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Journal of Nutrition Research
An official journal of IAPEN India association

Article

Journal of Nutrition Research

Year: 2025, Volume: 13, Issue: 2, Pages: 59-65

Original Article

Effect of a 12-Week Remote Nutritional Counselling on Biochemical Parameters of Pre-diabetic Subjects

Received Date:29 July 2025, Accepted Date:16 December 2025, Published Date:24 December 2025

Abstract

Aim: The aim of this study was to show the effect of a 12-week nutritional counselling intervention on biochemical indicators, i.e., glycosylated haemoglobin (HbA1c), in prediabetic users and fasting blood glucose (FBS). Materials: A total of 499 pre-diabetic subjects (aged 20–60 years) were included in this prospective interventional study. Subjects were divided into an intervention group (n=309) who received a 12-week structured nutritional counselling program with controlled dietary advice emphasizing low-glycaemic-index food consumption, increased fibre intake, macronutrient redistribution, and exercise (150 minutes/week) and a control group (n=190) who did not engage, failing to initiate or sustain participation in the structured program. Biochemistry tests were performed pre- and post-intervention. Results: A significant alterations in HbA1c and FBS in all age groups spanning both genders. Although the 40–50 years group showed maximum FBS reduction (8.4 mg/dL), the 20–30 years age group showed optimal HbA1c reduction in men (0.3%). In women, optimal HbA1c reductions were seen in the 30–40 years group (0.2%) and in postmenopausal women (50–60 years) changed very little, perhaps in line with hormonal influences. Women, particularly premenopausal, showed clearly higher HbA1c reductions compared to men. Conclusion: Younger subjects' optimal glycaemic control can be explained by greater metabolic flexibility and adherence to lifestyle.

Keywords: Prediabetes, Nutritional counselling, HbA1c, Fasting blood sugar, Lifestyle intervention, Gender differences

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Copyright

© This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Published By India Association for Parenteral and Enteral Nutrition (IAPEN)

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