ADA consensus report addresses nutrition therapy for DM and pre-DM

  • Evert AB & al.
  • Diabetes Care
  • 18 Apr 2019

  • International Clinical Digest
Access to the full content of this site is available only to registered healthcare professionals. Access to the full content of this site is available only to registered healthcare professionals.

Takeaway

  • Consensus report is intended to provide clinical professionals with evidence-based guidance about individualizing nutrition therapy for adults with diabetes mellitus (DM) or pre-DM.

Key messages

  • All patients with type 1 and 2 DM should be referred for medical nutrition therapy.
  • There is no “1 size fits all” recommended nutrition plan for all people with diabetes or prediabetes.
  • There is no ideal percentage of calories from carbohydrate, protein, and fat for all people with diabetes or prediabetes, and a variety of eating patterns are acceptable for most.
  • When counseling people with diabetes, a key strategy to achieve glycemic targets should include assessment of current dietary intake and individualized guidance on self-monitoring carbohydrate.
  • Macronutrient distribution should be personalized based on individualized assessment of current eating patterns, preferences, and metabolic goals.
  • For weight loss, emphasis should be placed on the ability to maintain and sustain an eating plan that results in an energy deficit.
  • Common factors in successful eating plans include an emphasis on nonstarchy vegetables, minimizing added sugars and refined grains, and choosing whole, unprocessed foods over processed foods as possible.
  • Sections address the role of nutrition therapy in diabetes complications, including cardiovascular disease, kidney disease, and gastroparesis.

Please confirm your acceptance

To gain full access to GPnotebook please confirm:

By submitting here you confirm that you have accepted Terms of Use and Privacy Policy of GPnotebook.

Submit