Diabetes and Diabetic Nursing Care

Statement of Problem: Nutritional status of children under five in Nepal is very poor. The 2011 NDHS found 29% underweight and 11% wasted. USAID reported 40% stunting and 60% stunting with deficiencies of diarrheal disease with effects of nutritional status, 49% households have access to food year-round. However, 12% households are mildly food insecure, 23% moderately, and 16% severely. Rural households insecure 46% as compared to urban 67%. Th e purpose of this cross-sectional study was to identify assess of household food security and nutritional status of children aged essential dietary components, and 44% population does not access to toilets that contribute to morbidity of 1-5 years in Dhading.

Methodology: Data among 172 paired caregivers and children collected. Anthropometric measurements of children, face-to-face interviews of caretakers and household food security using HFIAS module questionnaire were measured. Data were analysed by using Pearson’s chi square test and Fisher’s exact test.

Finding: Th e prevalence was 30.2% underweight, 20.3% stunting and 8.1% wasting determined by applying 2006’s WHO growth chart in Dhading. Moderate food insecurity was 45.9% and 15.2% severe food insecurity, where normal and healthy food-plan for under 5 children with diabetes were not available.

Conclusion & Significance: Mother’s education and family income had a significant association with underweight of a child. Many predominant factors that attribute leading to the vicious cycle for the prevalence of under nutrition, which are the socio-economic and educational status. If these conditions are taken meticulously with healthy food-plan, the consequences of nutrients’ defi ciencies and risk of diabetes can be well-prevented. Thus, household food security, well nutritional status, and appropriate nursing care can be strengthening by adopting “Integrated School Health Program (ISHP)” that can facilitate to create awareness for establishment of regular eating patterns, food-plan among under 5 children with diabetes, and nursing care interlinkage.