Diabetes mellitus dietary management: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Diabetes mellitus }} | {{Diabetes mellitus }} | ||
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{ADI}} | {{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{ADI}} {{KGH}} | ||
== Dietary Management == | == Dietary Management == | ||
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==== [[Diabetes dietary recommendations of american dietetic association|American Dietetic Association]] ==== | ==== [[Diabetes dietary recommendations of american dietetic association|American Dietetic Association]] ==== | ||
== 2013 American Diabetes Association Standards of Medical Care in Diabetes (DO NOT EDIT)<ref name="pmid23264422">{{cite journal| author=American Diabetes Association| title=Standards of medical care in diabetes--2013. | journal=Diabetes Care | year= 2013 | volume= 36 Suppl 1 | issue= | pages= S11-66 | pmid=23264422 | doi=10.2337/dc13-S011 | pmc=PMC3537269 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23264422 }} </ref>== | |||
===Medical Nutrition Therapy (MNT)=== | |||
{|class="wikitable" | |||
| bgcolor="Seashell"|<nowiki>"</nowiki>'''1.''' Individuals who have prediabetes or diabetes should receive individualized MNT as needed to achieve treatment goals, preferably provided by a regis- tered dietitian familiar with the com- ponents of diabetes MNT. ''([[ADA guidelines classification scheme#Level of Evidence|Level of Evidence: A]])''<nowiki>"</nowiki> | |||
|- | |||
| bgcolor="Seashell"|<nowiki>"</nowiki>'''2.''' Because MNT can result in cost-savings and improved outcomes ([[ADA guidelines classification scheme#Level of Evidence|Level of Evidence: B]]), MNT should be adequately covered by insurance and other payers. ''([[ADA guidelines classification scheme#Level of Evidence|Level of Evidence: E]])''<nowiki>"</nowiki> | |||
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===Energy Balance, Overweight and Obesity)=== | |||
{|class="wikitable" | |||
| bgcolor="Seashell"|<nowiki>"</nowiki>'''1.''' Weight loss is recommended for all overweight or obese individuals who have or are at risk for diabetes. ''([[ADA guidelines classification scheme#Level of Evidence|Level of Evidence: A]])''<nowiki>"</nowiki> | |||
|- | |||
| bgcolor="Seashell"|<nowiki>"</nowiki>'''2.''' For weight loss, either low-carbohydrate, low-fat calorie-restricted, or Mediterranean diets may be effective in the short- term (up to 2 years). ''([[ADA guidelines classification scheme#Level of Evidence|Level of Evidence: A]])''<nowiki>"</nowiki> | |||
|- | |||
| bgcolor="Seashell"|<nowiki>"</nowiki>'''3.''' For patients on low-carbohydrate diets, monitor lipid profiles, renal function, and protein intake (in those with ne- phropathy) and adjust hypoglycemic therapy as needed. ''([[ADA guidelines classification scheme#Level of Evidence|Level of Evidence: E]])''<nowiki>"</nowiki> | |||
|- | |||
| bgcolor="Seashell"|<nowiki>"</nowiki>'''3.''' Physical activity and behavior modification are important components of weight loss programs and are most helpful in maintenance of weight loss. ''([[ADA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki> | |||
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==References== | ==References== | ||
Revision as of 20:50, 16 December 2013
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Diabetes mellitus Main page |
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Patient Information |
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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]; Aditya Govindavarjhulla, M.B.B.S. [3] Karol Gema Hernandez, M.D. [4]
Dietary Management
General nutritional recommendation
Healthy diabetic eating includes[1]
- Limiting foods that are high in sugar.
- Eating smaller portions, spread out over the day.
- Being careful about when and how many carbohydrates are eaten.
- Eating a variety of whole-grain foods, fruits and vegetables every day.
- Eating less fat.
- Limiting your use of alcohol.
- Using less salt.
American Association of Clinical Endocrinologists
American Diabetes Association
American Dietetic Association
2013 American Diabetes Association Standards of Medical Care in Diabetes (DO NOT EDIT)[2]
Medical Nutrition Therapy (MNT)
| "1. Individuals who have prediabetes or diabetes should receive individualized MNT as needed to achieve treatment goals, preferably provided by a regis- tered dietitian familiar with the com- ponents of diabetes MNT. (Level of Evidence: A)" |
| "2. Because MNT can result in cost-savings and improved outcomes (Level of Evidence: B), MNT should be adequately covered by insurance and other payers. (Level of Evidence: E)" |
Energy Balance, Overweight and Obesity)
| "1. Weight loss is recommended for all overweight or obese individuals who have or are at risk for diabetes. (Level of Evidence: A)" |
| "2. For weight loss, either low-carbohydrate, low-fat calorie-restricted, or Mediterranean diets may be effective in the short- term (up to 2 years). (Level of Evidence: A)" |
| "3. For patients on low-carbohydrate diets, monitor lipid profiles, renal function, and protein intake (in those with ne- phropathy) and adjust hypoglycemic therapy as needed. (Level of Evidence: E)" |
| "3. Physical activity and behavior modification are important components of weight loss programs and are most helpful in maintenance of weight loss. (Level of Evidence: B)" |
References
- ↑ "Diabetic Diet: MedlinePlus". Retrieved 2013-03-02.
- ↑ American Diabetes Association (2013). "Standards of medical care in diabetes--2013". Diabetes Care. 36 Suppl 1: S11–66. doi:10.2337/dc13-S011. PMC 3537269. PMID 23264422.