Nutrition management of insulin-dependent diabetes mellitus in adults: Review by the diabetes care and education dietetic practice group

Lyon, Rachel; Vinci, Debra M.

doi:10.1016/0002-8223(93)91557-7

Cited by 14 publications

(5 citation statements)

References 36 publications

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“…Juntamente com outros profissionais de saúde, os nutricionistas têm um grande papel no manejo do DM1, fornecendo educação nutricional focada e assertiva desde o diagnóstico e ao longo dos acompanhamentos. Na população pediátrica, ensinar os pacientes sobre comportamentos alimentares saudáveis, escolhas alimentares, padrões de refeições e contagem de Research, Society and Development, v. 12, n. 9, e10212943162, 2023 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v12i9.43162 macronutrientes proporciona aumento da autonomia geral de pessoas com DM1, parte das melhorias no controle glicêmico e retardo das complicações do diabetes (Lyon & Vinci, 1993;Steinke, O'Callahan & York, 2017).…”

Section: A B C Dunclassified

Conhecimentos dos nutricionistas sobre o manejo do Diabetes mellitus tipo 1 quanto a contagem de macronutrientes e as unidades de insulina

Almeida,

Miranda,

Cavicchia

2023

RSD

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O Diabetes mellitus tipo 1 é uma desordem metabólica que tem como característica a destruição das células β-pancreáticas através da resposta autoimune, gerando um déficit na síntese de insulina que resulta em um quadro de hiperglicemia e necessita do tratamento à base de insulina. A contagem de carboidratos é o método mais eficiente para o controle glicêmico e o cálculo de insulina por refeição. O objetivo deste trabalho foi avaliar os conhecimentos dos nutricionistas egressos da UFV/CRP sobre o manejo deste tipo de diabetes quanto a contagem de macronutrientes e as unidades de insulina. O estudo exploratório e descritivo foi realizado por um questionário elaborado no Google Forms, contendo perguntas para a descrição geral dos avaliados e 10 questões para avaliar o nível de conhecimentos. Os dados estão apresentados nas frequências absoluta e relativa. Quanto ao conhecimento, 54,54% apresentaram a classificação bom, e apenas 3,03% foi ruim. Na distribuição dos pontos a maioria apresentou notas entre 7 a 9 pontos, sendo que nenhum dos participantes obteve as notas 1, 2 e 10. Conclui-se que a maioria dos participantes tinham conhecimentos sobre o manejo desta patologia quanto a contagem de macronutrientes e as unidades de insulina, entretanto justifica-se a necessidade de treinamentos como palestras e minicursos para este público, visto que alguns erraram algumas questões básicas e específicas sobre o assunto.

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Section: A B C Dunclassified

Conhecimentos dos nutricionistas sobre o manejo do Diabetes mellitus tipo 1 quanto a contagem de macronutrientes e as unidades de insulina

Almeida,

Miranda,

Cavicchia

2023

RSD

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“…Thus, with proper education, patients can learn to adjust the time of insulin administration to coincide with the time of day a meal is desired. 90 Recent evidence from the Diabetes Control and Complications Trial suggests that selected nutritional interventions-healthy food choices, exchange systems, carbohydrate counting, and total available glucose, eg, glucose available as simple sugars-can be coupled with intensive insulin therapy to obtain normoglycemia. 91 Carbohydrates.…”

Section: Nutritional Considerationsmentioning

confidence: 99%

“…Cholesterol intake should be less than 300 mg/d. 90 Protein. The protein recommendations for patients with both diabetes and hypertension do not differ from the recommendations for the general population.…”

Section: Nutritional Considerationsmentioning

confidence: 99%

“…Health professionals need to be knowledgeable about ethnic, regional, and religious issues. 90 The learning styles of adults tend to be more self-directed than those of children, who are more dependent on the educator for direction. However, active learning experiences have proved successful in all age groups.…”

Section: Considerations In Education Control and Maintenancementioning

confidence: 99%

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National High Blood Pressure Education Program Working Group report on hypertension in diabetes.

