Weight Management in Patients with Type 1 Diabetes and Obesity

Mottalib, Adham; Kasetty, Megan; Mar, Jessica; Elseaidy, Taha; Ashrafzadeh, Sahar; Hamdy, Osama

doi:10.1007/s11892-017-0918-8

Cited by 103 publications

(66 citation statements)

References 110 publications

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“…A retrospective nested-control study indicated that lifestyle-induced weight loss improved glycemia with a reduction in insulin doses compared with controls (193). Individuals with type 1 diabetes and obesity may benefit from eating plans that result in an energy deficit and that are lower in total carbohydrate and GI and higher in fiber and lean protein (194). Currently, adjunctive pharmacotherapy is not indicated for individuals with type 1 diabetes.…”

Section: Energy Balance and Weight Managementmentioning

confidence: 99%

Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report

Dennison²,

et al. 2019

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This Consensus Report is intended to provide clinical professionals with evidencebased guidance about individualizing nutrition therapy for adults with diabetes or prediabetes. Strong evidence supports the efficacy and cost-effectiveness of nutrition therapy as a component of quality diabetes care, including its integration into the medical management of diabetes; therefore, it is important that all members of the health care team know and champion the benefits of nutrition therapy and key nutrition messages. Nutrition counseling that works toward improving or maintaining glycemic targets, achieving weight management goals, and improving cardiovascular risk factors (e.g., blood pressure, lipids, etc.) within individualized treatment goals is recommended for all adults with diabetes and prediabetes. Though it might simplify messaging, a "one-size-fits-all" eating plan is not evident for the prevention or management of diabetes, and it is an unrealistic expectation given the broad spectrum of people affected by diabetes and prediabetes, their cultural backgrounds, personal preferences, co-occurring conditions (often referred to as comorbidities), and socioeconomic settings in which they live. Research provides clarity on many food choices and eating patterns that can help people achieve health goals and quality of life. The American Diabetes Association (ADA) emphasizes that medical nutrition therapy (MNT) is fundamental in the overall diabetes management plan, and the need for MNT should be reassessed frequently by health care providers in collaboration with people with diabetes across the life span, with special attention during times of changing health status and life stages (1-3). This Consensus Report now includes information on prediabetes, and previous ADA nutrition position statements, the last of which was published in 2014 (4), did not. Unless otherwise noted, the research reviewed was limited to those studies conducted in adults diagnosed with prediabetes, type 1 diabetes, and/or type 2 diabetes. Nutrition therapy for children with diabetes or women with gestational diabetes mellitus is not addressed in this review but is covered in other ADA publications, specifically Standards of Medical Care in Diabetes (5,6).

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Section: Energy Balance and Weight Managementmentioning

confidence: 99%

Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report

Dennison²,

et al. 2019

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“…The remaining groups represented obesity superimposed on type 1 diabetes (autoimmune plus insulin resistance, 19.5%) or atypical forms of diabetes (non‐autoimmune plus insulin sensitivity, 10.1%), which require further characterization, including genetic testing for specific monogenic defects . As the prevalence of childhood obesity continues to increase in the general population and in youth with diabetes, great care must be taken to correctly differentiate diabetes type in the setting of obesity, particularly with regards to youth with type 1 diabetes and antibody negative diabetes who show clinical signs of type 2 diabetes such as obesity and insulin resistance …”

Section: Classification Of Diabetes and Other Categories Of Glucose Rmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: Definition, epidemiology, and classification of diabetes in children and adolescents

et al. 2018

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“…Despite T1D patients having typically been considered to be lean, the obesity epidemic has affected them as well. A growing percentage of people with T1D experience symptoms of ''double diabetes'' due to the confounding of T1D with insulin resistance and other metabolic stresses associated with excess body weight (Mottalib et al, 2017).…”

Section: M-health In Weight Managementmentioning

confidence: 99%

Patient-Driven Diabetes Care of the Future in the Technology Era

Ashrafzadeh

Hamdy

2019

Cell Metabolism

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The growing burden of diabetes is fueled by obesity-inducing lifestyle behaviors including high-calorie diets and lack of physical activity. Challenges in access to diabetes specialists and educators, low adherence to medications, and inadequate motivational support for proper disease self-management contribute to poor glycemic control in patients with diabetes. Simultaneously, high patient volumes and low reimbursement rates limit physicians' time spent on lifestyle behavior counseling. These barriers to efficient diabetes care lead to high rates of diabetes-related complications, driving healthcare costs up and reducing the quality of patients' lives. Considering recent advancements in healthcare delivery technologies such as smartphone applications, telemedicine, m-health, device connectivity, machine-learning technology, and artificial intelligence, there is significant opportunity to achieve better efficiency in diabetes care and increase patient involvement in diabetes self-management, which ultimately may put an end to soaring diabetesrelated healthcare expenditures. This review explores the patient-driven diabetes care of the future in the technology era.

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Weight Management in Patients with Type 1 Diabetes and Obesity

Cited by 103 publications

References 110 publications

Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report

Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report

ISPAD Clinical Practice Consensus Guidelines 2018: Definition, epidemiology, and classification of diabetes in children and adolescents

Patient-Driven Diabetes Care of the Future in the Technology Era

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