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Cited by 4Diabetes Management and EducationDiabetes Management and ResearchDietetics, Nutrition, and Education

Nutritional Management of Diabetes

Tomuta, Norica, Davis, Nichola, Isasi, Carmen, Tomuta, Vlad, Wylie-Rosett, Judith·2009·Diabetes and Exercise
DOI 10.1007/978-1-59745-260-1_11
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Abstract

Medical nutrition therapy (MNT) is a cornerstone of treatment for the estimated 20.8 million people with diabetes in the United States. MNT is a more intensive and focused comprehensive nutrition therapy service that relies heavily on follow-up and provides repeated reinforcement to help change behavior. The long-term goal of medical nutrition therapy in diabetes is to prevent and/or delay diabetes complications by restoring metabolism to as close-to-normal as possible. Strategies used in MNT differ depending on the type of diabetes. In type 1 diabetes, the focus may be coordinating insulin treatment to diet and physical activity, and in type 2 diabetes, the focus may be weight reduction. This chapter will review the goals of MNT in type 1, type 2, and gestational diabetes. We will review macronutrient composition including carbohydrate metabolism, micronutrient composition, and vitamin use in diabetes. We will clarify the terms used to describe carbohydrates and how they affect blood glucose (glycemic index, glycemic load, advanced glycosylation products, net carbohydrate, available carbohydrate, and glycemic glucose equivalent). Additionally, strategies for decreasing energy intake (lowering dietary energy density, reduced portion size, meal replacements, and structured meal plans) will be discussed. MNT is an integral component of diabetes prevention, management, and self-management education. All care providers involved in diabetes treatment need to be knowledgeable about nutrition therapy to help individuals with diabetes achieve recommendations for a healthy lifestyle. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Crossref · 10.1007/978-1-59745-260-1_11

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  • Diets low in red and processed meat but high in monounsaturated fatty acids, fruits, vegetables, whole grain cereals, and dietary fiber may protect against type 2 diabetes, possibly through improving insulin sensitivity.

    “Diets that are low in red and processed meat but high in monounsaturated fatty acids, fruits, vegetables, whole grain cereals, and dietary fiber may protect against type 2 diabetes, possibly through improving insulin sensitivity (30,31).”

    From Diabetes and Cancer (2010) · cites this paper as [30]

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Authors
Tomuta, N., Davis, N., Isasi, C., Tomuta, V., & Wylie-Rosett, J.
Affiliations
  • Bronx-Lebanon Hospital Center (US)
  • Albert Einstein College of Medicine (US)
ORCID
Isasi, Carmen
Venue
Diabetes and Exercise
Publisher
Humana Press
Published
2009
Pages
231-261
DOI
10.1007/978-1-59745-260-1_11
OpenAlex
W91638240
Cited by
4
References
121
Citations by year
2019: 1 · 2013: 1
FWCI
3.04
Type
book chapter
Language
en
Open access
closed
Locations
Humana Press eBooks (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
Keywords
medical nutrition therapy, diabetes management, type 1 diabetes, type 2 diabetes, gestational diabetes mellitus, carbohydrate metabolism, glycemic index, glycemic load, advanced glycation end products, available carbohydrates, macronutrients, micronutrients, vitamin use, weight loss, portion size, meal planning, meal replacement, energy density, diabetes self-management education, diabetes prevention

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