By Marion J. Franz M.S., Alison Evert
Alison Evert, MS, RD, CDE, is a Diabetes food Educator and the Coordinator of Diabetes teaching programs on the college of Washington scientific middle, Diabetes Care heart (DCC) in Seattle, WA. An writer of various articles concerning the position of food in diabetes care, Ms. Evert helped write and revise the yankee Diabetes Association/Academy of food and Dietetics Choose Your Foods academic book sequence. previous Chair of the Diabetes Care and schooling Dietetic perform staff of the Academy of food and American Dietetic organization. An lively diabetes educator, she additionally served at the Children’s paintings workforce for nationwide Diabetes schooling application for 5 years.
Read Online or Download American Diabetes Association Guide to Nutrition Therapy for Diabetes (NONE) PDF
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Extra info for American Diabetes Association Guide to Nutrition Therapy for Diabetes (NONE)
In summary, 1) focus nutrition interventions on nutrition therapy strategies shown to improve metabolic outcomes—glycemia, lipids, blood pressure—and quality of life, prioritizing goals for each individual with diabetes; 2) negotiate with individuals on lifestyle changes they are willing and able to make; and, perhaps the best advice, 3) instruct patients on appropriate portion sizes of foods shown to have health benefits. BIBLIOGRAPHY Academy of Nutrition and Dietetics: Nutritive and nonnutritive sweeteners evidence analysis project, 2011.
Both diets had beneficial effects on weight loss, fasting glucose, and total and LDL cholesterol, with no differences in postprandial glucose and insulin responses. However, the high-protein, low-fat diet improved both triglyceride levels and blood pressure (Papakonstantinou 2010b). In two small 5-week and 10-week studies of men with untreated diabetes, weight-maintaining diets containing 30% protein, 30% carbohydrate, and 40% fat decreased glycated hemoglobin (% GHb) by 13% at 5 weeks and 25% at 10 weeks with no changes in insulin, glucagon, and blood pressure and without the addition of glucose-lowering medications (Gannon 2010).
However, just as there is no one medical therapy appropriate for all individuals with type 1 or type 2 diabetes, there is no one prescription for nutrition therapy appropriate for all people with diabetes. It is clear, as outlined in Chapter 1, that a variety of nutrition interventions lead to positive outcomes. What is essential is that health care professionals select nutrition therapy interventions that will lead to positive outcomes in the patients they are counseling. Agreement from diabetes patients as to their willingness and ability to implement nutrition interventions is equally essential.