Journal List > J Korean Diabetes > v.18(2) > 1055088

Lim: Macronutrient Distributions in Nutrition Recommendation for Type 2 Diabetes Management

Abstract

Dietary intake is a major contributor to both the development and management of type 2 diabetes. Multiple studies have provided evidence that diabetes nutrition therapy is effective for improving glycemic control and other metabolic outcomes. However, there remains no conclusive evidence as to which diet, if any, is the most effective for optimizing glycemic control in patients with diabetes. The roles of differing macronutrient percentages, eating patterns and weight loss interventions are controversial topics concerning dietary intake. In particular, there are no ideal percentages of macronutrients or eating patterns that can simultaneously apply to all persons with diabetes. A reduced energy intake for persons with type 2 diabetes, referred to as nutrition therapy intervention, has been shown to be effective for achieving glycemic and other metabolic outcomes. For such a treatment option to be effective, diabetes nutrition therapy must be individualized. Thus, treatment goals, personal preference, individual ability and willingness to make lifestyle changes must all be considered when educating or counseling individuals with diabetes.

References

1. American Diabetes Association. Foundations of care: education, nutrition, physical activity, smoking cessation, psychosocial care, and immunization. Diabetes Care. 2015; 38:Suppl. S20–S30.
2. American Diabetes Association. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care. 2002; 25:202–212.
3. Korean Diabetes Association. Treatment guideline for diabetes. 5th ed. Seoul: Gold' Planning and Development;2015. p. 31–37.
4. Ajala O, English P, Pinkney J. Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. Am J Clin Nutr. 2013; 97:505–516.
crossref
5. Franz MJ, Horton ES Sr, Bantle JP, Beebe CA, Brunzell JD, Coulston AM, Henry RR, Hoogwerf BJ, Stacpoole PW. Nutrition principles for the management of diabetes and related complications. Diabetes Care. 1994; 17:490–518.
crossref
6. Czyżewska-Majchrzak Ł, Grzelak T, Kramkowska M, Czyżewska K, Witmanowski H. The use of low-carbohydrate diet in type 2 diabetes-benefits and risks. Ann Agric Environ Med. 2014; 21:320–326.
7. Feinman RD, Pogozelski WK, Astrup A, Bernstein RK, Fine EJ, Westman EC, Accurso A, Frassetto L, Gower BA, McFarlane SI, Nielsen JV, Krarup T, Saslow L, Roth KS, Vernon MC, Volek JS, Wilshire GB, Dahlqvist A, Sundberg R, Childers A, Morrison K, Manninen AH, Dashti HM, Wood RJ, Wortman J, Worm N. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. Nutrition. 2015; 31:1–13.
crossref
8. Wheeler ML, Dunbar SA, Jaacks LM, Karmally W, Mayer-Davis EJ, Wylie-Rosett J, Yancy WS Jr. Macronutrients, food groups, and eating patterns in the management of diabetes: a systematic review of the literature, 2010. Diabetes Care. 2012; 35:434–445.
crossref
9. Emadian A, Andrews RC, England CY, Wallace V, Thompson JL. The effect of macronutrients on glycaemic control: a systematic review of dietary randomised controlled trials in overweight and obese adults with type 2 diabetes in which there was no difference in weight loss between treatment groups. Br J Nutr. 2015; 114:1656–1666.
crossref
10. Franz MJ, Boucher JL, Rutten-Ramos S, VanWormer JJ. Lifestyle weight-loss intervention outcomes in overweight and obese adults with type 2 diabetes: a systematic review and meta-analysis of randomized clinical trials. J Acad Nutr Diet. 2015; 115:1447–1463.
crossref
11. American Diabetes Association. Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG, Franz MJ, Hoogwerf BJ, Lichtenstein AH, Mayer-Davis E, Mooradian AD, Wheeler ML. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2008; 31:Suppl 1. S61–S78.
12. Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2013; 36:3821–3842.
crossref
13. Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Dworatzek PD, Arcudi K, Gougeon R, Husein N, Sievenpiper JL, Williams SL. Nutrition therapy. Can J Diabetes. 2013; 37:Suppl 1. S45–S55.
crossref
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