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International Journal of Endocrinology
Volume 2016, Article ID 2354956, 6 pages
Research Article

Diet-Related Knowledge and Physical Activity in a Large Cohort of Insulin-Treated Type 2 Diabetes Patients: PROGENS ARENA Study

1University Hospital, Krakow, Krakow, Poland
2Department of Metabolic Diseases, Jagiellonian University, Krakow, Poland
3Outpatient Diabetes Clinic, University Hospital in Lodz, Lodz, Poland
4H. Klimontowicz Hospital, Gorlice, Poland
5Outpatient Diet Clinic Fit & You, MedEvac Medical Center, Łódź, Poland
6BIOTON S.A., Warszawa, Poland
7Outpatient Diabetes Clinic, Polanica-Zdrój, Poland

Received 9 June 2016; Revised 20 August 2016; Accepted 24 August 2016

Academic Editor: Kristin Eckardt

Copyright © 2016 Tomasz Klupa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


There is no doubt that behavioral intervention is crucial for type 2 diabetes mellitus (T2DM) prevention and management. We aimed to estimate dietary habits and diet-oriented knowledge as well as the level of physical activity in 2500 insulin-treated Polish type 2 diabetes mellitus (T2DM) patients (55.4% women). The mean age of the study participants was 64.9 ± 9.3 years, mean BMI was 31.4 kg/m2 ± 4.5, mean diabetes duration was 12.4 ± 6.9 years, and mean baseline HbA1c was 8.5%  ± 1.2. At the study onset, all the patients completed a questionnaire concerning health-oriented behavior. Results showed a significant lack of diet-related knowledge. For example, only 37.5% recognized that buckwheat contains carbohydrates; the percentage of correct answers in questions about fruit drinks and pasta was 56.4% and 61.2%, respectively. As for the physical activity, only 57.4% of examined T2DM patients declared any form of deliberate physical activity. To conclude, the cohort of poorly controlled insulin-treated T2DM patients studied by us is characterized by insufficient diet-related knowledge and by a very low level of physical activity. Further studies on other populations of insulin-treated T2DM patients are required to confirm these findings.