An appraisal of food serving characteristics among patients with type 2 diabetes mellitus attending a tertiary care diabetes facility in Sri Lanka


  • Arjuna Medagama Department of Medicine University of Peradeniya Sri Lanka
  • Heshan Widanapathirana



Type 2 diabetes mellitus, Dietary survey, Portion sizes



Introduction: The primary objective of the present study was to identify food consumption characteristics among adult type 2 diabetic patients in Sri Lanka.

Materials and Methods: One hundred and twenty three randomly selected adult type 2 diabetic patients attending a tertiary care diabetes facility in Sri Lanka were studied in a cross sectional survey. Starch, fruits, vegetables, meat or alternative, pulses, dairy and added sugar consumption assessed according to standard methods using a 24-hour dietary recall.

Results: Forty six percent of participants exceeded the national recommendation of 4.5 to 9 servings of starch per day for patients with diabetes. Mean daily consumption of starch was 10.5 servings.  Only 26% and 45% of participants consumed the recommended 2 servings of fruits and 3 servings of vegetables per day. Thirty three percent and 8% did not consume any fruits or vegetables respectively. Dairy products were consumed by 25% only. Added sugar was not used by 99% of participants. The mean proportions of total Carbohydrates, proteins and fats comprising total energy intake were 68.1%, 11.5% and 20.2% respectively.

Discussion: Medical nutrition therapy in diabetes recommends a mixed diet with carbohydrates from a variety of sources such as cereals, fruits and vegetables. Although Sri Lankan patients with diabetes consume less starch and more fruits and vegetables compared to non-diabetic counterparts,  a substantial proportion still fail to meet the recommendations.


Author Biography

Arjuna Medagama, Department of Medicine University of Peradeniya Sri Lanka

Department of Medicine

University of Peradeniya

Sri Lanka



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