Diabetes dietary recommendations for preventing complications by american dietetic association
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Diabetes mellitus Main page |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]
American Dietetic Association: General Nutrition Recommendations (DO NOT EDIT)[1]
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DM: Prevention and Treatment of CVDCVD (cardiovascular diseases) and Cardioprotective Nutrition Therapy Cardioprotective nutrition interventions for the prevention and treatment of CVD should be implemented in the initial series of encounters. Diabetes is associated with an increased risk for CVD and glycemic control may improve the lipid profile. Strong, Imperative CVD and Cardioprotective Nutrition Interventions Cardioprotective nutrition interventions for prevention and treatment of CVD include reduction in saturated and trans fats and dietary cholesterol, and interventions to improve blood pressure. Studies in persons with diabetes utilizing these interventions report a reduction in cardiovascular risk and improved cardiovascular outcomes. Strong, Imperative Recommendation Strength Rationale
DM: Protein and DiabetesProtein Intake and Nephropathy In persons with diabetic nephropathy, a protein intake of one gram or less per kg body weight per day is recommended. Diets with less than one gram protein per kg body weight per day have been shown to improve albuminuria in persons with nephropathy; however, they have not been shown to have significant effects on GFR. Fair, Conditional Protein Intake and Late Stage Nephropathy For persons with late stage diabetic nephropathy (CKD Stages 3-5), hypoalbuminemia (an indicator of malnutrition) and energy intake must be monitored and changes in protein and energy intake made to correct deficits. A protein intake of approximately 0.7 grams per kg body weight per day has been associated with hypoalbuminemia, whereas a protein intake of approximately 0.9 grams per kg body weight per day has not. Fair, Conditional Recommendation Strength Rationale
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References
- ↑ Franz MJ, Boucher JL, Green-Pastors J, Powers MA (2008). "Evidence-based nutrition practice guidelines for diabetes and scope and standards of practice". J Am Diet Assoc. 108 (4 Suppl 1): S52–8. doi:10.1016/j.jada.2008.01.021. PMID 18358257.