An Overview of Nutrition and Diabetes Management

Horan, Katherine; O’Sullivan-Maillet, J.; Wien, Mathias; Touger‐Decker, Riva; Matheson, Pamela B.; Byham‐Gray, Laura

doi:10.1097/00008486-200610000-00010

Cited by 2 publications

(3 citation statements)

References 34 publications

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“…As Patton [62] notes, suboptimal adherence to providers’ recommended dietary guidelines, as measured by adherence to eating behaviors and macronutrient intake, is common in adolescence. There are few recommended diet regimens for adolescents with T1D [63], and wide variation among providers complicates the development of generalizable measures of dietary adherence. Medical nutrition therapy is the most common and best documented guideline in this area; however, its central characteristic is personalization and tailoring [11,63], making it difficult to refer to a core set of common dietary recommendations for adherence assessment purposes.…”

Section: Methods and Measures For Adherence Assessmentmentioning

confidence: 99%

Adherence in adolescents with Type 1 diabetes: strategies and considerations for assessment in research and practice

Gandhi

Eshtehardi

et al. 2015

Diabetes Management

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Suboptimal adherence remains a significant concern for adolescents with Type 1 diabetes, the treatment regimen for which is complex and includes numerous behaviors. Accurate assessment of adherence is critical for effective healthcare and to measure trial outcomes. Without a valid biomarker of adherence, assessment strategies must rely on measuring management behaviors. This paper provides an overview of approaches to measure adherence, with an emphasis on contemporary, validated measures that are appropriate for current diabetes care. Objective measures include electronic data from diabetes management devices. Subjective measures include self/parent-report questionnaires, structured interviews and diaries/logbooks. Practical strategies for selecting measurement approaches for clinical and research purposes are reviewed, and implications of adherence assessment for clinical care delivery and adherence-promotion are discussed.

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Section: Methods and Measures For Adherence Assessmentmentioning

confidence: 99%

Adherence in adolescents with Type 1 diabetes: strategies and considerations for assessment in research and practice

Gandhi

Eshtehardi

et al. 2015

Diabetes Management

View full text Add to dashboard Cite

show abstract

“…These medications can be costly and are commonly associated with gastrointestinal side-effects (flatulence, nausea, diarrhoea, and abdominal pain) and weight gain (Willett et al 2004). Their efficacy also declines over time by 0.2% to 0.3% each year (Horan et al 2006). Dietary management including low GI, individualised meal plans and medical nutrition therapy can reduce glycosylated haemoglobin by 0.43% to 1% in people with established diabetes and is more effective in newly diagnosed people (Horan et al 2006).…”

Section: Body Compositionmentioning

confidence: 99%

“…Their efficacy also declines over time by 0.2% to 0.3% each year (Horan et al 2006). Dietary management including low GI, individualised meal plans and medical nutrition therapy can reduce glycosylated haemoglobin by 0.43% to 1% in people with established diabetes and is more effective in newly diagnosed people (Horan et al 2006). Therefore, compared with no exercise control groups, the overall absolute reduction of glycosylated haemoglobin of 0.3% found in this systematic review is small, suggesting that progressive resistance exercise should not be a standalone treatment for people with type 2 diabetes.…”

Section: Body Compositionmentioning

confidence: 99%