Medical Nutrition Therapy
  • Percent of adults age 20 years and over who are overweight, including obesity: 69.2% (2009-2010)
  • Percent of adults age 20 years and over who are obese: 35.9% (2009-2010)
  • Percent of adolescents age 12-19 years who are obese: 18.4% (2009-2010)
  • Percent of children age 6-11 years who are obese: 18.0% (2009-2010)
  • Percent of children age 2-5 years who are obese: 12.1% (2009-2010)

CDC/National Center for Health Statistics
Fast Facts
Obesity and Overweight
Accessed 3/13/2014
http://www.cdc.gov/nchs/fastats/overwt.htm


Lifestyle and nutritional choices can effect the risk of developing type II diabetes. Simmons, Harding et al. found an inverse relationship between acheivement of five life changes and the progression from pre-diabetes to diabetes. Study participants who were able to meet five goals: 1) BMI <25 kg/m2, 2) fat intake <30% of energy intake, 3) saturated fat intake <10% of energy intake, 4) fiber intake ≥15 g/4,184 kJ, 5) physical activity >4 h/week) prevented or significantly delayed the onset of diabetes. Of course the challenge is in meeting the goal and maintaining healthy lifestyle changes to extend the benefit acheived.

The American Diabetes Association (ADA) supports the use of medical nutrition therapy (MNT) as part of a multidisciplinary approach in the treatment of diabetes. MNT applies nutrition and behavioral science to treat a specific physical condition. MNT for diabetes includes assessment of the patient's nutritional status and the collaborative development and implementation of an individualized diabetes self-management plan. The ADA also recommends "a registered dietitian, knowledgeable and skilled in MNT, should serve as an inpatient team member. The dietitian is responsible for integrating information about the patient's clinical condition, eating, and lifestyle habits and for establishing treatment goals in order to determine a realistic plan for nutrition therapy". In the outpatient setting the Registered Dietician assists the patient to determine nutritional needs based upon desired weight, lifestyle, medication, and comorbidities, such as hypercholesterolemia, hypertension, renal or liver disease, etc. The diabetes nurse educator can assist the patient to incorporate knowledge and behaviors into daily diabetes self-care.


Standards of Medical Care in Diabetes—2014 (excerpts)
Accessed at,
http://care.diabetesjournals.org/content/37/Supplement_1/S14.full

(A) = Supported by clear evidence from well-conducted, generalizable, randomized controlled trials that are adequately powered.
(B) = Supportive evidence from well-conducted cohort studies.

MNT General Recommendations

Energy balance, overweight, and obesity

Primary prevention of diabetes

Dietary fat intake in diabetes management

Carbohydrate intake in diabetes management

Other nutrition recommendations

 


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Development of type 2 diabetes may be delayed or prevented by lifestyle changes.

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