Takeaway
- These updated 2018 nutrition guideline recommendations mostly focus on dietary management for prevention and management of diabetes in adults (age, ≥18 years) in the United Kingdom (UK).
Study design
- Expert panel of specialized dieticians appointed by Diabetes UK, evaluated related research and recent evidences to update the existing 2011 guidelines for diabetes management and prevention.
- Funding: None disclosed.
Key recommendations
- Nutrition management is strongly recommended preferably by a registered dietician for patients with diabetes, specifically those at risk for developing type 2 diabetes mellitus (T2DM).
- Patients at high-risk for T2DM should aim for at least 5% weight loss.
- Lifestyle interventions include restricted dietary fat and energy intake, increased fibre intake and increased physical activity. Mediterranean diet is recommended in general population.
- Improved glycaemic control by adjusting insulin to carbohydrate intake, healthy eating pattern and 150 minutes/week of moderate to vigorous physical activity for at least 3 days is strongly recommended.
- For cardiovascular disease risk reduction, decreased salt intake, 2 portions of oily fish each week, more of fruits, vegetables, fish, pulses and less of red/processed meat, sweetened beverages and refined carbohydrates are recommended.
- Offering education particularly for dietary intervention to patients with diabetes including older people is strongly recommended.
- Adherence to gluten-free diet is highly recommended for patients with diabetes and coeliac disease.
- Micronutrient supplementation is not recommended for management/prevention of diabetes.
References
References