Optimizing Macronutrients in People with Diabetes

Gupta, Lovely; Lal, Priti Rishi; Khandelwal, Deepak

doi:10.1055/s-0038-1675684

Cited by 3 publications

(4 citation statements)

References 47 publications

(49 reference statements)

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“…Another RCT conducted by Jönsson et al 32 has shown that the Palaeolithic diet resulted in greater satiety quotients for energy per meal (p=0.004), energy density per meal (p=0.01) and glycaemic load per meal (p=0.02) among subjects with T2DM with negative effect with respect to compliance. Along with the above mentioned benefits implicated among obese patients with T2DM, a study by Masharani et al 21 also showed a marked decline in fructosamine and triglyceride values among the same group.…”

Section: Palaeolithic Diet and Weight Lossmentioning

confidence: 82%

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Palaeolithic Diet in Diabesity and Endocrinopathies – A Vegan’s Perspective

Gupta

Khandelwal²,

Lal

et al. 2019

European Endocrinology

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Section: Palaeolithic Diet and Weight Lossmentioning

confidence: 82%

“…It has high-fibre content, high antioxidants, high mono- and polyunsaturated fats, low sodium and high potassium that may be beneficial for human health. 21,22 The Palaeolithic diet promotes the consumption of:…”

Section: Nutritional Aspectmentioning

confidence: 99%

Palaeolithic Diet in Diabesity and Endocrinopathies – A Vegan’s Perspective

Gupta

Khandelwal²,

Lal

et al. 2019

European Endocrinology

Self Cite

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“…2 Recommended dietary allowance (RDA) for macronutrients are similar among people with and without diabetes. 3 A balanced diet with proper distribution of calories with adequate quality and quantity of dietary carbohydrate (CHO), protein, fat, and micronutrient intake is advised for the optimum management of blood glucose levels and balancing insulin levels in the body. To the best of our knowledge, no studies indicating macronutrient intake pattern amongst the diabetic people has been reported from Rural Gujarat.…”

Section: Introductionmentioning

confidence: 99%

Macronutrient intake pattern among type 2 diabetic adults visiting a tertiary care hospital of rural Vadodara

Chhaya¹,

Soni²,

Patel³

2022

ijhs

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The management of Type 2 Diabetes Mellitus requires a combination of medications and lifestyle changes. The present study was undertaken to correlate the dietary practices, anthropometric and biochemical parameters with the RDA of macronutrients. A cross sectional study consisting diabetic patients (n=50) visiting OPD at a tertiary care hospital were selected. Their anthropometry, food habits and dietary recall were analyzed. Out of 50 subjects, 58% were having normal BMI, 14% were hypertensive. A positive correlation (r=0.23) was observed between Blood pressure and BMI. The mean nutrient intake were Energy 1444 (±470) Kcal, Protein 40.26(±14.15) gm, Fats 28.60(±15.23) gm and Carbohydrate 193.28(±108.9) gm. About half of the subjects were achieving 50% of the calorie requirement, 60% of them were fulfilling 75% RDA for protein. Conclusion: MNT Goals should include maintenance of Ideal body weight along with lifestyle modifications besides maintaining the desired blood sugar levels. This will help in better compliance in management of diabetes.

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“…The Dietary Guidelines Development Process x Urgent solutions for reducing or even reversing this trend are needed, especially from investment in modifiable factors, including diet, physical activity, and body weight management (Gupta et al, 2018). Strategies for managing nutrition-related chronic disease conditions are usually multidimensional, involving mainly nutritional and/or dietary interventions, regular physical activity, and lifestyle modifications.…”

Section: 7mentioning

confidence: 99%

Development of context-specific dietary guidelines for managing nutrition-related disease conditions among hospitalised patients in Tanzania

Kisighii

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Barriers to adequate food intake among hospitalised patients with nutrition-related disease conditions such as diabetes, cancer, kidney disease, and hypertension, are multifactorial and complex. Due to this, these disease conditions require multi-level interventions, including a change in the attitude and improved awareness towards food among healthcare staff and hospitalised patients. The priority interventions need to be feasible in practice, particularly in terms of the availability, affordability, accessibility, and time. This can be successful when specific food-based dietary guidelines for each disease condition are in place. Unfortunately, specific dietary guidelines for managing nutrition-related chronic disease conditions among the hospitalised patients are currently not well established in Tanzania. This significantly contributes to delayed recovery of patients and increased economic burden to families and communities due to increased medical costs resulting from prolonged length of hospital stays, readmission, and mortality. Our study aimed to develop context-specific food-based dietary guidelines which favour healthy eating in the light of gut microbiome to guide health care professionals and nutritionists to make rational decisions in planning diets for these patients. A cross-sectional study was conducted to collect data on dietary intake, dietary patterns, food price and availability to inform the formulation of specific food-based dietary guidelines for hospitalised patients in Tanzania. Moreover, a 7-day weighed food record (WFR) was used to assess dietary intake data among 400 hospitalised patients with nutrition-related chronic diseases. Likewise, data on prices of commonly consumed foods were obtained from hospitals’ requisition books, nearby markets and shops. Furthermore, a linear goal programming was used to optimize dietary intake patterns for hospitalised patients with nutrition-related disease conditions by developing food-based dietary guidelines based on the study’s context. The analysis showed that whole grains mainly dominated the observed hospital dietary patterns. However, diet optimization using linear programming (LP) provided adequate dietary patterns with nutrient-dense foods for each food group. The LP findings informed the process of formulating context-specific optimal dietary guidelines that use culturally acceptable food ingredients, and which favour healthy eating in the light of gut microbiota for managing nutrition-related chronic diseases for hospitalised patients.

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Optimizing Macronutrients in People with Diabetes

Cited by 3 publications

References 47 publications

Palaeolithic Diet in Diabesity and Endocrinopathies – A Vegan’s Perspective

Palaeolithic Diet in Diabesity and Endocrinopathies – A Vegan’s Perspective

Macronutrient intake pattern among type 2 diabetic adults visiting a tertiary care hospital of rural Vadodara

Development of context-specific dietary guidelines for managing nutrition-related disease conditions among hospitalised patients in Tanzania

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