Dietary advice for the Asian diabetic

Govindji, Azmina

doi:10.1002/pdi.1960080511

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…Some Hindu women observe a partial fast in which only certain foods such as fruit and yoghurt may be eaten on 1 or 2 days each week [126].…”

Section: Special Groupsmentioning

confidence: 99%

The implementation of nutritional advice for people with diabetes

2003

Diabetic Medicine

141

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These consensus-based recommendations emphasize the practical implementation of nutritional advice for people with diabetes, and describe the provision of services required to provide the information. Important changes from previous recommendations include greater flexibility in the proportions of energy derived from carbohydrate and monounsaturated fat, further liberalization in the consumption of sucrose, more active promotion of foods with a low glycaemic index, and greater emphasis on the provision of nutritional advice in the context of wider lifestyle changes, particularly physical activity. Monounsaturated fats are now promoted as the main source of dietary fat because of their lower susceptibility to lipid peroxidation and consequent lower atherogenic potential. Consumption of sucrose for patients who are not overweight can be increased up to 10% of daily energy provided that this is eaten in the context of a healthy diet and distributed throughout the day [corrected]. Evidence is presented for the effectiveness of advice provided by trained dieticians. The increasing evidence for the importance of good metabolic control and the growing requirement for measures to prevent Type 2 diabetes in an increasingly obese population will require major expansion of dietetic services if the standards in National Service Frameworks are to be successfully implemented.

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“…Some Hindu women observe a partial fast in which only certain foods such as fruit and yoghurt may be eaten on 1 or 2 days each week [126].…”

Section: Special Groupsmentioning

confidence: 99%

The implementation of nutritional advice for people with diabetes

2003

Diabetic Medicine

141

View full text Add to dashboard Cite

show abstract

“…Some Hindu women observe a partial fast in which only certain foods such as fruit and yoghurt may be eaten on 1 or 2 days each week (Govindji, 1991).…”

Section: People From Ethnic Minoritiesmentioning

confidence: 99%

The dietitians challenge: the implementation of nutritional advice for people with diabetes*

Connor¹

2003

J Human Nutrition Diet

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The evidence base for current nutritional recommendations has been extensively reviewed on behalf of the European Association for the Study of Diabetes (EASD) 1998 and the American Diabetes Association (ADA) 2002. The nutrition Sub-Committee of Diabetes UK is in general agreement with those recommendations. This paper provides consensus-based recommendations that emphasize the practical implementation of nutritional advice for people with diabetes, and describe the provision of dietetic services required to provide the information. Important changes from previous Diabetes UK (previously British Diabetic Association Diabet. Med. 9, 189) recommendations include greater flexibility in the proportions of energy derived from carbohydrate and monounsaturated fat, further liberalization in the consumption of sucrose, more active promotion of foods with a low glycaemic index, and greater emphasis on the provision of nutritional advice in the context of wider lifestyle changes, particularly physical activity. Monounsaturated fats are now promoted as the main source of dietary fat because of their lower susceptibility to lipid peroxidation--and consequent lower atherogenic potential. Consumption of sucrose for patients who are not overweight can be increased up to 10% of daily energy derived from carbohydrate provided that this is eaten in the context of a healthy diet and distributed throughout the day. The role of the dietitian is outlined in facilitating lifestyle changes and evidence is presented for the effectiveness of advice provided by trained dietitians. The increasing evidence for the importance of good metabolic control and the growing requirement for measures to prevent Type 2 diabetes in an increasingly obese population will require major expansion of dietetic services if the standards in National Service Frameworks are to be successfully implemented at local level.

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“…Methods of cooking, recipes and meal patterns are unique to the ethnic group and ultimately to the individual within that group (Peterson & Govindji, 1988). The following general advice is given for Asian children (Govindji, 1991 When parents are already providing chapatis and dahls, these foods must be actively encouraged. Diet sheets should firmly support the view that such traditional Asian foods are healthy.…”

Section: Ethnic Minoritiesmentioning

confidence: 99%

Dietary Recommendations for Children and Adolescents with Diabetes: An Implementation Paper

Magrath¹,

Hartland²

1993

Diabetic Medicine

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General Recommendations: 1. Children with diabetes mellitus have the same basic nutritional requirements as other children. 2. Dietary recommendations should be based on good eating habits for the whole family. Radical changes in diet involving unusual foods or eating patterns for the child with diabetes alone are not appropriate. 3. Energy requirements of children vary widely and the energy content of the diet should be based on what the child usually eats. The diet should be reviewed regularly to meet the changing needs of growth and physical exercise without obesity. 4. The insulin regimen should, as far as is possible, be chosen to fit the child's daily lifestyle and preferred eating habits. Insulin type, dose, and frequency should be reviewed with the diet as the child develops. 5. Regular distribution of meals and snacks throughout the day remains the most important way to avoid extremes of hyperglycaemia and hypoglycaemia. This distribution should be based on an exchange system, using handy measures and taking into account food and meal type, the particular insulin regimen and the child's exercise patterns and usual eating habits. Currently this exchange system is based on carbohydrate foods but in the future the energy and fat contents will need further consideration. 6. Most special 'diabetic foods' are unnecessary. Low calorie sweeteners, as used in low calorie fruit squashes and fizzy drinks, are useful. 7. Children with diabetes from specific ethnic minority groups, or on vegan diets or living in deprived circumstances require special dietary attention for their diabetes. Those with coexisting chronic disorders such as cystic fibrosis or coeliac disease, should receive dietary advice from professionals with specialist knowledge. 8. Translating the principles of diabetic dietary management into a varied diet, arranged readily by the parents and eaten by the child, is demanding. It can best be met by a skilled dietitian working in close co-operation with child, parents, diabetes specialist nurse and doctor. Infancy 9. The diet should not differ from that of infants without diabetes. Breast feeding should be encouraged or a standard infant formula-feed used. Solids may be introduced from 3-6 months, but breast milk or a modified infant formula is encouraged as part of the increasingly mixed diet to at least the end of the first year. 10. Diabetes is rare in infancy so expert advice should be sought from dietitians experienced in paediatric diabetes. Under fives: 11.(ABSTRACT TRUNCATED AT 400 WORDS)

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Dietary advice for the Asian diabetic

Cited by 6 publications

References 4 publications

The implementation of nutritional advice for people with diabetes

The implementation of nutritional advice for people with diabetes

The dietitians challenge: the implementation of nutritional advice for people with diabetes*

Dietary Recommendations for Children and Adolescents with Diabetes: An Implementation Paper

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