Macronutrients, Food Groups, and Eating Patterns in the Management of Diabetes

Wheeler, Madelyn L.; Dunbar, Stephanie; Jaacks, Lindsay M.; Karmally, Wahida; Mayer‐Davis, Elizabeth J.; Wylie‐Rosett, Judith; Yancy, William S.

doi:10.2337/dc11-2216

Cited by 320 publications

(309 citation statements)

References 109 publications

(289 reference statements)

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“…The levels (>65 %) would be classified as 'high carbohydrate' according to Wheeler et al (63) . Wheeler et al's (63) review indicated a non-unanimous agreement on the percentage of energy from carbohydrates shown to confer optimal glycaemic control due to conflict in results for various levels of carbohydrate in the reviewed studies. Therefore, it cannot be concluded that the high carbohydrate intake in our study contributed to the non-significant changes in glycaemic control.…”

Section: Discussionmentioning

confidence: 99%

Effect of a nutrition education programme on clinical status and dietary behaviours of adults with type 2 diabetes in a resource-limited setting in South Africa: a randomised controlled trial

Muchiri

Gericke

Rheeder

2015

Public Health Nutr.

155

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Objective: To evaluate the effect of a participant-customised nutrition education programme on glycated Hb (HbA 1c ), blood lipids, blood pressure, BMI and dietary behaviours in patients with type 2 diabetes mellitus. Design: A randomised controlled trial. The control group (n 41) received education materials. The intervention group (n 41) received the same education materials and participated in eight weekly (2-2·5 h) group nutrition education sessions and follow-up sessions. Outcomes were assessed at 6 and 12 months. An intention-to-treat analysis was conducted. ANCOVA compared the groups (adjustments for baseline values, age, sex and clinic). Setting: Two community health centres, Moretele sub-district (North West Province), South Africa. Subjects: Adults (aged 40-70 years) with type 2 diabetes, HbA 1c ≥8 %. Results: Differences in HbA 1c (primary outcome) were −0·64 % (P = 0·15) at 6 months and −0·63 % (P = 0·16) at 12 months in favour of the intervention group. Starchy-food intake was significantly lower in the intervention group, 9·3 v. 10·8 servings/d (P = 0·005) at 6 months and 9·9 v. 11·9 servings/d (P = 0·017) at 12 months. Median energy intake was significantly lower in the intervention group at 12 months (5988 v. 6946 kJ/d, P = 0·017). No significant group differences in BMI, lipid profile, blood pressure and intakes of macronutrients, vegetables and fruits were observed. Conclusions: Nutrition education was not efficacious on HbA 1c ; however, it improved specific dietary behaviours. Group education and hands-on activities appeared to contribute to the improvement. Optimal goal setting and self-efficacy training/assessment could benefit future nutrition education programmes for people with type 2 diabetes mellitus in resource-limited settings.

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Section: Discussionmentioning

confidence: 99%

Effect of a nutrition education programme on clinical status and dietary behaviours of adults with type 2 diabetes in a resource-limited setting in South Africa: a randomised controlled trial

Muchiri

Gericke

Rheeder

2015

Public Health Nutr.

155

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“…Studies in patients with varying stages of diabetic kidney disease have shown that the limitation of dietary protein to avoid excess intake slows the progression of albuminuria, GFR decline, and occurrence of ESRD (31)(32)(33)(34), although more recent studies have provided conflicting results (35). Dietary protein limitation, if protein intake is high, is a consideration particularly in patients whose diabetic kidney disease is progressing despite optimal glucose and blood pressure control and use of an ACE inhibitor or ARB (34).…”

Section: Combination Therapymentioning

confidence: 99%

9. Microvascular Complications and Foot Care

2014

Diabetes Care

109

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“…Dicha terapia ha demostrado disminución de la Hb1AC entre 0,5%-2%, y disminución de complicaciones microvasculares (3)(4)(5).…”

Section: Introductionunclassified

Adherencia a terapia médica nutricional en pacientes con diabetes mellitus tipo 2, de un hospital nacional de nivel III en Lima, Perú

Arámbulo¹,

Mosca²,

Rojas³

et al. 2017

Rev Med Hered

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RESUMENObjetivos: Determinar la adherencia a la terapia médica nutricional (TMN) en pacientes con Diabetes Mellitus tipo 2 (DM2) en un hospital nacional de nivel III de Lima-Perú y explorar factores asociados. Material y métodos: Estudio descriptivo transversal, realizado en 163 pacientes con diagnóstico de DM2 del servicio de Endocrinología del Hospital Cayetano Heredia. Se utilizó un Cuestionario de Frecuencia de Alimentos (CFA). La valoración calórica y de macronutrientes fue realizada con valores de referencia del Centro Nacional de Alimentación y Nutrición (CENAN). Se definió adherencia al cumplimiento de recomendación de carbohidratos, fibra, lípidos y proteínas según la American Diabetes Association (ADA). Resultados: El promedio de edad fue 61,1 ± 10,3 años, con predominancia del sexo femenino (61,9%). El 40,5% tenía instrucción primaria. El 38% de los participantes tenía sobrepeso. El 35,6% de los encuestados fueron adherentes a TMN. El tiempo de enfermedad fue mayor en el grupo adherente (9,8 años vs 7,5 años; p=0,035); la frecuencia de pie diabético del grupo adherente fue tres veces mayor que en los no adherentes (12,1% vs 3,8%; p=0,04). Conclusiones: Los resultados muestran una baja adherencia a la TMN. Este estudio da acceso a una de las primeras aproximaciones de la adherencia a TMN en el Perú.PALABRA CLAVE: Diabetes Mellitus tipo 2, terapia nutricional, dieta. (Fuente: DeCS BIREME). SUMMARY Objectives:To ascertain the adherence to nutritional therapy (NT) among type 2 diabetes mellitus (DM2) in a level III national hospital in Lima, Peru and to explore factors associated with it. Methods: Cross-sectional study performed in 163 patients with DM2 at the Endocrinology service of Hospital Cayetano Heredia. A food frequency questionnaire was applied; caloric and macronutrient evaluation was performed with reference values from the Centro Nacional de Alimentación y Nutrición (CENAN). Adherence to recommendation for consumption of carbohydrates, proteins and lipids was evaluated based on recommendations by the American Diabetes Association (ADA). Results: Mean age was 61.1 ± 10.3 years; 61.9% were females; 40.5% had elementary education; 38% had obesity. Only 35.6% adhered to NT. Time with DM2 was higher in the adherent group (9.8 vs. 7.5 years; p=0.035); frequency of diabetic foot was three times higher than that of non-adherent patients (12.1% vs 3.8%; p=0.04). Conclusions: This is the first attempt to evaluate adherence to NT in Peru showing low adherence rates.

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Macronutrients, Food Groups, and Eating Patterns in the Management of Diabetes

Cited by 320 publications

References 109 publications

Effect of a nutrition education programme on clinical status and dietary behaviours of adults with type 2 diabetes in a resource-limited setting in South Africa: a randomised controlled trial

Effect of a nutrition education programme on clinical status and dietary behaviours of adults with type 2 diabetes in a resource-limited setting in South Africa: a randomised controlled trial

9. Microvascular Complications and Foot Care

Adherencia a terapia médica nutricional en pacientes con diabetes mellitus tipo 2, de un hospital nacional de nivel III en Lima, Perú

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