Nutrition Practice Guidelines for Type 1 Diabetes Mellitus Positively Affect Dietitian Practices and Patient Outcomes

Kulkarni, Karmeen; Gregory, Rebecca; Holmes, Alberta; Leontos, Carolyn; Powers, Margaret A.; Snetselaar, Linda; Splett, Patricia L.; Wylie‐Rosett, Judith

doi:10.1016/s0002-8223(98)00017-0

Cited by 139 publications

(88 citation statements)

References 11 publications

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“…Many children with type 1 diabetes present at diagnosis with weight loss that must be restored with insulin initiation, hydration, and adequate energy intake. As energy requirements change with age, physical activity, and growth rate, an evaluation of height, weight, BMI, and nutrition plan is recommended at least every year (91). Good metabolic control is essential for normal growth and development (78).…”

Section: Medical Nutrition Therapymentioning

confidence: 99%

Care of Children and Adolescents With Type 1 Diabetes

Klingensmith²,

et al. 2005

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Section: Medical Nutrition Therapymentioning

confidence: 99%

Care of Children and Adolescents With Type 1 Diabetes

Klingensmith²,

et al. 2005

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“…This is important because lifestyle modification through nutrition and exercise can improve diabetes outcomes, [11][12][13] and there is some evidence that primary care-based counseling can enhance lifestyle modification. 14 Yet, studies have documented the underuse of lifestyle modification counseling in ambulatory care settings.…”

Section: Introductionmentioning

confidence: 99%

National Prevalence of Lifestyle Counseling or Referral Among African-Americans and Whites with Diabetes

et al. 2008

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“…Promulgation of clinical practice guidelines (CPG) is intended to synthesize available medical information and improve quality of care [1][2][3][4][5][6][7] . Barriers to their application, however, often limit their implementation in daily practice 8,9 .…”

mentioning

confidence: 99%

The Gap Between Practice and Guidelines in the Choice of First-line Disease Modifying Antirheumatic Drug in Early Rheumatoid Arthritis: Results from the ESPOIR Cohort

Benhamou¹,

Rincheval²,

Roy³

et al. 2009

J Rheumatol

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ABSTRACT. Objective. To compare rheumatologists' prescription for first disease modifying antirheumatic drug (DMARD) . "Definite" and "probable" RA were defined according to ACR criteria and the level of diagnostic certainty. The objectives were to assess conformity between the observed first-line DMARD prescribed for those patients and the DMARD recommended in the guidelines; and to conduct a mail survey of patients' usual rheumatologists to investigate the reasons for their nonconformity with guidelines. Results. In total 627 patients with definite or probable RA were identified. Conformity rates were 58% for STPR guidelines and 54% for EULAR guidelines. At 6 months, 83 (34%) patients with early RA did not receive any DMARD. Main determinants associated with conformity to guidelines were disease activity and presence of severity-predictive factors. The main reason leading to a discrepancy between guidelines and daily practice appeared to be diagnostic uncertainty, i.e., the difficulty to reliably assess RA diagnosis as early as the first visits to the rheumatologist. Conclusion.There is a substantial gap between CPG and rheumatologists' daily practice concerning the first DMARD to prescribe in early RA. This is explained mainly by diagnostic uncertainty. More attention should be paid in future guidelines to the diagnostic difficulties of early

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Nutrition Practice Guidelines for Type 1 Diabetes Mellitus Positively Affect Dietitian Practices and Patient Outcomes

Cited by 139 publications

References 11 publications

Care of Children and Adolescents With Type 1 Diabetes

Care of Children and Adolescents With Type 1 Diabetes

National Prevalence of Lifestyle Counseling or Referral Among African-Americans and Whites with Diabetes

The Gap Between Practice and Guidelines in the Choice of First-line Disease Modifying Antirheumatic Drug in Early Rheumatoid Arthritis: Results from the ESPOIR Cohort

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