Transcultural Diabetes Care in The United States – A Position Statement by the American Association of Clinical Endocrinologists

Mechanick, Jeffrey I.; Adams, Sherrill L.; Davidson, Jaime A.; Fergus, Icilma; Galindo, Rodolfo J.; McKinney, Kevin H.; Petak, Steven M.; Sadhu, Archana R.; Samson, Susan L.; Vedanthan, Rajesh; Umpiérrez, Guillermo E.

doi:10.4158/ps-2019-0080

Cited by 23 publications

(16 citation statements)

References 267 publications

(244 reference statements)

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“…Patients should be instructed on proper interpretation of Nutrition Facts Labels on packaged foods. Clinicians should be sensitive to patients' ethnic and cultural backgrounds and their associated food preferences (11). In addition, education on medical nutrition therapy for patients with diabetes should also address the need for consistency in day-to-day carbohydrate intake; limiting sucrose-containing, high fructosecontaining, or other high-glycemic-index foods; as well as the importance of eating a healthy, high-fiber breakfast, and not skipping meals, to lessen the risk of unhealthy eating late at night.…”

Section: Lifestyle Therapymentioning

confidence: 99%

Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Comprehensive Type 2 Diabetes Management Algorithm – 2020 Executive Summary

Handelsman²,

et al. 2020

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Abbreviations: A1C = hemoglobin A1C; AACE = American Association of Clinical Endocrinologists; ABCD = adiposity-based chronic disease; ACCORD = Action to Control Cardiovascular Risk in Diabetes; ACCORD BP = Action to Control Cardiovascular Risk in Diabetes Blood Pressure; ACE = American College of Endocrinology; ACEI = angiotensin-converting enzyme inhibitor; AGI = alpha-glucosidase inhibitor; apo B = apolipoprotein B; ARB = angiotensin II receptor blocker; ASCVD = atherosclerotic cardiovascular disease; BAS = bile acid sequestrant; BMI = body mass index; BP = blood pressure; CCB = calcium channel blocker; CGM = continuous glucose monitoring; CHD = coronary heart disease; CKD = chronic kidney disease; DKA = diabetic ketoacidosis; DPP4 = dipeptidyl peptidase 4; eGFR = estimated glomerular filtration rate; EPA = eicosapentaenoic acid; ER = extended release; FDA = Food and Drug Administration; GLP1 = glucagon-like peptide 1; HDL-C = high-density-lipoprotein cholesterol; HeFH = heterozygous familial hypercholesterolemia; LDL-C = low-density-lipoprotein cholesterol; LDL-P = low-density-lipoprotein particle; Look AHEAD = Look Action for Health in Diabetes; NPH = neutral protamine Hagedorn; OSA = obstructive sleep apnea; PCSK9 = proprotein convertase subtilisin-kexin type 9 serine protease; RCT = randomized controlled trial; SU = sulfonylurea; SGLT2 = sodium-glucose cotransporter 2; SMBG = self-monitoring of blood glucose; T2D = type 2 diabetes; TZD = thiazolidinedione

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Section: Lifestyle Therapymentioning

confidence: 99%

Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Comprehensive Type 2 Diabetes Management Algorithm – 2020 Executive Summary

Handelsman²,

et al. 2020

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“…Moreover, there is an increase in CVD (except for CHD) mortality, from 2011 to 2015 (7). What is particularly disturbing is that the increased CVD mortality rate trends, especially those in low-and middle-income socioeconomic and educational strata, or certain ethnocultural populations with unhealthy lifestyles, are thought to be due to less effective and/or accessible preventive strategies (8)(9)(10)(11). Nevertheless, improved survival trends are seen when largescale risk factor modification efforts are delivered within an integrated health care system (12).…”

Section: What Is Cardiometabolic-based Chronic Disease?mentioning

confidence: 99%

“…The built (or man-made) and nonphysical (cultural) environment provide context for the expression of genetic cardiometabolic risk factors (10). Local cluster detection and spatial regression techniques with a global footprint provide statistical information about relevant and actionable environmental variables (45).…”

Section: Environmentmentioning

confidence: 99%

Cardiometabolic-Based Chronic Disease, Adiposity and Dysglycemia Drivers

Mechanick

Farkouh

Newman

et al. 2020

Journal of the American College of Cardiology

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154

120

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“…To build trust with Hispanic/Latinx patients and promote disclosure of diabetes self-care practices, it will be salient for providers to utilize a respectful, transcultural, and individualized approach. 45 Furthermore, patients using herbal/plant remedies and supplements concurrently with prescribed medications may require more frequent monitoring due to consequences of herb-drug interactions or synergistic effects of treatments 20 and information on improper usage/dosage of remedies and supplements. 39 Providers can assist patients in evaluating the financial out-of-pocket cost of commercial products, particularly products without proven efficacy.…”

Section: Discussionmentioning

confidence: 99%

Herbal/Plant Remedies and Supplements Used by Hispanics/Latinxs for Diabetes: Source of Functional Foods?

Amirehsani

Wallace

et al. 2021

The Science of Diabetes Self-Management and Care

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Purpose The purpose of this study was to explore the use of herbal/plant remedies and supplements for type 2 diabetes (T2DM) among Hispanics/Latinxs in North Carolina and identify demographic and diabetes-related factors associated with use of these therapies. Methods Baseline data from a family-based diabetes intervention tailored for Hispanics/Latinxs were analyzed using descriptive statistics, bivariate analyses, and logistic regression. A convenience sample of 186 adults with T2DM and adult family members with and without T2DM was recruited from community-based settings and data obtained from face-to-face interviews conducted in Spanish. Results Most participants were female (73%) with an average age of 45 years old. Among this predominantly immigrant sample (96%), 78% of participants reported being from Mexico. Sixty percent had T2DM, and average A1C was 8.7% for persons with T2DM. Nearly a third reported using 51 different remedies for diabetes management. Most ingested them concurrently with prescribed medications; however, 11.3% reported altering the dose of medications when using herbal/plant remedies or supplements. Most common items were prickly pear cactus, pineapple, celery, aloe vera, parsley, and spinach. Using herbs/plants was positively correlated with age, A1C, and years with T2DM. The odds of using herbs/plants increased 28% for every 1% increase in A1C (adjusted odds ratio = 1.28, P = .003). Conclusions Asking about herbal/plant remedy and supplement use is important. Although there is limited efficacy and safety studies for some items, multiple reported remedies are functional foods with biologically active ingredients to promote health. Patient education is needed on safe and unsafe items and use with prescribed medications.

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Transcultural Diabetes Care in The United States – A Position Statement by the American Association of Clinical Endocrinologists

Cited by 23 publications

References 267 publications

Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Comprehensive Type 2 Diabetes Management Algorithm – 2020 Executive Summary

Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Comprehensive Type 2 Diabetes Management Algorithm – 2020 Executive Summary

Cardiometabolic-Based Chronic Disease, Adiposity and Dysglycemia Drivers

Herbal/Plant Remedies and Supplements Used by Hispanics/Latinxs for Diabetes: Source of Functional Foods?

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