Association of diabetes diagnosis with dietary changes and weight reduction

Daeho Kim, Kanghyock Koh, Shailender Swaminathan, Amal N. Trivedi

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Background: Lifestyle modifications are associated with better outcomes for patients with diabetes. Patients’ awareness of having diabetes may promote lifestyle changes, but there is limited evidence to support this assertion. This study examined whether a report of physician-diagnosed diabetes is associated with dietary changes and efforts to lose weight. Methods: Cross-sectional comparison of individuals with and without diabetes or prediabetes diagnosis, matched on glycosylated hemoglobin (HbA1c) level, socio-demographic characteristics, and health status using propensity-score matching analysis. Non-pregnant US adult participants (aged 20 and older with an HbA1c level between 5.7% and 7.5%) in the 1999–2014 National Health and Nutrition Examination Survey were included (N = 10,781). Results: Compared with matched controls who did not report having diabetes or prediabetes (N = 1,769), persons with a diagnosis of diabetes or prediabetes (N = 1,769) reported less sugar consumption (14.9 grams [95% CI: 8.9 to 21.0]); less carbohydrate consumption (11.6 grams [95% CI: 1.7 to 21.5]); higher rates of trying to lose weight (12.3 percentage points [95% CI: 5.3 to 19.2]); and a greater one-year weight reduction (4.8 ounces [95% CI: 3.3 to 6.4]). Conclusions: Awareness of a diagnosis of diabetes or prediabetes from a health profession is associated with the uptake of recommended life-style modifications.

Original languageEnglish
Pages (from-to)543-550
Number of pages8
JournalExpert Review of Pharmacoeconomics and Outcomes Research
Issue number5
Publication statusPublished - 2018 Sept 3
Externally publishedYes


  • Diabetes diagnosis
  • dietary changes
  • health-promoting behavior
  • propensity score matching
  • weight management

ASJC Scopus subject areas

  • Health Policy
  • Pharmacology (medical)


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