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Introduction Type 2 diabetes today is considered to be one of the major health challenge all over the world. When it comes to treatment in general one of the problems which health professional deals with is the adherence of patients in terms of taking prescribed therapy, following a healthy? diet and executing lifestyle changes. The question that remains open is how to maintain the achieved changes in type 2 diabetes patients after the specific goals are achieved. Objectives The aim was to present the influence of attendance number and motivation on the medical nutrition therapy adherence, through two case reports, in the sense of body weight changes (targeted reduction is 5-10% in accordance with the guidelines), cardiometabolic risk indicators, glycemia and liver enzymes. Methods Patients were educated on implementation and conduction of appropriate dietotherapy (diabetic- reduction diet) in accordance to established diagnosis, guidelines and Croatian standard of nutrition for patients in hospitals. They were provided educational materials and the example of a 7-day menu. Additionally, regular follow-up was arranged. Results Both patients, in addition to physician recommendation, also had a strong personal motivation to change their habits and improve their health. The female subject wanted to get pregnant, and the male subject wanted to change his eating and lifestyle habits due to the imminent arrival of the child. Until the moment they achieved their goals, when motivation decreased and attendance number reduced, they achieved recommended reduction in body weight (female subject 10.8% and male subject 22.4% from the initial body mass) that lead to improvement of cardiometabolic risk indicators (BMI, WHtR) and biochemical parameters (glycemia and liver enzymes). Conclusions Clearly, it is difficult to sustain the long-term dietary and lifestyle changes, especially when specific goals are achieved. We can conclude that there is a significant need to implement behavioral approaches and adjustments as a part of a holistic multidisciplinary approach in treatment of type 2 diabetes patients, in order to maintain the achieved lifestyle habits in the long term. |
