Academy of Nutrition and Dietetics Nutrition Practice Guideline for Type 1 and Type 2 Diabetes in Adults: Systematic Review of Evidence for Medical Nutrition Therapy Effectiveness and Recommendations for Integration into the Nutrition Care Process

Franz, Marion J.; MacLeod, Janice; Evert, Alison B.; Brown, Catherine; Gradwell, Erica; Handu, Deepa; Reppert, Adam; Robinson, Megan

doi:10.1016/j.jand.2017.03.022

Cited by 249 publications

(220 citation statements)

References 66 publications

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“…Carbohydrate counting is best commenced at diagnosis for those using intensive insulin therapies . A series of follow‐up appointments should be completed with the specialist pediatric dietician within 3 to 6 months after diagnosis with the first review within a month after diagnosis . It is important that the initial or review assessment includes identification of any body image or weight concerns. Contacts thereafter depend on local arrangements, a minimum should include 2 to 4 times in the first year and annual reassessment .…”

Section: Introductionmentioning

confidence: 99%

“…A series of follow‐up appointments should be completed with the specialist pediatric dietician within 3 to 6 months after diagnosis with the first review within a month after diagnosis . It is important that the initial or review assessment includes identification of any body image or weight concerns. Contacts thereafter depend on local arrangements, a minimum should include 2 to 4 times in the first year and annual reassessment . These are necessary to keep pace with the child's growth, diabetes management, lifestyle changes and the identification of specific dietary problems such as dysfunctional eating habits, family issues around food, obesity and Eating Disorders. Continuation of care, support and review by a dietician is essential for optimal care …”

Section: Introductionmentioning

confidence: 99%

“…It is important that the initial or review assessment includes identification of any body image or weight concerns. Contacts thereafter depend on local arrangements, a minimum should include 2 to 4 times in the first year and annual reassessment . These are necessary to keep pace with the child's growth, diabetes management, lifestyle changes and the identification of specific dietary problems such as dysfunctional eating habits, family issues around food, obesity and Eating Disorders. Continuation of care, support and review by a dietician is essential for optimal care Circumstances such as changing insulin regimen, dyslipidemia, poor dietary knowledge, excessive weight gain, and co‐morbidities such as celiac disease require extra education and dietary intervention with more frequent review. Dietary education should be individualized and appropriate for the age and maturity of the child to help engage the child in active learning …”

Section: Introductionmentioning

confidence: 99%

“…Aims of nutritional management: Achieve normal glycemia and HbA1c Prevent further weight gain in those with BMI at 85th to 95th percentile or achieve weight loss for those with BMI > 95th percentile while maintaining normal linear growth …”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9] Nutrition therapy, when used in combination with other components of diabetes care, can further improve clinical and metabolic outcomes. 10,11 The dietician should advise on planning, content and the timing of snacks/meals in the context of each child's individual circumstances, lifestyle and the insulin action profiles. It is important that the whole family is involved in making appropriate changes based on healthy eating principles.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes

et al. 2018

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes

et al. 2018

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Effect of a Smartphone App on Weight Change and Metabolic Outcomes in Asian Adults With Type 2 Diabetes

