New diabetes nutrition resources☆☆☆

Autor: Belinda S. O’Connell, Karmeen Kulkarni, Lea Ann Holzmeister, Madelyn L. Wheeler, Anne Daly, Marion Franz
Rok vydání: 2003
Předmět:
Zdroj: Journal of the American Dietetic Association. 103:832-834
ISSN: 0002-8223
DOI: 10.1016/s0002-8223(03)00455-3
Popis: Advances in diabetes management and the variety of nutrition care services available to individuals with diabetes make this an exciting time for dietetics professionals to be working in the field of diabetes. Evidence supporting the effectiveness of medical nutrition therapy (MNT) for diabetes management continues to grow, with documented decreases in A1C of 2% in cases of newly diagnosed type 2 diabetes, and of 1% in cases of type 2 diabetes with an average duration of 4 years and in newly diagnosed people with type 1 diabetes (1). These outcomes are highly significant. For example, for a person newly diagnosed with type 2 diabetes who initially has an A1C of 9.0% and sees a registered dietitian for MNT, the expected outcome would be a reduction of A1C to 7.0%, which actually represents a 24% improvement. In January 2002, the American Diabetes Association published an updated position statement, “Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications” (2), along with a technical review that discusses in detail the published research for each principle and recommendation (3). These recommendations replace previous documents written in 1994. Additionally, the American Dietetic Association (ADA) and the Diabetes Care and Education dietetic practice group developed Medical Nutrition Therapy Evidence-Based Guides for Practice—nutrition practice guidelines for type 1 diabetes, type 2 diabetes (4), and gestational diabetes mellitus (5), as well as other diseases. The Centers for Medicare and Medicaid Services requires use of nationally recognized protocols, such as the ADA evidence-based guides for practice, for the Medicare MNT benefit (6). In response to these events, the American Diabetes Association and the ADA initiated a review of the client education pieces they copublish. In early 2002, a Nutrition Publications Advisory Task Force was appointed by the publications departments of the two associations. The charges of this task force were to (a) review existing diabetes nutrition education publications for consumers; (b) evaluate their purpose and clinical usefulness based on actual sales data from the two associations, feedback from staff, and consensus of the experienced members of the task force; and (c) make recommendations to staff for revisions. The primary goal was to ensure that all publications were consistent with the 2002 American Diabetes Association’s nutrition position statement and the ADA evidencebased guides for practice for diabetes care (type 1, type 2, and gestational diabetes).
Databáze: OpenAIRE
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