Position of the Academy of Nutrition and Dietetics: The Role of Medical Nutrition Therapy and Registered Dietitian Nutritionists in the Prevention and Treatment of Prediabetes and Type 2 Diabetes

Early, Kathaleen Briggs; Stanley, Kathleen

doi:10.1016/j.jand.2017.11.021

Cited by 142 publications

(72 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, two recent systematic reviews indicated that small improvements in weight loss and/or obesity can prevent the progression from prediabetes to type 2 diabetes over an extended period of time [ 21 , 22 ]. The results of our study are consistent with several previous studies [ 9 , 23 , 24 ]. Participants' anthropometric values and body composition measurements for weight, BMI and body fat decreased significantly from baseline to 3 months between groups, but the weight and body fat losses were modest.…”

Section: Discussionsupporting

confidence: 94%

“…Nutrition therapy is an effective intervention for the management of prediabetes, especially the lifestyle changes based on dietary habits, which has increased dramatically in the US and worldwide over the last 30 years [ 8 ]. Strong evidence supports the role of dietary treatment provided by dietitians as being effective for managing prediabetes [ 9 ],which can even reverse the progress of diabetes. Among the various macronutrient proportions, a high carbohydrate content is a key risk factor for hyperglycemia since it is the greatest determinant of post-meal glycemia [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Effects of Mobile-App-Based Low-Carbohydrate Dietary Guidance on Postprandial Hyperglycemia in Adults with Prediabetes

Chen

Su²,

Kunii

et al. 2020

Diabetes Ther

View full text Add to dashboard Cite

Introduction: Postprandial hyperglycemia is independently associated with many adverse complications, while diets with a low glycemic load are beneficial in improving post-meal glucose levels. This study aims to determine if mobile-app-based low-carbohydrate dietary guidance will reduce exposure to postprandial hyperglycemia in adults with prediabetes. Methods: This single-blind, randomized controlled pilot study included 100 participants (39 men; mean age 53.6 ± 11.9 years) and was performed in the PKU Care CNOOC Hospital, China. The intervention group (n = 57) received low-carbohydrate dietary guidance through a moblie app (CAReNA) for 3 months, while the control group (n = 43) only received health education on a diabetic diet. The primary outcome was change in time of postprandial hyperglycemia between baseline and 3 months. Results: The study revealed that the mean time in postprandial hyperglycemia ([ 7.8 mmol/l [140 mg/dl]) monitored by flash glucose monitoring changed from 3.27 h/day at baseline to 2.34 h/day at 3 months in the intervention Xiaoyu Chen and Haihua Su contributed equally to this work and should be considered co-first authors.

show abstract

Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

The Effects of Mobile-App-Based Low-Carbohydrate Dietary Guidance on Postprandial Hyperglycemia in Adults with Prediabetes

Chen

Su²,

Kunii

et al. 2020

Diabetes Ther

View full text Add to dashboard Cite

show abstract

“…There is a wealth of evidence demonstrating that dietary interventions are effective for the management of both type 1 and type 2 diabetes, for the prevention of type 2 diabetes, and there is now emerging evidence for the remission of type 2 diabetes [ 1 – 5 ]. Traditionally, it is recommended that nutritional advice is delivered by registered dietitians, and although there is evidence that dietitian-led interventions are more effective than those without input from dietitians [ 6 ], both the American Diabetes Association (ADA) and Diabetes UK recognise that other health professionals have a role in delivering dietary advice, ideally guided by a registered dietitian [ 1 , 2 ]. However, access to registered dietitians is limited, and a survey in the UK in 2002 reported that the level of dietetic support for those with diabetes was dramatically lower than recommendations, and had not increased since a survey conducted 5 years previously [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A Practical Guide to Delivering Nutritional Advice to People with Diabetes

Dyson

2019

Diabetes Ther

View full text Add to dashboard Cite

Dietary advice is fundamental to the management of diabetes. Although ideally such advice should be delivered by a state-registered dietitian, it is more usually delivered by other health professionals. The primary focus for those with type 1 diabetes is carbohydrate counting and insulin adjustment and for the majority of people with type 2 diabetes, weight management is key. Patient-centred care is emphasised for the delivery of dietary advice. It is widely recognised that knowledge alone is not sufficient to induce behaviour change and practical approaches to a variety of behavioural interventions are discussed.

show abstract

“…Major medical and health organizations agree that medical nutrition therapy provided by registered dietitians in adults with prediabetes or type 2 diabetes is clinically and cost effective. However, the barriers to accessing a specialist and problems with the reimbursement for services still exist [3]. Robbins et al [27] observed that only 9.1% of diabetic patients of the Philadelphia Health Care Centers had at least one nutritionist visit within a 9-year period.…”

Section: Current Difficulties and Perspectives For The Futurementioning

confidence: 99%

Role of nutritional support provided by qualified dietitians in the prevention and treatment of non-communicable diseases

Bednarczuk

Czekajło-Kozłowska

2019

Rocz Panstw Zakl Hig

View full text Add to dashboard Cite

The role of dietitians is to counsel patients on special dietary modifications, develop dietary plans and provide dietary advice for healthy lifestyle in order to promote health and prevent disease. As lifestyle changes have become a primary reason for the increasing prevalence of non-communicable diseases in recent decades, it appears that nutritional therapy should play an important role in the multidisciplinary healthcare system. The aim of the review was to evaluate the role of nutritional support provided by dietitians in the prevention and treatment of chronic diseases in terms of its clinical and cost-effectiveness, according to their range of activity and qualifications. The evaluation was based on the review of the current literature. The costs of the treatment of non-communicable diseases encompass the costs of the treatment of the disease itself, costs of its complications and costs resulting from the decline of the productivity of patients. The results of studies indicate that nutritional support provides not only clinical but also cost benefits in the prevention and treatment of various non-communicable diseases. Every €1 spend on dietary counseling of patients with obesity or obesity-related diseases approximately returns a net €14 to €63 over a period of five years. Dietitians appear to be more effective in counseling overweight or obese patients with present risk factors compared to other specialists, however the barriers to accessing a qualified dietitian and problems with the reimbursement for services still exist. As adequate professional qualifications of dietitians appear to be an important factor determining the effectiveness of implemented dietary care, an additional training courses for dietitians and enhanced cooperation of hospitals and medical universities are needed.

show abstract

Position of the Academy of Nutrition and Dietetics: The Role of Medical Nutrition Therapy and Registered Dietitian Nutritionists in the Prevention and Treatment of Prediabetes and Type 2 Diabetes

Cited by 142 publications

References 75 publications

The Effects of Mobile-App-Based Low-Carbohydrate Dietary Guidance on Postprandial Hyperglycemia in Adults with Prediabetes

The Effects of Mobile-App-Based Low-Carbohydrate Dietary Guidance on Postprandial Hyperglycemia in Adults with Prediabetes

A Practical Guide to Delivering Nutritional Advice to People with Diabetes

Role of nutritional support provided by qualified dietitians in the prevention and treatment of non-communicable diseases

Contact Info

Product

Resources

About