbA1c [χ2
=7.269, p=0.007] and [χ2
=15.610, p<0.001], respectively. Regular exercise,
particularly daily or 1-3 times a week, is associated with lower HbA1c [χ2
=37.329, p<0.001]. Elevated HbA1c
correlated significantly with daily intake of animal products [χ2
=18.931, p<0.001], fats and oils [χ2
=12.211,
p =0.00], fruits [χ2
= 22.106, p<0.001], and cereals [χ2
=21.728, p<0.001]. Conversely, daily consumption of
vegetables [χ2
=8.255, p=0.016], pulses, and legumes [χ2
=53.757, p<0.001] were associated with normal
HbA1c. However, occasional sugar and honey intake did not significantly impact HbA1c [χ2
=1.082, p=0.582].
In conclusion, our study highlights sub-optimal practices in adult diabetic neuropathy patients, particularly in
those consuming one or two meals daily, skipping breakfast and lunch, and engaging in smoking or alcohol.
Regular exercise correlates with lower HbA1c, while certain dietary habits influence glycemic control. These
insights inform targeted interventions for improved patient care.
