Nutrition Therapy Recommendations for the Management of Adults With Diabetes

Evert, Alison B.; Boucher, Jackie L.; Cypress, Marjorie; Dunbar, Stephanie; Franz, Marion J.; Mayer‐Davis, Elizabeth J.; Neumiller, Joshua J.; Nwankwo, Robin; Verdi, Cassandra L.; Urbanski, Patti; Yancy, William S.

doi:10.2337/dc13-2042

Cited by 814 publications

(751 citation statements)

References 228 publications

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“…This could be considered as a diet containing relatively high carbohydrate and low protein. Currently, there is no ideal macronutrient distribution for all people with diabetes, according to the ADA recommendations for nutrition therapy16. For example, some studies showed better glycemic control and insulin sensitivity in patients taking lower levels of carbohydrate23, 24, 25, whereas some others showed no difference26, 27.…”

Section: Discussionmentioning

confidence: 99%

Dietary and physical activity of adult patients with type 2 diabetes in Zhejiang province of eastern China: Data from a cross‐sectional study

Pan

Ming-xia

et al. 2016

J of Diabetes Invest

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Aims/IntroductionLifestyle management helps improve the clinical outcome of patients with type 2 diabetes. The present study aimed to obtain lifestyle data on the dietary and physical activity of adult type 2 diabetes patients in Zhejiang province of eastern China for better patient education and improvement of clinical management.Materials and MethodsA cross‐sectional survey of 607 adult type 2 diabetes patients was carried out in 12 hospitals within eight cities of Zhejiang province. Data were collected for sex, age, basic physical measurement (blood pressure, height, weight, waist circumference and hip circumference), dietary favor and habit (vegetarian diets vs meat diets, preference of salty or light flavors), detailed dietary intake (24‐h recall method), as well as the weekly physical activity.ResultsThe mean age of the patients in the analysis was 56.39 ± 12.29 years, and 38.71% of the patients had higher levels of body mass index than recommended. The average daily total energy intake was 1887.71 ± 575.10 kcal. The percentage of calories from carbohydrate, protein and fat were 61.36 ± 11.59%, 13.29 ± 3.37% and 25.35 ± 11.16%, respectively. For physical activity, the patients generally spent most of their daily time sitting and sleeping, and the time for moderate vigorous activity was limited.ConclusionsAdult patients with type 2 diabetes in Zhejiang province have a relatively high carbohydrate and low protein diet, with very limited physical activity. Patient education to achieve a better lifestyle intervention needs to improve in this region.

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Section: Discussionmentioning

confidence: 99%

Dietary and physical activity of adult patients with type 2 diabetes in Zhejiang province of eastern China: Data from a cross‐sectional study

Pan

Ming-xia

et al. 2016

J of Diabetes Invest

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“…without pharmacotherapy) are generally not adequately effective in maintaining persistent glycaemic control over time for many individuals'. 36 In current treatment approaches, pharmacotherapy typically is the focal point and carbohydrate restriction is deemphasised. For instance, a recent Kaiser Permanente study involving 120 000 patients concluded that prolonged T2D remission in community settings without bariatric surgery is very rare; it occurred in only 0.007% of the study population.…”

Section: Type 2 Diabetes Reversal: Is It Possible?mentioning

confidence: 99%

“…While recognising that 'carbohydrate intake has a direct effect on postprandial glucose levels' and 'total amount of carbohydrate eaten is the primary predictor of glycaemic response', the ADA advises that 'a variety of eating patterns (combinations of different foods or food groups) are acceptable for the management of diabetes' and recommends adjusting carbohydrate intake to mealtime insulin dosing. 36 The ADA has refrained from making a robust recommendation for carbohydrate restriction. It posits that 'evidence is inconclusive for an ideal amount of carbohydrate intake for people with diabetes'.…”

Section: Trials Of Low-carbohydrate Diets: Significant Findings For Amentioning

confidence: 99%

A low-carbohydrate survey: Evidence for sustainable metabolic syndrome reversal

Cucuzzella

Tondt

Dockter

et al. 2017

JMH

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Background: Metabolic syndrome has become a significant problem, with the American Diabetes Association estimating the cost of diabetes and pre-diabetes in the United States alone to be $322 billion per year. Numerous clinical trials have demonstrated the efficacy of low-carbohydrate diets in reversing metabolic syndrome and its associated disorders.Aim: This study was designed to examine how voluntary adherents to a low-carbohydrate diet rate its effectiveness and sustainability using an online survey.Setting and methods: The 57-question survey was administered online and shared internationally via social media and ‘low-carb’ communities. Where appropriate, chi-squared tests and paired t-tests were used to analyse the responses.Results: There were 1580 respondents. The majority of respondents had consumed less than 100 g of carbohydrates per day for over a year, typically for reasons of weight loss or disease management. There was a reported decrease in waist circumference and weight with a simultaneous decrease in hunger and increase in energy level. Of those who provided laboratory values, the majority saw improvements in their HbA1c, blood glucose measurements, and lipid panel results. There was a reduction in usage of various medications, and 25% reported medication cost savings, with average monthly savings of $288 for those respondents. In particular, the usage of pain relievers and anti-inflammatories dropped with a simultaneous decreased rating of pain and increase in mobility.Conclusion: We conclude that low-carbohydrate diets are a sustainable method of metabolic syndrome reversal in a community setting.

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“…This is not such an easy objective to reach as promoting exercise, good nutrition and foot care. Certain studies showed that blood glucose testing was associated with a negative impact [19,20]. Authors explain that self-monitoring blood glucose more than one time per day was significantly related to higher levels of distress, worries, and depressive symptoms.…”

Section: Determinants Of the Quality Of Life Of Patients With Type 2 mentioning

confidence: 99%

Determinants of the Quality of Life of Patients with Type 2 Diabetes in Yunnan of China

Lv¹

2017

IOSR JDMS

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Nutrition Therapy Recommendations for the Management of Adults With Diabetes

Cited by 814 publications

References 228 publications

Dietary and physical activity of adult patients with type 2 diabetes in Zhejiang province of eastern China: Data from a cross‐sectional study

Dietary and physical activity of adult patients with type 2 diabetes in Zhejiang province of eastern China: Data from a cross‐sectional study

A low-carbohydrate survey: Evidence for sustainable metabolic syndrome reversal

Determinants of the Quality of Life of Patients with Type 2 Diabetes in Yunnan of China

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