Nutrition therapy recommendations for the management of adults with diabetes
Open accessAbstract
There is no standard meal plan or eating pattern that works universally for all people with diabetes. In order to be effective, nutrition therapy should be individualized for each patient/client based on his or her individual health goals; personal and cultural preferences; health literacy and numeracy; access to healthful choices; and readiness, willingness, and ability to change. Nutrition interventions should emphasize a variety of minimally processed nutrient dense foods in appropriate portion sizes as part of a healthful eating pattern and provide the individual with diabetes with practical tools for day-to-day food plan and behavior change that can be maintained over the long term.
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Carbohydrate restriction or reduction is not currently recommended for prevention or treatment of diabetes by major organizations and institutions to which physicians turn for guidance.
“Despite these well-documented benefits, carbohydrate restriction or reduction is not currently recommended for prevention or treatment of diabetes by the major organizations and institutions to which physicians turn for guidance (13,14).”
From A Lower-Carbohydrate, Higher-Fat Diet Reduces Abdominal and Intermuscular Fat and Increases Insulin Sensitivity in Adults at Risk of Type 2 Diabetes (2015) · cites this paper as [13]
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“individualized eating plan that includes all components necessary for optimal nutrition (4,9).”
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Self-citationComparison of low- and high-carbohydrate diets for type 2 diabetes management: a randomized trial
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“INTRODUCTION Weight reduction and lifestyle modification are strongly recommended for all overweight and obese patients with type 2 diabetes.(1) 2 We previously demonstrated that modest weight reduction of ∼7% over a 6-month period through caloric reduction and increased physical activity improved insulin sensitivity,…”
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A Dietary Intervention in Urban African Americans
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- Authors
- Evert, A. B., Boucher, J. L., Cypress, M., Dunbar, S. A., Franz, M. J., Mayer-Davis, E. J., Neumiller, J. J., Nwankwo, R., Verdi, C. L., Urbanski, P., & Yancy, W. S.
- Affiliations
- University of Washington Medical Center (US)
- Minneapolis Heart Institute Foundation (US)
- Department of Endocrinology, ABQ Health Partners, Albuquerque, New Mexico
- American Diabetes Association (US)
- Nutrition Concepts by Franz, Minneapolis, Minnesota
- Gillings School of Global Public Health and School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
- Washington State University Spokane (US)
- University of Michigan (US)
- pbu consulting, llc., Cloquet, Minnesota
- Duke University (US)
- Corresponding author
- Evert, Alison B.
- Boucher, Jackie L.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2013-10-15
- Volume
- 36
- Issue
- 11
- Pages
- 3821-3842
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC3816916
- OpenAlex
- W2160901128
- Cited by
- 1,129
- References
- 262
- Citations by year
- 2026: 14 · 2025: 23 · 2024: 43 · 2023: 54 · 2022: 61 · 2021: 102 · 2020: 96 · 2019: 108 · 2018: 125 · 2017: 165 · 2016: 119 · 2015: 123 · 2014: 86 · 2013: 4 · 2012: 4
- FWCI
- 87.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Diabetes Care (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes mellitus, nutritional therapy, dietary habits, health literacy, health numeracy, food choice, portion size, nutrient-dense foods, behavior change
- MeSH terms
- Adult, Diabetes Mellitus, Female, Humans, Practice Guidelines as Topic, Nutrition Therapy
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