1994

Hypertension

413

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Hypertension and diabetes raellitus are interrelated diseases that, if untreated, strongly predispose to atherosclerotic cardiovascular disease and renal disease. More than 3 million Americans have both hypertension and diabetes, which are particularly prevalent in the socioeconomicalh/ disadvantaged. Hypertension contributes substantially to morbidity and mortality in people with diabetes. This report is an update of the 1987 working group report on hypertension and diabetes and includes important new information on the management of hypertension in people with diabetes. Although treatment of hypertension in most people with diabetes does not differ from that in people who do not have diabetes, this report outlines some special considerations relevant to the presence of both diseases. Lifestyle modification is considered as an initial treatment modality or as an adjunct to pharmacologic measures. This report also includes a discussion of the treatment of hypertension and diabetes in children, an expanded review of sexual dysfunction, and an increased emphasis on the effect of hypertension and diabetes on target organs. A treatment algorithm represents a practical guideline for the physician. Since the previous report, there has been an increased awareness, through clinical trials and pharmacologic research, of the importance of flexibility in the use of antihypertensive drugs as well as a refinement of nonpharmacologic approaches in treating people with both hypertension and diabetes. (Hypertension. 1994^3:145-158.)

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“…Diabetes counseling and education (C/E) initiatives designed to increase patients’ understanding of diabetes also have the potential to prevent or delay complications and improve the outcomes of those living with diabetes. 8 , 9 However, the association of C/E interventions with health resource use and health care costs is not fully understood, with evidence of effectiveness varying according to program and setting. 10 – 13…”

mentioning

confidence: 99%

Real-World Evaluation of the Effects of Counseling and Education in Diabetes Management

Dalal¹,

Robinson²,

Sullivan³

2014

Diabetes Spectrum

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Background. Patient education has long been recognized as a component of effective diabetes management, but the impact of counseling and education (C/E) interventions on health care costs is not fully understood.Objectives. To identify the incidence and type of diabetes C/E received by type 2 diabetes patients and to evaluate associated economic and clinical outcomes.Methods. This retrospective cohort study used the Premier-Optum Continuum of Care database (2005–2009) to compare adult patients with type 2 diabetes receiving C/E to those not receiving C/E (control). The index date was the first C/E date or, in the control cohort, a randomly assigned date on which some care was delivered. Patients had at least 6 months’ pre-index and 12 months’ post-index continuous health plan coverage. Health care costs and glycemic levels were evaluated over 12 and 6 months, respectively, with adjustment for differences in baseline characteristics using propensity score matching (PSM).Results. Of 26,790 patients identified, 9.3% received at least one C/E intervention (mean age 53 years, 47% men) and 90.7% received no C/E (mean age 57 years, 54% men). Standard diabetes education was the most common form of C/E (73%). After PSM, C/E patients had some improvements in glycemic levels (among those with laboratory values available), without increased risk for hypoglycemia, and incurred $2,335 per-patient less in diabetes-related health care costs, although their total health care costs increased.Conclusions. Despite the low uptake of C/E services, C/E interventions may be associated with economic and clinical benefits at 12 months. Further analyses are needed to evaluate the long-term cost-effectiveness of such initiatives.

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Nutrition management of insulin-dependent diabetes mellitus in adults: Review by the diabetes care and education dietetic practice group

Cited by 14 publications

References 36 publications

Conhecimentos dos nutricionistas sobre o manejo do Diabetes mellitus tipo 1 quanto a contagem de macronutrientes e as unidades de insulina

Conhecimentos dos nutricionistas sobre o manejo do Diabetes mellitus tipo 1 quanto a contagem de macronutrientes e as unidades de insulina

National High Blood Pressure Education Program Working Group report on hypertension in diabetes.

Real-World Evaluation of the Effects of Counseling and Education in Diabetes Management

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