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Mini Joseph is pursuing post-doctoral research the field of Endocrinology Nutrition at Christian Medical College, Vellore, South India. This is a 2700 bedded tertiary care missionary hospital catering to the needs of patients from neighbouring States and countries. She has done extensive studies on the eating behaviour and nutritional profile of Lean Diabetes patients and in the field of Sports Nutrition. Her interests lies in looking at the nutrient adequacy of patients with Fibro-calculus pancreatitis diabetes, tropical calculus pancreatitis, gestational diabetes mothers, Type 1 Diabetes mellitus and bariatric patients (BMI >35) with endocrine disorders. She has presented papers on the above subjects at various International conferences. She is a Lecturer and teaches Nutrition to graduates, post-graduates, doctors and paramedical in hospital and in a Government educational Institute (Government College for Women, Kerala, India).She is involved in patient education and organising self-help groups.
Statement of the problem: There is paucity of data on nutritional intake in low BMI (BMI) Asian Indians with Diabetes. Aim: To study the difference in nutrient pattern in lean Type 1 Diabetes Mellitus (T1DM) and Fibro-calcific Pancreatic Diabetes (FCPD) patients. Methodology: This cross-sectional study consisted of T1DM (n = 40) and FCPD patients (n = 20) who were gender and BMI matched Nutritional data was collected using 24 hour recall method and food diary. Fasting blood samples were analyzed for lipid profile, serum creatinine, glycosylated hemoglobin, albumin, calcium and vitamin D. Stool samples were analyzed for pancreatic elastase. Percentage analysis, Independent sample t test and Pearson Coefficient Correlation were used to analyze the data. P value < 0.05 was considered as statistically significant. Findings: The FCPD patients had a significantly lower vitamin D status compared to the TIDM group (p=0.035) however, hemoglobin, triglycerides, low density lipoproteins, creatinine, albumin and calcium were similar between the groups. Further, FCPD patients had a significant higher intake of fat (p=0.039), fibre (p=0.000), calcium (p=0.047), phosphorous (p=0.035), and niacin (p=0.001) and calories from fat (p=0.047). The TIDM group had a significantly higher intake of thiamine (p=0.047) and carbohydrates (p=0.014). Conclusion: TIDM and FCPD groups have similar dietary pattern with deficit in fibre, calories, macronutrients and micronutrients. Malabsorption and poor glycaemic control in FCPD patients can be attributed to a higher dietary fat intake. A balanced diet can ensure better glycemic control.