et al. 2021

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IMPORTANCE Lifestyle interventions are effective in diabetes management, with smartphone apps that manage health data and dietary and exercise schedules gaining popularity. However, limited evidence from randomized clinical trials exists regarding the effectiveness of smartphone-based interventions among Asian adults with type 2 diabetes. OBJECTIVE To compare the effects of a culturally contextualized smartphone-based intervention with usual care on weight and metabolic outcomes. DESIGN, SETTING, AND PARTICIPANTS This randomized clinical trial conducted at multiple primary care centers in Singapore included 305 adults with type 2 diabetes and body mass index (BMI) of 23 or greater who had literacy in English and smartphone access. Participants were recruited between October 3, 2017, and September 9, 2019, and were randomly assigned (1:1; stratified by gender, age, and BMI) to intervention (99 participants) or control (105 participants) groups. Participants' data were analyzed using intention-to-treat analysis. INTERVENTIONS Both control and intervention participants received diet and physical activity advice from a dietitian at a baseline face-to-face visit. Intervention participants additionally used a smartphone app to track weight, diet, physical activity, and blood glucose and then communicated with dietitians for 6 months. MAIN OUTCOMES AND MEASURES Primary outcome was change in body weight, while secondary outcomes were changes in hemoglobin A 1c (HbA 1c ), fasting blood glucose, blood pressure, lipids, and diet. Post hoc analyses included glycemic changes in the subgroup with HbA 1c levels of 8% or greater and diabetes medication changes. RESULTS Among the 204 randomized participants (mean [SD] age, 51.2 [9.7] years; 132 [64.7%] men), baseline mean (SD) BMI was 30.6 (4.3). Compared with the control group, intervention participants achieved significantly greater reductions in weight (mean [SD] change, −3.6 [4.7] kg vs −1.2 [3.6] kg) and HbA 1c levels (mean [SD] change, −0.7% [1.2] vs −0.3% [1.0]), with a greater proportion having a reduction in diabetes medications (17 participants [23.3%] vs 4 participants [5.4%]) at 6 months. The intervention led to a greater HbA 1c reduction among participants withHbA 1c levels of 8% or higher (mean [SD] change, −1.8% [1.4] vs −1.0% [1.4]; P = .001). Intergroup differences favoring the intervention were also noted for fasting blood glucose, diastolic blood pressure, and dietary changes. (continued) Key Points Question What is the effect of a culturally contextualized smartphonebased lifestyle intervention on weight change and metabolic outcomes in Asian adults who have overweight or obesity and type 2 diabetes compared with usual care? Findings In this randomized clinical trial of 204 adults with type 2 diabetes, the use of a smartphone app tracking personal health data and using integrated behavioral modification strategies led to significantly greater reductions in weight and hemoglobin A 1c , along with a significantly greater proportion of patients with a reduction i...

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Association of dietary intake with body mass index and glycemic profile among newly diagnosed patients with type 2 diabetes mellitus

Wasana

Attanayake

Weerarathna

et al. 2023

American J Hum Biol

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Introduction Dietary intake plays an important role in determining body mass index (BMI) and glycemic profile in patients with type 2 diabetes mellitus (T2DM). Our aim was to describe habitual dietary intake and its associations with BMI and glycemic profile in a cohort of patients with newly diagnosed T2DM in Sri Lanka. Methods A cross‐sectional study was carried out among 158 patients with newly diagnosed T2DM in Galle, Sri Lanka. Data on demographic, lifestyle, and family history of diabetes mellitus, and clinical measures were collected. The dietary information was collected using a 24‐h dietary recall. Results Among the total number of study subjects, only 12.0%, 5.7% and 1.3% met the recommended daily consumption value of protein, fat, and fiber, respectively, whereas 99.4% of subjects had taken carbohydrates that exceeded the recommended consumption. There was a positive association between carbohydrate intake and BMI (0.004, [0.002], p = .048) and carbohydrate intake and glycated hemoglobin (HbA1C) (0.001, [0.000], p = .049). Fat intake showed positive associations with BMI (0.029, [0.011], p = .006) and HbA1C (0.005, [0.002], p = .050). Protein intake showed a positive association with HbA1C (0.006, [0.003], p = .023). The aforementioned associations were observed after adjusting for demographic, lifestyle, and history of diabetes among the first‐degree family members. The carbohydrate intake was positively associated with BMI (0.010, [0.003], p = .003) and HbA1C (0.001, [0.000], p = .050) with further adjustment in nutrient intake (except when used as an independent variable). Furthermore, the fat intake was associated with BMI (0.031, [0.011], p = .004) and HbA1C (0.005 [0.002], p = .050) with additional adjustments. Conclusions The diet of the majority of newly diagnosed T2DM patients in this cohort consisted of a higher carbohydrate intake than the recommended level. However, they did not meet the recommended daily intake of protein, fat, and fiber. Both carbohydrate and fat intake were significantly and positively associated with BMI and HbA1C in patients with newly diagnosed T2DM.

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Academy of Nutrition and Dietetics Nutrition Practice Guideline for Type 1 and Type 2 Diabetes in Adults: Systematic Review of Evidence for Medical Nutrition Therapy Effectiveness and Recommendations for Integration into the Nutrition Care Process

Cited by 249 publications

References 66 publications

ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes

ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes

Effect of a Smartphone App on Weight Change and Metabolic Outcomes in Asian Adults With Type 2 Diabetes

Association of dietary intake with body mass index and glycemic profile among newly diagnosed patients with type 2 diabetes mellitus

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