![]() The goals from the American Diabetes Association (ADA) 2019 include the following: ( 2) 1. The nutrition therapy goals for the individual with diabetes have evolved and have become more flexible and patient centered. ( 1) Thus, still more needs to be done to improve overall care of PWD. adults with diabetes did not meet the recommended goals for diabetes care from 1999-2010. The following recommendations are consensus-based, and they emphasize practical suggestions for implementing nutritional advice for most individuals with diabetes.Īli et al, reported that although there have been improvements in risk factor control and adherence to preventative practices, almost half of U.S. Lastly, there is not perfect agreement among professionals as to the best nutritional therapy for individuals with diabetes, and ongoing scientific debate reported in the popular press may confuse PWD and health care providers. ![]() Nutritional intervention may vary based on the type of diabetes however, many of the basic dietary principles are similar for all PWD, prediabetes, metabolic syndrome or who are overweight or obese. Nutritional science is constantly evolving, so that what may be considered true today may be outdated in the near future. Second, a plethora of dietary information is available from many sources to the PWD and healthcare provider. However, appropriate nutritional intervention, implementation, and ultimate compliance with the plan remain some of the most vexing problems in diabetes management for three major reasons: First, there are some differences in the dietary structure to consider, depending on the type of diabetes and medication the PWD is taking. Leading authorities and professional organizations have concluded that proper nutrition therapy is an important part of the foundation for the treatment of diabetes. It’s important to note that the nutrition goals for diabetes are similar to those that healthy individuals should strive to incorporate into their lifestyle. Dietary recommendations need to be individualized for and accepted by the given PWD. The lifestyle modification guidance and support needed requires a team effort, best led by an expert in this area a registered dietitian (RD) or registered dietitian nutritionist (RDN), or a referral to a diabetes self-management education (DSMES) program that includes instruction on nutrition therapy. It cannot simply be delivered by giving a person a diet sheet in a one-size-fits-all approach. The modern diet for the individual with diabetes is based on concepts from clinical research, portion control, and individualized lifestyle changes. The key take home message is that nutrition plans should be individualized to meet the needs of the PWD, in consideration of their lifestyle, socioeconomic factors, cultural background, and motivation. The provided information provides sources for further review and study. This chapter will summarize current information available from a variety of scientifically based guidelines and resources on nutritional recommendations for persons with diabetes (PWD) for health care practitioners who treat them. For complete coverage of all related areas of Endocrinology, please visit our on-line FREE web-text, INTRODUCTION Referral to a diabetes self-management education (DSMES) program that includes counseling and instruction on nutrition therapy by a Registered Dietitian Nutritionist (RDN) is highlighted. Education is best given by a team approach and should not simply be delivered by giving a person a one-size-fits all diet sheet. A main message is that nutrition plans should be individualized and flexible to meet the specific needs of the PWD, in consideration of their ability to implement the changes. ![]() The information also includes sources for further review, and resources that can be utilized for PWD. The sections are divided into components of nutritional content, with associated goals for PWD, as well as reviews of present nutritional topics of interest, including weight loss diets in the current press. It is designed to take these guidelines and provide an overview of practical applications and tips in one place for health care practitioners who treat PWD. ![]() The chapter summarizes current information available from a variety of scientifically based guidelines and resources on nutritional recommendations for adult people with diabetes (PWD).
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