Nutrition Recommendations and Interventions for Diabetes-2008 American Diabetes Association Diabetes Care 2008 31 Suppl 1 S61 S78 10.2337/dc08-S061 18165339

Diabetes care (Impact Factor: 8.42). 02/2008; 31 Suppl 1(Suppl 1):S61-78. DOI: 10.2337/dc08-S061
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Available from: Marion J Franz, Feb 10, 2015
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    • "The main goals are to support patients in achieving and maintaining glycemic, blood pressure, and lipid control. An additional goal is to give attention to patients' personal preferences, culture, and willingness to make dietary changes and their ability to maintain the pleasure of eating [2]. It is this latter goal that is particularly important among patients for whom dietary intake is intimately associated with cultural patterns and traditions [3, 4], such as African Americans. "
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    ABSTRACT: Objective: To assess the efficacy and acceptability of a group medical nutritional therapy (MNT) intervention, using motivational interviewing (MI). RESEARCH DESIGN & METHOD: African American (AA) women with type 2 diabetes (T2D) participated in five, certified diabetes educator/dietitian-facilitated intervention sessions targeting carbohydrate, fat, and fruit/vegetable intake and management. Motivation-based activities centered on exploration of dietary ambivalence and the relationships between diet and personal strengths. Repeated pre- and post-intervention, psychosocial, dietary self-care, and clinical outcomes were collected and analyzed using generalized least squares regression. An acceptability assessment was administered after intervention. Results: Participants (n = 24) were mostly of middle age (mean age 50.8 ± 6.3) with an average BMI of 39 ± 6.5. Compared to a gradual pre-intervention loss of HbA1c control and confidence in choosing restaurant foods, a significant post-intervention improvement in HbA1c (P = 0.03) and a near significant (P = 0.06) increase in confidence in choosing restaurant foods were observed with both returning to pre-intervention levels. 100% reported that they would recommend the study to other AA women with type 2 diabetes. Conclusion: The results support the potential efficacy of a group MNT/MI intervention in improving glycemic control and dietary self-care-related confidence in overweight/obese AA women with type 2 diabetes.
    Full-text · Article · Aug 2014 · Journal of obesity
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    • "Since dietary recommendations often require diabetic patients to alter behaviors that have been present for a lifetime, and are based upon strong preferences [20], it can greatly impair their quality of life which is associated with the discontinuation of therapy [21]. Earlier studies have focused on the prevention of complications and glycemic control of diabetes through diet modification [22,23], however, there is limited information on the associations with dietary behavior and nutrient adequacy in Korean diabetic patients and the patients' views of the burden of self-management and life satisfaction due to diet modification in this population [24]. "
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    ABSTRACT: It is generally accepted that diet modification provides beneficial effects on the management of diabetes. In the present study, we evaluated the effects of diet modification on nutrient intake and quality of life in a large sample of diabetic patients. This study was conducted using data from the Korea National Health and Nutrition Examination Survey IV and V (2007-2010). A total of 2,484 of diabetic patients were included in the analysis. Then, we compared the overall quality of dietary intake between diabetic patients with diet modification and those without dietary modification. The result showed that subjects on diabetic diet (DDG) showed lower levels of total cholesterol, triglyceride, and AST before and after the adjustment for covariates (all p < 0.05). The results of nutrient assessment showed that DDG had lower intakes of total energy, fat, and carbohydrate (all p < 0.05), but higher intakes of energy from protein, vitamin B1, vitamin B2, niacin and vitamin C than NDG. (all p < 0.05). In addition, nutritional adequacy ratio of calcium and vitamin B2 were significantly higher in DDG than those in normal diet group (NDG) (p < 0.05). However, we observed no significant differences in quality of life between two groups. In conclusion, diet modification in diabetic patients seemed to be effective to improve blood lipid profile and the adequacy of nutrient intake without sacrificing the quality of life.
    Full-text · Article · Jul 2014
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    • "Considering that some two thirds the trials included in the present meta-analysis were enrolling obese subjects, it could be speculated that a high protein intake will add another detrimental factor to the increased risk of kidney dysfunction already established for this population. According to the recommendations of the American Diabetes Association, patients with T2D should not refer to HP diets as a means for weight loss due to the unknown long-term effects of protein intakes > 20% of TEC [41]. "
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    ABSTRACT: Background It was the aim of the present systematic review and meta-analysis to investigate the effects of high protein (HP) versus normal/low protein (LP/NP) diets on parameters of renal function in subjects without chronic kidney disease. Methods Queries of literature were performed using the electronic databases MEDLINE, EMBASE, and the Cochrane Trial Register until 27th February 2014. Study specific weighted mean differences (MD) were pooled using a random effect model by the Cochrane software package Review Manager 5.1. Findings 30 studies including 2160 subjects met the objectives and were included in the meta-analyses. HP regimens resulted in a significantly more pronounced increase in glomerular filtration rate [MD: 7.18 ml/min/1.73 m2, 95% CI 4.45 to 9.91, p<0.001], serum urea [MD: 1.75 mmol/l, 95% CI 1.13 to 237, p<0.001], and urinary calcium excretion [MD: 25.43 mg/24h, 95% CI 13.62 to 37.24, p<0.001] when compared to the respective LP/NP protocol. Conclusion HP diets were associated with increased GFR, serum urea, urinary calcium excretion, and serum concentrations of uric acid. In the light of the high risk of kidney disease among obese, weight reduction programs recommending HP diets especially from animal sources should be handled with caution.
    Full-text · Article · May 2014 · PLoS ONE
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