Diabetes Pro Quarterly - Fall 2013 - (Page 1)
A m e r i c A n D i A b e t es A s s o c i At i o n
n e w s fo r P r o fes s i o n A l m e m b e r s
association issues New Nutrition Therapy Position
The Association on October 10 released a new position statement in Diabetes Care titled
"Nutrition Therapy for the Management of Adults with Diabetes." It replaces the nutrition recommendations published in 2008.
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The 2013 statement provides a set of recommendations based on review of recent scientific evidence. The recommendations call for all adults diagnosed with diabetes to eat a
variety of nutrient-dense foods in appropriate
portion sizes as part of an eating plan that
takes into account individual preferences,
culture, religious beliefs, traditions, and
metabolic goals. In choosing an appropriate eating plan, people with diabetes
should be sure to consider individual
metabolic goals, such as their glucose and
lipid levels and blood pressure, the statement notes. Since people eat combinations
of food and not single nutrients such as
carbohydrates, protein, and fat, the report
includes a new section on eating patterns.
Jackie Boucher, MS, RD, LD, CDE, the Minneapolis
Heart Institute Foundation's vice president for education and a cochair of the position
statement's writing group, noted that current evidence does not strongly support one
eating pattern (such as Mediterranean, vegetarian, or low carbohydrate) over another.
The important thing is "finding an eating pattern that fits your food preferences and
lifestyle, that can be consistently followed, and that provides you with the nutrition you
need for good health," Boucher said.
Alison Evert, MS, RD, CDE, coordinator of diabetes education programs at the University of Washington Medical Center's Diabetes Care Center and the other cochair of the
statement's writing group, emphasized that "ideally the person with diabetes should be
referred to a registered dietitian or participate in a diabetes self-management education
program soon after diagnosis. An important goal of nutrition therapy for adults with
diabetes includes the collaborative development of an individualized eating plan with
ongoing support to promote health behavior change."
Recommendations on Individual Macronutrients
The new guidelines note that there is no conclusive evidence of an ideal amount of
carbohydrate intake for people with diabetes; however, the authors suggest that whatever
carbohydrates are eaten should come from vegetables, whole grains, fruits, legumes, and
continued on page 2
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Diabetes Pro Quarterly - Fall 2013
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